Yes. 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 GOLDACREJust just because there are flaws in aircraft design that doesn’t mean flying carpets exist.
More Ben Goldacre Quotes
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And if, by the end [of this book], you reckon you might still disagree with me, then I offer you this: you’ll still be wrong, but you’ll be wrong with a lot more panache and flair than you could possibly manage right now.
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I’ve detected myself using a new rule of thumb: if you don’t link to primary sources, I just don’t trust you.
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As it is a major component of blood, water is vital for transporting oxygen to the brain. Heaven forbid that your blood should dry out.
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There is this peculiar blind spot in the culture of academic medicine around whether withholding trial results is research misconduct. People who work in any industry can reinforce each others’ ideas about what is okay.
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Transparency and detail are everything in science.
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Children can be disgusting, and often they can develop extraordinary talents, but I’m yet to meet any child who can stimulate his carotid arteries inside his ribcage.
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Teaching needs an ecosystem that supports evidence-based practice. It will need better systems to disseminate the results of research more widely, but also a better understanding of research, so that teachers can be critical consumers of evidence.
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The 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.
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I spend a lot of time talking to people who disagree with me – I would go so far as to say that it’s my favourite leisure activity.
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The plural of anecdotes is not data
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One of the things I always found interesting is the same tricks are used to distort medicine in all of those domains.
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Positive findings are around twice as likely to be published as negative findings. This is a cancer at the core of evidence-based medicine.
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Amazing things happen when you pull individual pieces of information together into larger linked datasets: meaning emerges, as you produce facts from figures.
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There 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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I think you’ll find it’s a bit more complicated than that.
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