Tag Archives: Canada

Misinformation Matters

A good friend of ours, originally from Canada, left his faculty position in Indianapolis and moved to Ottawa to assume a position as President and CEO of the Council of Canadian Academies, or CCA.

Knowing my preoccupation with media and misinformation, he has shared some intriguing research from an expert panel appointed by the CCA. That research delved into the effects of misinformation on science and health, going beyond the typical hand-wringing over the extent of misinformation and its potential harms, and looking instead at the nature and extent of quantifiable damage done by widespread dissemination of patently wrong information.

As a news release explained

Considerable and mounting evidence shows that misinformation has led to illness and death from unsafe interventions and products, vaccine preventable diseases, and a lack of adherence to public health measures, with the most vulnerable populations bearing the greatest burden. The Expert Panel on the Socioeconomic Impacts of Science and Health Misinformation estimates that misinformation cost the Canadian healthcare system at least $300 million during nine months of the COVID-19 pandemic in 2021.

While combatting misinformation is a complex and long-term challenge, the report details several measures that have shown promise. Ensuring that accurate health and science information is widely accessible and is communicated honestly, understandably, and by trusted messengers can help insulate people from misinformation. Identifying, labelling, and debunking misinformation can also be effective, as are measures that better equip individuals to sort through the increasingly complex information environment, particularly the promotion of critical thinking and media and science literacy in school curricula.

You can access the entire report here.Some of the findings struck me as particularly significant, especially the description of when, why and how people come to accept what the panel calls “misinformation” and I would probably label conspiracy theories and lies.

Misinformation is designed to appeal to emotion and–as the report notes–intended to exploit our “cognitive shortcuts.” We are all susceptible to it, especially in times of crisis.

Science and health misinformation damages our community well-being through otherwise preventable illnesses, deaths, and economic losses, and our social well-being through polarization and the erosion of public trust. These harms often fall most heavily on the most vulnerable.

The research found a number of outcomes directly attributable to the spread and acceptance of misinformation; they included: Illness, poisoning, and death from unsafe health interventions and products; Illness and death from communicable and vaccine-preventable diseases; money wasted on disproven products and services; susceptibility to further and potentially more insidious forms of misinformation; increased healthcare and societal costs; and Inaction on or delay of public policy responses.

Misinformation contributes to a lack of adherence to public health measures and to vaccine hesitancy, which can result in vaccine-preventable disease outbreaks, increased healthcare costs, and elevated risk to the health and well-being of vulnerable populations. Misinformation also amplifies social divisions, which have resulted in overt conflict and violence, often directed at racialized communities. Furthermore, the consequences of science and health misinformation are not borne equally — for instance, negative health impacts during the COVID-19 pandemic have been found to disproportionately affect the well-being of racialized and other underserved communities, exacerbating existing inequalities.

Where possible, panel members put numbers to these generalized descriptions, estimating that widely circulated misinformation about COVID-19 had cost the Canadian healthcare system “at least $300 million in hospital and ICU visits between March 1 and November 30, 2021.” That number did not include the costs of outpatient medication, physician compensation, or long COVID.

And for obvious reasons, the panel was unable to estimate what it called “broader societal costs.” Those included such difficult-to-quantify effects as “delayed elective surgeries, social unrest, moral injury to healthcare workers, and the uneven distribution of harms borne by communities.”

The negative consequences of misinformation are–obviously–not confined to citizens of Canada. In the absence of credible, trustworthy information that is widely trusted and accepted, it proliferates. In the U.S., political data confirms the harm: the MAGA folks who rejected vaccination (evidently believing it to be some sort of nefarious liberal plot) died of COVID in far larger numbers than the independents and Democrats who trusted the science.

The question is: what can be done to counter the confusion and reduce the damage sowed by purveyors of propaganda and inaccurate information? One answer is clearly education, especially science education.  (That conclusion supports concerns over the metastasizing  voucher programs that are sending students to private, predominantly religious schools–many of which have been found to teach creationism in lieu of science).

When citizens don’t inhabit the same evidence-based reality, both individual and social health are compromised–sometimes fatally.

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Voter Turnout

A good friend and former colleague of mine moved back to Canada a few years ago, to accept a prestigious position. (I say “back” because he was originally from Canada. He’d married a U.S.Citizen, obtained joint citizenship, and for many years was a highly respected bioethicist at U.S. institutions of higher education.) We continue to correspond, and in the wake of Canada’s recent election, he sent me a column from a Canadian newspaper, bemoaning that election’s low turnout.

He also sent the results of a Google search for turnout percentages in both the U.S. and Canada. (You know what’s coming, don’t you??) Here’s a portion of his message:

I did find it charming that the article bemoaning low Canadian turnout (which this year was a historical low at ~58%) is still significantly higher than in the US. 
 
