Yves here. Even though it makes some good observations, it’s remarkable to see this article ignore the elephant in the room, that of the corruption of the science ordinary people encounter most, medicine. And big reasons why are the willingness of medical doctors and biomedical scientists to sell out and work for Big Pharma to cook studies to hide the risks of drugs like Vioxx. Significantly at fault were insufficiently skeptical doctor. Vioxx was prescribed in very large volumes, even though for the great majority of patients, there was no reason why. Vioxx’s use case was for patients with orthopedic pain who could not tolerate NSAIDs. Yet many many doctors accepted drug detailman hype (what, exactly?) and prescribed Vioxx when not warranted.
The deaths from Vioxx were so significant that when its sales were halted, US mortality levels fell measurably.
The Vioxx example alone, and the failure to implement reforms in its way, points to deep corruption in the medical profession, even if mainly of the cognitive capture kind. My understanding of medical teaching is that it is all about drugs and surgery. What is commonly referred to as “wellness” (a word I deem to be lame, I would like a better coinage) seems to be an afterthought.
Now teaching doctors about prescription medications would not be bad if medical pedagogy also instilled caution and skepticism about their use, particularly new ones. From what I can infer, there is perilously little of that. IM Doc has said most doctors lack the chops to read studies stringently (even if they were so inclined). I have had other readers who have taught doctors say that the typical MD’s command of biochemistry is also weak.
And it did not have to be this way. Consider the example of tobacco industry whistleblower, biochemical scientist Jeffrey Wigand. When he took a position atBrown & Williamson in research and development, he was acutely aware that there was no going back. Big Tobacco had such a bad reputation in the science world that he would never again be able to work at a large, reputable company outside the cigarette biz. But he needed the money and his pay package was large, reflecting the difficulty of getting high caliber scientists to work in that industry.
Why isn’t working for Big Pharma on their FDA submissions, or working for health insurers to develop strategies to deny claims, similarly regarded as unethical? Admittedly, morality matters for little these days (see how multiple scandals at McKinsey has done little to dent their popularity in Corporate America). But this ethical slide has been long in the making, and I see little evidence of anyone in authority lifting a finger to try to slow or reverse it.
By Paul Sutter, a cosmologist at Johns Hopkins University and author of “Rescuing Science: Restoring Trust in an Age of Doubt.” Originally published at Undark
American science stands on the precipice. On one side is the administration of Donald Trump and MAGA political leaders threatening to push us over the cliff; on the other is the quick plunge to oblivion.
This is no exaggeration. While ostensibly the administration’s actions are couched in the dual language of budgetary concerns and the elimination of DEI initiatives, the reality is much more broad, and much more bleak. Science across the nation is getting strangled, with funding streams to universities being summarily cut off, staff members of national agencies dismissed, and budgets getting axed.
But the administration isn’t acting in a vacuum; Trump is not moving without impetus. For at least two decades, there has been a growing distrust of science within conservative circles, a distrust supercharged by the Covid-19 pandemicand its fallout. The “Make America Great Again” circles — both its political leaders and their supporters in the public — don’t just endorse the reshaping of a system that has been in place since World War II. They are cheering on its destruction.
As scientists, my colleagues and I were taught to look hard at the evidence, no matter how uncomfortable or even distressing. I watched in dismay as public trust in science plummeted during the pandemic, and as anti-vaccinesentiments became a calling card for the hard right. I spent months grappling with this painful information. I had assumed that the general public would always love science. This turned out to be a very dangerous assumption indeed.
During the summer of 2020, I drafted a book that wouldn’t be released for another four years, mainly due to academic resistance to the topic. In the book, I predicted that the relationship between science and the public was at a tipping point, and that if we didn’t institute reforms, our beloved institution would be decimated.
I wish I hadn’t been so right. But now, at least, the evidence of the breakdown is unignorable: The confidence that conservatives have in science has hit its lowest point since the General Social Survey started tracking such opinions in 1973. They don’t want our research. They don’t want our expertise. They don’t want many of our results.
Science can no longer depend on the broad, bipartisan, neutral support it has enjoyed for over half a century. And so as a community, when faced with this evidence, we scientists are motivated to search for a root cause, of which there are several. One of the potential causes is the coalescence of bad faith actors, especially post-Covid. Activists and social media personalities feed into disinformation campaigns, disingenuously warping honest scientific results to fit preconceived narratives and highlighting shoddy, even fraudulent, work to advance their own goals, which also happen to include the destruction of science as a source of credibility and expertise.
