It is remarkable how much robotics research is promoted by appealing to the idea that the only way to deal with a looming demographic crisis is to develop robots to look after older persons. This paper surveys and assesses the claims made on behalf of robots in relation to their capacity to meet the needs of older persons. We consider each of the roles that has been suggested for robots in aged care and attempt to evaluate how successful robots might be in these roles. We do so from the perspective of writers concerned primarily with the quality of aged care, paying particular attention to the social and ethical implications of the introduction of robots, rather than from the perspective of robotics, engineering, or computer science. We emphasis the importance of the social and emotional needs of older persons—which, we argue, robots are incapable of meeting—in almost any task involved in their care. Even if robots were to become capable of filling some service roles in the aged-care sector, economic pressures on the sector would most likely ensure that the result was a decrease in the amount of human contact experienced by older persons being cared for, which itself would be detrimental to their well-being. This means that the prospects for the ethical use of robots in the aged-care sector are far fewer than first appears. More controversially, we believe that it is not only misguided, but actually unethical, to attempt to substitute robot simulacra for genuine social interaction. A subsidiary goal of this paper is to draw attention to the discourse about aged care and robotics and locate it in the context of broader social attitudes towards older persons. We conclude by proposing a deliberative process involving older persons as a test for the ethics of the use of robots in aged care.
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Acrotek Robotic Products (2005). Available online at http://www.acrotek.com/Products/Robotics.htm [5.1.05].
Ackerman, B., & Fishkin, J. S. (2002). Deliberation day. The Journal of Political Philosophy, 10, 129–152.
Alexander, M. (2005). More problems for sick system. Sunday Mail, May 29, Queensland, Australia.
Allen, M. (2005). Hardly cuddly, but Nuvo the robot can be your buddy. International Herald Tribune, July 16, Paris, France.
Alzheimer’s Australia (2005). 1000 people a week will be diagnosed with dementia in 2005. Media Release, March 14. Available online at http://www.alzheimers.org.au/content.cfm?infopageid=1926 [28.10.05].
Arthur, C. (2004). Rise of the robot. The Age, September 9, Melbourne, Australia.
Australian Bureau of Statistics (1999). Disability, ageing and carers: Summary of findings. Canberra: Australian Bureau of Statistics, p. 52.
Australian Bureau of Statistics (2000). ABS says grey power on the rise. Media Release, August 17. Available online at http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/39B403AE5D5EE4B7CA25693E00078924 [10.11.04].
Australian Bureau of Statistics (2005). Australian social trends. Canberra: Australian Bureau of Statistics, p. 169.
Australian Government Department of Health and Ageing (2004). Review of pricing arrangements in residential aged care. In W. P. Hogan (Reviewer). Canberra: Australian Government Department of Health and Ageing. Available online at http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health-investinginagedcare-summary-index.htm/$file/summary.pdf [2.11.05].
Australian Nurses Federation (2005). Wage gap for nurses in aged care $200 a week and rising. Media Release, February 17. Available online at http://www.anf.org.au/news_media/Media_2005/news_press_050217.html [13.04.05].
Australian Nursing Federation (2004). Aged care workforce census and survey welcome. Media release, April 2. Available online at http://www.anf.org.au/news_media/Media_2004/news_press_040402.html [28.04.05].
Australian Research Council Centre of Excellence in Autonomous Systems (2004). Available online at http://www.services.eng.uts.edu.au/cas/research.html [31.10.04].
Birmingham Post (2005). Switched-on Japan looks to robots for elderly care. Birmingham Post, August 30, Birmingham, England.
Brezeal, C. L. (2002). Designing sociable robots. Cambridge, MA and London: The MIT Press.
Brooks, R. (2002). Robot: The future of flesh and machines. London: Penguin, pp. 136–137.
Commonwealth of Australia Treasury (2002). 2002–2003 Budget paper no 5: Intergenerational report 2002–2003, May 2002, Australian Government Publishing Service, Canberra. Available online at http://www.budget.gov.au/2002-03/bp5/html/01_BP5Prelim.html#TopOfPage [2.11.05].
Cox, D. (2003). Retirement complex greets Rosie robot. Dayton Daily News, July 23, Dayton, OH, USA.
Dautenhahn, K. (2004). Robots we like to live with?!—A developmental perspective on a personalized life-long robot companion. In Proceedings, IEEE Ro-man 2004, 13th IEEE international workshop on robot and human interactive communication, September 20–22, Kurashiki, Okayama, Japan (pp. 17–22). IEEE Press. Available online at http://www.homepages.feis.herts.ac.uk/∼comqkd/papers.html [2.11.05].
