Imagine tending to a very sick patient who was about to die. Imagine having, on one hand, a doctor or nurse working with the patient to make their remaining time as comfortable as possible, and comforting the family in their grief. On the other hand, you have a preacher telling that patient that they must immediately convert over to Jesus before they passed away, unless they wanted to go to Hell. Who would you choose?
Or imagine going to university, taking geology or botany or zoology, and having two classes for each subject – one that presented the scientific view, and the other threatening students that they must deny evolution and accept an 8,000 year old Earth, in order to pass their final exams.
Not appropriate, right? But this is the problem we seem to be increasingly facing these days – one of ideology over expertise.
There was a debate on the radio a few days ago where there two worlds came clashing together in an interesting way. The subject was vaccinations. On the one hand, you had people arguing from scientific and medical perspective, while on the other hand, you had people with strongly anti-vaccination worldviews. (They prefer to call themselves “vaccine informed, but let’s call a spade a spade, shall we? In the end, it amounts to the same thing).
If you were a parent, concerned about nasties such as whooping cough, rubella, measles and the flu, whose advice should you listen to? Your doctor, who, has the training, clinical expertise and direct experience working in the community with patients? Or perhaps some random person with none of this experience who tells you to ignore or distrust the doctors, that they are all shills or dupes, that they have done all their research on the Internet and are therefore more knowledgeable?
This is the choice that people have. And it should be a no-brainer. In fact, for decades it has been a no-brainer. Most people wouldn’t even think about going for the ideologue over the trained expert.
But it seems this is not as much the case today. More people choosing the naturopath over their doctor, choosing detox over vaccines and choosing all sorts of fad diets so they can avoid cancer and live forever. In certain areas, ideology is starting to win over expertise.
Much of it is marketing. Ideologues are getting better at exploiting hopes and fears. There are certain messages they put across that have an emotional impact. Tell people Big Pharma is out to get them. Tell them they only care about profits and not health. Tell them that there are poisons and chemicals being injected into their children. Tell them there is another way, and that it’s being suppressed. Tell them about the brave lone pioneers who have been castigated for their views. These are powerful, emotive messages that can be applied to any situation. They do not need facts to support them, just half-truths, glimmers of hope and a large dollop of fear.
Experts are to be distrusted, according to the ideologues. Experts, particularly individual experts, can sometimes get things wrong, so the ideologues use that against them. Knowledge is often incomplete, as is the way with science, so ideologues will exploit the gaps in knowledge for their own purposes. Companies sometimes do unethical things, so ideologues will use this to portray them in the worst possible light.
But let’s not kid ourselves – when it comes to a fight between expertise and ideology, expertise wins. It has the facts on its side. Just maybe not the marketing.
A mistake in logic.
Just because something happened before it, doesn’t mean it caused it.
Just because a footballer forgot to bless himself before a game, doesn’t mean that’s why they lost the match.
Just because a screaming sound was heard in the middle of the night, doesn’t mean your granduncle is going to die.
Just because a vaccine was given doesn’t necessarily mean it caused a sickness at a later date.
Other things: a virus, an infection, the ageing and growth process, genetics, a stressful situation, other people, might have caused it too.
Trying to figure out root cause is really, really difficult, but if you rush to a conclusion about cause, without doing the hard work, chances are you are going to be wrong.
The hard work, trying to figure out causes? We call that science.
And that is why you need to bring in scientific voices and scientific studies when you are discussing issues like vaccines, because they are the only people who have done the work to assess root cause.
Let me reiterate that. They are the only people who have done the hard work. They are the only people who must take the emotion out of it, who must control for bias, who must look at all the data, who must go about it the right way, in order to be taken seriously. They get penalised for taking short cuts, something that doesn’t happen when we give our opinions or talk about our experience.
If you exclude the scientific consensus and scientific voices from a discussion on vaccines, or if you think it’s “just another opinion”, then you are biasing the discussion. No ifs, no buts.
If you exclude the scientific consensus, you are not looking at the whole picture. And, you might be scaring people without just cause.
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