In medicine, there is this idea of an evidence hierarchy. It starts with expert opinion, then preclinical data (bench work, animal studies, etc), then retrospective studies, then observational studies, then with randomized trials.
As higher forms of information become available, we leave the less informative forms of data (so you leave expert opinion once you have a good observational study). We can judge each level with different scoring systems. For example, we can determine the bias present - usually by assigning a score or grade after review of the study specifics.
I feel like with much of the discussion regarding this topic, there is a lot of intellectual dishonesty. What do I mean by that?
Left’s say that I were to start a discussion and post an article that showed that hypothermia during anesthesia greatly improved neurological outcomes with no harm during craniotomies, and it was a small case series of 10. MOST would correctly point out that much higher quality studies have shown that this isn’t the case.
Now I don’t care that people cling to very low quality evidence studies that have obvious EXTREME BIAS (like some posted here). And it’s great you believe them. You have to believe in something! But I would encourage them to have some self introspection and consistency so that when others post low quality studies on this forum - they keep their mouth 100% shut and say to themselves “well I defended with strong conviction extremely horrible studies on this thread, so I need to be silent when others post their horrible studies on another subject and other threads.” That is called integrity. That is the opposite of what is called hypocrisy.
Regarding masks, the highest quality study was the Bangladesh study - and that was retrospective survey done over the phone! And really great on you if you feel that is wonderful data. We also have expert opinion (“obviously the virus is both droplets and aerosolized!”) But I would ask, for the last time, maybe it’s okay that others, like myself, have asked the question - “given the fact that before the pandemic, lots of studies showed that masks are ineffective, and during the pandemic, data has been mixed with many showing some efficacy, and others not, don’t you find it strange and highly unusual that the CDC didn’t run a single high quality study to try and answer this question?”
Regarding masks, I get that people are incensed because the bar to wear a mask is low. And that is fine that they ignore the myriad of articles that have come out of late (recent one in the WSJ last week) that discuss that ugly consequences of the measures placed on our kids (and actually…society) during this whole thing. It’s fine you don’t really care.
But for Pete’s sake, why do you criticize those who DO care about the consequences?
Because it isn’t about if masks work or not. It was about the refusal to really answer the question(s) and completely ignore the fact that with every choice, every measure, there are consequences - and some people could be greatly hurt by the consequences and so for some, it seems important to decide if the actions instituted was worth the harm.(yes I know..people died, people were in the ICUs. If you reflexively thought this…you are missing my point.)
The whole thing reminds me of the Russia-gate problem.
Trump is horrible, and was hugely damaging to the country. (Many refuse to see that because they thought his policies were good, so they justified or blindly ignored the severe damage caused and said any damage done was because of the opposition.) Those who saw this and really hated him turned a blind eye when it came out that the Russian collusion story was 100% fabricated. They didn’t read the apology and “oops…our bad” article by WaPo. They didn’t care that the others like CNN refused to acknowledge their lies/or complacency in their role in perpetuating the lie. They didn’t care because they hate Trump so much they wanted it to be true.
But for some of us- we felt like it was a HUGE deal that the system was so corrupt.
And so it is with the pandemic. It’s not the subject that matters, but the method - and we were concerned about the behaviors that seemed to leave the scientific method in the dust.
And again, it’s fine that some of you don’t have the curiosity to wonder why so many prominent physicians called for focused protection of the most vulnerable instead of blanket shutdowns of schools and businesses (called the Great Barrington Declaration) and that Dr Fauci then created a smear campaign against them rather than address the concerns - but for some that was a real “hmmm” moment. Because to many of you, the science isn’t a concern. The real culprit is COVID and the anti-Vaxers. And good in ya! Believe away!
But seriously, why can’t you at least acknowledge that others have concerns? That others who DO care about the man behind the curtain want to ask questions?
I would asked, once again, that you to read this well written article and just consider some of the points made. You don’t have to agree. But it may make you a little more empathetic to others who disagree with you.
Dr. Marty Makary on the public health risk of putting America’s fate in the hands of one doctor.
www.commonsense.news