Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy

Wednesday, February 5, 2020

Psychologist sentenced to four years in prison for healthcare fraud

Macomb Daily Staff
Iosco County News-Herald
Originally posted 13 Jan 20

An Armada Township psychologist was ordered to spend more than four years in federal prison for overbilling an insurance company more than $3 million partly to fund opening a Michigan hotel. He also attempted to expand a museum in his hometown.

Paul L. Smith, who most recently practiced in Shelby Township, received 51 months behind bars last Tuesday from Judge Judge Bernard A. Friedman after pleading guilty to health care fraud and unlawful monetary transactions, according to U.S. Attorneys.

Smith submitted approximately 1,700 false claims for neuropsychological testing and 140 false claims for psychological testing from January 2015 to February 2018, the indictment says.

Smith, who practiced for over 20 years at various locations throughout metro Detroit, submitted claims to Blue Cross Blue Shield of Michigan for reimbursement for services that he did not provide, U.S. Attorneys said in a news release. In three years, Smith fraudulently obtained $3.16 million from Blue Cross Blue Shield. Smith subsequently used hundreds of thousands of dollars to purchase real property, liquor licenses and furniture, in his venture to become a hotelier in Arcadia in northwest Michigan, reportedly known as “Swan Resort.”

The info is here.

A Reality Check On Artificial Intelligence: Are Health Care Claims Overblown?

Liz Szabo
Kaiser Health News
Originally published 30 Dec 19

Here is an excerpt:

“Almost none of the [AI] stuff marketed to patients really works,” said Dr. Ezekiel Emanuel, professor of medical ethics and health policy in the Perelman School of Medicine at the University of Pennsylvania.

The FDA has long focused its attention on devices that pose the greatest threat to patients. And consumer advocates acknowledge that some devices ― such as ones that help people count their daily steps ― need less scrutiny than ones that diagnose or treat disease.

Some software developers don’t bother to apply for FDA clearance or authorization, even when legally required, according to a 2018 study in Annals of Internal Medicine.

Industry analysts say that AI developers have little interest in conducting expensive and time-consuming trials. “It’s not the main concern of these firms to submit themselves to rigorous evaluation that would be published in a peer-reviewed journal,” said Joachim Roski, a principal at Booz Allen Hamilton, a technology consulting firm, and co-author of the National Academy’s report. “That’s not how the U.S. economy works.”

But Oren Etzioni, chief executive officer at the Allen Institute for AI in Seattle, said AI developers have a financial incentive to make sure their medical products are safe.

The info is here.

Tuesday, February 4, 2020

Researchers: Are we on the cusp of an ‘AI winter’?

Sam Shead
bbc.com
Originally posted 12 Jan 20

Hype surrounding AI has peaked and troughed over the years as the abilities of the technology get overestimated and then re-evaluated.

The peaks are known as AI summers, and the troughs AI winters.

The 10s were arguably the hottest AI summer on record with tech giants repeatedly touting AI's abilities.

AI pioneer Yoshua Bengio, sometimes called one of the "godfathers of AI", told the BBC that AI's abilities were somewhat overhyped in the 10s by certain companies with an interest in doing so.

There are signs, however, that the hype might be about to start cooling off.

"I have the sense that AI is transitioning to a new phase," said Katja Hoffman, a principal researcher at Microsoft Research in Cambridge.

Given the billions being invested in AI and the fact that there are likely to be more breakthroughs ahead, some researchers believe it would be wrong to call this new phase an AI winter.

The info is here.

Bounded awareness: Implications for ethical decision making

Max H. Bazerman and Ovul Sezer
Organizational Behavior and Human Decision Processes
Volume 136, September 2016, Pages 95-105

Abstract

In many of the business scandals of the new millennium, the perpetrators were surrounded by people who could have recognized the misbehavior, yet failed to notice it. To explain such inaction, management scholars have been developing the area of behavioral ethics and the more specific topic of bounded ethicality—the systematic and predictable ways in which even good people engage in unethical conduct without their own awareness. In this paper, we review research on both bounded ethicality and bounded awareness, and connect the two areas to highlight the challenges of encouraging managers and leaders to notice and act to stop unethical conduct. We close with directions for future research and suggest that noticing unethical behavior should be considered a critical leadership skill.

