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Current national and international guidelines for the ethical design and development of artificial intelligence (AI) and robotics emphasize ethical theory. Various governing and advisory bodies have generated sets of broad ethical principles, which institutional decisionmakers are encouraged to apply to particular practical decisions. Although much of this literature examines the ethics of designing and developing AI and robotics, medical institutions typically must make purchase and deployment decisions about technologies that have already been designed and developed. The primary problem facing medical institutions is not one of ethical design but of ethical deployment. The purpose of this paper is to develop a practical model by which medical institutions may make ethical deployment decisions about ready-made advanced technologies. Our slogan is "more process, less principles." Ethically sound decisionmaking requires that the process by which medical institutions make such decisions include participatory, deliberative, and conservative elements. We argue that our model preserves the strengths of existing frameworks, avoids their shortcomings, and delivers its own moral, practical, and epistemic advantages. [ABSTRACT FROM AUTHOR]

In Longoni et al. (2019), we examine how algorithm aversion influences utilization of healthcare delivered by human and artificial intelligence providers. Pezzo and Beckstead's (2020) commentary asks whether resistance to medical AI takes the form of a noncompensatory decision strategy, in which a single attribute determines provider choice, or whether resistance to medical AI is one of several attributes considered in a compensatory decision strategy. We clarify that our paper both claims and finds that, all else equal, resistance to medical AI is one of several attributes (e.g., cost and performance) influencing healthcare utilization decisions. In other words, resistance to medical AI is a consequential input to compensatory decisions regarding healthcare utilization and provider choice decisions, not a noncompensatory decision strategy. People do not always reject healthcare provided by AI, and our article makes no claim that they do. [ABSTRACT FROM AUTHOR]