This article discusses the role that algorithmic thinking and management play in health care and the kind of exclusions this might create. We argue that evidence-based medicine relies on research and data to create pathways for patient journeys. Coupled with data-based algorithmic prediction tools in health care, they establish what could be called health care algorithmics—a mode of management of healthcare that produces forms of algorithmic governmentality. Relying on a critical posthumanist perspective, we show how healthcare algorithmics is contingent on the way authority over bodies is produced and how predictive health care algorithms can reproduce inequalities of the worlds from which they are made, centreing possible futures on existing normativities regulated through algorithmic biopower. In contrast to that, we explore posthuman speculative ethics as a way to challenge understanding of ‘ethics’ and ‘care’ in healthcare algorithmics. We suggest some possible avenues towards working speculative ethics into health care while still being critically attentive to algorithmic modes of management and prediction in health care.

中文翻译：

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从“如果-那么”到“如果呢？” 用后人类思辨伦理学重新思考医疗保健算法

本文讨论了算法思维和管理在医疗保健中发挥的作用以及这可能产生的排除类型。我们认为，循证医学依赖于研究和数据来为患者的旅程创造途径。结合医疗保健中基于数据的算法预测工具，他们建立了所谓的医疗保健算法——一种产生算法治理形式的医疗保健管理模式。依靠批判性的后人类主义视角，我们展示了医疗保健算法如何取决于对身体的权威的产生方式，以及预测性医疗保健算法如何能够再现它们所来自的世界的不平等，将可能的未来集中在通过算法生物权力监管的现有规范性上。与此相反，我们探索后人类思辨伦理学，以此挑战对医疗保健算法中“伦理”和“护理”的理解。我们提出了一些可能的途径，将投机伦理纳入医疗保健，同时仍然严格关注医疗保健中的管理和预测的算法模式。