Apart from the Trump v Hilary election in 2016 when it was 50%, the last time US voter turnout was above 50% was in 1912 if I am reading the charts correctly. 
 
Worth pondering, eh?

The newspaper article quoted Canadian political observers on the possible reasons for what the Canadians considered “depressed” turnout. The pandemic was one possibility, and attitudes about the need for this particular election were also mentioned. But the observation that really struck me was this one:

“We’ve historically had really high trust in our democratic institutions, in our election process … and I think that the challenges that they faced in this election are going to take some time to rebuild confidence in our elections.”

That prompted me to consider just where we are in today’s U.S. If turnout depends upon trust in the integrity of the electoral system, what can we expect in the wake of the GOP’s Trumpian assault on that integrity?

If a decision to vote requires trust– trust that one’s vote will count, trust that the election is being honestly run, trust that there is a meaningful difference between the candidates for office, trust that the people who’ve earned your vote will do their best to follow through on their promised agendas–what happens when a significant portion of the GOP believes, in the face of all evidence to the contrary, that voter fraud is rampant and the 2020 election was rigged?

It isn’t just trust in the administration of elections–trust in government has been steadily ebbing in the US. The evidence goes well beyond our pathetic voter turnout figures. If that meant that we could count on a direct correspondence between low turnout and the distrust that has led to virulently anti-government sentiment, we might expect a lot of Republicans to stay home in 2022 and 2024 (and from my perspective, that would be a very good thing).

But of course, it’s never that simple.

One of the regular readers of this blog sent me a You Tube interview between a scholar with the Humphrey School of the University of Minnesota and  Stan Greenberg, the former Yale professor who’s been a Democratic pollster pretty much forever. Greenberg explained Trump’s 2016 win by pointing out that his racist appeal had generated turnout from people who’d never before voted—and according to his research, those previous non-voters remain engaged.

Evidently, they do have trust–trust that the current iteration of the GOP will protect White Christian dominance.

One of the oldest and truest rules of politics is that turnout is everything. It doesn’t matter how many Americans agree with party A or party B–as the saying goes, the only poll that matters is the one on Election Day.

The only way to ensure robust turnout of voters for what is currently the only sane party is for the Democrats to pass their agenda–especially the expansive infrastructure bill and the voting rights bill–and demonstrate that government can work, that Democrats can be trusted, that the right to participate in democratic deliberation via the ballot box can be protected.

To be clear, I’m not saying the Democrats are right about everything, only that they are currently the only sane option. We are truly at an inflection point, and constitutional government is in the cross-hairs.

Meanwhile, the Earth keeps warming, the GOP is now entirely the party of the batshit crazies, and I am very afraid that the Democrats will be unable to control their circular firing squad.

The world my grandchildren will inherit looks very scary….

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The Science Of Democracy

“If Scientific Literacy is the Answer, What’s the Question?” is the provocative title of an online article by my friend Eric Meslin. Eric is a native of Canada– a bioethicist who left IUPUI a couple of years ago to become President and CEO of the Council of Canadian Academies. He wrote the article as part of a celebration of Canada’s “Science Literacy Week.”

Canada has a “Science Literacy Week.” Sort of makes an American cry….

I remember when people in the United States respected science. And education. That, of course, was before Trump, Pence and Betsy DeVos scorned bookish “elitists,” elevated religion over science, and job training over education. But I digress.

Eric reported on a 2014 Expert Panel assessment Science Culture: Where Canada Stands that found Canadians having mostly positive attitudes towards science and low levels of apprehension about science compared with citizens of other countries. Nevertheless,

The assessment also found only 53% of Canadians understood that antibiotics were not effective against viruses; only 46% were able to describe what it meant to study something scientifically (that is, using the scientific method); and that around 42% of the population had attained a basic enough level of science literacy that they could grasp general coverage of scientific and technological stories in the media. And yet, these results rated Canada as the most scientifically literate country in the world.

Why should science literacy matter? Eric points to the “tsunami” of information available, and the need to cull what is useful and well-founded from the mountains of speculation, disinformation and conflicting reports (to which I would add outright peddling of snake-oil.)

Maneuvering in a busy world of science information gives one answer to the question, why does science literacy matter? Knowing something about science can help distinguish between claims that are truthful from those that are not, to understand which new information should be heeded and what can be set aside for the moment. Indeed, part of being science literate is knowing where to find the resources to make sense of the scientific evidence.

Perhaps the most important argument for improving science literacy is the connection between a basic understanding of the scientific method and democratic self-governance. As Eric explains that connection:

As important as science literacy is for people to understand science, a science-literate public may also be the best hope for a well-functioning democracy.

This view sees science literacy as an antidote to the many varieties of fundamentalism that undermine pluralistic, cosmopolitan, multicultural democracies. A science literate society not only better understands the science behind a policy (e.g., it is a good idea to know a little bit about stem cell science before deciding whether to fund it), a science literate public also understands how to think carefully about how policy gets made, who decides, and using what criteria. When decisions are made to build bridges, dams or pipelines; to regulate chemicals and food; or to require vaccination, or fluoridate water, a science-literate public is applying its critical thinking skills to policy making in society.

