13 September 2015

Better to be uncertain than certain and wrong

Researchers cannot escape uncertainty

Uncertainty is a paradox. On one hand, it is a potent and powerful force that motivates research, a need to know. The gratifying result of research is evidence used to guide practice and policy.

On the other hand, uncertainty always remains after research because of the inherent complexity and ambiguity of the real world. So policy-makers and practitioners are (or ought to be) troubled about inevitable residual doubt. Examples include what to do about climate change, what body mass index is ideal and whether to test for prostate cancer.

Why uncertainty remains

Research may help reduce uncertainty, but it can never provide certainty. Research is an errorful process that peers into an obscure reality.

16 June 2015

A home of your own: dream or delusion?




The appeal of owning a home seems deeply embedded in the psyche of Australians. Yet psychologically, it is not clear the home ownership dream is entirely rational. Achieving the dream may not be all we might have hoped, and chasing it may even do damage.


The psychological reason Australians want to own their own home is perhaps best expressed by Darryl Kerrigan in the uniquely Australian film, The Castle. It continues to be celebrated globally for showing that the house is just a shell that holds heart. To own your own home has a strong sentimental value, as Darryl says: “You can’t buy what I’ve got.”

06 June 2015

Obesity, a wicked public health problem

Most people view obesity as an unequivocal bad -- both for the person and the public. But obesity is a wicked problem. That is, the obesity problem is ill-defined, characterized by complex and contradictory evidence, and unresolved due to conflicting judgments of what is "good" or "bad".

Just one example of how the problem has been oversimplified is in identifying "big food" as the enemy, just like big tobacco before. 


Marketers of food are soundly critiqued for creating large, super-sized portions.

However, in a nod to the wicked nature of the problem, marketers are also critiqued for offering smaller portions
And rather more ironically, marketers are also criticised for promoting slim,
"overly-idealised" body-forms


The media, public health and popular views all share the view that obesity is a problem, but the real nature of the problem is more complex than many seem to realise.

17 April 2015

Vaccinate or don't - it won't hurt much either way

Is there a middle ground in the debate on vaccines?
The debate about whether to apply more coercive pressure to vaccinate such as the ['no jab no pay' policy] is being clouded by polarised polemic.

Each side appeals to a reasonably valid ethical claim: pro-vaccination to the public good, anti-vaccination to individual rights.  However, these ethical claims sometimes seem to serve vested self-interest rather than public interest. Moreover, that self-interest reflects an over-estimation of the relative risks to health of vaccination and non-vaccination respectively.