Hi everyone,

Due to the current COVID situation in Sydney, this workshop has been moved 
online. It will now be held as a Zoom webinar. All welcome, but please register 
at https://page.mq.edu.au/CAVE-July-Webinar.html.


Applied AI Ethics: ethical issues with AI at work, in healthcare, and beyond



Artificially Intelligent (AI) systems are increasingly being used in the 
domains of human resource management and healthcare to make important 
decisions, such as who gets hired for a job or diagnosed with skin cancer. Such 
decisions raise important ethical and political concerns around respectful and 
fair treatment. This one-day workshop, hosted by the Centre for Agency, Values 
and Ethics (CAVE) at Macquarie University, will explore these and related 
issues. The workshop will be of interest to anyone interested in exploring the 
ethical implications of the increasing use of AI in society.


Schedule:

9:30-9:35. Welcome - A/Prof Paul Formosa, Director of CAVE.



9:35-10:15. “Machine intelligence in the workplace: a critical review of recent 
literature”. Prof Jean-Philippe Deranty and Thomas Corbin, Department of 
Philosophy, Macquarie University



10:15-10:55. “Slaves to the algorithms? Algocracy and Republican liberty”. Prof 
Robert Sparrow, Department of Philosophy, Monash University



10:55-11:35. “AI decision-making and dehumanisation. Examining responses to the 
use of AI in workplace and healthcare contexts”. A/Prof Paul Formosa and Dr 
Sarah Bankins. Department of Philosophy and Macquarie Business School, 
Macquarie University.



LUNCH BREAK



1:00-1:40. “Engaging empirically with the ethics of AI-enabled healthcare work”.

Dr Yves Aquino & Prof Stacy Carter, Australian Centre for Health Engagement, 
Evidence and Values, University of Wollongong.



1.40-2.20. “AI and healthcare: future directions and challenges”. Prof Wendy A 
Rogers, Department of Philosophy and Department of Clinical Medicine, Macquarie 
University



2.20-2.30 Concluding remarks.


Abstracts



“Machine intelligence in the workplace: a critical review of recent literature”.

Prof Jean-Philippe Deranty and Thomas Corbin, Department of Philosophy, 
Macquarie University



We first present the bibliographical research we have conducted on issues of 
automation for the onwork.edu.au repository project. We then discuss the main 
issues identified by researchers, focusing on methodological, social and 
political challenges raised by the spread of AI in different sectors of 
economic activity.



"Slaves to the algorithms? Algocracy and republican liberty"

Prof Robert Sparrow, Department of Philosophy, Monash University



Increasingly, governments are relying on artificial intelligence to make, or 
inform, important decisions. The possibility of government by AI, which John 
Danaher has styled “algocracy”, raises hopes of realising utopian visions of 
efficient and frictionless government: it also evokes dystopian fears of 
technocracy and totalitarianism. In this paper I turn to republican political 
theory to evaluate the prospect of algocracy and, in particular, the threat it 
might pose to the liberty of citizens. I argue that republicanism implies that 
there are at least four different reasons to be concerned about government by 
AI. First, decisions made using AI will often be impossible for citizens to 
contest because the reasons for the decisions will be inscrutable, which, as 
John Danaher has pointed out, in turn calls into question the legitimacy of the 
decisions and of any government that relies too heavily on AI. Second, the 
inability of citizens to contest the outcomes of government decisions made 
using AI and/or the justification for the use of AI will render these arbitrary 
in an important sense and therefore inimical to liberty on a republican 
account. Third, overreliance on AI is likely to undermine important civic 
virtues that are necessary to the flourishing of the Republic and thus to the 
defence of liberty. Fourth, AI is such a powerful technology that its use by 
government may grant states the power to suppress political dissent to such an 
extent as to essentially free governments from any fear of revolution. As a 
result, citizens will only be able to pursue their ends as long as the 
government chooses not to prevent them from doing so, which means that they 
will, according to republican theory, fundamentally lack liberty. If we wish to 
benefit from the use of AI in government without sacrificing liberty, we must 
ensure that there exist institutional checks and balances, in the spirit of a 
mixed constitution, which ensure that decisions made by AI can be publicly 
contested in order to ensure that they track the interests of citizens. We must 
also investigate ways to mitigate the impact of algocracy on the political 
culture of democratic societies and, in particular, on the willingness of 
citizens to challenge the decisions of algorithms. Finally, governments must 
resist the temptation to develop AI for applications that would grant them too 
much power over their citizens. These are difficult challenges and in practice, 
I suggest, the use of AI in government poses a significant threat to liberty.



