Sir Ronald Aylmer Fisher, the methodological father of the modern RCT as practised in medicine today, was a eugenicist. His most fanatical GBD heirs today remain quasi-eugenicist Social Darwinist RCT ideologues. Article by @RichardEvans36 🧵 12ft.io/proxy?q=https%…
@RichardEvans36 is a hugely respected British historian and one of the leading authorities on the history of the Third Reich. It is simply not possible to paper over his sober analyses in the glib and shameful way that apologists in @HeredityJournal did. nature.com/articles/s4143…
The authors do nothing to respond to the fact that the use of gas chambers for euthanasia was developed in the eugenicist Aktion T4 that predated the later Judenaktion (Final Solution). They conveniently gloss over facts brought to light by Sir Richard, such as these.
@RichardEvans36 knows because he wrote what is still the definitive introductory textbook to the subject (volume 3 of his monumental Third Reich tetralogy). Attempts to extricate Fisher's eugenics from the taint of genocide are unconvincing. amazon.com/Third-Reich-Wa…
Well after the Holocaust, in the 1950s, while defending his friend Verschauer (the PhD supervisor of Josef Mengele), RA Fisher continued to uphold the notion that there were profound differences in the intelligence of races.
It is hardly surprising that RA Fisher's heirs today wilfully holdup the acceptance of respirators for the mitigation of aerosol spread of COVID, rejecting aerosol physics by demanding RCTs in the most flat-earthed manner possible. #COVIDisAirborne
The RCT fanatics who push for RCTs of a physically engineered safety device are the same hardliners who oppose all public health measures to mitigate infection, except vaccination, as it is supported by RCT evidence.
They demand the dropping of physical mitigations in favour of a mass infection strategy aiming first for herd immunity, then for the use of SARS-CoV-2 as a natural booster to engender so-called “hybrid immunity”—a euphemism for a mass infection strategy.
This ideology has unleashed a quasi-eugenicist, Social Darwinist democide on a vast scale upon the vulnerable in society as COVID is left to rip. All rationalised as the price paid for progress necessary to stimulate the economy.
Anarcho-capitalists who have unleashed unfettered Social Darwinian forces upon society for its betterment, while uttering platitudes about “focused protection”, are predictably those pushing a hard line that only an RCT where we watch subjects die in it is a good study.
These murderous fools fetishise RCTs as the supposed pinnacle of the scientific method. Yet, every day these people trust their lives to engineered devices that were never once tested by RCTs.
The inability to use basic molecular modelling to fully predict the safety/efficacy profile of a drug is the exception in science, not the rule. Our predictive abilities are improving. One day, we will design drugs like engineers design aeroplanes.
I now recall a debate at medical school decades ago during which I heard an ethicist argue that all RCTs were unethical. I thought she was a bit extreme. Now I look back after all this time and see that she was ultimately right. RCTs are a primitive method of last resort.
It's time to reevaluate the validity of RCTs. In the name of progress, medicine must aim to phase out RCTs and become more like engineering. One day, they'll be shocked Fisher's heirs ran studies where people died in the experiment—like Mengele's. amazon.com/Philosophy-Sci…
Postscript. RA Fisher joined forces with Verschauer in the 1950s to minimise the harms of smoking. Correlation does not equal causation, Fisher argued—hence, smoking does not cause lung cancer. nature.com/articles/18259…
If Fisher and Verschauer were around today we know which side they would belong on. They would be welcomed with open arms by the likes of the GBD minimiser mob of meta-analytic garbage regurgitators who are their true heirs. abc.net.au/news/2022-08-3…
Postscript 2. I neglected to emphasise the fact that Nature Heredity @HeredityJournal, which published the shocking apology for RA Fisher above, was co-founded by Fisher in 1947, as pointed out by @RichardEvans36
EDIT: whoops, that is Otmar Freiherr von VERSCHUER (not “Verschauer” with an extra “a” as I mistakenly wrote). en.wikipedia.org/wiki/Otmar_Fre…
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1. HCWs risk getting infected if they spend ≥30 min in closed spaces, crowded spaces, and close-contact settings without wearing masks outside of work during the Omicron wave. COVID-related work was not associated with a risk of SARS-CoV-2 infection. journalofhospitalinfection.com/article/S0195-…
2. It's the Japanese peer-reviewed version of this.
If you artificially restrict your definition of “evidence” to accept only RCTs, you end up rejecting the thesis of the rotundity of the earth. Because most scientific theorems are proven by direct mechanistic evidence.
Anthropogenic climate change is considered 99.9% certain without a single RCT. Because RCTs are not a universal scientific standard of evidence. A Cochrane review on climate change would reject it as having low-level, not 99.9%, certainty theguardian.com/environment/20…
If restricted to RCTs, there is no “evidence” that modern clean-water systems, built after the cholera epidemics of the 19th century, reduce the spread of cholera. Because for public health engineering systems, RCTs are not a standard of proof.
The antiviral Xocova (ensitrelvir) is claimed by Shionogi pharmaceuticals to potentially reduce the relative risk of some long COVID symptoms by up to ~45%.
More details in this article. Shionogi, which has yet to publish its results in a journal, presented the data at an academic conference held in the U.S. this week. japantimes.co.jp/news/2023/02/2…
Subjects were included irrespective of risk factors for COVID-19 progression. The population was predominantly (more than 90%) vaccinated. Impact on #longCOVID was not a study 1ry/2ry endpoint biospace.com/article/releas…
A lie oft repeated remains an abject lie. Nobody has ever produced a shred of evidence that a Cochrane review is a universally valid scientific “Gold Standard” applicable to all health outcome measures. Just repeating a lie is not enough.🧵news.com.au/lifestyle/heal…
Most science is done via direct mechanistic evidence rather than indirect mechanistic inference through an RCT. An RCT cannot definitively establish mechanism, only infer it. Where direct mechanistic evidence retains PREDICTIVE validity, it must be the primary form of evidence.
This is how we accept the rotundity of the earth: by direct mechanistic modelling. The method used by Eratosthenes would be rejected by the Cochrane model of science as being “low level evidence” insufficient to prove the earth is round.
I agree wholeheartedly with the criticism of the way the Conly Cochrane meta-analysis dismissive of masks has been conducted. But—sorry, team—I need to add some wee quibbles from a philosophy of science perspective. 🧵theconversation.com/yes-masks-redu…
The biggest shortcoming of RCTs of respirators is this: where direct mechanistic evidence retains predictive validity, this is the preferred form of scientific evidence. The invalidity of direct mechanistic modelling needs to be proven before falling back on RCTs.
Look at the key occupational PPE worn by this soldier: tactical respirator, helmet, body armour. None are tested by RCT. Some non-clinicians sitting in an office demand RCTs before the *same gear* can be issued to HCW before going into battle against COVID.
COVID has unleashed a pandemic of inappropriate use of the RCT/meta-analysis model as an instrument of hyper-scepticism to manufacture doubt as a tool of destructive mass propaganda. 🧵
Let's use the Cochrane model to assess the evidence for the earth being round. Here are some common proofs for the earth being round. All belong to the lowest level of evidence. How can you say we can safely traverse the oceans without falling off the edge of the earth?
To demand that the RCT/meta-analysis model be applied to non-pharmacological settings or in engineered safety systems where they've never been a Gold Standard, is to weaponize it as an instrument of manufacturing doubt. You could question whether the earth is round by this method