•  30
    As artificial intelligence and machine learning (AI/ML) systems become increasingly pervasive in society, their opacity—i.e., the difficulty, and sometimes impossibility, of understanding why they make the decisions they make—has become a serious problem. This is especially true in sensitive decision-making contexts, such as criminal justice, health care, and finance, or in choices requiring allocation of scarce resources. One attempt to “open up” the AI/ML black box has been the emergence of po…Read more
  •  469
    Are we in position to warrantedly establish whether a given artificial intelligence (AI) system is conscious? In short, can we warrantedly establish whether there is AI Consciousness (AIC)? We argue for a provisionally pessimistic answer—probably not—by attending to the traditional problem of other minds. For each of the main response strategies to this problem, we argue that even if the strategy works to establish that other humans and some non-human animals are conscious, the prospect of the s…Read more
  •  900
    The need for a system view to regulate artificial intelligence/machine learning-based software as medical device
    with Sara Gerke, Theodoros Evgeniou, and I. Glenn Cohen
    Nature Digital Medicine 53 (3): 1-4. 2020.
  • Direct to Consumer Advertising of Medical Machine Learning
    with Sara Gerke, Theodoros Evgeniou, and I. Glenn Cohen
    Nature Machine Intelligence 3 283-287. 2021.
    Direct-to-consumer medical artificial intelligence/machine learning applications are increasingly used for a variety of diagnostic assessments, and the emphasis on telemedicine and home healthcare during the COVID-19 pandemic may further stimulate their adoption. In this Perspective, we argue that the artificial intelligence/machine learning regulatory landscape should operate differently when a system is designed for clinicians/doctors as opposed to when it is designed for personal use. Direct-…Read more
  • Beware Explanations from AI in Health Care
    with Sara Gerke, Theodoros Evgeniou, and I. Glenn Cohen
    Science 373 (6552): 284-286. 2021.
    Artificial intelligence and machine learning (AI/ML) algorithms are increasingly developed in health care for diagnosis and treatment of a variety of medical conditions (1). However, despite the technical prowess of such systems, their adoption has been challenging, and whether and how much they will actually improve health care remains to be seen. A central reason for this is that the effectiveness of AI/ML-based medical devices depends largely on the behavioral characteristics of its users, wh…Read more
  • Comment on Ariel Dora Stern’s Regulation of Medical AI
    The Economics of Artificial Intelligence. 2022.
  •  34
    On the Epistemic Significance of Noise
    Oxford Studies in Epistemology 8 140-165. 2026.
    The large literature on the ethics of statistical evidence and its use in courtrooms is premised on the assumption that statistical evidence can be highly probabilifying (i.e. that it can support a very high credence). When statistical evidence seems to render a morally problematic proposition highly probable, scholars then divide over how they respond to the problem: some attempt to identify a different epistemic problem with the inference, while others grant the inference’s epistemic legitimac…Read more
  • How AI can learn from the law: putting humans in the loop only on appeal
    with I. Glenn Cohen, Sara Gerke, Qiong Xia, Theodoros Evgeniou, and Klaus Wertenbroch
    Nature Digital Medicine 160 (6): 1-17. 2023.
    While the literature on putting a “human in the loop” in artificial intelligence (AI) and machine learning (ML) has grown significantly, limited attention has been paid to how human expertise ought to be combined with AI/ML judgments. This design question arises because of the ubiquity and quantity of algorithmic decisions being made today in the face of widespread public reluctance to forgo human expert judgment. To resolve this conflict, we propose that human expert judges be included via appe…Read more
  • The Algorithmic Explainability Bait and Switch
    Minnesota Law Review 108 857. 2023.
    Explainability in artificial intelligence and machine learning (“AI/ML”) is emerging as a leading area of academic research and a topic of significant regulatory concern. Indeed, a near-consensus exists in favor of explainable AI/ML among academics, governments, and civil society groups. In this project, we challenge this prevailing trend. We argue that for explainability to be a moral requirement– and even more so for it to be a legal requirement– it should satisfy certain desiderata which it c…Read more
  • A General Framework for Governing Marketed AI/ML Medical Devices
    with I. Glenn Cohen, Yiwen Li, Melissa Ouellet, and Ariel Dora Stern
    Nature Digital Medicine 328 (8): 1-9. 2025.
    This project represents the first systematic assessment of the US Food and Drug Administration’s postmarket surveillance of legally marketed artificial intelligence and machine learning based medical devices. We focus on the Manufacturer and User Facility Device Experience database—the FDA’s central tool for tracking the safety of marketed AI/ML devices. In particular, we evaluate the data pertaining to adverse events associated with approximately 950 medical devices incorporating AI/ML function…Read more
  •  13
    Moral Obligation and Epistemic Risk
    In Mark Timmons (ed.), Oxford Studies in Normative Ethics Volume 10, Oxford University Press. pp. 81-105. 2020.
