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Ronald W. Pies's avatar

This paper is written from the perspective of "analytic epistemology and philosophy of language that concerns itself with the conditions under which particular claims are properly put forward."

Notably absent is any analysis from an ethical standpoint-- and as a medical ethicist, I find this quite concerning. In addition, as Dr. Aftab rightly notes, the Dang & Bright paper is premised on the notion that there is a bright line between claims made in the scientific literature, aimed at other scientists ("Public avowals") and claims made as part of "public scientific testimony.” The authors seem oblivious to the increasingly "porous boundaries" between these two idealized categories, and to the rapid dissemination of such "public avowals" to popular venues read widely by the general public.

This elision leads the authors to ignore the ethical consequences of false and misleading studies that are published in scientific and medical journals. A prime example is the now discredited and retracted article on the supposed link between autism and vaccination, published by Wakefield and colleagues. As Rao and Andrade note:

"In 1998, Andrew Wakefield and 12 of his colleagues[1] published a case series in the Lancet, which suggested that the measles, mumps, and rubella (MMR) vaccine may predispose to behavioral regression and pervasive developmental disorder in children. Despite the small sample size (n=12), the uncontrolled design, and the speculative nature of the conclusions, the paper received wide publicity, and MMR vaccination rates began to drop because parents were concerned about the risk of autism after vaccination.[2] Almost immediately afterward, epidemiological studies were conducted and published, refuting the posited link between MMR vaccination and autism.[3,4]

[Rao TS, Andrade C. The MMR vaccine and autism: Sensation, refutation, retraction, and fraud. Indian J Psychiatry. 2011 Apr;53(2):95-6. doi: 10.4103/0019-5545.82529. PMID: 21772639; PMCID: PMC3136032.]

It is disappointing to see Dang & Bright engaging--even if "playfully"--in this sort of abstracted analysis without even a nod to the ethical ramifications of their thesis. A physician co-author might have pointed out that while recourse to "analytic epistemology and philosophy of language" is perfectly fine, a thesis utterly divorced from considerations of the public good does no great service to philosophy or science.

Ronald W. Pies, MD

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Kathleen Weber's avatar

The dichotomy believe/disbelieve is way too simplistic. A scientist can regard his results as supporting his hypothesis on a range from possible to probable to certainty. A conclusion that is presented as possible is neither believed nor disbelieved. One may question whether Einstein regarded his theory of relativity as certain before its explanatory power was demonstrated through photographs of a 1917 eclipse.

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