Dautenhahn, K., Bond, A. H., Canamero, L., & Edmonds, B. (2002). Socially intelligent agents: Creating relationships with computers and robots. Norwell, MA, USA: Kluwer Academic Publishers.
Dautenhahn, K., Woods, S., Kaouri, C., Walters, M. L., Koay, K. L., & Werry, I. (2005). What is a robot companion—Friend, assistant or butler? In Proceedings of the IROS2005 IEEE/RSJ conference on intelligent robots and systems, August 2–6, Edmonton, Alberta, Canada (pp. 1488–1493). Available online at http://www.homepages.feis.herts.ac.uk/∼comqkd/papers.html [2.11.05].
Dreyfus, H. L. (1992). What computers still can’t do: A critique of artificial reason. Cambridge, MA: The MIT Press.
Dryzek, J. S. (Ed.). (2000). Deliberative democracy and beyond: Liberals, critics, contestations. Oxford: Oxford University Press.
Dyson, G. (1997). Darwin amongst the machines: The evolution of global intelligence. Reading, MA: Addison-Wesley Pub. Co.
Elster, J. (Ed.). (1998). Deliberative democracy. Cambridge, UK and New York: Cambridge University Press.
Fishkin, J. (1997). The voice of the people. New Haven: Yale University Press.
Fong, T., & Nourbakhsh, I. (Eds.). (2003). Robotics and Autonomous Systems, 42 (special issue on socially interactive robots).
Fujita, M., & Kitano, H. (1998). Development of an autonomous quadruped robot for robot entertainment. Autonomous Robots, 5, 7–18.
Gabriel, G., & Bowling, A. (2004). Quality of life from the perspectives of older people. Ageing and Society, 24, 675–691 (at 675).
Gaita, R. (1999). A common humanity: Thinking about love & truth & justice. Melbourne: Text Publishing, pp. 263–268.
Gockley, R., Bruce, A., Forlizzi, J., Michalowski, M., Mundell, A., Rosenthal, S., Sellner, B., Simmons, R., Snipes, K., Schultz, A. C., & Wang, J. (2005). Designing robots for long-term social interaction. In Proceedings of the 2005 IEEE/RSJ international conference on intelligent robotics and systems, August 2–6, Edmonton, Alberta, Canada. IEEE. Available online at http://www.cs.cmu.edu/∼reids/papers/Valerie-IROS2005-final.pdf [3.11.05].
Gooch, L. (2005). Look to the land of the rising sun to deal with our ageing population. The Age, June 20, Melbourne, Australia.
Gutmann, A., & Thompson, D. (1996). Democracy and disagreement. Cambridge, MA: Harvard University Press.
Kageyama, Y. (2002). Nurse gadget patrols the wards. The Age, April 6, 44, Melbourne, Australia.
Kageyama, Y. (2004). Robot companions seen as aids for elderly. Arizona Daily Star, April 11, Tucson, Arizona. Available online at http://www.azstarnet.com/dailystar/relatedarticles/17597.php [30.8.05].
Keily, D. K., Simon, S. E., Jones, R. N., & Morris, J. N. (2000). The protective effect of social engagement on mortality in long-term care. Journal of the American Geriatrics Society, 48(11), 1367–1372 (at 1370).
Kelly, M. (1997). Social interaction among people with dementia. Journal of Gerontological Nursing, 23, 16–20 (at 20).
Kerin, J. (2000). Care for aged: A kerosene dip. The Australian, February 25, 5.
Kissane, K. (2002). The age-old quandary: Is Australia’s overloaded aged-care system going to burst at the seams? The Age, April 20, Melbourne, Australia.
Kitano, M. (2005). Japan looks to robots for elderly care. Sydney Morning Herald, July 20, Sydney, Australia. Available online at http://www.smh.com.au/articles/2005/07/20/1121539008922.html [28.7.05].
Knight, W. (2005). The 2020 vision of robotic assistants unveiled. NewScientist.com, May 24. Available online at http://www.newscientist.com/article.ns?id+dn7421 [31/8/05].
Kunii, I. M. (2000). How much is that robot in the window? Business Week: Asian Edition, November 27, 22.
Kurzweil, R. (1999). The age of spiritual machines: When computers exceed human intelligence. St Leonards, NSW: Allen & Unwin.
Lytle, J. M. (2003). A yen for a hi-tech life. The Guardian, September 11. Available online at http://www.guardian.co.uk/online/story/0,3605,1039233,00.html [11.9.03].
Marquis, R. (2002). Quality in aged care: A question of relational ethics? Australasian Journal on Ageing, 21(1) 25.
