249 books
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“We know from history that much of what doctors do at any particular time is ineffective or even dangerous when viewed in retrospect. Years ago a famous professor warned his graduating medical students that half of what he'd taught them was wrong, but the trouble was he didn't know which half...the principle still applies: we don't know which of the well-intentioned therapies of the present will end up looking like the leeches and bloodletting of ancient time or like the thalidomide, Dalkon shields, and tonsillectomies of a more recent era gone by. Accordingly, the pronouncements of doctors should be viewed with healthy skepticism.”
― Examining Your Doctor: A Patient's Guide to Avoiding Harmful Medical Care
― Examining Your Doctor: A Patient's Guide to Avoiding Harmful Medical Care
“It has been said that to teach is to touch the future. Helping students to see the past more clearly, to understand and communicate with others more fully in the present, and to imagine the future more justly is to transform the world.
There is nothing more hopeful than that. I started this book with the questions, Is it better? My answer is: Not yet, but it could be. It's up to us to make sure it is. I remain hopeful.”
― Why Are All the Black Kids Sitting Together in the Cafeteria?
There is nothing more hopeful than that. I started this book with the questions, Is it better? My answer is: Not yet, but it could be. It's up to us to make sure it is. I remain hopeful.”
― Why Are All the Black Kids Sitting Together in the Cafeteria?
“Proponents of science as a foundation for health care have not come together to form a grassroots movement, and until this happens, all of us will have to live with a system based on pseudoscience, greed, myths, lies, fraud, and looking the other way.
Patients need to understand that more care is not better care, that doctors are not necessarily right, and that some doctors are not even truthful.
Genuine health-care reform--like the right to vote--will not be granted magnanimously. Like civil rights, the right to good health care will have to be won in public struggle. To bring about real change, real people will have to say, "Enough!”
― How We Do Harm: A Doctor Breaks Ranks About Being Sick in America
Patients need to understand that more care is not better care, that doctors are not necessarily right, and that some doctors are not even truthful.
Genuine health-care reform--like the right to vote--will not be granted magnanimously. Like civil rights, the right to good health care will have to be won in public struggle. To bring about real change, real people will have to say, "Enough!”
― How We Do Harm: A Doctor Breaks Ranks About Being Sick in America
“Ideology, n. An imaginary relationship to a real situation.
In common usage, what the other person has, especially when systematically distorting the facts.
But it seems to us that an ideology is a necessary feature of cognition, and if anyone were to lack one, which we doubt, they would be badly disabled. There is a real situation, that can't be denied, but it is too big for any individual to know in full, and so we must create our understanding by way of an act of the imagination. So we all have an ideology, and this is a good thing. So much information pours into the mind, ranging from sensory experience to discursive and mediated inputs of all kinds, that some kind of personal organizing system is necessary to make sense of things in ways that allow one to decide and to act. Worldview, philosophy, religion, these are all synonyms for ideology as defined above; and so is science, although it's a different one, the special one, by way of its perpetual cross-checking with reality tests of all kinds, and its continuous sharpening of focus. That surely makes science central to a most interesting project, which is to invent, improve, and put to use an ideology that explains in a coherent and useful way as much of the blooming buzzing inrush of the world as possible. What one would hope for in an ideology is clarity and explanatory breadth, and power. We leave the proof of this as an exercise for the reader.”
― The Ministry for the Future
In common usage, what the other person has, especially when systematically distorting the facts.
But it seems to us that an ideology is a necessary feature of cognition, and if anyone were to lack one, which we doubt, they would be badly disabled. There is a real situation, that can't be denied, but it is too big for any individual to know in full, and so we must create our understanding by way of an act of the imagination. So we all have an ideology, and this is a good thing. So much information pours into the mind, ranging from sensory experience to discursive and mediated inputs of all kinds, that some kind of personal organizing system is necessary to make sense of things in ways that allow one to decide and to act. Worldview, philosophy, religion, these are all synonyms for ideology as defined above; and so is science, although it's a different one, the special one, by way of its perpetual cross-checking with reality tests of all kinds, and its continuous sharpening of focus. That surely makes science central to a most interesting project, which is to invent, improve, and put to use an ideology that explains in a coherent and useful way as much of the blooming buzzing inrush of the world as possible. What one would hope for in an ideology is clarity and explanatory breadth, and power. We leave the proof of this as an exercise for the reader.”
― The Ministry for the Future
“The Gini coefficient, devised by the Italian sociologist Corrado Gini in 1912, is a measure of income or wealth disparity in a population. It is usually expressed as a fraction between 0 and 1, and it seems easy to understand, because 0 is the coefficient if everyone owned an equal amount, while 1 would obtain if one person owned everything and everyone else nothing. In our real world of the mid-twenty-first century, countries with a low Gini coefficient, like the social democracies, are generally a bit below 0.3, while highly unequal countries are a bit above 0.6. The US, China, and many other countries have seen their Gini coefficients shoot up in the neoliberal era, from 0.3 or 0.4 up to 0.5 or 0.6, this with barely a squeak from the people losing the most in this increase in inequality, and indeed many of those harmed often vote for politicians who will increase their relative impoverishment. Thus the power of hegemony: we may be poor but at least we’re patriots! At least we’re self-reliant and we can take care of ourselves, and so on, right into an early grave, as the average lifetimes of the poorer citizens in these countries are much shorter than those of the wealthy citizens. And average lifetimes overall are therefore decreasing for the first time since the eighteenth century. Don’t think that the Gini coefficient alone will describe the situation, however; this would be succumbing to monocausotaxophilia, the love of single ideas that explain everything, one of humanity’s most common cognitive errors. The”
― The Ministry for the Future
― The Ministry for the Future
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