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 (Click on title to be directed to posting, most recent listed first)

Private Equity-Backed Steward Healthcare Files for Bankruptcy
Former US Surgeon General Criticizing $5,000 Emergency Room Bill
Nurses Launch Billboard Campaign Against Renewal of Desert Regional
   Medical Center Lease
$1 Billion Donation Eliminates Tuition at Albert Einstein Medical School
Kern County Hospital Authority Accused of Overpaying for Executive
   Services
SWJPCCS Associate Editor has Essay on Reining in Air Pollution Published
   in NY Times
Amazon Launches New Messaged-Based Virtual Healthcare Service
Hospitals Say They Lose Money on Medicare Patients but Make Millions
   Trust in Science Now Deeply Polarized
SWJPCC Associate Editor Featured in Albuquerque Journal
Poisoning by Hand Sanitizers
Healthcare Layoffs During the COVID-19 Pandemic
Practice Fusion Admits to Opioid Kickback Scheme
Arizona Medical Schools Offer Free Tuition for Primary Care Commitment
Determining if Drug Price Increases are Justified
Court Overturns CMS' Site-Neutral Payment Policy
Pulmonary Disease Linked to Vaping
CEO Compensation-One Reason Healthcare Costs So Much
Doctor or Money Shortage in California?
FDA Commissioner Gottlieb Resigns
Physicians Generate an Average $2.4 Million a Year Per Hospital
Drug Prices Continue to Rise
New Center for Physician Rights
CMS Decreases Clinic Visit Payments to Hospital-Employed Physicians
   and Expands Decreases in Drug Payments 340B Cuts
Big Pharma Gives Millions to Congress
Gilbert Hospital and Florence Hospital at Anthem Closed
CMS’ Star Ratings Miscalculated
VA Announces Aggressive New Approach to Produce Rapid Improvements
   in VA Medical Centers
Healthcare Payments Under the Budget Deal: Mostly Good News
   for Physicians
Hospitals Plan to Start Their Own Generic Drug Company
Flu Season and Trehalose
MedPAC Votes to Scrap MIPS
CMS Announces New Payment Model
Varenicline (Chantix®) Associated with Increased Cardiovascular Events
Tax Cuts Could Threaten Physicians
Trump Nominates Former Pharmaceutical Executive as HHS Secretary
Arizona Averages Over 25 Opioid Overdoses Per Day
Maryvale Hospital to Close
California Enacts Drug Pricing Transparency Bill
Senate Health Bill Lacks 50 Votes Needed to Proceed
Medi-Cal Blamed for Poor Care in Lawsuit
Senate Republican Leadership Releases Revised ACA Repeal and Replace Bill
Mortality Rate Will Likely Increase Under Senate Healthcare Bill
University of Arizona-Phoenix Receives Full Accreditation
Limited Choice of Obamacare Insurers in Some Parts of the Southwest
Gottlieb, the FDA and Dumbing Down Medicine
Salary Surveys Report Declines in Pulmonologist, Allergist and Nurse 
   Incomes
CDC Releases Ventilator-Associated Events Criteria
Medicare Bundled Payment Initiative Did Not Reduce COPD Readmissions
Younger Smokers Continue to Smoke as Adults: Implications for Raising the
   Smoking Age to 21

 

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The Southwest Journal of Pulmonary, Critical Care & Sleep periodically publishes news articles relevant to  pulmonary, critical care or sleep medicine which are not covered by major medical journals.

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Entries in Republican (1)

Thursday
Jan272022

Trust in Science Now Deeply Polarized

The Associated Press is reporting that Republicans' faith in science is falling as Democrats rely on it even more, with a trust gap in science and medicine widening substantially during the COVID-19 pandemic, new survey data shows (Figure 1) (1).

Figure 1. Percentage of adults who say they have a great deal of confidence in the scientific community.

Overall, 48% of Americans say they have "a great deal" of confidence in the scientific community, the 2021 General Social Survey data shows. Sixty-four percent of Democrats say that, compared with roughly half as many Republicans, 34%. The gap was much smaller in 2018, when 51% of Democrats and 42% of Republicans had high confidence.