Here’s another possible cause: MAGA has a point.
The MAGA distrust in science is multilayered and has deep roots, but I believe it boils down to three intertwined strands.
Conservative academics have long felt ostracized by universities, whose faculty and administration, despite noble arguments of impartiality, act to diminish and disregard traditionally conservative lines of thought. This creates grudges and an intellectual foundation for further anti-science rhetoric.
MAGA-aligned politicians, like Sen. Ted Cruz, also argue that we are wasting money on useless research, whether it’s an over-expensive telescope or “woke” social science experiments. Even if these aren’t costly endeavors compared with the total federal budget, when you’re struggling to put food on the table — as many Americans are — government waste becomes any easy target for your frustrations. This creates a convenient hook into the public dialogue and serves up a simple narrative for taking down science.
Lastly, right-leaning Americans, whether they are already sympathetic to MAGA policies or not, have a more negative perception of scientists, according to a 2024 Pew survey. To me, this shows that many feel they are being lectured to by public health officials and scientists in public-facing leadership positions and are tired of it. They are sick of what they consider to be moralizing, demonizing, and recommendations and instructions that ignore moral or religious authority. I’ll be honest, I found it annoying to wear a mask every time I stepped out into public; I can imagine it being doubly so when you’re constantly made to feel ashamed by public health authorities for choosing not to.
Some scientists have unintentionally rubbed many Americans the wrong way, creating plenty of clear space for bad faith actors — hard-right media personalities and politicians — to make successful headway, building the opportunity for those same actors to have the political backing they need to tear down one of our most treasured national institutions.
As scientists, we are also trained with how to deal with evidence, which is to create a hypothesis and test it. So in the face of these bare facts, here is my hypothesis: What if we listened to those sympathetic to MAGA?
The only way science can succeed for generations is to win over the hearts and minds of the entire electorate, not just liberals. The decades-old arguments about science as the engine of prosperity and innovation don’t seem to be resonating with broad swaths of the public anymore. If we want bipartisan support, we need to become bipartisan.
So let’s change.
The first step is humility. We need to look MAGA supporters in the eye and admit openly that we’ve made some mistakes. We need to tell our MAGA friends, relatives, and politicians that we hear them and offer concrete solutions. This is the basis of the philosophy of radical empathy: the kind of empathy given with no expectation of receiving it in return.
A scary place, for sure. What if they use this as an excuse to destroy science? Well, they’re already destroying science — not much to lose on that front. Plus, MAGA is literally in charge right now, and we should plan for them to continue to be in charge, or at least a powerful political voice, for quite some time.
First, the universities, the academic bedrock of modern science, need to heed their own values and enact policies that prevent departments from psychology to physics and everything in between from becoming echo chambers. These policies can include inviting more conservative (and specifically MAGA) speakers and recruiting diverse political viewpoints among faculty. We are supposed to embrace and confront dissenting views, not reject them.
Perhaps with different political views heard and respected within the halls of academia, intellectual conservative voices can provide the heft needed to make pitches for “useless” science projects resonate across the aisle and with a broader slice of the American public. How does a new project fit into a conservative, or even religious, worldview? How can valid moral or ethical — or even budgetary — concerns receive the proper venue for consideration in the decision-making process? These questions can only honestly be answered by someone with deep personal political conservative conviction.
And lastly, maybe academics need to do less talking and more listening, especially when it comes to the fraught arena of public policy. There is no doubt that science offers valuable input when it comes to policymaking, but it is far from the only voice at the table. We are most respected when we do what we do best: study and learn. We can offer advice, perspectives, and analysis. When we make the jump to offering recommendations and advocating for particular policy outcomes, whether it’s about climate change mitigation or mask mandates, we get lumped in with the authority figures pushing those views.
I’ve had absolutely zero policy training as a student of science; I doubt most of my colleagues have either. If we’re going to wade into political waters, we better learn how to swim with the sharks first.
I trust that most Americans want what I want: a stable home and a prosperous future for our children. Sadly, many of those same Americans do not see science as a path to achieving either of those visions. But if we are to take our vocations seriously and respect the rule of evidence as the guiding force in our decisions, then we must take the lesson we have learned from evolution: We must either adapt or die.
