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Artificial Intelligence in Health Care: the Hope, the Hype, the Promise, the Peril
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril Michael Matheny, Sonoo Thadaney Israni, Mahnoor Ahmed, and Danielle Whicher, Editors WASHINGTON, DC NAM.EDU PREPUBLICATION COPY - Uncorrected Proofs NATIONAL ACADEMY OF MEDICINE • 500 Fifth Street, NW • WASHINGTON, DC 20001 NOTICE: This publication has undergone peer review according to procedures established by the National Academy of Medicine (NAM). Publication by the NAM worthy of public attention, but does not constitute endorsement of conclusions and recommendationssignifies that it is the by productthe NAM. of The a carefully views presented considered in processthis publication and is a contributionare those of individual contributors and do not represent formal consensus positions of the authors’ organizations; the NAM; or the National Academies of Sciences, Engineering, and Medicine. Library of Congress Cataloging-in-Publication Data to Come Copyright 2019 by the National Academy of Sciences. All rights reserved. Printed in the United States of America. Suggested citation: Matheny, M., S. Thadaney Israni, M. Ahmed, and D. Whicher, Editors. 2019. Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. NAM Special Publication. Washington, DC: National Academy of Medicine. PREPUBLICATION COPY - Uncorrected Proofs “Knowing is not enough; we must apply. Willing is not enough; we must do.” --GOETHE PREPUBLICATION COPY - Uncorrected Proofs ABOUT THE NATIONAL ACADEMY OF MEDICINE The National Academy of Medicine is one of three Academies constituting the Nation- al Academies of Sciences, Engineering, and Medicine (the National Academies). The Na- tional Academies provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. -
Artificial Intelligence
TechnoVision The Impact of AI 20 18 CONTENTS Foreword 3 Introduction 4 TechnoVision 2018 and Artificial Intelligence 5 Overview of TechnoVision 2018 14 Design for Digital 17 Invisible Infostructure 26 Applications Unleashed 33 Thriving on Data 40 Process on the Fly 47 You Experience 54 We Collaborate 61 Applying TechnoVision 68 Conclusion 77 2 TechnoVision 2018 The Impact of AI FOREWORD We introduce TechnoVision 2018, now in its eleventh year, with pride in reaching a second decade of providing a proven and relevant source of technology guidance and thought leadership to help enterprises navigate the compelling and yet complex opportunities for business. The longevity of this publication has been achieved through the insight of our colleagues, clients, and partners in applying TechnoVision as a technology guide and coupling that insight with the expert input of our authors and contributors who are highly engaged in monitoring and synthesizing the shift and emergence of technologies and the impact they have on enterprises globally. In this edition, we continue to build on the We believe that with TechnoVision 2018, you can framework that TechnoVision has established further crystalize your plans and bet on the right for several years with updates on last years’ technology disruptions, to continue to map and content, reflecting new insights, use cases, and traverse a successful digital journey. A journey technology solutions. which is not about a single destination, but rather a single mission to thrive in the digital epoch The featured main theme for TechnoVision 2018 through agile cycles of transformation delivering is AI, due to breakthroughs burgeoning the business outcomes. -
What Is That Thing Called Philosophy of Technology? - R
HISTORY AND PHILOSOPHY OF SCIENCE AND TECHNOLOGY – Vol. IV - What Is That Thing Called Philosophy of Technology? - R. J. Gómez WHAT IS THAT THING CALLED PHILOSOPHY OF TECHNOLOGY? R. J. Gómez Department of Philosophy. California State University (LA). USA Keywords: Adorno, Aristotle, Bunge, Ellul, Feenberg, Habermas, Heidegger, Horkheimer, Jonas, Latour, Marcuse, Mumford, Naess, Shrader-Frechette, artifact, assessment, determinism, ecosophy, ends, enlightenment, efficiency, epistemology, enframing, ideology, life-form, megamachine, metaphysics, method, naturalistic, fallacy, new, ethics, progress, rationality, rule, science, techno-philosophy Contents 1. Introduction 2. Locating technology with respect to science 2.1. Structure and Content 2.2. Method 2.3. Aim 2.4. Pattern of Change 3. Locating philosophy of technology 4. Early philosophies of technology 4.1. Aristotelianism 4.2. Technological Pessimism 4.3. Technological Optimism 4.4. Heidegger’s Existentialism and the Essence of Technology 4.5. Mumford’s Megamachinism 4.6. Neomarxism 4.6.1. Adorno-Horkheimer 4.6.2. Marcuse 4.6.3. Habermas 5. Recent philosophies of technology 5.1. L. Winner 5.2. A. Feenberg 5.3. EcosophyUNESCO – EOLSS 6. Technology and values 6.1. Shrader-Frechette Claims 6.2. H Jonas 7. Conclusions SAMPLE CHAPTERS Glossary Bibliography Biographical Sketch Summary A philosophy of technology is mainly a critical reflection on technology from the point of view of the main chapters of philosophy, e.g., metaphysics, epistemology and ethics. Technology has had a fast development since the middle of the 20th century , especially ©Encyclopedia of Life Support Systems (EOLSS) HISTORY AND PHILOSOPHY OF SCIENCE AND TECHNOLOGY – Vol. IV - What Is That Thing Called Philosophy of Technology? - R. -
