What can Artificial Intelligence learn from medicine? Generative analogies and reliable machine learning systems

In the past few years, machine learning (ML) has been widely (and to an extent, successfully) implemented in medicine. However, uncertainties surrounding ML have made it difficult to establish the bases of its epistemic and methodological warrants. In the literature, a parallel has been drawn between medicine and ML, suggesting that we should model epistemic and methodological standards for ML on the standards of clinical translation. By developing tools from Hesse's work, we characterize the nature of this parallel as a generative analogy between the process of clinical translation and the process of building ML systems. We identify more precisely the epistemic and methodological warrants of clinical translation that are typically only mentioned when appealing to the analogy, and we show in which sense such warrants apply analogically to the context of ML. In particular, we interpret warrants of clinical translation in reliabilist terms, and we show how this can inform a new form of ML reliabilism, which is distinct from (though compatible with) existing reliabilist accounts in philosophy of AI.

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Publication Details

Journal
Studies in History and Philosophy of Science Part A
Published
2026-08-25
DOI
https://doi.org/10.1016/j.shpsa.2026.102202
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00

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article

What can Artificial Intelligence learn from medicine? Generative analogies and reliable machine learning systems

Emanuele Ratti, Lena Zuchowski
Studies in History and Philosophy of Science Part A
Artificial Intelligence in Healthcare and Education
article

What can Artificial Intelligence learn from medicine? Generative analogies and reliable machine learning systems

Emanuele Ratti, Lena Zuchowski
article en

Abstract

In the past few years, machine learning (ML) has been widely (and to an extent, successfully) implemented in medicine. However, uncertainties surrounding ML have made it difficult to establish the bases of its epistemic and methodological warrants. In the literature, a parallel has been drawn between medicine and ML, suggesting that we should model epistemic and methodological standards for ML on the standards of clinical translation. By developing tools from Hesse's work, we characterize the nature of this parallel as a generative analogy between the process of clinical translation and the process of building ML systems. We identify more precisely the epistemic and methodological warrants of clinical translation that are typically only mentioned when appealing to the analogy, and we show in which sense such warrants apply analogically to the context of ML. In particular, we interpret warrants of clinical translation in reliabilist terms, and we show how this can inform a new form of ML reliabilism, which is distinct from (though compatible with) existing reliabilist accounts in philosophy of AI.

Studies in History and Philosophy of Science Part AVol. 119
University of Bristol (GB)
Innovate UK
Openalex Percentile: Top 16%
Artificial Intelligence in Healthcare and Education
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What can Artificial Intelligence learn from medicine? Generative analogies and reliable machine learning systems — Emanuele Ratti, Lena Zuchowski · Studies in History and Philosophy of Science Part A (2026) | TGRS Research Map | TGRS