Evidence not ideology

Autor: Lewis Ls
Rok vydání: 2005
Předmět:
Zdroj: BMJ. 331:964.3-965
ISSN: 1468-5833
0959-8138
DOI: 10.1136/bmj.331.7522.964-b
Popis: Editor—I agree with Hart's contention that all evidence is conceived and perceived through an “ideology” (previous letter). Reading Marx made this clear to me, but other philosophers might use the more acceptable phrase “theory of knowledge.” The term “ideology” is currently (mis)used to imply a left wing or right wing political mindset that somehow prevents people from seeing the “objective evidence” for what it is—with the corollary (to which Godlee subscribes1) that those “neutrals” unencumbered by ideology could somehow be the more objective. My political ideology is socialist. I prefer the NHS to the US system. But I believe that other systems—for example, the Swedish system—have some better features. If the NHS contracts for secondary care—for example, cataract surgery—through self employed doctors in wholly owned secondary care doctor cooperatives, or private hospitals, how shall we describe it? With regard to privatisation or subcontracting, the general practitioner subcontractor model was a very efficient saving grace of the state run NHS. I prefer that “socialised health care” should proceed in fair competition in the mixed economy of a free society, rather than the Stalinist alternative. I am certain that we are succeeding at it—which is the main reason why the new right is still scratching around for alternatives. It is still working.
Databáze: OpenAIRE