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Balancing Innovation and Trust: The Debate Over AI Healthcare Regulation
Paul Webster reports on the debate why the US is overregulating artificial intelligence (AI) in healthcare.
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Follow the link to the the full report here.
As AI is increasingly used for various tasks such as drug development, diagnosis, and treatment recommendations, medical professional associations are calling for tighter oversight to protect patients and doctors. However, tech companies and industry groups argue the proposed regulations by the Department of Health's Office of the National Coordinator for Health IT (ONC) could stifle innovation and access to data.
The ONC aims to improve transparency and trust in AI through new rules on predictive algorithms. But companies like Amazon Web Services (AWS) warn this could force revealing trade secrets. Some seek exemptions, like the hospital association arguing tools developed for internal use should be excluded. Critics worry the broad definition of predictive AI could regulate everything from spell check to autonomous diagnosis. They want clearer lines between ONC and FDA oversight.
Industry advocates like the AI Healthcare Coalition stress AI's potential benefits in increasing care quality and accessibility while reducing costs. They favor an approach aligning ONC with other agencies and stakeholders. Some support disclosing algorithm training data and risks via factsheets, akin to food labeling. But intellectual property concerns remain regarding revealing how systems function.
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Public skepticism of healthcare AI is increasing, though most Americans are open to uses like skin cancer screening. President Biden has met with industry leaders and advisors to explore balanced regulation. Advisors say AI advances require serious oversight, though IP rights must be weighed against understanding algorithms.
Medical associations demand transparency on AI reliability along with tighter data protections. The AMA warns algorithms embedded in electronic records are concerning without transparency. Doctors need insight into how AI tools utilize patient data and interpret AI recommendations. There are calls for stricter controls over EHR-based AI to prevent inappropriate influence on physician usage.
Artificial intelligence is transforming healthcare in promising ways, but also raises important concerns around protecting patient privacy, empowering doctors, and securing sensitive data. Stricter regulations have been proposed to address these issues, but industry pushback argues too much regulation may stifle innovation and infringe on intellectual property rights. Many advocate for greater transparency, disclosure, and education to build appropriate trust in AI among physicians and the public. With thoughtful balancing, stakeholders hope oversight of healthcare AI can enable continued advancement of this technology for the benefit of patients while adequately addressing ethical considerations.
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