The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
Now let us suppose that in the early nineteenth century somebody had
come forward with a theory that typhus fever always begins in the
top joint of the little finger; and that if this joint be amputated
immediately after birth, typhus fever will disappear. Had such a
suggestion been adopted, the theory would have been triumphantly
confirmed; for as a matter of fact, typhus fever has disappeared. On
the other hand cancer and madness have increased (statistically) to
an appalling extent. The opponents of the little finger theory would
therefore be pretty sure to allege that the amputations were spreading
cancer and lunacy. The vaccination controversy is full of such
contentions. So is the controversy as to the docking of horses' tails
and the cropping of dogs' ears. So is the less widely known controversy
as to circumcision and the declaring certain kinds of flesh unclean by
the Jews. To advertize any remedy or operation, you have only to pick
out all the most reassuring advances made by civilization, and boldly
present the two in the relation of cause and effect: the public will
swallow the fallacy without a wry face. It has no idea of the need for
what is called a control experiment. In Shakespear's time and for long
after it, mummy was a favorite medicament. You took a pinch of the dust
of a dead Egyptian in a pint of the hottest water you could bear to
drink; and it did you a great deal of good. This, you thought, proved
what a sovereign healer mummy was. But if you had tried the control
experiment of taking the hot water without the mummy, you might have
found the effect exactly the same, and that any hot drink would have
done as well.
BIOMETRIKA
Another difficulty about statistics is the technical difficulty
of calculation. Before you can even make a mistake in drawing your
conclusion from the correlations established by your statistics you must
ascertain the correlations. When I turn over the pages of Biometrika,
a quarterly journal in which is recorded the work done in the field of
biological statistics by Professor Karl Pearson and his colleagues, I am
out of my depth at the first line, because mathematics are to me only a
concept: I never used a logarithm in my life, and could not undertake to
extract the square root of four without misgiving. I am therefore unable
to deny that the statistical ascertainment of the correlations between
one thing and another must be a very complicated and difficult technical
business, not to be tackled successfully except by high mathematicians;
and I cannot resist Professor Karl Pearson's immense contempt for, and
indignant sense of grave social danger in, the unskilled guesses of the
ordinary sociologist.
Public-domain text, read in full here on John Shaqi.
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