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Reliance, Not Responsibility: Relations Between Science and Industry
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Journal Article
Reliance, Not Responsibility: Relations Between Science and Industry
2019
Overview
Teaching responsibility is hard. Anyone who's ever been a parent understands that truism. It's especially difficult when the very behaviors you want to prevent are sometimes the ones that secretly make you very proud. I recall when my son was in a soccer league for four-year-olds and was trash-talking other children. I didn't want my kid to be namecalling, but I was also quietly pleased that he had the intestinal fortitude to stand up for himself.Assigning responsibility for problems in health care is much more difficult than overcoming a bit of parental ego. If an individual patient is nonadherent with a prescribed course of care, is that the fault ofthe person or the system? Is it because people lack access to resources or education to help them understand and comply with the recommended plan, or is it because they consciously made a bad choice? (As an emergency physician, most ofwhat I see on shift is a manifestation of bad choices, and most of my efforts at patient education center on the phrase \"Don't do that!\") If we focus on systemic factors at the exclusion ofindividual behaviors, proposed solutions may risk toppling public health from the unbiased moral high ground into the abyss of the partisan wars. If we assign responsibility to the individual, we have a different set of problems. If patients with pulmonary disease continue to use tobacco despite multiple admonitions not to do so, to what extent are they still given carte blanche for care? And if assigning responsibility is difficult, learning accountability- the ability to accept the consequences of our actions-is even harder. Bil Keane, the original artist behind the Family Circus comic strip, used to draw two ghostly children in the house called Ida Know and Not Me. Most of us still have them living somewhere in our emotional basements.
Publisher
American Public Health Association
