Before Asking AI to Make Ethical Judgments, Shouldn’t We First Ask What Ethics We Are Asking It to Follow?

Kenjiro Shiraishi

doi:10.1056/aip2500625

August 28, 2025NEJM AI

Before Asking AI to Make Ethical Judgments, Shouldn’t We First Ask What Ethics We Are Asking It to Follow?

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Key Points

The article discusses the role of AI in ethical decision-making, emphasizing the need for well-defined ethical frameworks.
It highlights that understanding what ethics we expect AI to follow is crucial for effective use, especially in sensitive areas like healthcare.
The evaluation of large language models as medical surrogates requires not only technical accuracy but also ethical considerations.
Ensuring that the questions posed to AI reflect relevant ethical standards may prevent potential misinterpretations in decision-making.

Implication

Observational analysis highlights ethical questions when using large language models as medical surrogates, indicating a need for structured inquiry.

Abstract

Harshe et al.'s article, "Can a Chatbot Be a Medical Surrogate?", provides an important contribution in evaluating whether large language models (LLMs) can assist with ethical decision-making. However, a critical dimension is missing: the structure of the question itself.

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Cite This Study

Kenjiro Shiraishi (2025) studied this question.

synapsesocial.com/papers/68bb3ee82b87ece8dc95710d https://doi.org/10.1056/aip2500625

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Before Asking AI to Make Ethical Judgments, Shouldn’t We First Ask What Ethics We Are Asking It to Follow?

Key Points

Implication

Abstract

Discussion

Cite This Study

Before Asking AI to Make Ethical Judgments, Shouldn’t We First Ask What Ethics We Are Asking It to Follow?

Key Points

Implication

Abstract

Discussion

Cite This Study

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