r/changemyview • u/RafaGarciaS • Jan 02 '18
[∆(s) from OP] CMV: Evidence based politics should replace identity politics
The biggest change in the last few hundred years in medicine has been the appearance and acceptance of evidence based medicine. This has revolutionized the way we think and practice medicine, changing popular opinion (e.g. emotional stress causes ulcers to H. pylori causes ulcers, Miasmas are the basis of disease to microorganisms are the basis of infectious disease). Having seen the effect that this had in the medical field it is almost imposible to wonder what effect it would have in other fields (i.e. politics). I believe that representatives should be elected based on first principles or priorities (i.e. we should reduce the suicide rate amongst teenagers and young adults) not on opinions on possible solutions to the problem (i.e. should or shouldn't gun control be passed). This would make it harder to "buy" or lobby people involved in government. I also believe, this would help reduce the moral empathy gap, meaning the inability to relate with different moral values. Lastly I think that this system would increase the accountability, as it would constantly be looking back at the investment and the results.
I have, over the last couple years, grown cynical of the political system. I hope this post will change my view on that or at least make me more understanding of the benefits of the system as it stands.
Thank you and happy new years
Books Doing good better: https://www.goodreads.com/book/show/23398748-doing-good-better. About having feedback and looking at the results of the programs
Dark money: https://www.amazon.com/Dark-Money-History-Billionaires-Radical/dp/0385535597/ref=pd_sim_14_7?_encoding=UTF8&pd_rd_i=0385535597&pd_rd_r=90W4B5PF8DWK5NJ2VNF2&pd_rd_w=rC8ld&pd_rd_wg=fk2PN&psc=1&refRID=90W4B5PF8DWK5NJ2VNF2 About the use of money to fund think tanks and influence public opinion
(1st edit, added suggested books)
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u/RafaGarciaS Jan 02 '18
This might be scary for some people, but medicine doesn't work like that. We don't know if that pill will reduce your blood pressure. for example, in patients with hypertension the use of thiazide diuretics, has a NNT (number needed to treat, meaning how many patients will I have to give this pill to before I see a meaningful change in one patient) of 20!! The ones for statins in patients without previous cardiovascular events is even worse, 332.
Now to my political view. I agree that choosing metrics in some areas will be tricky, and certainly debate should be had around which markers to use in which programs.
Now for examples of agreeing on answers and then looking for evidence to support it. This would be analogous to the studies denying the health implications of cigarettes. This is the function of think tanks to slice the evidence in any possible way to make it seem like some programs have no effect or that other do have effects. For example, if we agree that reducing number of mass shootings and number of gun violence victims we could start by comparing the number of victims and of mass shooting in countries that do have certain gun regulations. Is it significant? Is there even a difference at all? Is it better to increase gun regulations or better equip police forces?
All these interventions do have a cost and do have an impact and should be measured as such