The authenticity of "screen-based filial piety" in the digital age, and its ethical considerations

“Screen-based filial piety” can maintain connections among family members living far apart, assist in managing chronic illnesses, and facilitate access to care resources. However, it may also turn care responsibilities into a formalistic process, mask the true nature of health issues through hidden data, and require continuous monitoring that goes beyond an individual’s autonomy. It is clear that physical presence and digital connection are only conditions necessary for care to occur; they cannot alone prove its authenticity. Based on narrative perspectives, three dimensions of judgment can be identified: the continuity of life narratives, the recognition of parents’ experiences, emotions, and wishes, as well as the responsibility for family consultation and response. These three aspects must be considered together to determine whether technology can truly continue a parent’s life trajectory, ensure their active participation, and promote appropriate actions. All three factors need to be taken into account together…