It won’t be simple. As with the advent of the car, many serious implications will be emergent, and the harshest effects borne by communities with the least powerful voices. We need to move our gaze from individuals to systems to communities, and back again. We must bring together diverse expertise, including workers and citizens, to develop a framework that health systems can use to anticipate and address issues. This framework needs an explicit mandate to consider and anticipate the social consequences of AI — and to keep watch over its effects. That is the best way to ensure that health technologies meet the needs of all, and not just those in Silicon Valley.

Health authorities are overlooking risks to systems and society in their evaluations of new digital technologies, says Melanie Smallman.