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Healthy Skepticism Library item: 19023

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Woloshin S, Schwartz LM, Kramer BS.
Promoting healthy skepticism in the news: helping journalists get it right.
Natl Cancer Inst 2009 2; 101:(23):1596-9
http://jnci.oxfordjournals.org/content/101/23/1596.long


Abstract:

The constant barrage of fear and hope in the health news can make your head spin. Nearly every day we hear that almost everything we do (or fail to do) leads to cancer, suffering, and death. Just as frequently (and often on the very same day) we hear about new breakthroughs, tests, and miracle drugs that may save us. Fortunately, we know the fears are usually wildly exaggerated. Unfortunately, we know the hopes usually are, too.\n\nWhere does this exaggerated fear and hope come from? Consider the recent media coverage (Table 1) of a New England Journal of Medicine article about a new cancer treatment—olaparib [a poly (ADP-ribose) polymerase—or PARP inhibitor] (1). In this phase I uncontrolled study of 60 patients with a variety of treatment refractory solid tumors, the drug appeared to have an effect in one subgroup: 12 of the 19 patients with BRCA1 or BRCA2 mutations and breast, ovarian, or prostate cancer experienced either improvement or no tumor progression (according to radiological or tumor markers) sustained for at least 4 months. …

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909