Bounded Ethicality

Within the broad topic of behavioral ethics is the much more specific topic of bounded ethicality (Chugh, Banaji, & Bazerman, 2005). Chugh et al. (2005) define bounded ethicality as the psychological processes that lead people to engage in ethically questionable behaviors that are inconsistent with their own preferred ethics. That is, if they were more reflective about their choices, they would make a different decision. This definition runs parallel to the concepts of bounded rationality (March & Simon, 1958) and bounded awareness (Chugh & Bazerman, 2007). In all three cases, a cognitive shortcoming keeps the actor from taking the action that she would choose with greater awareness. Importantly, if people overcame these boundaries, they would make decisions that are more in line with their ethical standards. Note that behavioral ethicists do not ask decision makers to follow particular values or rules, but rather try to help decision makers adhere more closely
to their own personal values with greater reflection.

The paper can be downloaded here.

Monday, February 3, 2020

Explaining moral behavior: A minimal moral model.

Osman, M., & Wiegmann, A.
Experimental Psychology (2017)
64(2), 68-81.

Abstract

In this review we make a simple theoretical argument which is that for theory development, computational modeling, and general frameworks for understanding moral psychology researchers should build on domain-general principles from reasoning, judgment, and decision-making research. Our approach is radical with respect to typical models that exist in moral psychology that tend to propose complex innate moral grammars and even evolutionarily guided moral principles. In support of our argument we show that by using a simple value-based decision model we can capture a range of core moral behaviors. Crucially, the argument we propose is that moral situations per se do not require anything specialized or different from other situations in which we have to make decisions, inferences, and judgments in order to figure out how to act.

From the Implications section:

If instead moral behavior is viewed as a domain-general process, the findings can easily be accounted for based on existing literature from judgment and decision-making research such as Tversky’s (1969) work on intransitive preferences.

The same benefits of this research approach extend to the moral philosophy domain. As we described at the beginning of the paper, empirical research can inform philosophers as to which moral intuitions are likely to be biased. If moral judgments, decisions, and behavior can be captured by well-developed domain-general theories then our theoretical and empirical resources for gaining  knowledge about moral intuitions would be much greater, as compared to the recourses provided by moral psychology alone.

The paper can be downloaded here.

Buddhist Ethics

Maria Heim
Elements in Ethics
DOI: 10.1017/9781108588270
First published online: January 2020

Abstract

“Ethics” was not developed as a separate branch of philosophy in Buddhist traditions until the modern period, though Buddhist philosophers have always been concerned with the moral significance of thoughts, emotions, intentions, actions, virtues, and precepts. Their most penetrating forms of moral reflection have been developed within disciplines of practice aimed at achieving freedom and peace. This Element first offers a brief overview of Buddhist thought and modern scholarly approaches to its diverse forms of moral reflection. It then explores two of the most prominent philosophers from the main strands of the Indian Buddhist tradition – Buddhaghosa and Śāntideva – in a comparative fashion.

The info is here.

Sunday, February 2, 2020

Empirical Work in Moral Psychology

 Joshua May
Routledge Encyclopedia of Philosophy

How do we form our moral judgments, and how do they influence behavior? What ultimately motivates kind versus malicious action? Moral psychology is the interdisciplinary study of such questions about the mental lives of moral agents, including moral thought, feeling, reasoning, and motivation. While these questions can be studied solely from the armchair or using only empirical tools, researchers in various disciplines, from biology to neuroscience to philosophy, can address them in tandem. Some key topics in this respect revolve around moral cognition and motivation, such as moral responsibility, altruism, the structure of moral motivation, weakness of will, and moral intuitions. Of course there are other important topics as well, including emotions, character, moral development, self-deception, addiction, well-being, and the evolution of moral capacities.

