Sila (real name protected for privacy purposes), a guest speaker, came in to speak today about bias in evidence, in context of the medical field. She noted the two main types of bias;
Relating to day-to-day experiences unconsciously influencing your decision-making
Eg. A doctor choosing not to prescribe a drug due to seeing his partnerâs own reactions to that drug
Influenced by entities who just want the outcome to go in one direction; Unconscious conscious decision making (if that makes sense)
Commercial entities will push their bias in order to make profits
Eg. A director of a pharmaceutical company offering to purchase lunch for a doctor to gain their favour in recommending their brand to patients
Studies have shown a $20 lunch has a measurable impact (approx. 5x increased likelihood) on a doctor prescribing that companyâs drug over competitorsâ
Apparently, R&D costs < Marketing costs for drug companies
What was interesting to me, was how security concepts were very relevant and could be related back to this. Systemic bias proves this entire system is vulnerable to attack, wherein it is easier to target single points (individual doctors) rather than the entire system (the medical field itself).Â
This made me think about the times a doctor had prescribed me pharmaceuticals of a specific brand. I always assumed it was because it would just make it easier for me to find what I needed (rather than having to decide a brand for myself), or because it was the most effective, yet now I am beginning to question the veracity of this. This brings back the idea of never trusting anyone, and conducting your own research on a topic before coming to a conclusion. Next doctorâs trip I will definitely be questioning their integrity (but subtly of course, canât have my doctor disliking me, especially when sheâs jabbing me with a flu shot).
Truly no offence to Sila, I just feel I should question everything, but another point I came up with was after seeing Silaâs determination to be uninfluenced by systemic bias and towards her perspective. Who is to say Sila is not in fact biased herself on her viewpoint? Consider if there arose a scenario Sila were deemed not important enough to be a point of attack for these pharmaceutical companies, therein would lie a bias against them, and hence jealousy a motive to take them down - an inherent human weakness. Leading on from this, there is also the hard to get scenario, wherein Sila is actively, publicly against companiesâ influences to increase their motivation to take her down, offering her larger bribes than a $20 lunch.
I always try to see the best in people and so I also question whether profits aside, some companies really do have their customersâ best interests at heart. If a company were finding their product to be more effective than competitorsâ but were having issues gaining market power, this would be a legitimate reason to place bias within the system. However after witnessing so many companies do the same with only profits in mind, Sila has been put off the idea all together.Â
Once again, no discredit to Silaâs professionalism here, I do believe that she has the patientsâ best interests at heart and is working hard to eliminate these biases within the workplace and I am grateful for it. It wouldnât make any sense for her to act in the ways as described above as she would only discredit herself, I just thought itâd be good practice for the weekly case studies to try and consider an opposing perspective. Iâm wishing her the best of luck in her fight against bias!