If you put me in charge of the medical research budget, I would cancel all primary research, I would cancel all new trials, for just one year, and I would spend the money exclusively on making sure that we make the best possible use of the clinical evidence that we already have.
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.
Science isn't about authority or white coats: it's about following a method. That method is built on core principles: precision and transparency: being clear about your methods: being honest about your results: and drawing a clear line between the results, on the one hand, and your judgment calls about how those results support a hypothesis.
Science 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.
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