I think many INDIVIDUAL scientists are indeed concerned about the truth of science. I can’t think of a single AREA in medicine that hasn’t been tainted by politics and $ these days. Dang it I keep boiling things down and the only thing left in the pot is $$$.
Psychiatrist Iain McGilchrist would agree. In the recently published book The Matter With Things his chapter called Institutional Science and Truth has 141 citations covering the corruption of journals as well.
It scares the hell out of me. And how they are going to admit medical students scares the hell out of me. These days, the mantra seems to be "never let facts or common sense get in the way of a good narrative and virtue signaling" SIGH. I keep waiting for the CSS (Clown $hit Show) to end, but the end isn't in sight. SIGH, again.
You woefully overestimate the ability of LLMs or other deep learning models to level anything. The are fatally flawed except as general information dispensers. Application to individual patients is likely to be unpredictably disastrous from time to time...and you would not want to be one of those. Your hallucinated diagnosis and therapy will likely kill you, and many of the doctors we are graduating these days lack the intellectual skills to pick this up until you are dead.
I remember when up to date and (I hate to say I forget but I do) some other program on a blackberry were “go tos” by residents. Then it became a mouse in the EMR. clicker medicine. Scary stuff now with all the “new” things that can go wrong. Call my cynical.
And even if medicine should have a population of doctors that matches the racial makeup of the population, it's not a reason to justify AA for all the rest of the majors. As Vinay points out, the problem needs to be solved at the K-12 level. College is WAY too late. Any politician who supported school closures after Spring 2020 cannot be believed if they claim to care about diversity in college.
"It undermines science to make strong claims based on weak evidence. Moreover, it creates the appearance of bias or motivated reasoning. It results in massive loss of reputation (of those doing it) and broader distrust of science."
Exactly!
What would be fantastic is another post applying the same critical reasoning skills to the epistemologically challenged science of virology and the mountain of methodologically flawed vaccine research papers.
Look on the bright side, Dr. Prasad: But for some Supreme Court appointments made during the last administration, Justice Jackson might have been able to write the MAJORITY opinion in that case.
“In other words, Jackson's claim in her opinion that having a Black physician "more than doubles the likelihood that the baby will survive" could be misleading, because the study on which that statement is based examined lower mortality rates, which is not the same thing statistically as survival.”
The lawyers who originally cited the paper in their Amicus brief even clarified its intent (although it’s still a bad paper) to clean up what Justice Jackson-Brown wrote in her dissent. Apparently she misinterpreted the meaning of “mortality” and “survival” rates.
Thank you for pointing out another example of political science trumping real science. So many great people have advocated for giving everyone equal opportunities to succeed. Apparently, the movement to give those they deem underprivileged is blind to this notion. Let’s first start with the abomination that is early education, grade school, where we seem oblivious to the importance of teaching the basics like reading, writing and math. History and civics are rife with the rewriting of what has happened rather than presenting the reality and letting children form their own thoughts over the years. I won’t get into which educational institutions are most guilty of this but we have a might job on our hands and I know we can do it just waiting for the right people to get the train moving.
appreciate your expertise and viewpoint. Medical schools have poorly taught us how to interpret medical information and in this age of a bipolar universe we are easy prey. We are truly in a new dark age. I applaud you for being one of a few who are pushing back in the proper way.
Another good article to provoke thought. I’m curious for Dr. Prasads thoughts on the lawsuit file by a J&J subsidiary this week against four researchers sho served as plaintiff experts asserting a link between talc and ovarian cancers.
On top of Vinay's proper analysis would be the biologic plausibility of the so-called hypothesis that black newborns have a higher survival rate when taken care by Black physicians. I am a retired pediatric lung specialist. I have worked in ten different newborn ICUs since entering medical school in 1970. There is no question and no one has ever made the claim that there are two or more standards of care in NICUs. Pediatricians tend to be optimistic and generous and would never stand for a different standard of care based on gender, ethnicity, socioeconomic class, or race. Justin Jackson lives in a very distorted world if she even considers that this hypothesis might be true. Shame on her.
I agree with your solution and you know who was trying to do that- Trump. They wanted to give parents the money and allow them to shop schools, making it possible to travel outside your school zone and forcing schools to compete for attendance.
Robert Malone recently wrote a Substack about the power of words/ labels. I really wish someone would invent a term for bs science that was bought. The equivalent of soiled dove science, because that’s how they got it. By paying for it. Then, we could just acknowledge it and move on.
The first article mentioned lists 5 or 6 authors; none were research scientists (?) and 3 have business background (perhaps high positions, but NOT scientists OR statisticians). Sigh. How did it get labeled a scientific study?
I think many INDIVIDUAL scientists are indeed concerned about the truth of science. I can’t think of a single AREA in medicine that hasn’t been tainted by politics and $ these days. Dang it I keep boiling things down and the only thing left in the pot is $$$.
Psychiatrist Iain McGilchrist would agree. In the recently published book The Matter With Things his chapter called Institutional Science and Truth has 141 citations covering the corruption of journals as well.
Also see Richard Harris - Rigor Mortis: How Sloppy Science Creates Worthless Cures, Crushes Hope, and Wastes Billions
Individual scientists created these garbage studies. Try again.
I said MANY - not all. Trying to be somewhat kind here. 🤣
It scares the hell out of me. And how they are going to admit medical students scares the hell out of me. These days, the mantra seems to be "never let facts or common sense get in the way of a good narrative and virtue signaling" SIGH. I keep waiting for the CSS (Clown $hit Show) to end, but the end isn't in sight. SIGH, again.
