Clinical AI often enters through workflow tools and ambient systems before patients encounter a visible 'AI decision.'
AI in Healthcare
Ethics of diagnosis, treatment, and access
When an AI can improve care for many but fail a few, what does a clinician owe the few?
Healthcare makes trade-offs concrete: safety, access, clinical judgment, dataset shift, evidence quality, informed consent, equity, regulation, and post-deployment monitoring.
Join the live roomBefore class
Choose one clinical AI tool and map the patient journey, evidence claim, user, override, and post-deployment monitoring.
After class
Write the patient-facing disclosure and the clinician-facing escalation protocol for that tool.
The promise
By the end of this room…
- 01Apply principlism and justice to a clinical AI workflow.
- 02Evaluate clinical evidence, subgroup performance, and dataset shift.
- 03Distinguish decision support from responsibility transfer.
- 04Design monitoring, override, disclosure, and recourse for health AI.
Why this week now
Signals, not scene-setting.
Authorization is not proof of benefit in every local population, workflow, or subgroup.
Access improvements can coexist with new surveillance, documentation, and unequal-error burdens.
Run of show
Provoke → frame → work → argue → synthesize.
- 0:00provocation
Commit before the concepts
Would you accept a more accurate diagnostic system if neither you nor your clinician could explain an individual result?
Live activity · week 9 opening - 0:15frame
The clinical evidence ladder
Clinical AI often enters through workflow tools and ambient systems before patients encounter a visible 'AI decision.'
- 0:45discussion
Reading tension
Student leaders present the assigned readings as a clash of defensible positions, then moderate questions that expose the hidden assumptions.
- 1:10frame
Autonomy, equity, and post-market duty
Authorization is not proof of benefit in every local population, workflow, or subgroup.
- 1:35break
Break
Ten minutes. Leave the room's unresolved question visible.
- 1:45forensics
The doctor's dilemma
Role-based groups work the anchor case through technical, legal, stakeholder, and normative lenses.
Deliverable · A two-minute finding with evidence, uncertainty, and an actionable remedy.Live activity · week 9 forensics - 2:25controversy
Health-AI regulatory design studio
Assigned positions, side-switch, and a joint recommendation that names the value or stakeholder it leaves exposed.
Live activity · week 9 controversy - 2:50synthesis
Re-vote and leave a trace
Repeat the opening vote, inspect what moved, and submit the strongest argument you still reject.
Live activity · week 9 exit
Case room
Evidence before opinion.
Obermeyer health-management algorithm
How did access inequality enter through the target?
AI-enabled medical devices
What evidence should follow a system after authorization?
Reading stack
Read the tension, not the bibliography.
- 01CoreEthics and governance of AI for health ↗
World Health Organization
- 02ReferenceAI-Enabled Medical Devices ↗
U.S. FDA
Evidence ledger
Every case has a receipt.
3 primary, scholarly, or first-party sources
Ethics and governance of artificial intelligence for health
Principles and operational guidance for autonomy, safety, responsibility, equity, and sustainability in health AI.
Health-governance guidance ↗Artificial Intelligence-Enabled Medical Devices
A concrete inventory for asking what oversight exists before and after AI-enabled devices reach practice.
Regulatory inventory ↗Dissecting racial bias in an algorithm used to manage the health of populations
Shows how healthcare cost became a distorted proxy for health need because access was unequal.
Peer-reviewed audit ↗