Something that needs addressing
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The grounds for concern with the deployment of AI in nursing homes become obvious once we understand the problematic context of nursing homes themselves. Most are chronically understaffed institutions where residents have limited autonomy. AI and its predecessor devices like closed circuit cameras and bed-exit sensors are positioned to further institutionalize and restrict self-determination, which conflicts directly with both widely popular nursing home reform efforts and (less popular) abolition efforts. Engaging with critical scholarship on information and data technologies would enhance understanding of the social harms of AI in relation to the increasing adoption of surveillance technologies within nursing homes. In turn, it would enable us who study aging to take the implications for increased surveillance and control of both older adults and workers seriously, and to incorporate refusal into our analytical lens. It would also help us understand, accommodate, and develop alternatives to (individual) consent models and call out the opportunity costs of prioritizing further investment in surveillance technologies over structural change in long-term care.
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