The Importance of Generation Order in Language Modeling
The Importance of Generation Order in Language Modeling Nicolas Ford∗ Daniel Duckworth Mohammad Norouzi George E. Dahl Google Brain fnicf,duckworthd,mnorouzi,[email protected] Abstract There has been interest in moving beyond the left-to-right generation order by developing alter- Neural language models are a critical compo- native multi-stage strategies such as syntax-aware nent of state-of-the-art systems for machine neural language models (Bowman et al., 2016) translation, summarization, audio transcrip- and latent variable models of text (Wood et al., tion, and other tasks. These language models are almost universally autoregressive in nature, 2011). Before embarking on a long-term research generating sentences one token at a time from program to find better generation strategies that left to right. This paper studies the influence of improve modern neural networks, one needs ev- token generation order on model quality via a idence that the generation strategy can make a novel two-pass language model that produces large difference. This paper presents one way of partially-filled sentence “templates” and then isolating the generation strategy from the general fills in missing tokens. We compare various neural network design problem. Our key techni- strategies for structuring these two passes and cal contribution involves developing a flexible and observe a surprisingly large variation in model quality. We find the most effective strategy tractable architecture that incorporates different generates function words in the first pass fol- generation orders, while enabling exact computa- lowed by content words in the second. We be- tion of the log-probabilities of a sentence. -
The Deep Learning Revolution and Its Implications for Computer Architecture and Chip Design
The Deep Learning Revolution and Its Implications for Computer Architecture and Chip Design Jeffrey Dean Google Research [email protected] Abstract The past decade has seen a remarkable series of advances in machine learning, and in particular deep learning approaches based on artificial neural networks, to improve our abilities to build more accurate systems across a broad range of areas, including computer vision, speech recognition, language translation, and natural language understanding tasks. This paper is a companion paper to a keynote talk at the 2020 International Solid-State Circuits Conference (ISSCC) discussing some of the advances in machine learning, and their implications on the kinds of computational devices we need to build, especially in the post-Moore’s Law-era. It also discusses some of the ways that machine learning may also be able to help with some aspects of the circuit design process. Finally, it provides a sketch of at least one interesting direction towards much larger-scale multi-task models that are sparsely activated and employ much more dynamic, example- and task-based routing than the machine learning models of today. Introduction The past decade has seen a remarkable series of advances in machine learning (ML), and in particular deep learning approaches based on artificial neural networks, to improve our abilities to build more accurate systems across a broad range of areas [LeCun et al. 2015]. Major areas of significant advances include computer vision [Krizhevsky et al. 2012, Szegedy et al. 2015, He et al. 2016, Real et al. 2017, Tan and Le 2019], speech recognition [Hinton et al. -
Neil Postman
Five Things We Need to Know About Technological Change by Neil Postman Talk delivered in Denver Colorado March 28, 1998 … I doubt that the 21st century will pose for us problems that are more stunning, disorienting or complex than those we faced in this century, or the 19th, 18th, 17th, or for that matter, many of the centuries before that. But for those who are excessively nervous about the new millennium, I can provide, right at the start, some good advice about how to confront it. …. Here is what Henry David Thoreau told us: “All our inventions are but improved means to an unimproved end.” Here is what Goethe told us: “One should, each day, try to hear a little song, read a good poem, see a fine picture, and, if possible, speak a few reasonable words.” Socrates told us: “The unexamined life is not worth living.” Rabbi Hillel told us: “What is hateful to thee, do not do to another.” And here is the prophet Micah: “What does the Lord require of thee but to do justly, to love mercy and to walk humbly with thy God.” And I could say, if we had the time, (although you know it well enough) what Jesus, Isaiah, Mohammad, Spinoza, and Shakespeare told us. It is all the same: There is no escaping from ourselves. The human dilemma is as it has always been, and it is a delusion to believe that the technological changes of our era have rendered irrelevant the wisdom of the ages and the sages. Nonetheless, having said this, I know perfectly well that because we do live in a technological age, we have some special problems that Jesus, Hillel, Socrates, and Micah did not and could not speak of. -
The Fourth Industrial Revolution: How the EU Can Lead It
