Beyond gender and racial bias: Towards pro-justice ethical GenAI use in medicine and health

Generative artificial intelligence(GenAI) is increasingly being used in the health sector. Much of the current discourse on GenAI is focused on technical accuracy and bias in its outputs. This editorial argues the need to go beyond bias mitigation and take a pro-justice approach for ethical GenAI use in health and medicine: one that actively confronts injustices, addresses structural inequities, and considers our intrinsic intergenerational responsibilities towards nature, humans everywhere , and other species. The piece draws from feminist ethics, justice theories, and decolonial practices to outline four key principles for a pro-justice approach for ethical GenAI use in medicine and health: intersectionality, epistemic justice, environmental justice, and social justice. It highlights the importance of such an approach, particularly for women’s health.