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BMJ 2005;330:602 (12 March), doi:10.1136/bmj.330.7491.602
| The first 150 words of the full text of this article appear below. |
EDITORBal et al struggle to show that "concealing information from public scrutiny" is a necessary condition for "democratic function" but fail.1 The fault in their argument is the assumption that an advisory committee should alone decide how the question is framed, how different types of evidence should be privileged, and how the "performance" should be presented. Similar debates have been vigorously pursued in the health impact assessment community.
Dissention in the scientific community is not a problem that should be hidden from an ignorant public but a fundamental mechanism in the advancement of knowledge. It is true that knowledge of temporary or continued dissention will be used naively or even mischievously and so confuse issues, but that is no excuse for hiding the process by which conclusions are reached.
Scientific reasoning is a powerful tool for improving public decision making, but it is not sufficient. Account has to
John R Kemm, public health physician
Kings Norton, Birmingham B38 8DF Kemm.cm-jr@tiscali.co.uk