Ethical Problems of Digitization and Robotization in Medicine

The article discusses the ethical problems that arise due to the processes of digitization and robotization in medicine, and focuses on the relationship between the doctor and the patient. The purpose of this article is to identify the limits of the transformative impact of these processes on the medical profession. The possibilities and disadvantages of telemedicine are considered, and the role of artificial intelligence in modern medical practice is analyzed. The author compares the traditional paternalistic model of the doctor’s attitude to the patient and the modern engineering model replacing it. The study has identified risks of computerization for doctors and patients, which may include the lack of direct contact between the doctor and the patient, the inability to “physical examination,” the uncertainty of liability for medical errors, as well as problems of maintaining the confidentiality of personal data of patients. The dominance of a technical-type model can lead to depersonalization of the patient and replacement of most doctors with artificial intelligence (AI) systems and robots. Since modern medicine belongs to two categories – “human territory,” which implies taking care of a person as the main task, and “machine territory,” which is associated with the automation of many processes, the article raises a natural question about the place of a doctor in the modern world. The findings allow to draw some conclusions. With the widespread introduction of artificial intelligence and robotic systems into medicine, the relationship between doctor and patient is being transformed. Diagnostics, treatment and medical manipulations will increasingly be assigned to machines, which will free doctors from the impossible task of collecting a huge array of medical data and free up time to communicate with patients. Intelligent machines and robotic systems will outperform doctors in diagnosing diseases and performing precise surgeries, but they will never replace doctors in caring for patients. An important task of modern medicine is to maintain “live contact” between the doctor and the patient.

digital medicine, telemedicine, artificial intelligence, robotization, automation, care, Dasein, psychosomatic diseases

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