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The Ethics and Epistemology of Clinician-AI Disagreement in Medicine: Beyond Opposition

2026·0 Zitationen·The American Journal of BioethicsOpen Access
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Abstract

). In this paper, we aim to spell out the shortcomings of these three approaches for dealing with clinician-AI disagreement and offer a more nuanced perspective on such disagreements. We argue that differentiation between types of disagreements, taking into account the role attributed to AI in medical practice, is essential before determining how clinician-AI disagreements should be dealt with. By drawing on a case that exemplifies how multifaceted medical decision-making is, we point out the normative implications of possible clinician-AI disagreements ensuing from it. We highlight the distinctive uncertainties inherent to medical decision-making, showing that disagreements in these contexts are not merely unavoidable but can even be epistemically valuable. Ultimately, by considering the epistemic positions of clinicians and AI systems, our analysis raises important questions for the epistemology of disagreement that need timely attention.

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