Ethical Principles for the Development of Artificial Intelligence and its Application in Health Care Systems
Abstract
Four fundamental principles and ten ethical principles are proposed for artificial intelligence systems (AIS) in general and their application in public health. The Montreal Declaration for the Responsible Development of Artificial Intelligence (2018) on which this proposal is based is presented and commented on, as well as the UNESCO Recommendation on the Ethics of Artificial Intelligence (2022). The COVID-19 pandemic has shown the need to build a global health care system, as well as a coordinated response to the coming pandemics. The ethical principles applied to AIS can serve to reduce disparity and failures of health systems. The integration of AIS in health in different regions of the world would enable a more efficient global action, but if it is carried out from the framework of the (bio)ethical principles that are raised here: responsibility, precaution, autonomy and justice, as well as the principle of preservation of human decisions. AI can help progressively to implement a global health care system with universal and remote coverage that responds to one of the most important demands for global justice: the human right to health care.
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