Discussion of public health and health care policy, from a public health perspective. The U.S. spends more on medical services than any other country, but we get less for it. Major reasons include lack of universal access, unequal treatment, and underinvestment in public health and social welfare. We will critically examine the economics, politics and sociology of health and illness in the U.S. and the world.
Okay, I'm going to cut to the chase with Gioioa. Here is his last point, and then I'll tell you why I think he's just missing the mark.
Have you heard the complaints about “fake science”?
Of course you have. This phrase is everywhere. Here’s a measure of its use in print, courtesy of Google.
Source: Google Ngram
Democrats accuse Republicans of fake science.
But Republicans also make the same charge at Democrats. I’m not sure
anybody really wins in these arguments, but I can tell you who
loses—namely science itself.
But, as you can see from the
chart, the term “fake science” hardly existed during the 20th century.
In those days, science was considered emblematic of truth. If it was
fake, it wasn’t science.
But when the knowledge structure
collapses, science loses its privileged access to truth. At the final
stage, it gets harder and harder to distinguish science from propaganda.
We are now living in that nightmare scenario.
Okay, so what's really going on? I was going to tell you myself, but then Andrew Gelman came out with this, which pretty much does the job for me. What we're facing is an epidemic of lying, but it's only by a certain faction, if you will, of society, that benefits from an enabling institution. I'll chop Gelman up in fine enough pieces to fit in a blog post, but enough to get the idea across:
4a. Why do they do it?
One reason to lie is that you don’t have good arguments on your side.
Or, maybe you have ok arguments on your side, but not good enough. So
if you add some fake evidence, it makes your case stronger. . .
Saying you did a 3-day study of video games, that’s not so impressive.
“Long term” sounds much better. Sure, you have to mislead, but it makes
your case stronger! . . .
Saying that you sent masked officers to arrest some opposition-party
politicians who were at no point posing a threat to anybody . . . ummm,
that sounds pretty bad, kind of authoritarian even! But if they were
committing “assault” and “lunging” at the officers, that’s another
story. It’s a false story, but that’s the point! The motivation for
lying is that it makes your case sound stronger.
4b. How does it work?
OK, fine, but the above reasoning is not enough. After all, if you
lie and nobody believes you, it doesn’t do the trick. So the next thing
you need is a medium of communication that will propagate your lies. . . .
The government statements falsely accusing Lander of “assaulting law
enforcement” and Padilla of “lunging” . . . these lies get spread on
social media, in the partisan news media, and even in the nonpartisan
media when they repeat the official statements.
4c. Standard operating procedure
Again, a key way that this “reckless disregard for the truth” thing”
works is that it’s accepted. I don’t even think the people saying these
false statements recognize them as lies. They function as terms of
art. In social psychology, “long term” can mean whatever you want it to
mean, and “instantly become more powerful” is just something you get to
say, even if you have no measures of power. In legal consulting, you
can just say something you don’t believe. And when the cops say
“assaulting” or “lunging,” what that really means is that they don’t
like you, that’s all. Yes, some people like me and those news reporters
quoted above will object, but we’re outsiders and we don’t really
count.
So it's not that we are entering a post-enlightenment epistemology in which there is no longer such a thing as legitimate scientific inquiry, or intersubjective reality. It's that Rupert Murdoch has shown the way to getting rich and powerful using the ever more powerful media of mass communication to propagate lies, and that he and others who have caught on to the trick have allied themselves with psychopaths who will trade what Murdoch and his friends want -- not having to pay taxes or be constrained by the rule of law -- with what the psychos want, which is also unlimited wealth along with unlimited power and gratification of their narcissism.
It isn't actually anything new -- it worked for Hitler and Goebbels. But we need to call it what it is.
There seems to be no penalty for lying anywhere other than giving sworn testimony in court. Shame seemed to hold people back in the past, but now feeling shame seems to be regarded as a defect. There should be a middle ground between "free speech" and the witness stand. This third way should provide real negative consequences for outright lies, both about the facts and about one's beliefs, but it should allow some leeway for mistakes or poor phrasing. The speaker should be allowed to give a sincere apology for ignorance or being misleading. There should also be a cost for switching principles without warning. I'm tired of deficit hawks suddenly clamoring for an unfunded mandate. If a person could say "I'm now being fully responsible for the truth of what I'm saying" in some formal way, he or she could expect their words to be taken seriously. More importantly, it would speak volumes about someone refusing to do so.
It seems to me that something like this already exists in some contexts. For example, someone publishing a scientific paper is expected to be be almost brutally honest. And they are allowed to correct errors or misstatements if they show a bit of contrition for the original mistake. Could there be a way to broaden the scope of that expectation? It'd be a double edged sword if it also added weight to the word of a scientist.
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There seems to be no penalty for lying anywhere other than giving sworn testimony in court. Shame seemed to hold people back in the past, but now feeling shame seems to be regarded as a defect. There should be a middle ground between "free speech" and the witness stand. This third way should provide real negative consequences for outright lies, both about the facts and about one's beliefs, but it should allow some leeway for mistakes or poor phrasing. The speaker should be allowed to give a sincere apology for ignorance or being misleading. There should also be a cost for switching principles without warning. I'm tired of deficit hawks suddenly clamoring for an unfunded mandate. If a person could say "I'm now being fully responsible for the truth of what I'm saying" in some formal way, he or she could expect their words to be taken seriously. More importantly, it would speak volumes about someone refusing to do so.
It seems to me that something like this already exists in some contexts. For example, someone publishing a scientific paper is expected to be be almost brutally honest. And they are allowed to correct errors or misstatements if they show a bit of contrition for the original mistake. Could there be a way to broaden the scope of that expectation? It'd be a double edged sword if it also added weight to the word of a scientist.
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