XII National Congress SIHTA 2019
From 10 to 11 October, our Chair fellow Fr. Prof. Alberto Carrara, LC, will participate as a speaker in the XII National Congress SIHTA 2019, “the chain of technological innovation in healthcare. The difficult balance between rapid access to the product market, patient safety and sustainability of health systems”.
He will present on “The New Frontiers of the Artificial Intelligence in Medicine from an Ethical Perspective”
The theme of the Congress is linked to the continuous and rapid innovation of technologies in a scenario of important regulatory changes: the business world has been looking for a long time with interest at HTA, or rather at the tools of evaluation and quantitative measurement of the impact that certain technologies they can have on the health of the citizens, on the budget of the Sanitary Companies / Hospitals and, therefore, on the sustainability of the expenditure derived for Institutions and families. This common thread of the event will see the deepening of two major innovations in the health field with which more and more European, national and regional institutions, companies, scientific societies and citizens will have to confront to demonstrate clinical efficacy, patient acceptability and economic sustainability: new gene therapies and artificial intelligence. Two issues that are absolutely transversal to health technologies properly defined internationally (Drugs, Medical Devices, Information Systems, Procedures) will be tackled: the promotion and evaluation of public and private investments in scientific research capable of generating true innovation for the benefit of citizens ; the sustainability and fairness of the new models of healthcare organization within the framework of regional autonomy.
Dr. Stefano Mazzoleni, lecturer and Coordinator of the Bioengineering Laboratory of Rehabilitation, through his speech titled “Human-machine interaction: can robots and AI help improve our quality of life, particularly the quality of life of people with disability?”, guided the participants through the logic of robotic engineering applied to the user-help, referring especially to patients who face difficulties managing their daily routine due to their physical limits. The concern for these needs pushes biorobotics in the direction of service, which looks for the good man.
The very origin of the term “robot”, derived from “robota“, refers to heavy work, an index of the nature inherent in the functional-collaborative interaction with human effort, a cooperation that does not (or should not) propose replacement for optimization, namely the efficiency that takes away dignity, but rather should support the thinking subject as the true protagonist. «Observing nature to understand its needs, in the wake of what Leonardo da Vinci has done», educating future engineers in the renaissance model of their profession, so that, seeing trauma or disability, they understand how to take the opportunity to put individual skills at service of others. This fundamental assumption of biorobotics, which has close to its heart the dignity and the good of the person, is absolutely essential; it is indispensable because, without such trajectories, the “ability to make” surrenders to the causes of its birth, namely the “creating know-how” gains the probability of destroying / threatening mankind, a risk that is considered to be therefore acceptable. Cinematography and literature on biorobotics, since the ’80s and decisively surging in the 2000s, suggests new goals. Since 2000, through «bio-inspiration» many capacities not previously explored has taken shape: generation of movement through sensors; wondering why, observing natural and animal bodies to overcome their limits through robotic replication. This progress has led from rigid robotics to neurorobotics and “soft robotics.
Currently, biorobotics explains the medical implant of organs and artificial limbs where they are absent, bringing in close contact doctors, researchers, scientists, engineers whose work will be a qualitative improvement of the life of patients for whom biorobotics will be an advantage. For example, the robotic hand, whose functioning Dr. Mazzoleni has highlighted, and which could be summarized in the interception of the electric impulse, thanks to the study of nerve signals, referring to the intentionality of moving the robotic hand as the human one usually moves. Biorobotics also promises benefits such as smaller incisions, shorter hospitalization, reduced risk of infection, less pain, faster healing times.
Considering the robot as a tool does not scare, but to think of it as similar to the human species does frighten. Prof. Mazzoleni spoke of the “Uncanny valley“, a perturbing valley, a “sudden fall” in that place where we lose the serene familiarity with objects which have a human appearance. The technical aspects and scientific disciplines treated so far have noted the positive contributions of the relationship between man and machine, but they do not remove that feeling of extraneousness and uncertainty. In this context, bioethics is called to take a buffer function thanks to the critical and rational reflection that the dialogue between research fields, near or far, can build when the object is a subject, i.e. the human being. It encourages the beneficial contribution that robotics, together with artificial intelligence, are making and are destined to cultivate. Preventive ethical vigilance should not degenerate into the trivialization of itself. Instead it is necessary to consider the hypothesis that not all philosophical-scientific movements have close to heart the integral good of the human being, so acting according to the measure of the productive, empowering or efficient advantage, even if this should force us to consider the human being as an entity not dissimilar to what everyone wants to find in his own nature, which is as a bastion of innovation. Conversing about the irreplaceable nature of the human presence in collaboration with technology is the proactive strategy implemented by this first, very rich, appointment, whose spirit resides exactly in living what we know, together with what remains ahead.