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For years, technologists and computer scientists have promised an
AI revolution that would transform the very basis of how we imagine
and administer modern medicine. AI-driven advancements in medical
error rates, diagnostic accuracy, or disease outbreak detection
could potentially save thousands of lives. But health AI also
carries the potential for exacerbating deep systemic biases if left
unchecked. The Doctor and the Algorithm combines insights from
science and technology studies, critical algorithm studies, and
public interest informatics to better understand the promise and
peril of health AI. The book draws on case studies in automated
diagnostics, algorithmic pain measurement, AI-driven drug
discovery, and death prediction to investigate how health AI is
made, promoted, and justified. It explores the enthusiastic
promises of health AI marketing communication and medical futurism
while also analyzing the inequitable outcomes new AI technology
often creates for already marginalized communities. Finally, the
book closes with specific recommendations for regulatory frameworks
that might support more ethical and equitable approaches to health
AI in the future. Interweaving textual analysis and original
informatics, The Doctor and the Algorithm offers a sobering
analysis of the promise of medical AI against the real and
unintended consequences that deep medicine can bring for patients,
providers, and public health alike.
Chronic pain is a medical mystery, debilitating to patients and a
source of frustration for practitioners. It often eludes both cause
and cure and serves as a reminder of how much further we have to go
in unlocking the secrets of the body. A new field of pain medicine
has evolved from this landscape, one that intersects with dozens of
disciplines and subspecialties ranging from psychology and
physiology to anesthesia and chiropractic medicine. Over the past
three decades, researchers, policy makers, and practitioners have
struggled to define this complex and often contentious field as
they work to establish standards while navigating some of the most
challenging philosophical issues of Western science. In The
Politics of Pain Medicine: A Rhetorical-Ontological Inquiry, S.
Scott Graham offers a rich and detailed exploration of the medical
rhetoric surrounding pain medicine. Graham chronicles the work of
interdisciplinary pain management specialists to found a new
science of pain and a new approach to pain medicine grounded in a
more comprehensive biospychosocial model. His insightful analysis
demonstrates how these materials ultimately shape the healthcare
community's understanding of what pain medicine is, how the
medicine should be practiced and regulated, and how
practitioner-patient relationships are best managed. It is a
fascinating, novel examination of one of the most vexing issues in
contemporary medicine.
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