Meeting of the Parliament 13 November 2019
When we think of artificial intelligence, we often think of synthetic life forms, such as the character Data from “Star Trek” or the Terminator, but in 2019, artificial intelligence, albeit in some ways still in its infancy, is continuing to grow and show us its potential to transform lives.
I will focus my contribution mainly on healthcare, because AI presents vast opportunities for healthcare across the globe, which I am particularly interested in as I was an operating room nurse for more than 30 years. AI is beginning to have an ever-more-significant presence in our worldwide healthcare systems—the minister has already mentioned out-of-hospital cardiac arrests. Researchers, doctors and scientists input data into computers, and the newly built algorithms can then review, interpret and even suggest solutions to complex medical problems. That reduces the human time that is spent translating data from such things as X-rays, imaging studies, magnetic resonance imaging and computerised tomography scans into results for clinicians to interpret as well as into language that is accessible for non-medical members of the public.
At the Massachusetts Institute of Technology, researchers have created gyroscopically actuated robot limbs that are capable of tracking their own position in three-dimensional space and adjusting their joints 750 times per second. In addition, they have developed bionic skins and neural implant systems that interface with the nervous system to allow the user to receive tactile feedback from the prosthetic limb.
When I worked in the operating room at Cedars-Sinai hospital in the United States, we used two surgical robots—da Vinci and AESOP—that were designed to facilitate surgery using a minimally invasive approach. That reduces post-op pain and leads to earlier discharge. Da Vinci was controlled by a surgeon from a console—they did not even need to be in the operating room. The systems tend to be used for prostatectomies and, increasingly, for cardiac valve repair and gynaecology surgeries. They are even now assisting with lumbar decompression and renal procedures.
There is a viral video of a da Vinci robot performing surgery on a grape, which is well worth a Google. With those robotic surgical systems, the surgeon does not necessarily need to be in the same location as the patient; the surgeon could be here in Edinburgh, and the patient could be at the Antarctic, or even on the international space station. It is all very sci-fi, and I absolutely love it.
The world’s population is rapidly increasing. Globally, the population is living longer, with more complicated and acute healthcare conditions, and more support is needed for people as they grow older. We want folk to age well, which means that a larger healthcare and caring workforce is required, and AI can help there, too.
Kenneth Gibson mentioned that Japanese developers have created robot companions that can interact with people. Other humanoid robots, such as the Care-O-bot and Pepper, are able to provide more complex and comprehensive care. Although robot pets obviously offer limited interaction, they have proved just as effective as real pets in reducing loneliness for elderly people in care homes. Robotic dogs and seals have been found to trigger conversation and social interaction, and to reduce stress and anxiety. Humanoid robots are already advanced enough to provide much-needed care to elderly people. Those robots can pick things up and move independently.
In addition to AI advances, if we are to meet the demands of the future, we need more people working in our NHS, and more people studying medicine and medicine-related degrees. We have seen a sharp increase in the number of people who study STEM subjects; people who are our scientists and inventors of the future. They are the kids who Alex Cole-Hamilton described earlier, when he said that the jobs of the future—which will be done by kids who are in school now—have not even been invented yet. They are the people who will, undoubtedly, be responsible for developing and progressing AI in healthcare.
While I encourage all to be open-minded about the potential of AI, I recognise the need to ensure that any approach to AI is carried out in a way that is underpinned by a proper ethical framework. I welcome continued debate on furthering that, and on any regulations that may be required. Many of those who are critical of AI claim that it will lead to job losses, with robots taking over, and I recognise those concerns. I am pleased that the Scottish Government has committed to investing in our Scottish workforce, ensuring that people the length and breadth of our country—from the Lochans in Dumfries and Galloway to Lerwick in Shetland—have equal access to education and training to gain the skills, knowledge and expertise to be adaptable to the changing employment opportunities of the future.
In the words of Mr Spock from “Star Trek”,
“change is the essential process of all existence”
We must embrace that change if we are to meet the demands of our future healthcare needs. I welcome this debate, and encourage everyone to share their views, especially on issues around promoting an ethical approach to developing AI. I would welcome the minister’s comments on that in her closing speech.