Some of the primary objects of study in moral psychology are the processes driving moral action. For example, we think of ourselves as possessing free will; as being responsible for what we do; as capable of self-control; and as capable of genuine concern for the welfare of others. Such claims can be tested by empirical methods to some extent in at least two ways. First, we can determine what in fact our ordinary thinking is. While many philosophers investigate this through rigorous reflection on concepts, we can also use the empirical methods of the social sciences. Second, we can investigate empirically whether our ordinary thinking is correct or illusory. For example, we can check the empirical adequacy of philosophical theories, assessing directly any claims made about how we think, feel, and behave.

Understanding the psychology of moral individuals is certainly interesting in its own right, but it also often has direct implications for other areas of ethics, such as metaethics and normative ethics. For instance, determining the role of reason versus sentiment in moral judgment and motivation can shed light on whether moral judgments are cognitive, and perhaps whether morality itself is in some sense objective. Similarly, evaluating moral theories, such as deontology and utilitarianism, often relies on intuitive judgments about what one ought to do in various hypothetical cases. Empirical research can again serve as a tool to determine what exactly our intuitions are and which psychological processes generate them, contributing to a rigorous evaluation of the warrant of moral intuitions.

The paper can be downloaded here.

Saturday, February 1, 2020

Bringing Ethics Back To Business

Tamara Pupic
entrepreneur.com
Originally posted 30 Dec 19

In the business world, detecting, preventing, and remedying compliance issues, or a lack thereof, has evolved from academic research, investigative reporting, and businesses applying best practice initiatives, often clumsily, into a niche sector - regtech,  a new sector for ‘treps to develop innovative technologies to address challenges involving regulations.

It is considered the most promising part of the global enterprise governance, risk, and compliance (EGRC) market, whose size has grown rapidly, from US$27.8 billion in 2018 to an expected $64.2 billion by 2025, according to a report by Grand View Research. In the MENA region, transparency and ethical compliance have been at the forefront of shareholder and board of directors’ discussions, especially since non-compliance cases at leading firms have started making headlines just about every other week.

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According to the leadership team, Alethia solves several of the main current challenges in compliance. Firstly, it addresses the lack of anonymity in traditional compliance hotlines and emails “People are naturally skeptical when it comes to technology and personal data,” Roets says. “We instill confidence by requiring no personal information when downloading the app, and we don’t track IP addresses. All interactions are protected with SSL encryption using digitally signed tokens to ensure 100% anonymity for the whistleblower to safeguard against any form of retaliation.” Secondly, the app urges organizations to try different reporting channels. “Most still rely on outdated anonymous telephone hotlines, but in a digital world, when we think about workforce demographics, GDPR compliance, cost implications, and the overall decline in telephone usage, hotlines are no longer best practice,” Roets says. “Other channels include intranet solutions, cumbersome online forms, or personal interactions with HR or ombudsmen. Unfortunately, these offer little by way of a follow-up feature, call handlers’ subjectivity can impact the quality of reports, and most importantly, they all present a real or perceived threat of compromising the reporter’s identity.”

The info is here.

Friday, January 31, 2020

Most scientists 'can't replicate studies by their peers'

Test tubesTom Feilden
BBC.com
Originally posted 22 Feb 17

Here is an excerpt:

The authors should have done it themselves before publication, and all you have to do is read the methods section in the paper and follow the instructions.

Sadly nothing, it seems, could be further from the truth.

After meticulous research involving painstaking attention to detail over several years (the project was launched in 2011), the team was able to confirm only two of the original studies' findings.

Two more proved inconclusive and in the fifth, the team completely failed to replicate the result.

"It's worrying because replication is supposed to be a hallmark of scientific integrity," says Dr Errington.

Concern over the reliability of the results published in scientific literature has been growing for some time.

According to a survey published in the journal Nature last summer, more than 70% of researchers have tried and failed to reproduce another scientist's experiments.

Marcus Munafo is one of them. Now professor of biological psychology at Bristol University, he almost gave up on a career in science when, as a PhD student, he failed to reproduce a textbook study on anxiety.

"I had a crisis of confidence. I thought maybe it's me, maybe I didn't run my study well, maybe I'm not cut out to be a scientist."

The problem, it turned out, was not with Marcus Munafo's science, but with the way the scientific literature had been "tidied up" to present a much clearer, more robust outcome.

The info is here.