Abstract

In digital healthcare based on healthcare big data, digital nudges are gaining importance and a key role in bioethics. This situation raises new ethical issues, such as: can individuals using digital nudges provided by digital healthcare enhance their autonomy in decision-making? Can individuals be free from external micro-interference in the form of digital nudges? To what extent can individuals be allowed the freedom to participate in the design of precision medicine? Furthermore, the traditional norms and values of individual autonomy, justice, the common good, etc. that have been addressed in bioethics are not appropriate for the new context, so there is a need to reconceptualize existing concepts, especially the concept of autonomy in relation to decision-making. This reconceptualization should have a systematicity that can give timely practicality to the moral issues that may arise in situational contexts, especially in digital healthcare based on personalized medicine. Therefore, the purpose of this paper is to explore the normativity or approach of decision-making that is appropriate for the ethics of digital nudges to address the above emerging ethical issues.

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