Individual studies can be really interesting. They're important for researchers to know about to inform their future work. But any one study - even ones that are done honestly, with good methodology and sound foundations - can be just totally wrong. There could be confounding factors you couldn't have known about that completely invalidate the result. Your test subjects could be unusual in some way, your animal models could be a poor analogue for humans in this particular case, you could have just had really aberrant statistical flukes in your statistic sampling.
It's the body of scientific research, the dozens, hundreds, thousands of studies stacked on top of each other that bring certainty.
The problem of "problems getting harder" is a continuous phenomenon. Why would that be the case suddenly after 2000, and not before?
> However, I'm a bit puzzled by the weird direction the journalist ran with this, which is straight to his preconceived notions that are not that supported by the data he's looking at.
Is it possible that your own preconceived notions about the author and the publication may have caused you to judge this way?
In any case, don't trust every comment posted on Hacker News (including my own) :)
Well, there was that whole dotcom boom and a lot of things changed for computers & the internet which led to researchers being able to share more information, use more powerful computer techniques, etc.
In my experience working with/contracting for neuro labs, a lot of researchers don't really know how to fully leverage the technology that's available, and often rely upon proprietary tools they have limited knowledge of, which doesn't bode well for being able explore for themselves.
The few that I have met that can push the limits of current technology are working in labs ran by the above…
I'm not sure how it is in other fields, but in convos from some other commentators on HN over the past years, makes me think this is not just in neuroscience.
Maybe the problem is that the skills needed to explore the solution space and communicate it effectively have gone up because the complexity it has added to the process without research labs/academia addressing the gap sufficiently? I don't think this is a problem with just labs or academia though, not many people in general have the skills to be able to leverage technology to it's fullest for even the most banal tasks.
Also I had not heard of Kevin Drum before this, and had a positive view of Mother Jones. I'm left with a poor impression of Kevin Drum and a hit to Mother Jones' reputation after reading this.
You could look for confirmation or disconfirmation of the hypothesis that preregistration leads to an increase in null results in other data sets.
Both of those seem like more useful ways to dispute this finding than squinting at a graph and finding fault with a blog post headline.
The "squinting at the graph" was assuming that there's a sudden change. I read the paper, and looked up several studies and came to the conclusion that the paper was being misrepresented by the blog text. And I agreed with the headline, but not with the blog text.
There are explicit exploratory methods you can use to carry out research and that is very fine, but most research today is done using an inference model, where you formulate a hypothesis and use data to corroborate it.
That is one of the premises of big data that most people do not get: It enables you to do research explicitly exploratory again, while still being rigorous and somehow falsifiable..
>every significant clinical study of drugs and dietary supplements for the treatment or prevention of cardiovascular disease between 1974 and 2012
There is room for a lot of bias when selecting which studies are 'significant' and on topic. Not to mention deciding which metric to report from the study.
Literature reviews in meta-analyses are usually conducted like this, with specified lists of search keywords and flow charts of inclusion criteria.
There's some argument to be said that in times past there were fewer "scientists" working on these topics, explaining the delays. But I don't think that's fair. The reason I put "scientist" in quotes is because many of these things have minimal prerequisites and the average home would have all that's needed to experimentally test and discover these concepts. And their immense value, far beyond the academic, meant their discovery likely would have been able to rapidly spread regardless of the origin - so that, at least to some degree, precludes authority as a necessity.
Many things that now constantly elude our ability to understand, perhaps dark matter is a great example, will likely one day be child's play.
I'm pretty sure we have no significant advances in the treatment of cardiovascular disease.
And given the alarmingly climbing rates of chronic diseases, e.g. cardiovascular disease, diabetes, obesity, cancer, I'm also pretty sure that the health care industry has done more harm than good when it comes to chronic diseases.
For everything else, for problems they can measure and treat with a pill, sure, I'm no anti-vaxxer, but they failed hard at chronic diseases, promoting cures and guidelines that did more harm than good.
Recent US outcomes: https://jamanetwork.com/journals/jamacardiology/fullarticle/...
US & New York State outcomes 1980-2007, Figure 2: https://www.health.ny.gov/diseases/cardiovascular/heart_dise...
I haven't hit the major mortality sources, but these bits match everything else I've heard.
I'd also like to know the basis for asserting that the health care industry doing more harm than good.
I mean, can't this be attributed to other things too? (The way people live has changed in the past 20 years...)
I'd rather see some studies to show if/why those things have spiked rather than disavowing attempts to help it.
What else are we supposed to do?
Very good advice. Over 95% of the crap posted on Mother Jones should be ignored.
However, I'm a bit puzzled by the weird direction the journalist ran with this, which is straight to his preconceived notions that are not that supported by the data he's looking at.
But there's a bit more to this than just that one chart. In addition to self-correction (e.g. beginning to require pre-registration of trials), science is somewhat additive. Is it not possible that the low-hanging fruit had been found earlier, in the 1970s-1990s, and the problem got harder? With the advances in treatments for cardiovascular disease couldn't the problem just be harder?
And look at that "harm" study. Turns out it's one of many from the Women's Health Initiative [1], and it's the test of whether hormone therapy for post-menopausal women causes heart problems: that is, it's not a test of a drug to prevent heart conditions, but a test of side effects.
How many other of these studies are like that: studies about effects on the heart, not trials for new drugs to treat the heart? How did the ratio change before and after 2000?
In any case, don't trust every popular news article you read about science, particularly if it's written by Kevin Drum and posted on Mother Jones.
[1] https://www.whi.org/SitePages/WHI%20Home.aspx