If the best argument that alleged defenders of “science” is “trust the science,” as we often heard during the Pandemic Era (ie we still keep hearing it), then we are in bad shape.
Willingness to debate skeptics in earnest has to be the starting point in regaining the trust. I was extremely impressed when Bill Nye decided to debate creationist Ken Hamm and began to see him as a real science educator and not just a science themed media personality.
Can’t really “debate” science as the man on the street doesn’t for the most part have the knowledge base to judge the claims being made. Doesn’t mean that I ever want to hear “Shut up moron, and trust the science” from a political or media figure but more “debates” is no kind of solution.
You don’t have to debate over what the “right” answer is: after all, “science” should not be calling itself the “right” answer anyways, only the best answer (we think) we have. So the question is how have we reached the answers we have, what evidence we have for them, and if we are wrong (and the other side is right), what evidence we’d need to believe otherwise. What really impressed me about Nye was that this is exactly the path he took: he articulated that if creationists say X, Y, and Z, and if such and such are found to be true evidencewise, he will accept creationist theories. Hamm had absolutely nothing to respond with to this, beyond bloviating about unshakable faith, the truth ™, and such nonsense that really made Nye’s point, iirc. (Note that most creationists don’t get that articulate, BUT there are also some very articulate ones who can catch science blowhards being ignorant, too.)
Ultimately, “science” is grounded on epistemology: how do we know what is and what isn’t, especially when what we think us true ain’t. This is what we should impart on people, imho.
See Sagan ….
I should preface this by saying, due to my own big pharma misgivings, I always wait a year where any new drug is successfuly out in the general US medical field before prescribing it to my own patients.
But as a doc who prescribed Vioxx innumerable times in the best interests of my patients with enormous success, it remains as one of my most useful and beneficial drugs of all time for chronic osteoarthritis pain. Of course looking back, that conclusion has been nullified and seriously tainted by the big pharma coverup. During the years it was being used, our office never had any related cardio incident that we were aware of. Except in myself! We took care of many Snow Birds from the north who spent half there time in AZ, so of course we may have missed others.
In myself I had two episodes of heart burn while on Vioxx before the big pharma disclosure that may have been cardiac related. Since I had congenital heart disease, I already knew I had no coronary disease. But I switched to Bextra and the same thing happened to me about the time of the disclosure. And of course then all Vioxx and closely related drugs were stopped.
I would put no direct blame on the docs prescribing Vioxx. Although we certainly could be implicated in some lawsuit. This the fault of big pharma.
In the Neoliberal world Science is both a profit driven enterprise with income expectations of investors and a PR/marketing tool for advertising non Scientific attributes to ideological agendas, both religious and for power of control over the unwashed.
No need to over complicate something that has been ongoing since antiquity e.g. the 1% today would fit in nicely with the same a thousand and more years ago. Divine, Heraldic, self awarded the status that without them everything and one would go poof …
Currently older civilizations are putting it to the test … China and Russia have a much longer and deeper track record, not only to refer back too but, observation of what the West has done since then and choose. Per se the choice of ballistics over a air force, economic costs, maintenance both physically and Mfg, vs. a single missile that can achieve the same or better result without all the risks. I digress.
For whatever political proposal being pushed, there’s always a scientist or expert found to confirm it to be the correct and data-backed choice. I mean, one is found to help sell it on tv.
And then a bit of time passes and the proposal, now implemented, is found to be bunk and to have harmed voters.
I have always figured this to be how science went down. Or to put it in fancier words, the social capital of science has been strip-mined and converted into political capital.
Haven’t thought about the medicine angle, but obviously converting the social capital of medicine into capital capital works for the same end result. And looking around we can easily see that indeed, the concept of truth itself has been strip-mined, and there’s nothing left but an empty husk. A simulacrum, if you so wish.
You can get along like that for a while. Running on truth fumes. Truthkeepers, and more importantly, people themselves, will do their best to explain the problems away. People will go to great lengths to protect their model of the world. The human being is not a rational animal, but a rationalizing animal after all. People will cling to their world model, because if the model collapses, they have nothing to stand on. But sooner or later the disconnect between the “truth” and the reality people live in is going to be undeniable. At that point, they will be looking for a new truth, and new truthkeepers. Cue in modern society and recent history.