Uninformed dissent | Seth’s Blog

I was going to announce to the Twitter/Blog verse that I had coined a term to be the opposite of “informed consent”, to wit: “uninformed dissent”.

Alas, the internet exists, so I can see that at least one other person thought about this before I did…so I can reblog them instead of claiming all the credit…it’s a more universally-harmonious constructivist method of opinion foisting (Ooh!  Maybe I’ll coin “opinion-foisting”…)

We see uninformed dissent – the way Seth talks about it in the link below – all the time in healthcare.  Vaccines and other preventive services are particularly affected, but treatment services are affected too.  A poorly-worded description, an unintentional focus on potential side effects, or a remembered bad experience from a family member, and my prescription for the patient is roundly rejected – our relationship and my best attempts to teach notwithstanding.  One could argue that I should value the interpretations proffered by the patients that do their own research; but then, I argue, why come to me at all if you don’t trust my interpretations and recommendations or think they’re somehow biased?  And this is not really about overriding firmly held health beliefs or ignoring preference-sensitive decisions…I’m not practicing in the 1950s for goodness’ sake! (I look forward to your comments). It’s about patients picking and choosing which science to believe in.

Is it because opinion and belief are now counted as fact in our post-positivist culture?  Is this the “consumerism” to which we are all trying to appeal in healthcare these days?  It sounds curmudgeonly (or just rude and paternalistic) to argue “Well, I did study all this in medical school…”, but I think this is what we get in the transition from physicians as “health consultants” to physicians as “health service providers“.  Don’t we have a duty to protect our patients from their own “uninformed dissent?”

“I’m not sure what it is, but I’m against it.” It’s a mistake to believe that people know all the facts before they decide. In fact, most of the time, we decide and th…

Source: Uninformed dissent | Seth’s Blog