Daniel S. Goldberg
@profgoldberg.bsky.social
Faculty @ CU Anschutz & CU Bioethics. Attorney, historian, public health ethicist. Jiujitsu, Star Wars, Batman, Coffee. #LegalEpi #Stigma #PHLaw #PHEthx #Disability #HistPu bHealth new book coming 2024 H/h/h. ✡️
Took the day off from work to do A Thing and have spent the last two hours just managing, admin, emails
Here! Or from most of the other usual outlets! And thank you so much for your interest Dr. B. I would be especially interested in your reaction and feedback, given your expertise and experience in injury and sport!
www.press.jhu.edu/books/title/...
Tackle Football and Traumatic Brain Injuries
Daniel S. Goldbergforeword by Christopher Nowinski
www.press.jhu.eduCould not agree more. I mean Bob's Burgers NEVER explains why Louise wears her hat. She just does and woe betide the teenager who takes it from her.
Dear Instagram,
Never in a million years will I watch some random “broadcast channel.”
Best,
-Daniel
The Veil got all creepy and weird at the end. Also, strangely predictable and even cliché.
What a waste; the buildup was decent.
This is especially very much true in public health. We know what works. We just refuse to do so. It's so sad.
Exactly -- the problems of motivated bias inhere in human and social relations. Nothing special about judges or adjudicatory contexts.
Fortunately, there are also easy cases! I'm still waiting for a sufficient justification for having pharma sales representatives in clinical spaces, for example.
There is no reason these parties should not be sequestered, at least in a clinical setting.
We need to focus on the hard cases!
5/5
But this is one reason we should not be distracted by the shiny objects that have never been shown to be effective as a remedy for COIs and #MotivatedBias (i.e., disclosure). We need to spend our time and energy on the hard cases of sequestration.
Full argument here:
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The Shadows of Sunlight: Why Disclosure Should Not Be a Priority in Addressing Conflicts of Interest
Abstract. This article argues that positioning disclosure as a primary remedy in addressing the ethical problems posed by conflicts of interest (‘COIs’) in
academic.oup.com
As I've argued, "sequestration" is not a simple remedy for the problems posed by COIs. Sometimes it is not possible to sequester parties, and on occasion it may even be inadvisable to do so. This is why I specify sequestration as a _policy orientation_ rather than a strict outcome in every case.
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Perhaps fanciful, but whenever as a patient I see the reps with lunch or coffee I silently offer to cover it myself in return for unconflicted advice
LOL no, as with most public health problems, we often have a sufficiently good notion of what would help. We just refuse- to do so. Obviously, this is terrible.
*nods* But given the depth and quality of the evidence base, and the impact of COIs and Motivated Bias on population health, I am less likely to be charitable. I think health professionals can legitimately be charged with knowing the evidence on COIs if they occupy governance spaces on the subject.
But again, given the fact that the evidence for this is overwhelming, how can we account for the fact that so many people whose professional lives depend on following evidence bases refuse to perceive the base for this particular health problem*?
(*I've argued that COIs are epidemiologic exposures)
Recusal might well be a form of "sequestration" -- keeping the relevant parties out of relation, in this case a formal relation of adjudication.
If you're interested, I have multiple publications on COIs you can check out, and chapter 4 of the forthcoming book is literally all about the role of COIs and #MotivatedBias in the #ManufactureOfDoubt.
7/7
#PHLaw #PHEthx #ScholarTeacher #PublicHealthLaw #PublicHealthEthics #PolicyStudies
So to me what's happening on the USSCT right now feels like an intensified reflection of our warped conceptions regarding our own propensities for #MotivatedBias and the fairy tales we tell ourselves about its effects and how to avoid or minimize them.
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"Manage" COIs effectively via a variety of interventions and choices OTHER than sequestering or at least minimizing the relationships between the relevant parties. I got so annoyed by it I created the COI Bingo chart that was published in BMJ (!!!!).
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www.bmj.com/content/351/...
COI bingo
I’ve spent years studying, teaching, and writing about conflict of interest (COI). In that time I’ve seen hundreds of justifications offered for deep entanglements between physicians or scientists and...
www.bmj.com
The extent to which people whose professional lives depend on following the evidence continually refuse to examine or grapple with the implications of the evidence on #MotivatedBias. There's soooo much magical thinking in this space in general in our society, that we can disclose, that we can
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Other than "sequestration," or keeping the relevant parties out of relationship to begin with. The evidence on this is absolutely overwhelming and has been shown under both experimental and natural conditions.