It's the largest gap in nearly five decades of polling by the General Social Survey, a widely respected trend survey conducted by NORC at the University of Chicago that has been measuring confidence in institutions since 1972. The most recent survey was conducted Dec. 1, 2020, through May 3, 2021, and includes interviews with 4,032 American adults. Results for the full sample have a margin of error of plus or minus 2 percentage points.

That is unsurprising to more than a dozen scientists reached for comment by The Associated Press, but it concerns many of them. "We are living at a time when people would rather put urine or cleaning chemicals in their body than scientifically vetted vaccines," University of Georgia meteorology professor Marshall Shepherd told the AP in an email. "That is a clear convergence of fear, lack of critical thinking, confirmation bias and political tribalism."

Science used to be something all Americans would get behind, Rice University historian Douglas Brinkley said. "But we now see it falling prey to the great partisan divide," he said. "The world of science should be a meeting house where right and left can agree on data. Instead, it's becoming a sharp razor's edge of conflict."

The deepening polarization was not evident for other institutions asked about on the poll, according to Jennifer Benz, deputy director of The Associated Press-NORC Center for Public Affairs Research. "It's certainly plausible that this is a result of how politicized the pandemic became in the months between when it emerged and when the survey ran," Benz said. "It is definitely a stark change for these particular trends on confidence in scientific leaders and leaders in medicine, to see this degree of polarization."

Kelvin Droegemeier, former science adviser to President Donald Trump, said he thinks the pandemic increased the general public's insight into how scientific research works but the ever-evolving science probably seemed chaotic at times and the urgency of the pandemic complicated policymaking. "We hear 'follow the science,' but which results? The challenge lies in how to best use the scientific results, recognizing that what appears to be an 'answer' one day may be overturned, wholly or partly, another day," Droegemeier told the AP in an email.

That messiness, sometimes weak communication and political philosophies play into the trust gap, said Marcia McNutt, president of the National Academy of Sciences, which was set up by President Abraham Lincoln to offer the federal government expert advice. Scientists and policy makers tend to be conservative — not politically but in terms of being cautious and wary of risk — pushing safety, masks and vaccines while "Republicans as a group value individual liberty," McNutt said.

John Holdren, who was President Barack Obama's science adviser, said he blames GOP leaders' "nonstop denial and deception." The consequence of declining trust in the scientific community among Republicans is clear: AP-NORC polling shows Republicans continue to be less likely than Democrats to be vaccinated. Sudip Parikh, chief executive officer of the American Association for the Advancement of Science, the world's largest general science organization, said it's clear that science has become a wedge issue for many politicians. Some have tied themselves to it, he said, and others have seen value in shooting at it "because it helps them politically."

Parikh said he found it ironic that much of the distrust in science is spread by technology — social media, smartphones — that only exists because of scientific advances. Astrophysicist Neil deGrasse Tyson agreed: "The struggle continues, trying to get the general public to embrace all of the science the way they unwittingly embrace the science in their smartphones."

At the SWJPCCS we look at these numbers as disturbing. Rather than mistrust one wonders if political expediency might be a better term. Unfortunately, it has cost many, predominately Republicans, their lives (2). Faith in a demagogue can be potentially fatal.

Richard A. Robbins, MD

Editor, SWJPCCS

References

  1. Borenstein S, Fingerhut H. Americans' Trust in Science Now Deeply Polarized, Poll Shows. Associated Press. January 26, 2022. Available at: https://www.usnews.com/news/politics/articles/2022-01-26/americans-trust-in-science-now-deeply-polarized-poll-shows (accessed 1/26/22).
  2. Leonhardt D. Omicron Threatens Red America. NY Times. December 17,2021. Available at: https://www.nytimes.com/2021/12/17/briefing/omicron-spread-red-america.html (accessed 1/26/22).
Cite as: Robbins RA. Trust in Science Now Deeply Polarized. Southwest J Pulm Crit Care Sleep. 2022;24:8-9. doi: https://doi.org/10.13175/swjpccs005-22 PDF