  •  36
    Resolute and Correlated Bayesians
    with Anil Gaba, Ilia Tsetlin, and Robert L. Winkler
    Philosophers' Imprint 25 (n/a). 2025.
    This paper suggests a new normative approach for combining beliefs. We call it the evidence-first method. Instead of aggregating credences alone, as the prevailing approaches, we focus instead on eliciting a group’s full probability distribution on the basis of the evidence available to its members. This is an altogether different way of combining beliefs. The method has four main benefits: (1) it captures the weight, or resilience, of a group’s belief; (2) it is sensitive to correlation among i…Read more
  •  48
    Notice and Explanation in Healthcare AI: Lessons from California’s Proposition 65 Experience
    with Sara Gerke
    American Journal of Bioethics 25 (3): 115-118. 2025.
    Volume 25, Issue 3, March 2025, Page 115-118.
  •  223
    Algorithmic fairness and resentment
    Philosophical Studies 182 (1): 87-119. 2025.
    In this paper we develop a general theory of algorithmic fairness. Drawing on Johnson King and Babic’s work on moral encroachment, on Gary Becker’s work on labor market discrimination, and on Strawson’s idea of resentment and indignation as responses to violations of the demand for goodwill toward oneself and others, we locate attitudes to fairness in an agent’s utility function. In particular, we first argue that fairness is a matter of a decision-maker’s relative concern for the plight of peop…Read more
  •  125
    Moral Encroachment under Moral Uncertainty
    Philosophers' Imprint 23 (n/a). 2023.
    This paper discusses a novel problem at the intersection of ethics and epistemology: there can be cases in which moral considerations seem to "encroach'' upon belief from multiple directions at once, and possibly to varying degrees, thereby leaving their overall effect on belief unclear. We introduce these cases -- cases of moral encroachment under moral uncertainty -- and show that they pose a problem for all predominant accounts of moral encroachment. We then address the problem, by developing…Read more
  •  1802
    Normativity, Epistemic Rationality, and Noisy Statistical Evidence
    with Anil Gaba, Ilia Tsetlin, and Robert Winkler
    British Journal for the Philosophy of Science 75 (1): 153-176. 2024.
    Many philosophers have argued that statistical evidence regarding group characteristics (particularly stereotypical ones) can create normative conflicts between the requirements of epistemic rationality and our moral obligations to each other. In a recent article, Johnson-King and Babic argue that such conflicts can usually be avoided: what ordinary morality requires, they argue, epistemic rationality permits. In this article, we show that as data get large, Johnson-King and Babic’s approach bec…Read more
  •  61
    Foundations of Epistemic Risk
    Dissertation, University of Michigan. 2018.
    My goal in this dissertation is to start a conversation about the role of risk in the decision-theoretic assessment of partial beliefs or credences in formal epistemology. I propose a general theory of epistemic risk in terms of relative sensitivity to different types of graded error. The approach I develop is broadly inspired by the pragmatism of the American philosopher Charles Sanders Peirce and his notion of the ``economy of research.'' I express this framework in information-theoretic terms…Read more
  •  1397
    Moral Obligation and Epistemic Risk
    Oxford Studies in Normative Ethics 10 81-105. 2020.
  •  966
    Approximate Coherentism and Luck
    Philosophy of Science 88 (4): 707-725. 2021.
    Approximate coherentism suggests that imperfectly rational agents should hold approximately coherent credences. This norm is intended as a generalization of ordinary coherence. I argue that it may be unable to play this role by considering its application under learning experiences. While it is unclear how imperfect agents should revise their beliefs, I suggest a plausible route is through Bayesian updating. However, Bayesian updating can take an incoherent agent from relatively more coherent cr…Read more
  •  1
    Algorithms on Regulatory Lockdown in Medicine
    with Sara Gerke, Theodoros Evgeniou, and I. Glenn Cohen
    Science 6470 (366): 1202-1204. 2019.
  •  364
    A Theory of Epistemic Risk
    Philosophy of Science 86 (3): 522-550. 2019.
    I propose a general alethic theory of epistemic risk according to which the riskiness of an agent’s credence function encodes her relative sensitivity to different types of graded error. After motivating and mathematically developing this approach, I show that the epistemic risk function is a scaled reflection of expected inaccuracy. This duality between risk and information enables us to explore the relationship between attitudes to epistemic risk, the choice of scoring rules in epistemic utili…Read more