Abstract
Given the need for enforceable guardrails for artificial intelligence (AI) that protect the public and allow for innovation, the U.S. Government recently issued a Blueprint for an AI Bill of Rights which outlines five principles of safe AI design, use, and implementation. One in particular, the right to notice and explanation, requires accurately informing the public about the use of AI that impacts them in ways that are easy to understand. Yet, in the healthcare setting, it is unclear what goal the right to notice and explanation serves, and the moral importance of patient-level disclosure. We propose three normative functions of this right: (1) to notify patients about their care, (2) to educate patients and promote trust, and (3) to meet standards for informed consent. Additional clarity is needed to guide practices that respect the right to notice and explanation of AI in healthcare while providing meaningful benefits to patients.
Keywords: AI policy; Artificial intelligence; consent; patient-centered; regulation; trust.
Conflict of interest statement
DISCLOSURE STATEMENT
No potential conflict of interest was reported by the author(s).
Comment in
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Social Bioethics and Healthcare AI: Insights for Medical Decision Making.Gilmore-Szott E, Dougherty R. Gilmore-Szott E, et al. Am J Bioeth. 2025 Mar;25(3):138-140. doi: 10.1080/15265161.2025.2457712. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992822 No abstract available.
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Disclosure as Absolution in Medicine: Disentangling Autonomy from Beneficence and Justice in Artificial Intelligence.Spector-Bagdady K, London AJ. Spector-Bagdady K, et al. Am J Bioeth. 2025 Mar;25(3):1-3. doi: 10.1080/15265161.2025.2458424. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992825 Free PMC article. No abstract available.
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Bring a 'Patient's Medical AI Journey' to the Hill.Stevens I, Williams E, Bélisle-Pipon JC, Ravitsky V. Stevens I, et al. Am J Bioeth. 2025 Mar;25(3):132-135. doi: 10.1080/15265161.2025.2457730. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992826 No abstract available.
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Mitigating Placebo Effect in Human-AI Interaction: Expanding the Role(s) of the Right to Notice and Explanation.Roganović J. Roganović J. Am J Bioeth. 2025 Mar;25(3):148-150. doi: 10.1080/15265161.2025.2457697. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992827 No abstract available.
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Challenges in Pursuing AI Transparency.Ellertson MF, Sharp RR. Ellertson MF, et al. Am J Bioeth. 2025 Mar;25(3):4-6. doi: 10.1080/15265161.2025.2458425. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992828 No abstract available.
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A Heuristic for Notifying Patients About AI: From Institutional Declarations to Informed Consent.Elmore M, Economou-Zavlanos N, Pencina M. Elmore M, et al. Am J Bioeth. 2025 Mar;25(3):121-123. doi: 10.1080/15265161.2025.2458422. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992830 No abstract available.
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More to Know Could Not be More to Trust: Open Communication as a Moral Imperative for AI Systems in Healthcare.Starke G. Starke G. Am J Bioeth. 2025 Mar;25(3):119-121. doi: 10.1080/15265161.2025.2457732. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992832 No abstract available.
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Cultivating Patient-Centered Healthcare Artificial Intelligence Transparency: Considerations for AI Documentation.Stroud AM, Miller JE, Barry BA. Stroud AM, et al. Am J Bioeth. 2025 Mar;25(3):129-131. doi: 10.1080/15265161.2025.2457775. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992835 No abstract available.
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Notice and Explanation in Healthcare AI: Lessons from California's Proposition 65 Experience.Babic B, Gerke S. Babic B, et al. Am J Bioeth. 2025 Mar;25(3):115-118. doi: 10.1080/15265161.2025.2458421. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992836 No abstract available.
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Predicting the Future: Informational Agency and the Right to Notice and Explanation in the Use of Personal Information.Binkley CE, Ho A, Palmer A. Binkley CE, et al. Am J Bioeth. 2025 Mar;25(3):135-138. doi: 10.1080/15265161.2025.2457709. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992838 No abstract available.
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Why Stop at a Right to Notice for AI Systems Used in Patient Care? The Need for Greater Specificity.Ghinea N. Ghinea N. Am J Bioeth. 2025 Mar;25(3):140-142. doi: 10.1080/15265161.2025.2457707. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992844 No abstract available.
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Clarifying When Consent Might Be Illusory in Notice and Explanation Rights.Pilkington B, Binkley CE. Pilkington B, et al. Am J Bioeth. 2025 Mar;25(3):126-128. doi: 10.1080/15265161.2025.2457728. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992845 No abstract available.
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The Perils of AI over-Exceptionalism in Healthcare.Cohen N. Cohen N. Am J Bioeth. 2025 Mar;25(3):146-148. doi: 10.1080/15265161.2025.2457706. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992846 No abstract available.
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Community-Based Consent Model, Patient Rights, and AI Explainability in Medicine.Bao A, Zeng Y. Bao A, et al. Am J Bioeth. 2025 Mar;25(3):158-160. doi: 10.1080/15265161.2025.2457701. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992849 No abstract available.
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Balancing Transparency and Trust: Reevaluating AI Disclosure in Healthcare.Pflanzer M. Pflanzer M. Am J Bioeth. 2025 Mar;25(3):153-156. doi: 10.1080/15265161.2025.2457700. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992851 No abstract available.
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Taking the Right to Notice and Explanation Seriously: The Critical Importance of Evidence and Oversight for Healthcare AI.Bell JAH, Yeh N, Anderson JA. Bell JAH, et al. Am J Bioeth. 2025 Mar;25(3):143-145. doi: 10.1080/15265161.2025.2457740. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992855 No abstract available.
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Consenting to and Contesting AI Use - Different Functions but Both Are Necessary.Ploug T, Holm S. Ploug T, et al. Am J Bioeth. 2025 Mar;25(3):124-126. doi: 10.1080/15265161.2025.2457721. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992856 No abstract available.
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Beyond Disclosure: Rethinking Patient Consent and AI Accountability in Healthcare.Yang YT. Yang YT. Am J Bioeth. 2025 Mar;25(3):151-153. doi: 10.1080/15265161.2025.2457688. Epub 2025 Feb 24. Am J Bioeth. 2025. PMID: 39992857 No abstract available.
References
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- AI Act | Shaping Europe’s digital future. 2024, April 30. https://digital-strategy.ec.europa.eu/en/policies/regulatory-framework-ai
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