“AI decision-making and dehumanisation. Examining responses to the use of AI in 
workplace and healthcare contexts”

A/Prof Paul Formosa and Dr Sarah Bankins. Department of Philosophy & Centre for 
Agency Values and Ethics, Macquarie University and Macquarie Business School.



In this paper we outline two studies looking at the use of Artificial 
Intelligence (AI) decision-making in workplace human resource management and 
healthcare contexts. Using AI to make decisions raises questions of how fair 
people perceive these decisions to be and whether they experience respectful 
treatment (i.e., interactional justice). In this experimental survey study with 
open-ended qualitative questions, we examine decision making in various 
workplace and healthcare scenarios and manipulate the decision maker (AI or 
human) and decision valence (positive or negative) to determine their impact on 
individuals’ experiences of interactional justice, trust, and dehumanization, 
and perceptions of decision-maker role appropriateness. We outline our results 
and their implications for theory, practice, and future research.



“Engaging empirically with the ethics of AI-enabled healthcare work”

Dr Yves Aquino & Prof Stacy Carter, Australian Centre for Health Engagement, 
Evidence and Values, University of Wollongong.



This presentation focuses on preliminary findings from an ongoing empirical 
study examining the perspectives of professional stakeholders working on 
artificial intelligence (AI) applications in diagnosis and screening. The 
project, funded by NHMRC 1181960, responds to recent calls for AI Ethics to 
proceed in a case-based way, grounded in the social worlds where AI is and will 
be deployed. Our study design combines a range of empirical and theoretical 
methods, allowing us to work between the moral intuitions of implicated actors, 
the detail of AI technological possibilities, and existing theoretical 
approaches, and thus produce new guidance for publics, decision-makers, and 
clinicians. For this presentation, we focus on our analysis that explores the 
varied epistemic and normative understandings of impact of AI on healthcare 
work. First, our findings examine the diverse roles of AI in the clinical 
context, ranging from augmenting clinicians’ skills to automating specific 
clinical tasks. Second, our analysis reveals conflicting stakeholder 
perspectives about clinical deskilling. One view frames deskilling as having 
negative impact on both clinicians and patients. A competing view contends that 
deskilling is a positive—if not necessary—effect of upskilling, wherein medical 
AI takes over menial tasks and enables clinicians to perform the more complex 
and meaningful aspects of the clinical encounter. Finally, our analysis 
investigates normative assumptions about essential and dispensable clinical 
skills that underpin the informants’ views about the value of clinical 
deskilling due to AI-enabled healthcare work.



"AI and healthcare: future directions and challenges"

Prof Wendy A Rogers, Department of Philosophy and Department of Clinical 
Medicine, Macquarie University



Access to high quality healthcare is foundational to people’s wellbeing. But 
providing accessible high quality healthcare seems difficult to achieve. 
Spiralling costs, high rates of iatrogenic harm, inequitable access, regulatory 
gaps and workforce problems are ubiquitous. AI is now being introduced into 
this messy complex arena. The promissory ‘hype’ is intense. AI may have the 
potential to decrease clinician loads by taking over mundane tasks, 
streamlining service delivery, unravelling organisational barriers and 
directing medical attention where it is most needed. These are significant 
promises that might address some of the current barriers to providing safe, 
effective, accessible healthcare. But these promises warrant examination. In 
this paper I explore the extent to which emergent healthcare AI matches the 
problems faced by healthcare systems. I argue that the current pathways to 
development and deployment of healthcare AI require scrutiny and revision if AI 
is to make substantial contributions to healthcare.

All welcome!



Macquarie University Research Centre for Agency, Values and Ethics (CAVE)
Department of Philosophy
Macquarie University
Sydney, NSW 2109, Australia
CAVE website: mq.edu.au/cave<http://cave.mq.edu.au>
www.facebook.com/MQCAVE<http://www.facebook.com/MQCAVE>

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