EUV0010.1177/1781685818762890European ViewSchäfer 762890research-article2018 Article European View 2018, Vol. 17(1) 5 –12 The fourth industrial © The Author(s) 2018 https://doi.org/10.1177/1781685818762890DOI: 10.1177/1781685818762890 revolution: How the EU journals.sagepub.com/home/euv can lead it Matthias Schäfer Abstract The fourth industrial revolution is different from the previous three. This is because machines and artificial intelligence play a significant role in enhancing productivity and wealth creation, which directly changes and challenges the role of human beings. The fourth industrial revolution will also intensify globalisation. Therefore, technology will become much more significant, because regions and societies that cope positively with the technological impact of the fourth industrial revolution will have a better economic and social future. This article argues that the EU can play an important role in developing an environment appropriate for the fourth industrial revolution, an environment that is vibrant and open to new technologies. Member states would profit from an EU-wide coordinated framework for this area. The EU has to establish new common policies for the market-oriented diffusion and widespread use of new technologies. Keywords Fourth industrial revolution, Technology policy, Industrial policy, Leadership Introduction Historically there have been four industrial revolutions (see Schwab 2016). The first began in the early nineteenth century, when the power of steam and water dramatically increased the productivity of human (physical) labour. The second revolution started almost a hundred years later with electricity as its key driver. Mass industrial production Corresponding author: M. Schäfer, Department Politics and Consulting, Head of the Team for Economic Policy, Konrad-Adenauer- Stiftung, Berlin, Germany. -
Ai & the Sustainable Development Goals
1 AI & THE SUSTAINABLE DEVELOPMENT GOALS: THE STATE OF PLAY Global Goals Technology Forum 2 3 INTRODUCTION In 2015, 193 countries agreed to the United Nations (UN) 2030 Agenda for Sustainable Development, which provides a shared blueprint for peace and prosperity for people and the planet, now and into the future. At its heart are the 17 Sustainable Development Goals (SDGs), which are an urgent call for action by all countries – developed and developing – in a global partnership. Achieving the SDGs is not just a moral imperative, but an economic one. While the world is making progress in some areas, we are falling behind in delivering the SDGs overall. We need all actors – businesses, governments, academia, multilateral institutions, NGOs, and others – to accelerate and scale their efforts to deliver the SDGs, using every tool at their disposal, including artificial intelligence (AI). In December 2017, 2030Vision 2030Vision published its first report, Uniting to “WE ARE AT A PIVOTAL Deliver Technology for the Global ABOUT 2030VISION Goals, which addressed the role MOMENT. AS ARTIFICIAL of digital technology – big data, AI & The Sustainable Development Goals: The State of Play State Goals: The Development Sustainable AI & The Founded in 2017, 2030Vision INTELLIGENCE BECOMES robotics, internet of things, AI, and is a partnership of businesses, MORE WIDELY ADOPTED, other technologies – in achieving NGOs, and academia that aims to the SDGs. transform the use of technology to WE HAVE A TREMENDOUS support the delivery of the SDGs. OPPORTUNITY TO In this paper, we focus on AI for 2030Vision serves as a platform REEVALUATE WHAT WE’VE the SDGs. -
Technology, Development and Economic Crisis: the Schumpeterian Legacy
CIMR Research Working Paper Series Working Paper No. 23 Technology, development and economic crisis: the Schumpeterian legacy by Rinaldo Evangelista University of Camerino Piazza Cavour, 19/F, 62032 Camerino (IT) +39-0737-403074 [email protected] June 2015 ISSN 2052-062X Abstract This contribution aims at highlighting the complex, non-linear and potentially contradictory nature of the relationships between technological progress, economic growth and social development, in particular within the context of market based economies. The main (provocative) argument put forward in the paper is that the recent neo-Schumpeterian literature, while providing fundamental contributions to our understanding of innovation, has contributed to the rising of a positivistic reading of the relationship between technology, economy and society, with technology being able to guaranty strong economic growth and (implicitly) social welfare. This is confirmed by the fact that, contrary to other influential heterodox economic schools and Schumpeter himself, in the recent neo- Schumpeterian literature technology is only rarely associated to macroeconomic market failures such as systemic crises, structural unemployment, and the growth of social and economic inequalities. It is also argued that the emergence of a “positivistic bias” in the neo-Schumpeterian literature has been associated to the dominance of a supply-side and micro-based view of the technology-economy relationships. Key words: Technology, Innovation, Schumpeter, Development, Crisis JEL codes: B52, O00, O30. 2 1. Introduction There is no doubt that the last economic crisis, with its depth, extension and length, could have, at least in principle, the potentiality of shaking at the fundamentals the dominant neo-liberal economic thinking and policy framework. -
