BMJ 2004;329:1339-1341 (4 December), doi:10.1136/bmj.329.7478.1339
Education and debate
Democratisation of scientific advice
Roland Bal, assistant professor1,
Wiebe E Bijker, professor of technology and society studies2,
Ruud Hendriks, assistant professor of philosophy2
1 Department of Health Policy and Management, Erasmus University Medical Centre, PO Box 1738, 3000 DR Rotterdam, Netherlands,
2 Faculty of Arts and Culture, University of Maastricht, PO Box 616, 6200 MD Maastricht, Netherlands
Correspondence to: R Bal r.bal@bmg.eur.nl
Dutch experience shows how scientific advisory bodies can cope with the growing political demands for transparency and lay participation without compromising their function
| The first 150 words of the full text of this article appear below. |
Introduction
Scientific advisory councils in Western countries have become
increasingly confronted with demands that are usually reserved
for the political arena.
1
2 Two such demands stand out: transparency
and public participation. Although these seem legitimate demands,
and have been taken up by governments in most democratic countries,
it is unclear how they can be enacted or what their effects
will be on the advisory process. Open and closed procedures
are conventionally viewed as opposites.
3
4 We argue that they
have a dialectic relation and are not mutually exclusive, using
the example of the Health Council of the Netherlands.
Need for transparency
Good arguments exist for democratising the advisory process.
The first was raised as long ago as 1937, when Gulick noted
that "history shows us that the common man is a better judge
of his own needs in the long run than any cult of experts."
5 Normative and instrumental arguments have also been put forward.
6 The
. . . [Full text of this article]
Role of the council
Providing transparency
-->
Attributing types of expertise
Conclusion

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