Saturday, 19 September 2020

Life in the Pandemic XI: Why science can never be enough.

In the interests of transparency, I should make clear from the outset that I think science is, without doubt, the best way of obtaining sound answers to certain types of questions. And just at the moment, some of those questions are pressing. Here in the pandemic we desperately need to know whether convalescent plasma treatment works, and if it does, how well.  We need to know if any of the vaccines currently being investigated confer immunity to the SARS-COV-2 virus, and if so, how long that immunity lasts. Despite claims by the Presidents of both the US and Russia, these questions remain open. The only way they can be answered is properly constructed clinical trials, which are ongoing. The answer/s will come when they come. Spin, propaganda, political will or economic desperation will not bring them any sooner. Such claims as have been made, appear to be based on political considerations and (sometimes wilful) ignorance, and those making these claims are seeking to exploit the ignorance of the population at large. That they have been perpetrated at all is just one line of evidence that science on its own is never enough.

Part of the problem is that science does not take place in any kind of vacuum, be it political, cultural or ethical (the one exception being science done in a vacuum!). It is a human activity carried on by human beings. Its results, and what flows from them, be those novel medical treatments, new technology, or new answers to age-old questions and problems, have to be understood and then used (where they have a use) by human beings. While as an institution and community science is, at least over the medium term, fairly critical and self-correcting, it can and has produce flawed results and wrong answers. The practitioners of science (ie scientists) are, as individuals, as flawed and fickle as the rest of humanity. Most try to practice their science in a competent, professional and serious way. A minority are known to have behaved fraudulently, with the intent to deceive, usually for some sort of gain. There is sense in which science is under attack from within by this minority. And their activities devalue the whole enterprise. It certainly means that the scientific enterprise is much less efficient than it might be. However, it also risks bringing the whole scientific enterprise into public disrepute (much as has occurred with journalism and politics). So, to bolster science’s self-regulation and self-correction functions, various mechanisms have been introduced, like the US Office of Scientific Integrity or academic and scientific integrity processes in individual institutions. But policing science, practicing it properly, upholding commitments to honesty, decency and transparency, is not a scientific matter, it’s a matter of ethics. And ethics isn’t science. These things really matter for the continuing ability of science to get good answers to tough questions. But they are not themselves scientific. Another example of science on its own not being enough.

Science’s foundations, its method/s (there isn’t “a” scientific method), and lots of elements of its practice are also not themselves “scientific”. What I mean is that they do not proceed along those classic lines from hypothesis, to predictions, to tests and measurement leading to results. They are the stuff of starting assumptions and a necessary framework of commitments that make science work. If science had been proved not to work, then I suppose they would have come under more scrutiny. But now they are so baked in they have become invisible. Philosophers and historians of science have largely given up trying to crack “the” mystery of how science works because so much of it is about all this invisible, intellectual “dark matter”. But this is another way in which science on its own isn’t enough. Scientific method, properly conceived, isn’t entirely scientific.

One of the things science is really good at is making measurements in an organised and objective way, so that the results once obtained can command widespread agreement. This isn’t just about the results themselves, but it’s also about the scrutiny that all scientific results have to be placed under. This is the sort of community activity most commonly seen in the processes of publishing scientific results via peer review, exposure at conferences and the like. This is a key part of the process that leads to sound knowledge in any given field which provides the launchpad for the next phase of progress. In a given field, once the basics are established, there’s no need to go back to square one each time, and so effort can focus on extending and refining explanations and knowledge, making them more powerful in the process. But as powerful as scientific explanations and knowledge might be, they only provide information about, and control over, natural processes by way of statements of facts. The conundrum is that usually this is not really what interests people. David Attenborough documentaries about the state of the planet only get you so far. What occupies most people most of the time isn’t the answer to the what and how questions, but the answer to why questions. And establishing what “is”, is far from establishing what “should be”. We may be cooking the planet, we may be imperilling biodiversity on a global scale. But beyond the notion that might not be in our long term health or economic interests, why is this a bad thing? That’s not a question of science, but a question of values. It’s these values questions that are the important and tricky ones, and science can never give us the complete answer to them.

And here’s the real kicker. Science is all about reason. This is a problem. Because individually and collectively all human beings are not merely rational. Reasons other than reason often drive our behaviour and influence our decisions. Indeed, even if it were true that on average the human population did behave rationally, given human variability that simply means that there will be a lot irrationality about. And science on its own can’t help with that (beyond measuring accurately the irrationality). This type of irrationality can be viewed almost nightly on news channels where people deny the pandemic, and state quite openly that no way will they accept vaccination against the “fake flu”. Only a minority need to adopt this irrational stance (it flies in the face of the evidence), to undermine the usefulness of a C19 vaccination for everyone.

So, deep down here in the pandemic we certainly need science. It will provide us with desperately needed tools. But on its own it cannot guarantee that those tools will be used effectively. Never confuse science with salvation.

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