Discover and read the best of Twitter Threads about #lawisasocialdeterminantofhealth

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I see that we are still slavishly worshipping at the idol of RCTs in epidemiologic science as the evidentiary warrant for public health action. I have written LOTS on the foolishness of this, its disastrous ethical & policy implications, & it's role in #ManufactureOfDoubt.

1/
It's almost as if people have never heard of the #PrecautionaryPrinciple. If we demanded evidence of exposure-harm or intervention-benefit that flowed from RCTs to warrant public health interventions, we would have essentially NO public health action AT ALL.

2/ Even granting the presumption that RCTs are a categorically
More on this, from my 2016 paper on importance of maintaining epistemically reasonable standards for proof of harm (& benefit!) as warrant for public health action:

(The subject of the paper is COIs and lays out my arg for regarding them as ordinary epidemiologic exposures)

3/ robust as we might like. If evidence of the kind envisioned
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