Thank heavens for chatgpt and bard. Those technologies will provide a level field for subpar doctors to provide decent care for patients
I'd pay money to see a medical student bring and iPad to Grand Rounds and say "but doctor, ChatGPT says....." LOL
You woefully overestimate the ability of LLMs or other deep learning models to level anything. The are fatally flawed except as general information dispensers. Application to individual patients is likely to be unpredictably disastrous from time to time...and you would not want to be one of those. Your hallucinated diagnosis and therapy will likely kill you, and many of the doctors we are graduating these days lack the intellectual skills to pick this up until you are dead.
I remember when up to date and (I hate to say I forget but I do) some other program on a blackberry were “go tos” by residents. Then it became a mouse in the EMR. clicker medicine. Scary stuff now with all the “new” things that can go wrong. Call my cynical.
Good article.
And even if medicine should have a population of doctors that matches the racial makeup of the population, it's not a reason to justify AA for all the rest of the majors. As Vinay points out, the problem needs to be solved at the K-12 level. College is WAY too late. Any politician who supported school closures after Spring 2020 cannot be believed if they claim to care about diversity in college.
Jackson citing bad evidence in her support of affirmative action. Irony of ironies...
Well, she couldn’t define what a woman is, so...
You're nailed it with this post Vinay!
"It undermines science to make strong claims based on weak evidence. Moreover, it creates the appearance of bias or motivated reasoning. It results in massive loss of reputation (of those doing it) and broader distrust of science."
Exactly!
What would be fantastic is another post applying the same critical reasoning skills to the epistemologically challenged science of virology and the mountain of methodologically flawed vaccine research papers.
Look on the bright side, Dr. Prasad: But for some Supreme Court appointments made during the last administration, Justice Jackson might have been able to write the MAJORITY opinion in that case.
“In other words, Jackson's claim in her opinion that having a Black physician "more than doubles the likelihood that the baby will survive" could be misleading, because the study on which that statement is based examined lower mortality rates, which is not the same thing statistically as survival.”
The lawyers who originally cited the paper in their Amicus brief even clarified its intent (although it’s still a bad paper) to clean up what Justice Jackson-Brown wrote in her dissent. Apparently she misinterpreted the meaning of “mortality” and “survival” rates.
https://www.foxnews.com/politics/justice-ketanji-jacksons-faulty-claim-affirmative-action-case-takes-another-hit-lawyers-clarify-brief
Thank you for pointing out another example of political science trumping real science. So many great people have advocated for giving everyone equal opportunities to succeed. Apparently, the movement to give those they deem underprivileged is blind to this notion. Let’s first start with the abomination that is early education, grade school, where we seem oblivious to the importance of teaching the basics like reading, writing and math. History and civics are rife with the rewriting of what has happened rather than presenting the reality and letting children form their own thoughts over the years. I won’t get into which educational institutions are most guilty of this but we have a might job on our hands and I know we can do it just waiting for the right people to get the train moving.
"Political science" is an oxymoron.
You read my mind!
That is certainly true. And something many people followed in the last 3 years.
appreciate your expertise and viewpoint. Medical schools have poorly taught us how to interpret medical information and in this age of a bipolar universe we are easy prey. We are truly in a new dark age. I applaud you for being one of a few who are pushing back in the proper way.
Another good article to provoke thought. I’m curious for Dr. Prasads thoughts on the lawsuit file by a J&J subsidiary this week against four researchers sho served as plaintiff experts asserting a link between talc and ovarian cancers.
https://newslink.reuters.com/click/32072776.22514/aHR0cHM6Ly93d3cucmV1dGVycy5jb20vbGVnYWwvbGl0aWdhdGlvbi9qb2huc29uLWpvaG5zb24tc3Vlcy1yZXNlYXJjaGVycy13aG8tbGlua2VkLXRhbGMtY2FuY2VyLTIwMjMtMDctMTMvP3V0bV9zb3VyY2U9U2FpbHRocnUmdXRtX21lZGl1bT1OZXdzbGV0dGVyJnV0bV9jYW1wYWlnbj1BZnRlcm5vb24tRG9ja2V0JnV0bV90ZXJtPTA3MTMyMw/63ebee777fe67040430989a6B3f85eb2b
Well past time to dig into that issue. Hard to know the real truth but it's driven J&J to bankruptcy, in the end at our expense.
Outstanding. Thank you.
Love smart people.
On top of Vinay's proper analysis would be the biologic plausibility of the so-called hypothesis that black newborns have a higher survival rate when taken care by Black physicians. I am a retired pediatric lung specialist. I have worked in ten different newborn ICUs since entering medical school in 1970. There is no question and no one has ever made the claim that there are two or more standards of care in NICUs. Pediatricians tend to be optimistic and generous and would never stand for a different standard of care based on gender, ethnicity, socioeconomic class, or race. Justin Jackson lives in a very distorted world if she even considers that this hypothesis might be true. Shame on her.
I agree with your solution and you know who was trying to do that- Trump. They wanted to give parents the money and allow them to shop schools, making it possible to travel outside your school zone and forcing schools to compete for attendance.
Robert Malone recently wrote a Substack about the power of words/ labels. I really wish someone would invent a term for bs science that was bought. The equivalent of soiled dove science, because that’s how they got it. By paying for it. Then, we could just acknowledge it and move on.
The first article mentioned lists 5 or 6 authors; none were research scientists (?) and 3 have business background (perhaps high positions, but NOT scientists OR statisticians). Sigh. How did it get labeled a scientific study?