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Fager 132's avatar

First, "evidence-based" doesn't mean "based on evidence." It means "reliant on studies, research, and papers to compile population-wide statistics that let doctors, hospitals, and insurance companies get out of practicing real medicine for actual individuals." Recall John Ioannidis's 2005 essay pointing out that the majority of research papers are wrong. Then recall how quickly "researchers" flooded the market with papers about "covid," even though it doesn't actually exist. And consider this 2018 report https://www.tandfonline.com/doi/full/10.1080/07853890.2018.1453233, "Why all randomized controlled trials produce biased results," in which the authors examine the ten most-cited RCTs in the world with the following result: "This study shows that these world-leading RCTs that have influenced policy produce biased results by illustrating that participants’ background traits that affect outcomes are often poorly distributed between trial groups, that the trials often neglect alternative factors contributing to their main reported outcome and, among many other issues, that the trials are often only partially blinded or unblinded. The study here also identifies a number of novel and important assumptions, biases and limitations not yet thoroughly discussed in existing studies that arise when designing, implementing and analysing trials." Now ask just how completely you want your doctor's treatment decisions to be based on that garbage, because that's what Makary and Prasad are referring to when they say "evidence-based." Truth in advertising would require them to say, "evidence-free."

Second, I have no patience with this "ten-D chess" bullshit. There's no need for Makary and Prasad to strategize. The truth doesn't need a strategy. It just needs to be told, and those asshats obviously aren't the ones to do it. Is misrepresentation ever justified? Sure. If a burglar breaks into your house you aren't morally required to tell the truth when he asks where you keep the silver. In war, you aren't morally required to refrain from lying to the enemy, or deceiving him about your troop movements, or concealing your true capabilities from him. You are not morally required to cooperate with anyone who is trying to take values from you *by force,* without your consent and over your objections. Morally you are justified in defending your values from anyone who *initiates* force, fraud, or coercion against you. Depending on the context that can mean anything from hiding the silverware to shooting a home invader to hiding assets from the IRS to going to war following an invasion. (Whether you judge any of those actions to be practical or worth the varieties of fallout that would occur is a separate question; the point is that you would be *morally* in the clear.)

What Makary, Prasad, and all the other pieces on the psyop chessboard are doing is the reverse: They are *initiating* fraud against people: They're lying, misrepresenting, and telling half-truths not to defend themselves or their rational values from an attack, but to *initiate* force, fraud, and coercion against people who *haven't* initiated it. Those people--all of us--were just sitting around minding our own business. So, no: Their misrepresentations are not justified. They are not moral. Their lies are a strategy, all right, but they're the strategy of someone who starts a war, and we're who they're fighting.

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Michael Carter's avatar

My expectations weren't high but they were higher than this garbage. Reading their journal statemen one would think that a great study was done and the end result was a safe vaccine that protected everyone, especially old people. It's almost we are getting nowhere with same ole pharma garbage just new reps.

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