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Daniel C. Dennett

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One thing in particular struck me when I compared the medical world on which my life now depended with the religious institutions I have been studying so intensively in recent years. One of the gentler, more supportive themes to be found in every religion (so far as I know) is the idea that what really matters is what is in your heart: if you have good intentions, and are trying to do what (God says) is right, that is all anyone can ask. Not so in medicine! If you are wrong —especially if you should have known better — your good intentions count for almost nothing. And whereas taking a leap of faith and acting without further scrutiny of one's options is often celebrated by religions, it is considered a grave sin in medicine. A doctor whose devout faith in his personal revelations about how to treat aortic aneurysm led him to engage in untested trials with human patients would be severely reprimanded if not driven out of medicine altogether. There are exceptions, of course. A few swashbuckling, risk-taking pioneers are tolerated and (if they prove to be right) eventually honored, but they can exist only as rare exceptions to the ideal of the methodical investigator who scrupulously rules out alternative theories before putting his own into practice. Good intentions and inspiration are simply not enough.

 
Daniel C. Dennett

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Do I worship modern medicine? Is science my religion? Not at all; there is no aspect of modern medicine or science that I would exempt from the most rigorous scrutiny, and I can readily identify a host of serious problems that still need to be fixed. That's easy to do, of course, because the worlds of medicine and science are already engaged in the most obsessive, intensive, and humble self-assessments yet known to human institutions, and they regularly make public the results of their self-examinations. Moreover, this open-ended rational criticism, imperfect as it is, is the secret of the astounding success of these human enterprises. There are measurable improvements every day.

 
Daniel C. Dennett
 

Well, my interpretation is no more valid than anyone else’s, but I would say in terms of medicine, people want to take control of their own lives, and ironically they seem to think that they are taking control of their lives more by using so-called complementary or alternative medicines than by using orthodox medicine. In other words, they think it’s a statement of originality and individuality. To you and me it seems self-evidently ridiculous, this homeopathic medicine. It is so preposterous, and yet some people I know and respect insist on believing it.

 
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Let us face squarely the paradox that the world which goes to war is a world, usually, genuinely desiring peace. War is the outcome, not mainly of evil intentions, but on the whole, of good intentions which miscarry or are frustrated. It is made, not usually by evil men knowing themselves to be wrong, but is the outcome of policies pursued by good men usually passionately convinced that they are right.

 
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Lies propagate, that’s what I’m saying. You’ve got to tell more lies to cover them up, lie about every fact that’s connected to the first lie. And if you kept on lying, and you kept on trying to cover it up, sooner or later you’d even have to start lying about the general laws of thought. Like, someone is selling you some kind of alternative medicine that doesn’t work, and any double-blind experimental study will confirm that it doesn’t work. So if someone wants to go on defending the lie, they’ve got to get you to disbelieve in the experimental method. Like, the experimental method is just for merely scientific kinds of medicine, not amazing alternative medicine like theirs. Or a good and virtuous person should believe as strongly as they can, no matter what the evidence says. Or truth doesn’t exist and there’s no such thing as objective reality. A lot of common wisdom like that isn’t just mistaken, it’s anti-epistemology, it’s systematically wrong. Every rule of rationality that tells you how to find the truth, there’s someone out there who needs you to believe the opposite. If you once tell a lie, the truth is ever after your enemy; and there’s a lot of people out there telling lies.

 
Eliezer Yudkowsky
 

There are two parodies of the truth which different sets of Christians have, in the past, been accused by other Christians of believing: perhaps they may make the truth clearer. One set were accused of saying, "Good actions are all that matters. The best good action is charity. The best kind of charity is giving money. The best thing to give money to is the Church. So hand us over ?10,000 and we will see you through." The answer to that nonsense, of course, would be that good actions done for that motive, done with the idea that Heaven can be bought, would not be good actions at all, but only commercial speculations. The other set were accused of saying, "Faith is all that matters. Consequently, if you have faith, it doesn't matter what you do. Sin away, my lad, and have a good time and Christ will see that it makes no difference in the end." The answers to that nonsense is that, if what you call your "faith" in Christ does not involve taking the slightest notice of what he says, then it is not Faith at all — not faith or trust in Him, but only intellectual acceptance of some theory of Him.

 
C. S. Lewis
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