McCombs, M., & Reynolds, A. (Eds.). (1999). The poll with a human face: The national issues convention experiment in political communication. Mahwah, NJ: Lawrence Erlbaum Associates.
McCreadie, C., & Tinker, A. (2005). The acceptability of assistive technology to older people. Ageing and Society, 25, 91–110.
McIlveen, L. (2005). Old people tied up and neglected. The Courier Mail, April 27, Brisbane, Australia.
Menzel, P., & D’Aluisio, F. (2000). Robo sapiens: Evolution of a new species. Cambridge, MA: The MIT Press.
Metcalf, F. (2005). Robo nurse fits bill on future aged care. The Courier-Mail, July 9, Brisbane, Australia.
Moravec, H. (1998). Robot: Mere machine to transcendent mind. Oxford: Oxford University Press.
Morrison, S. (2004). ‘Care machine’ wobbles on its way to market. Financial Times, July 30, London, England.
Murphy, B., & Schofield, H. (1997). Women with multiple roles: The emotional impact of caring for ageing parents. Ageing and Society, 17, 277.
Nozick, R. (1974). Anarchy, state and utopia. New York: Basic Books, pp. 42–45.
Osedo, H. (2004). Cuddly companion a caring know-it-all. The Courier-Mail, December 3, Brisbane, Australia.
Pineau, J., Montemerlo, M., Pollack, M., Roy, N., & Thrun, S. (2003). Towards robot assistants in nursing homes: Challenges and results. Robotics and Autonomous Systems, 42, 271–281.
Productivity Commission (2005). Economic implications of an ageing Australia, Research report, Canberra. Available online at http://www.pc.gov.au/study/ageing/finalreport/ageing1.pdf [3.10.05].
Pulska, T., Pahkala, K., Pekka, L., & Kivelä, S. (1999). Follow up study of longstanding depression as predictor of mortality in elderly people living in the community. British Medical Journal, 318, 432–433.
Richardson, S., & Martin, B. (2004). The care of older Australians: A picture of the residential aged care workforce, National Institute of Labour Studies, Flinders University, Adelaide. Available online at http://www.health.gov.au/internet/wcms/publishing.nsf/Content/ageing-workforce-workforcerep.htm [13.04.05].
Rickwood, D., & Rylands, K. (2000). Predicting depression in a sample of women living in a retirement village. Australasian Journal on Ageing, 19(1), 40–43.
Rosack, J. (2003). Age, gender may determine impact of depression, mortality link. Psychiatric News, 38(1), 22.
Scanlon, C. (2000). Glimpses of a robotic future. BBC News Online, December 30. Available online at http://www.news.bbc.co.uk/1/hi/world/asia-pacific/1048602.stm [11.01.05].
Severin, E. O. (2004). Robot companions: Mentorbots and beyond. McGraw-Hill, New York (xi, p. 13).
Sparrow, R. (2002). The march of the robot dogs. Ethics and Information Technology, 4, 305–318.
Sparrow, R. (2004). The turing triage test. Ethics and Information Technology, 6, 203–213.
Sullivan, K. (1999). Robot dog a Japanese techno-sensation. The Augusta Chronicle Online, May 16. Available online at http://www.augustachronicle.com/stories/051699/tec_robot.shtml [11.01.05].
Sydney Morning Herald Online (2004). Robot to keep elderly from going senile. Sydney Morning Herald, December 2, Sydney, Australia. Available online at http://www.smh.com.au/articles/2004/12/02/1101923240261.html [12.9.05].
Toshiba Corporation (2005). Toshiba to showcase advances in sophisticated home life support robot. Available online at http://www.toshiba.co.jp/about/press/2005_05/pr2001.htm [3/9/05].
Wenger, G. (1992). The major English-speaking countries. In H. Kendig, A. Hasimoto, & L. C. Coppard (Eds.). Family support for the elderly: The international experience (pp. 117–133). Oxford: Oxford University Press (at 124).
Weston, R., Qu, L., & Soriano, G. (2001). The changing shape of Australia’s population. Australian Institute of Family Studies, 10, 1–6.
Wood, L. (2005). Of pills and bills and the ageing boomers. The Age, September 24, Melbourne, Australia.
We wish to thank Jim Sparrow, Debra Dudek, Justin Oakley, and John Weckert for comments, discussion, and assistance which have improved this paper.
We dedicate this paper to the memory of Jean Woodroffe, whose strength and courage at the end of her life journey inspired the authors’ interest in aged-care issues.
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Sparrow, R., Sparrow, L. In the hands of machines? The future of aged care. Minds & Machines 16, 141–161 (2006). https://doi.org/10.1007/s11023-006-9030-6