Wednesday, May 11, 2016

Evidence: “It Worked for My Aunt Tillie” Is Not Enough

BY HARRIET HALL, M.D.

Evidence means different things to different people. Even quacks and their victims claim to have evidence that their treatments work. Sometimes that evidence consists only of testimonials from satisfied customers or from personal experience. “I tried X and I got better.” “I know Y works because it cured my Aunt Tillie’s arthritis.”

I had a friend who used all kinds of questionable treatments including homeopathy. I asked her how she decided what to try. She said if a friend told her something had worked for him, and if it didn’t seem dangerous, she would try it. That was all the evidence she needed. She didn’t care about scientific evidence because she said, “Science doesn’t know everything.” Comedian Dara Ó Briain had the perfect answer to that: “Science knows it doesn’t know everything; otherwise, it’d stop. But just because science doesn’t know everything doesn’t mean you can fill in the gaps with whatever fairy tale most appeals to you.” When Oprah Winfrey told Jenny McCarthy that experts said there was no scientific evidence that vaccines caused autism, Jenny retorted, “My science is named Evan, and he’s at home. That’s my science.”

I had a friend who used all kinds of questionable treatments including homeopathy. I asked her how she decided what to try. She said if a friend told her something had worked for him, and if it didn’t seem dangerous, she would try it. That was all the evidence she needed. She didn’t care about scientific evidence because she said, “Science doesn’t know everything.” Comedian Dara Ó Briain had the perfect answer to that: “Science knows it doesn’t know everything; otherwise, it’d stop. But just because science doesn’t know everything doesn’t mean you can fill in the gaps with whatever fairy tale most appeals to you.” When Oprah Winfrey told Jenny McCarthy that experts said there was no scientific evidence that vaccines caused autism, Jenny retorted, “My science is named Evan, and he’s at home. That’s my science.”



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