Taking Technology Seriously: Introduction to the Special Issue on New Technologies and Global Environmental Politics • Simon Nicholson and Jesse L
Taking Technology Seriously: Introduction to the Special Issue on New Technologies and Global Environmental Politics • Simon Nicholson and Jesse L. Reynolds* Human beings are at once makers of and made by technology. The ability to wield tools was an essential ingredient in propelling an otherwise unremarkable ape to a position of dominance over ecological and even planetary affairs. This dominance has been attained through a remaking of the physical world and has produced a planet fundamentally altered. Technology, this is to say, has been central to history and human-induced environmental change. Our earliest significant environ- mental impacts appear to have been mass extinctions of megafauna, especially in North and South America, Australia, and the Pacific Islands, enabled by hunting and trapping tools and techniques. These were followed by large-scale land use changes from the rise of agriculture, another early set of technologies that were key to Homo sapiens’ success (Boivin et al. 2016). Technology presents a paradox. Existing, emerging, and anticipated technol- ogies offer remarkable possibilities for human well-being and the environmental condition. Since 1900, global average life expectancy has more than doubled and continues to rise (Roser et al. 2013). Most people can access information and educational opportunities that in the not-too-distant past were restricted to a tiny elite. The growth of farmland—which may be the leading direct driver of change in nature (Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services 2019)—has recently been reversed through agricultural intensification (World Bank, n.d.). Ozone-depleting substances have been largely replaced by synthetic substitutes. -
A Systematic Review of Methods for Health Care Technology Horizon Scanning
AHRQ Health Care Horizon Scanning System A Systematic Review of Methods for Health Care Technology Horizon Scanning Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 Contract No. 290-2010-00006-C Prepared by: Fang Sun, M.D., Ph.D. Karen Schoelles, M.D., S.M., F.A.C.P ECRI Institute 5200 Butler Pike Plymouth Meeting, PA 19462 AHRQ Publication No. 13-EHC104-EF August 2013 This report incorporates data collected during implementation of the U.S. Agency for Healthcare Research and Quality (AHRQ) Health Care Horizon Scanning System by ECRI Institute under contract to AHRQ, Rockville, MD (Contract No. 290-2010-00006-C). The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. The information in this report is intended to identify resources and methods for improving the AHRQ Health Care Horizon Scanning System in the future. The purpose of the AHRQ Health Care Horizon Scanning System is to assist funders of research in making well-informed decisions in designing and funding comparative-effectiveness research. This report may periodically be assessed for the urgency to update. If an assessment is done, the resulting surveillance report describing the methodology and findings will be found on the Effective Health Care Program website at: www.effectivehealthcare.ahrq.gov. -
The Effect of Technological Change on Firm
The Effect of Technological Change on Firm Survival and Growth - Evidence from Technology Standards Justus Baron∗ Daniel F. Spulbery Northwestern University Northwestern University April 21, 2017 Abstract We analyze the effect of technological change on firm exits, establishment entry and exit, and the creation and destruction of jobs. We make use of a novel measure of technological change: technology standards. Replacements and withdrawals of standards provide information about technological obsolescence, whereas references among standards signal new uses for existing technologies. Relating standards to firm cohorts using the date of publication, we find that the withdrawal of standards induces a significant increase in the rates of firm deaths, establishment exits and job destruction in the firms associated with the replaced standards. New standards building upon existing standards however have the opposite effect, as firms associated with the technological vintage being referenced create new establishments at a higher rate. JEL-Classification: L15, L16, O33 Keywords: creative destruction, business dynamics, technological change, tech- nology standards ∗Corresponding Author. Research Associate, Searle Center on Law, Regulation, and Economic Growth, Northwestern University Law School, 375 East Chicago Avenue, Chicago, IL 60611. E-mail: [email protected]. yElinor Hobbs Distinguished Professor of International Business, Department of Strategy, Kellogg School of Management, Northwestern University, 2001 Sheridan Road, Evanston, IL, 60208, and Research Director, Searle Center on Law, Regulation, and Economic Growth, Northwestern University Law School, Chicago, IL. E-mail: [email protected]. 1 Introduction Technological change has long been recognized as an important driver of economic growth (Solow, 1957). Business dynamics, including the entry and exit of firms, and the reallocation of labor through the creation and destruction of jobs in different firms, are another important driver of economic growth (Jovanovic, 1982).