You are a placebo responder. Your body plays tricks on your mind. You cannot be trusted.
BEN GOLDACREYou are a placebo responder. Your body plays tricks on your mind. You cannot be trusted.
BEN GOLDACREYes. I’m a doctor, an epidemiologist, and lots of my professional colleagues flip back and forth between industry and medical roles. I know them; they are not bad people. But it is possible for good people in bad systems to do things that inflict enormous harm.
BEN GOLDACREI hope that you will be asked to participate in a trial at some stage in your disease
BEN GOLDACREThe placebo effect is one of the most fascinating things in the whole of medicine. It’s not just about taking a pill, and your performance and your pain getting better. It’s about our beliefs and expectations. It’s about the cultural meaning of a treatment.
BEN GOLDACREI think you’ll find it’s a bit more complicated than that.
BEN GOLDACREAs it is a major component of blood, water is vital for transporting oxygen to the brain. Heaven forbid that your blood should dry out.
BEN GOLDACREThe plural of anecdotes is not data
BEN GOLDACREYou cannot reason people out of a position that they did not reason themselves into.
BEN GOLDACREBut as we will see, even these things are hard to do on your own, and in reality require wholesale social and political changes.
BEN GOLDACREThese corporations run our culture, and they riddle it with bullshit.
BEN GOLDACREOne of the things I always found interesting is the same tricks are used to distort medicine in all of those domains.
BEN GOLDACREEat lots of fruit and vegetables, and live your whole life in every way as well as you can: exercise regularly as part of your daily routine, avoid obesity, don’t drink too much, don’t smoke, and don’t get distracted from the real, basic, simple causes of ill health.
BEN GOLDACREJust just because there are flaws in aircraft design that doesn’t mean flying carpets exist.
BEN GOLDACREScience has authority not because of white coats or titles, but because of precision and transparency: you explain your theory, set out your evidence, and reference the studies that support your case.
BEN GOLDACREPositive findings are around twice as likely to be published as negative findings. This is a cancer at the core of evidence-based medicine.
BEN GOLDACREThere are many differences between medicine and teaching, but they have much in common. Both involve craft and personal expertise, learned through experience; but both can be informed by the experience of others.
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