Limiting medical certainties? Funding challenges for German and comparable public healthcare systems due to AI prediction and how to address them
Open Access
- 1 August 2022
- journal article
- research article
- Published by Frontiers Media SA in Frontiers in Artificial Intelligence
- Vol. 5, 913093
- https://doi.org/10.3389/frai.2022.913093
Abstract
Current technological and medical advances lend substantial momentum to efforts to attain new medical certainties. Artificial Intelligence can enable unprecedented precision and capabilities in forecasting the health conditions of individuals. But, as we lay out, this novel access to medical information threatens to exacerbate adverse selection in the health insurance market. We conduct an interdisciplinary conceptual analysis to study how this risk might be averted, considering legal, ethical, and economic angles. We ask whether it is viable and effective to ban or limit AI and its medical use as well as to limit medical certainties and find that neither of these limitation-based approaches provides an entirely sufficient resolution. Hence, we argue that this challenge must not be neglected in future discussions regarding medical applications of AI forecasting, that it should be addressed on a structural level and we encourage further research on the topic.Keywords
Funding Information
- Bundesministerium für Bildung, Wissenschaft und Forschung (01GP1905A, 01GP1905B, 01GP1905C)
This publication has 56 references indexed in Scilit:
- Captious certainties: makings, meanings and misreadings of consumer-oriented genetic testingJournal of Community Genetics, 2013
- The Forms and Limits of Insurance SolidarityJournal of Business Ethics, 2011
- Spite and DevelopmentThe American Economic Review, 2008
- Adverse selection in health insurance markets? Evidence from state small-group health insurance reformsJournal of Public Economics, 2005
- Paying for Health Insurance: The Trade-Off between Competition and Adverse SelectionThe Quarterly Journal of Economics, 1998
- Adverse Selection in Health InsuranceForum for Health Economics and Policy, 1998
- Evidence of Adverse Selection in the Individual Health Insurance MarketJournal of Risk and Insurance, 1992
- The role of income and health risk in the choice of health insuranceJournal of Public Economics, 1991
- Giving with Impure Altruism: Applications to Charity and Ricardian EquivalenceJournal of Political Economy, 1989
- The Market for "Lemons": Quality Uncertainty and the Market MechanismThe Quarterly Journal of Economics, 1970