In medicine and public health contexts, I've really been amazed at
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In my work on COIs, I've emphasized the evidence base in the decision sciences in particular that frame COIs and #MotviatedBias as a function of the relationships we do and don't form. There is absolutely no remedy for the ethical problems posed by COIs that has EVER been shown to be effective
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I'm inexpert on legal or judicial ethics, but I am extremely very much a content expert on #ConflictsOfInterest and #MotivatedBias & what I continue to find amazing is the willful ignorance otherwise sophisticated actors engage in re the ways in which our relationships motivate us to be biased.
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"Russian Doll" is incredible, one of my favorite shows on Netflix, so I'm hopeful
www.nytimes.com/2024/05/29/a...
Leslye Headland Hopes the Force Is With ‘The Acolyte’
Her new “Star Wars” show is a dream come true, but she knows it carries enormous expectations. “I would be lying if I said I wasn’t scared,” she said.
www.nytimes.com
Public health law scholars disagree on the power and scope of litigation as a tool for health justice -- I am bearish and would vastly prefer a more robust regulatory approach than the use of tort litigation as public health policy.
3/3
#PHLaw #PHEthx #Regulation #AdminLaw #PublicHealthLaw
Of course, regulated industries have been actively engaged in undermining the administrative state and the use of regulatory governance via the Manufacture of Doubt for over 150 years in the U.S. (This is essentially what my forthcoming book is about).
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There's a lot to be said about the use of mass tort litigation as a tool of public health law to fill governance vacuums. We create these vacuums in our refusal to regulate adequately commercial industries introducing products into the stream of commerce that are injurious to public health.
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According to a recording, “Do what you can, while you can, before you get sued,” Mr. Gross said… “Review any marketing materials or other communications that you’ve had with your customers, with your suppliers, see whether there’s anything in those documents that’s problematic to your defense”
Lawyers to Plastics Makers: Prepare for ‘Astronomical’ PFAS Lawsuits
At an industry presentation about dangerous “forever chemicals,” lawyers predicted a wave of lawsuits that could dwarf asbestos litigation, audio from the event revealed.
www.nytimes.comthe medicalization of health policy is a disaster, as we have discussed
It's interesting to compare this definition with the points raised by Scott Burris et al. re the definition of policy and why it matters ... #policysky policysky
jamanetwork.com/journals/jam...
Conceptual Confusion Leads Policy Evaluation Astray
Explore the latest in national and global health policy, including health care pricing, delivery, access, quality, safety, equity, and reform.
jamanetwork.com
lol It's almost like a large boulder the size of a small boulder except in beer
knowyourmeme.com/memes/a-larg...
A Large Boulder the Size of a Small Boulder
A Large Boulder the Size of a Small Boulder refers to a phrasal gaffe posted by Colorado's San Miguel Sheriff Twitter account in January 2020 when announci
knowyourmeme.comBrain hacks are indispensable to getting through the day tbh
This is often the only way I can get myself into an ordinary jiujitsu class, an activity I love and have done 3-5 times a week for the last 10 years. (I tell myself “you don’t have to spar you can just drill.” I literally always end up sparring). 🤷🏻♂️🤷🏻♂️
#TeamAnxietyDisorder #TeamPanicDisorder
Yes, exactly!! We're working on a Big Thing and we finally found the right admin person who knows exactly the full process by which we can make the Big Thing a reality and so now I finally know exactly the road we have to prepare for in order to actually set out on the journey
oh my god I have so much to do. I was in meetings all day and these were good, productive, necessary meetings (I know, but occasionally it happens).
But still, now I have to actually get to work, in part on all of these Action Steps.
Interesting. I signaled defeat for the proofs and was ok with letting some things go. #MistakesWereMade 🤷🏻♂️
liking your book is definitely not allowed at this stage
Yeah I hate that comments and findings are not typically regarded as worthy of analysis or consideration in many areas of scholarship. It’s wrong IMO.
pubmed.ncbi.nlm.nih.gov/35894581/
Public Reason, Public Comments, and Public Charge: A Case Study in Moral & Practical Reasoning in Federal Rulemaking - PubMed
The "public charge" rule is a long-standing immigration policy that seeks to determine the likelihood that a prospective immigrant will become dependent on the government for subsistence. When the Tru...
pubmed.ncbi.nlm.nih.gov@fabioethics.bsky.social has done pioneering work analyzing comments and I think there’s an enormous amount to be done in this space. Regulatory and policy scholars are consistently failing to take parts of the process seriously that are not operative law but shape it regardless (see also Findings)
I know some of the games have been close, but IMO the overall level of play in the NBA Conference Finals has not been stellar. It’s hard to avoid thinking any of these four teams would be trounced by some of the past champions, at least playing as they are.
