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The 21st Century Salonnière's avatar

1. It would be really _cool_ tho if Socrates rode a unicorn. Isn’t that what’s most important here?

2. I love the physics class example.

3. A lot of Big Pharma products do work, especially the old stuff like antibiotics, pain meds, antipsychotics, vaccines, and as you mentioned insulin. I think too, though, that part of the reason people are so mistrustful of Big Pharma is because they hawk a lot of expensive crap that doesn’t work. Statins and antidepressants are a couple of big ones. (Statins maybe bump down your numbers a bit but there’s evidence they do sometimes more harm than good and that most people simply don’t need them. Antidepressants, they usually make people feel “something different” which makes a placebo effect pretty likely —it’s working!— but also, most depression goes away episodically, so you could give people lima beans and their depression would go away after a while.)

I don’t disagree with your point that many drugs work. I’m just adding that it’s no surprise that the “trust problem” we have extends to Big Pharma. If you look at the effect sizes of the new drugs, they’re pretty weak. I saw one recently, a new migraine drug that would cost thousands per month and decrease 1 migraine day per month. Meh. But the market for a new migraine drug is huge.

4. Not eating arsenic has its health benefits, but eating arsenic would totally pwn the CDC.

5. Nobody types “pwn” anymore and that makes me sad. Damn you, autocorrect!

PS thanks for the link….

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Damon Stanley's avatar

I think framing the source of this as a theory of truth is in itself a bit overly-provocative. Surely what the edgy among us are after is not the truth so much as attention. Of course, they can sustain that attention better if they believe or successfully pretend to believe their edgy conclusions. Put simply, there's usually less percentage in defending conventional wisdom because believers in conventional wisdom are, by definition, not in short supply. There's much less competition over defending the wacky and outre, and there is definitely a market for the contrarian: people love both the opportunity to mark themselves as superior to the commoner by subscribing to some heterodoxy or to take up the righteous position of an inquisitor of common sense. If you're any good at it, there's a name to be made: philosophers still study Hume and Berkeley and mostly neglect Thomas Reid, even though Hume and Berkeley are mostly wrong and Reid mostly right.

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