Elites and Medicine

A reader makes a good point:

"One interesting case study for elitism is medicine. Your familiarity is through experience with HIV; mine, cancer. The point though is the same. There was at first an unresponsive God-like community that made unassailable pronouncements about the science and medicine. Correctly this was rebelled against. But now we have charlatans and healers who have no basis, except anecdotes if that, for their claims. And substantial members of the public believe them over the science. Part of this is because for cases like AIDS and cancer, sometimes science hasn’t an answer yet. Nonetheless, the "everyone’s opinion is equal" attitude is now as destructive as the God-like elitism. Somehow we need a happy medium – acknowledging expertise while demanding that it explain itself. The anti-knowledge forces are not just religious fundamentalists; read some of the anti-medicine nonsense out there."

I have to agree. One of the most persistent sub-currents out there among people with HIV and AIDS is superstition, or the notion that all drugs are somehow poisonous, or that homoepathic quackery can replace actual science, or that HIV doesn’t cause AIDS, and so on. This is particularly widespread among some gays and African-Americans, some of the populations most at risk. You have magazines like Harper’s giving credence to "theories" that HIV is unrelated to AIDS – in 2006! In the early days, you had people like Larry Kramer telling everyone that AZT was poison, despite the fact that it was then and remains today a critical component of many effective anti-HIV cocktails (it was disastrous only as over-dosed mono-therapy). Every day, I get emails telling me to try aspirin or St John’s Wort for HIV. The right response, I think, is not to take what the science establishment says on faith – let alone the public health establishment. The answer is to try and understand the science as best you can, to ask the right questions, to keep asking, to get second opinions. There is an alternative between fundamentalism and relativism, between authority and nihilism. That alternative is curious and empirical skepticism, which must, of course, respect those whose knowledge of any particular subject is inevitably far deeper than our own. That kind of skepticism is important not only for a patient with a life-threatening disease, but also for liberal democracy and liberal learning. We need to recover it.

Yglesias Award Nominee II

"1) Republicans are preparing to bring the Federal Marriage Amendment to a vote. So I guess the plan from now on is to do this in all even-numbered years, and then throw the idea aside in odd-numbered ones? I know a lot of people support the FMA for principled reasons, but a decisive number of Republicans are clearly just picking on gays for political profit.

2) Republicans are leading a charge to subject "527 groups" to onerous regulations. A minority of them, again, have sincere and above-board reasons for doing this. Most of them just want to shut down groups that are trying to beat them in elections. For a majority to restrict the freedom of others to try to boot them out is pretty much a textbook definition of the abuse of power, isn’t it?" – Ramesh Ponnuru, rocking da house, in a post called "Repulsive Republicans." I promise I didn’t slip something in his Long Island Iced Tea.

Yglesias Award Nominee

"I’m sorry, but what a pitiful excuse for a Democrat. Yes, let’s cry racism and sexism and Democratism, I guess you’d call it, because a cop didn’t recognize you and you decided to not even wear your member of Congress pin, or turn around when the cop called out to you while we’re at war. Next time, it’ll be better if the cop lets strangers without their pins just barge into the halls of Congress, bypass security, and oh blow the hell out of the entire building because they’re afraid the person they stop might be – what? – a Democrat?
Like I said, the only thing more pathetic than McKinney is that NOW and the NAACP would lower themselves to attend this ridiculous farce of a press conference. Have they nothing better to do than pander to someone who belittles legitimate concerns about race and gender and political bias?
Pathetic liberal groups, and pathetic Democratic members of Congress. Their funders should cut them all off until they prove the worth of their continued existence," – John Aravosis, liberal-left blogger, telling it like it is.