Aged Care Insite Issue 103 | Oct-Nov 2017 | Page 12

industry & policy Changing the conversation: The future of carers and caring What role will carers play in a world filled with artificial intelligence and robots? By Michael Fine I n the first week of October I attended the International Carers Conference, held in Adelaide. While it was the seventh such conference, it was the first time this high-profile international event had taken place in Australia. Over the past 40 years in Australia, and 50-plus years in the UK, the carers movement has achieved a lot. As a result, there is much to celebrate and evaluate, such as the ground-breaking passage of carer recognition legislation in both countries over the past decade and the development of a relatively vigorous multinational representative organisation – the International Alliance of Carer Organizations, which now covers 13 countries, including many big ones such as the USA, Japan and India. But while these developments have brought about some changes in the wellbeing and other outcomes of most caregivers to date, the carers movement – locally, nationally and internationally – is still seeking a strategy to break through with real lasting impact. What can it hope to achieve and how might this be done at a time of increasing austerity and government cutbacks? What approach is capable of bringing lasting and significant change to the lives of those who currently provide unpaid care? Although so far market solutions seem to have fallen well short of providing answers for most unpaid caregivers, it is the market, not government, that politicians and policymakers increasingly invoke as the only viable solution. Many attending the conference, 10 agedcareinsite.com.au however, would argue that markets have exacerbated rather solved the problems of care. Amid the hundreds of papers, plenaries and keynotes presented, three major strategic preoccupations stood out for me. First, the increasing hopes held for technological ‘solutions’ to the need for care in the contemporary world. A relatively new theme in the carers’ world, technological progress presents a surprisingly optimistic, even utopian, vision in which the market could conceivably help rather than hinder progress. Dreamy-eyed young tech visionaries (nearly all of whom seem to be male, a rarity in the overwhelmingly female world of carers), as well as a vast number of IT startup firms and large multinational corporations around the world, are seeking to emulate the creative approaches to innovation and wealth creation employed by the big Silicon Valley companies. Like the medical miracles offered by pharmaceutical companies and surgeons, new technology was presented by tech gurus and a few happy beneficiaries as the disruptive innovation that could solve many and perhaps all the problems of disability and ageing. It could also create fabulous wealth for the copyright owners in the process – a matter that seems to inspire much of the enthusiasm of the venture capitalists behind the process, but which was otherwise not discussed by the carer representatives and government policy wonks attending. Developments such as artificial intelligence systems that can predict behaviour and simplify complicated, time consuming decision-making processes; enhanced virtual reality systems; and various forms of robotics, such as exoskeletons, were presented as the next great thing, capable of transforming the lives of even the most severely disabled person. Just as smartphones have become ubiquitous, so too, it was argued by a stream of enthusiasts, will these sorts of inventions provide new pathways to independence for many – and although it was never actually said, presumably replace the need for care