Clinical trials are broken. In her review of three recently published books about the collusion between influential doctors and pharmaceutical companies, Marcia Angell reveals the systematic biases inherent in the very scientific method designed ensure best medical practices. Knowledge translation rests on the assumption that evidence-based research must make its way into practice. Her conclusion is sickening:
It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of TheNew England Journal of Medicine.
The Los Angeles Times ran a series of photographs of desperate Haitians coping in the aftermath of a devastating earthquake with captions that kept deploying words like “looting.” Would you enter a collapsed supermarket to take food to starving children and babies? Then you too are a looter. These pictures do convey desperation, says Rebecca Solnit, but they don’t convey crime. She argues that the media tend to be obsessed with property and headlines about assaults on property, and misrepresent events as looting or panic, needlessly inciting hostility and hysteria on the part of local authorities and causing more suffering. When the rest of us contemplate the Haitians’ plight through media reports, we need to remember that: