Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Science has been hijacked by puritans and needs rescuing by heretics

Dr. Saurabh Jha
Physician
June 17, 2017
Share
Tweet
Share

In college, I once marched for the plight of Tibetans. Forty of us marched in Hyde Park, London; after an hour, half retreated to the nearest pub to discuss global injustices. Recently, over a million, including five penguins, marched for science. There were no penguins at our march for Tibetans but our goal, though naïve and unrealistic, was clear — we wanted Tibetan independence from Chinese rule. The goals of March for Science, a worldwide endeavor with marches as far south as Antarctica, were numerous and ambiguous.

If you attended the science march expecting to hear about the theory of ether, the nuances of the Special Theory of Relativity, or Galileo’s brush with the papacy, you’d be disappointed. While it was not clear what the march was about, it was patently evident what the march was not about. The march was not about scientific inquiry or an embracement of the scientific process. The marchers were not protesting their right to think freely without persecution.

Many marchers were protesting their right to the public purse particularly, as President Trump has threatened to slash the budgets of government agencies more mercilessly than parents slash the pocket money of an itinerant teenager. It was like Galileo protesting outside the Vatican, not so that he can experiment in peace, but that the Pope fund his activities.

How did scientists transform from demanding more freedom to demanding more funding? Science, particularly biomedical sciences, has changed, and is now an expensive enterprise with considerable oversight. It is no longer possible for curious clergymen with time on their hand to dabble in science. Science, like art, has become a profession. To be funded is to be free — with some restrictions. The scientist, once stubbornly curious, now curiously adheres to stubborn protocols.

When I think of scientists, I picture Archimedes running naked in the street shouting “Eureka.” Scientists no longer run naked in the streets. But the change in science begs a more primal question – what does science even mean these days?

The march organizers, @ScienceMarchDC, presumably to entice marchers, tweeted “colonization, racism, immigration, native rights, sexism, ableism, queer-, trans-, intersex phobia, & econ justice are scientific issues.” But do these, undoubtedly important, social issues belong to science particularly, as conspicuous by their absence from this tweet are physics, biochemistry, zoology, geology (i.e., science)?

The science march seemed less about science and more about social injustice, and a lingering disbelief in a constituency that Mr. Trump, not Mrs. Clinton, is the president.

The fervor for the march suggests unprecedented scientific thinking in our society. However, the truth may be different. In enlightened circles, God is dead, but faith is alive and kicking. New faiths are on the rise — faith in our ability to perfect man, faith in methods to engineer society and, above all, faith in technocracy.

The new science is a science for the people and of the people, but not by the people — few understand the language of technocrats. Still, science has been democratized. Science no longer is commissioned just to discover the mysteries of the multiverse, but to build a safer and fairer society. If philosophy begins where science ends, science now begins where religion ends. Science has taken over King Solomon and Raja Vikramaditya. The motto is not “govern justly,” but “govern scientifically.” We would now need data, not moral intuitions, to tell us that the Tibetans have faced injustice.

The new sciences need public funding. But Mr. Trump, to cut taxes and regulations to spur economic growth, has proposed substantial funding cuts for government scientific agencies. Even the Centers for Disease Control and Prevention (CDC) will get a haircut — a $1.2 billion cut, which its former director, Thomas Frieden, warned could lead to widespread deaths.

During the Ebola epidemic, the CDC played a more important role than the World Health Organization in containing the epidemic. But the CDC can lose its way by doing too much. The agency, under the capacious umbrella of “prevention,” has taken more than just infectious diseases on its plate, including issues such as workplace health, food safety, smoking, and obesity, and has published “Preventing Chronic Disease.” If there’s an outbreak of a rogue virus, and statistically speaking this is a certainty, the fate of our species may depend on the CDC. Yes, I’ve watched Outbreak.

Why doesn’t the CDC stick to its most important mission — dealing with infectious diseases? Why the mission creep? A barber seldom says, “you don’t need a haircut.” A government agency never says, “we have enough funding, thank you.” For an agency, more work and more mission means more funding.

Similarly, Mr. Trump’s proposed cuts to the National Institutes of Health of $5 billion could be counterproductive. Publicly funded science drives private innovation and innovation drives growth. But, in so far as science is publicly funded, taxes are the mother of science, and people generate taxes, and many taxpayers are increasingly dubious of a science that’s increasingly politicized. Apocalyptic warnings of the dangers of defunding science will further tune out the proletariat from a class many believe are self-righteous and self-serving.

ADVERTISEMENT

Science is at its weakest when scientists are most certain, and the “science is settled.” Science’s biggest draw is that it embraces errors, eccentrics, and misfits. There is a discipline often applied in healthcare known as “Implementation Science” or the science of getting doctors to obey rules, which sounds like training some doctors to become a modern-day Moses to preach 10,000 Commandments (MACRA) to other doctors.

If science replaces religion, it’ll suffer the same fate as religion — people eventually lose faith in dogmatism. The challenge for scientists, a challenge singularly ignored in the March for Science, is in restoring in science its twin beauty of curiosity and skepticism. Instead of proclaiming “science is settled, you idiots,” scientists might celebrate the unsettling of settled science. We can have a unique Independence Day to celebrate emancipation from old facts and laud the scientific method which freed us, rather than vilify the original error.

Science is in gravest danger from believers, not skeptics. Science has been hijacked by Puritans and needs rescuing by heretics. Science faces a crisis of purpose, a crisis of identity, a crisis of excessive dogmatism, not a crisis of funding.

Saurabh Jha is a radiologist and can be reached on Twitter @RogueRad.  This article originally appeared in the Health Care Blog.

Image credit: Shutterstock.com

Prev

MKSAP: 56-year-old woman with type 2 diabetes mellitus

June 17, 2017 Kevin 0
…
Next

The future is hopeful for direct care physicians

June 17, 2017 Kevin 1
…

Tagged as: Primary Care

Post navigation

< Previous Post
MKSAP: 56-year-old woman with type 2 diabetes mellitus
Next Post >
The future is hopeful for direct care physicians

ADVERTISEMENT

More by Dr. Saurabh Jha

  • Masks are an effigy of American technocratic incompetence

    Dr. Saurabh Jha
  • False negative: COVID-19 testing’s catch-22

    Dr. Saurabh Jha
  • Why the Lancet’s editorial on Kashmir is unhelpful

    Dr. Saurabh Jha

Related Posts

  • Is social media a friend or foe of science?

    Michael Joyce, MD
  • Take politics out of science and medicine

    Anonymous
  • Fight gun violence with science

    Jamie Coleman, MD
  • Quality measures have gotten ahead of the science of quality measurement

    Peter Ubel, MD
  • How the science of learning salvaged my college career

    Elijah Hamm
  • Medical school and the science of sleep

    Sarah Murad

More in Physician

  • Complicity vs. protest: a doctor’s choice

    Patrick Hudson, MD
  • When cancer costs too much: Why financial toxicity deserves a place in clinical conversations

    Yousuf Zafar, MD
  • The hidden rewards of a primary care career

    Jerina Gani, MD, MPH
  • Why doctors regret specialty choices in their 30s

    Jeremiah J. Whittington, MD
  • 10 hard truths about practicing medicine they don’t teach in school

    Steven Goldsmith, MD
  • How I learned to love my unique name as a doctor

    Zoran Naumovski, MD
  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • How to transform your mindset by rewiring your brain with positive language [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • How to transform your mindset by rewiring your brain with positive language [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Science has been hijacked by puritans and needs rescuing by heretics
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...