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๐—ช๐—ต๐˜† ๐—”๐—œ ๐—˜๐˜๐—ต๐—ถ๐—ฐ๐˜€ ๐—œ๐˜€ ๐—ฎ ๐—ฃ๐˜‚๐—ฏ๐—น๐—ถ๐—ฐ ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—œ๐—บ๐—ฝ๐—ฒ๐—ฟ๐—ฎ๐˜๐—ถ๐˜ƒ๐—ฒ: ๐—ง๐—ถ๐—บ๐—ฒ ๐˜๐—ผ ๐—”๐—ฐ๐˜, ๐—ก๐—ผ๐˜ ๐—๐˜‚๐˜€๐˜ ๐—ฅ๐—ฒ๐—ณ๐—น๐—ฒ๐—ฐ๐˜

We are no longer entering the AI revolutionโ€”we are already living it. Yet AI ethics, as both a discipline and a practical guide, is alarmingly late in shaping this transformation. Whether you build AI, regulate it, or unknowingly interact with it daily, you are already affectedโ€”consciously or not. Mastering AI ethics is no longer optional; it is a shared responsibility that no individual, institution, or profession can afford to ignore.

If traditional bioethics expertise is sparse, imagine the gap in the AI ethics sphere.

๐—”๐—œ ๐˜๐—ผ๐—ผ๐—น๐˜€ ๐—ฐ๐—ฎ๐—ป ๐—ฎ๐—บ๐—ฝ๐—น๐—ถ๐—ณ๐˜† ๐˜€๐˜†๐˜€๐˜๐—ฒ๐—บ๐—ถ๐—ฐ ๐—ถ๐—ป๐—ฒ๐—พ๐˜‚๐—ถ๐˜๐—ถ๐—ฒ๐˜€, ๐—ฐ๐—ผ๐—บ๐—ฝ๐—ฟ๐—ผ๐—บ๐—ถ๐˜€๐—ฒ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜ ๐—ฎ๐˜‚๐˜๐—ผ๐—ป๐—ผ๐—บ๐˜†, ๐—ฎ๐—ป๐—ฑ ๐—ฒ๐—ฟ๐—ผ๐—ฑ๐—ฒ ๐˜๐—ฟ๐˜‚๐˜€๐˜ ๐—ถ๐—ณ ๐—ฑ๐—ฒ๐—ฝ๐—น๐—ผ๐˜†๐—ฒ๐—ฑ ๐˜„๐—ถ๐˜๐—ต๐—ผ๐˜‚๐˜ ๐—ฒ๐˜๐—ต๐—ถ๐—ฐ๐—ฎ๐—น ๐˜€๐—ฎ๐—ณ๐—ฒ๐—ด๐˜‚๐—ฎ๐—ฟ๐—ฑ๐˜€.

From data governance to moral reasoning in clinical decisions, we must reimagine AI not just as a tool, but as a force with governance implications. Researchers, policymakers, civil society, and healthcare providers have a shared responsibility to ensure AI serves people, not just progress.

Letโ€™s move beyond hype to holistic health justice grounded in transparency, accountability, and community values.

For Policymakers, Researchers, Civil Society, and Healthcare Providers:
AI is Not Neutral

1. Algorithms encode human biasesโ€”if unaddressed, they exacerbate health inequities, particularly in marginalized populations.

2. Transparency Is Essential
Black-box systems in healthcare undermine informed consent and challenge accountability.

3. Data Governance Matters
Poor data practices can result in privacy violations, consent failures, and exploitation of vulnerable communities.

4. Bias Must Be Audited
Regular audits should assess training data for representativeness and fairness across gender, race, and socio-economic status.

5. Local Contexts Need Centering
Ethics frameworks must be adapted to local sociopolitical realities, especially in low- and middle-income countries (LMICs).

6. Moral Reasoning in AI Decisions
AI systems influencing life-and-death choices must align with human values and moral diversity.

7. Regulation Is Lagging
Clear governance frameworks are needed to keep pace with innovation and prevent harm.

8. Civil Society Engagement Is Critical
Communities must shape the norms that define responsible AIโ€”not just technocrats or industry leaders.

9. Capacity Strengthening Is Urgent
Frontline healthcare workers and public health leaders must be trained in AI ethics basics.

10. Health Justice Must Guide Innovation
AI should be a tool for reducingโ€”not deepeningโ€”existing health disparities.

The time for reactive ethics is over. We must decisively equip institutions, researchers, and communities with the tools to interrogate, challenge, and reshape AI before it reshapes us.

Luchuo Engelbert Bain