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> t there is a long history of cases where the established scientifically accepted ideas were actually harmfully wrong, particularly in the medical arena.

This isn't actually a problem so long as those past errors were caused by the limits of what we knew at the time and efforts are made to help prevent similar issues in the future when it's possible. It's inevitable that as our understating of science and medicine evolve we're going to discover that what made sense before is no longer a good idea.

The problem comes when we weren't wrong because of what we didn't understand, but because people who knew better just thought they could get more money if they manipulated results or outright lied. We had the tobacco industry pay off scientists to lie about the cancer risks the industry knew to be a problem. The resulting rise in people with lung cancer wasn't a mistake. We had doctors pushing opioids on people at insane doses because they were paid kickbacks if they did. That wasn't a mistake either.

What we need is strict regulation and oversight so that when science and medicine do get it wrong, it's because we couldn't have known better given what data we had at the time. That'd be a huge step up from where we are now.



This was a problem when past scientists stated that there was a consensus when in fact the underlying evidence was limited and allowed for multiple possible interpretations. If you dig into some of those past errors in medical guidelines you often find very shoddy, limited research which doctors uncritically accepted as fact.




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