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==New areas== With the growth of [[bioethics]] in the 21st century to include [[environmental sustainability]],<ref>{{Cite journal |last=Deane-Drummond |first=Celia E. |date=2020-04-02 |title=Principles of Green Bioethics |url=https://doi.org/10.1080/20502877.2020.1767915 |journal=The New Bioethics |volume=26 |issue=2 |pages=190β194 |doi=10.1080/20502877.2020.1767915 |s2cid=221052407 |issn=2050-2877}}</ref> some authors, such as Cristina Richie have proposed a "green consent". This would include information and education about the climate impact of pharmaceuticals (carbon cost of medications) and climate change health hazards.<ref>{{Cite journal |last1=Richie |first1=Cristina |last2=Kesselheim |first2=Aaron S. |last3=Jones |first3=David S. |date=2023-01-21 |title=Climate change and the prescription pad |url=https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02545-4/abstract |journal=The Lancet |language=English |volume=401 |issue=10372 |pages=178β179 |doi=10.1016/S0140-6736(22)02545-4 |issn=0140-6736 |pmid=36566765|s2cid=254990042 }}</ref> Artificial intelligence (AI) became widespread in the 21st century. It raises many ethical concerns in the medical field, such as the patientsβ awareness that they may be interacting with an AI system, as it is being gradually integrated into scanning, surgery, and diagnoses. A number of companies, inspired by the ChatGPT3 system that was released in December 2022, developed AI therapists, which are mental health chatbots that can provide treatment information and perform mental health therapy. Patients must be educated about AI usage to promote trust in the systems.<ref>{{Cite journal |last=Hurley |first=Meghan E. |last2=Lang |first2=Benjamin H. |last3=Kostick-Quenet |first3=Kristin Marie |last4=Smith |first4=Jared N. |last5=Blumenthal-Barby |first5=Jennifer |date=17 Sep 2024 |title=Patient Consent and The Right to Notice and Explanation of AI Systems Used in Health Care |url=https://www.tandfonline.com/doi/full/10.1080/15265161.2024.2399828?scroll=top&needAccess=true |journal=The American Journal of Bioethics |volume=25 |issue=3 |pages=102β114 |doi=10.1080/15265161.2024.2399828 |issn=1536-0075 |pmid=39288291}}</ref>
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