Funding and the Questions We Ask | Observing Science

Among the many aphorisms attributed to Albert Einstein—some helpful, some less so—this has perhaps stood the test of time: “If I had an hour to solve a problem and my life depended on the solution, I would spend the first 55 minutes determining the proper question to ask, for once I know the proper question, I could solve the problem in less than five minutes.”

It seems unlikely that we could find a thoughtful working scientist who does not agree with this. Asking the right question is a sine qua non of good science. For example, if the problem is that too many Americans die from gun violence, what are the right questions to arrive at a solution to stop this epidemic?

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On regaining trust, avoiding self-satisfaction | The Healthiest Goldfish

Some first thoughts on restoring trust in the work of public health.

One of the reoccurring themes of these essays is the crisis of trust we face in working for health. The decline we have seen in recent years in the public’s trust in us poses a challenge to our capacity to create a healthier world. This suggests that it is on us to think self-critically about why this decline in trust, to reflect on how we conduct ourselves, on how our self-presentation may make the public more or less likely to embrace our efforts. Do we speak and act with humility or do we morally grandstand? Do we listen to others, including those with points of view with which we disagree, or do we just like to hear ourselves talk? Do we project optimism and a healthy self-confidence, or do we tip into the self-satisfaction that can put people off?

Each of these questions should give us cause for reflection, their answers of deep relevance to what we do. Lately I have been asked quite a bit: how do we rebuild trust in public health? I am not sure I have an answer, but I thought I would engage these ideas with a few essays on topics that relate to trust.

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Science, Fast and Slow | Observing Science

Artificial Intelligence (AI) and CRISPR, two technologies developed over the last several decades, could change how we live and work for decades to come. Both entered wider public awareness only in the past year with readily usable products, namely ChatGPT and an FDA-approved treatment for sickle cell anemia developed with gene editing. These innovations have been met with a mix of enthusiasm, and caution. There is no argument that CRISPR helping treat sickle cell anemia is wonderful. But could CRISPR be used to manipulate genetic code in harmful ways? Likewise, AI could have enormously positive impacts on health care. But could it also have catastrophic effects?

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When should we speak? | The Healthiest Goldfish

A meditation on when, why, and how academic leaders may consider speaking on contemporary issues.

In recent months, I have written a fair bit about the ongoing conflict in Gaza, trying to articulate my thoughts on a tragic and volatile situation. As I have done so, I have heard from many who read these essays, and I am grateful always for those who do write and comment. Some have agreed with what I have written. Some have disagreed. Some have wondered why I have written at all and challenged me for “pontificating.” And many have remarked that speaking is difficult in the moment, that it is safer not to speak at all. I read all comments carefully and try to reflect on them. All comments—even ones I disagree with— help sharpen my thinking and hopefully push me to be better at formulating what I write.

I am aware that this recent experience with public writing has been taking place against a backdrop of controversy about speech in academic spaces that has gained national attention. Questions have been raised about academia’s commitment to free speech and about the role of academic institutions in speaking out about current events. In the context of this debate, there have been calls for an adoption of institutional neutrality, in which academic institutions largely refrain from engaging with contemporary events and issues of consequence, and that academic leaders should follow suit. While there is much to recommend the idea of institutional neutrality as intended (more on that later), I worry that the general sway of public conversation swings—as it often does—to a binary, and that the moment is so fraught that, essentially, it suggest that we should not speak, about much, ever. 

So today, as I mentioned in last week’s THG, I thought I would try to address that, to put pen to paper and ask the question: when should we speak?

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Audiences | Observing Science

While scientists do much of their work alone—thinking, computing, pipetting, scanning, observing, recording, recoding, counting—we eventually present our work to different audiences. We present to other scientists in our field at small, closed-door meetings, expecting intense and detailed interrogation. We present to wider scientific groups at professional conferences where we must provide more background and context for our work. Sometimes, we present to a more general public, on radio or television, where translation from the jargon of our disciplines is what’s called for. The expectations from each audience are different and raise different questions.

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Gaza, Israel, and the imperative of bearing witness | The Healthiest Goldfish

Thoughts on the unfolding tragedy in the Middle East.

I was today writing a piece on a different topic, but events in the Middle East seem to have overtaken all thoughts I was dedicating to other ideas, which I will get back to in time. I found myself immersed in reading and re-reading about the tragedy unfolding in the Middle East, and, with that backdrop, working to write a note to our community about my evolving thoughts on the issue. I rework here some of that piece for today’s essay. It will be a shorter essay than usual, reflecting, in part, the inadequacy of words in the face of human suffering and the truth that, for all the words that have been used to discuss this conflict, they all fall short of what we want to hear: that the war has ended, that the hostages have been freed, and that steps are being taken towards the creation of a lasting peace.

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Authority | Observing Science

Einstein joked that “to punish me for my contempt for authority, Fate made me an authority myself.” His contempt was achieved honestly: he knew that his originality was based on doubting authority, by asking questions that challenge accepted answers. By becoming an authority himself, he had become someone who should be doubted, rather than a scientist whose role is to doubt. This is, in many ways, a fundamental challenge facing science: how to keep acquiring knowledge and wisdom through hard-won skepticism while also becoming experts who society turns to for certainty.

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Admitting better, encouraging optimism | The Healthiest Goldfish

On “accentuating the positive” in our pursuit of health.

We are in the business of health. Core to this business is having conversations about how we can create better health by creating a healthier world. These conversations often involve talking about how the world is not yet healthy, about the diseases that keep populations sick and the injustices and inequities that drive this poor health. We have these conversations because we must, because we cannot solve problems without first naming them and studying them. My own writing is no exception. When I look back at my written output, I find much of it addresses how we can have less disease, with considerations of health sometimes taking a backseat to engaging with the challenges that can get in the way of health. This is perhaps as it should be. To this point, we have just published a note for our community about the threats to the values of inclusion, dignity for all, and health.  This all reminds us that a hallmark of health is that we do not think so much about it when we are healthy. We want to be healthy so we can live; when we are healthy, we are often so busy living that we do not think much about the health that enables this. On the other hand, when we are sick, even a little bit, it can be hard to think of anything else.

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