Scientifically-literate citizens won’t always come to the same conclusions, but their debates are far more likely to be illuminating and productive than the arguments between, for example, the scientific community and the troglodytes who use biblical passages to dismiss the threat of climate change.

Eric also quoted a favorite book of mine: Timothy Ferris’ The Science of Liberty. As I wrote a few years ago,

Ferris argues convincingly that the democratic revolution was sparked by the scientific one. The new approach to governing wasn’t merely a function of the embrace of reason, because–as current events keep reminding us–people can reason themselves into all sorts of conclusions that have a tenuous connection to reality. Science was the new ingredient, and while science requires reason, it isn’t just reason. It’s empiricism, experimentation…the same sort of experimentation that is the basis for democratic governance.

It was the advent of science and the scientific method that underscored the importance of decisions based on evidence.  As Ferris notes, dogma ruled the world before science came along, and dogma remains the preference of the majority of people today. (If you doubt the accuracy of that observation, look at Congress. Or Texas. Or, unfortunately, the Indiana Statehouse.) But democracy is not a dogma–it’s a method,a process not unlike the scientific method.

It is well to recognize that when strident anti-intellectual political figures attack scholarship as “elitism,”  when they dismiss scientific consensus on everything from evolution to climate change, when they call for “repealing” the Enlightenment, it isn’t only science they are attacking.

It’s democracy as we understand it.

The U.S. isn’t doing so well in either science or democracy these days. One more reason to envy Canada…

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Poverty and Social Capital

One of the least-recognized consequences of the gap between rich and poor and the growth and perpetuation of the ALICE phenomenon is the effect of poverty on social capital. Social capital is a shorthand term for networks of relationships among people in a society; the ubiquity and strength of those relationships has been shown to be essential to the successful functioning of that society.

In the wake of Trump’s disastrous behavior at the G7 meetings, The New Yorker had a fascinating article about Justin Trudeau and the extent to which Canadian social capital allowed him to (politely but firmly) stand up to America’s Bully-in-Chief. Trudeau made it clear that he and his country would not be intimidated.

Trump responded with gangster-style threats and sneers, followed by more threats and sneers from his associates. Trudeau, a young man generally thought to lack the great prime-ministerial gravitas of his late father, Pierre, emerged as a statesman and a leader. On Monday, the Canadian Parliament voted its unanimous support for his statements.

So what is it about Canadian national character that allows the country to stand up to bullies?

Famously obliging in attitude—how do you get twenty-five Canadians out of a swimming pool? You say, “Please get out of the swimming pool”—Canadians are also notoriously stubborn of spirit. What gives them backbone alongside their gift for compromise, allowing them to bend equably and then snap back sharply? …

Canadian democracy is supported by some of the strongest social capital in the world, exceeded only, by most academic measures, by that of Scandinavia and New Zealand. Trust in social institutions, in the honesty of government and the solidarity of citizens, remains strong in Canada, even when its results, as with the election of Doug Ford—the smarter brother of the late Rob Ford, the onetime mayor of Toronto—to the premiership of Ontario, is not what progressive-minded people might like. Though the United States now ranks below Canada, it still scored high in recent registries. But it once led the world in social capital. Can it do so again?

Social capital is generated through civic involvement. Adam Gopnik, who authored this essay, refers to a seminal study by Robert Putnam (he of Bowling Alone fame), analyzing differences in governance between north and south Italy.

Putnam discovered that the existence of “intermediate institutions” was crucial: in northern Italy, where citizens participate actively in sports clubs, literary guilds, service groups, and choral societies, regional governments are “efficient in their internal operation, creative in their policy initiatives and effective in implementing those initiatives.” In southern Italy, by contrast, where patterns of civic engagement are far weaker, regional governments tend to be corrupt and inefficient.

As most of us learned in U.S. History, the first person to notice the importance of civic engagement to the probity of governing institutions was de Tocqueville, who attributed what he deemed to be laudable American characteristics to widespread participation in the new country’s numerous civic and voluntary organizations.

Civic engagement, however, requires resources–namely time and energy. ALICE families–struggling to put food on the table, balancing the cost of diapers against the due date for the rent, stressed when the ten-year-old car or the twenty-year-old furnace gives up the ghost, or a doctor’s bill must be paid–have neither.

It’s no wonder the voices of the poor are so seldom heard in the halls of our legislatures, or via the ballot box. When simply surviving is the order of the day–when it consumes all of your time and energy–there isn’t anything left over from which to construct social capital.

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Oh, Canada!

Today, my husband and I return from a ten-day trip that took us out of the U.S. and—far more consequentially—much of the time, out of areas in which we had access to the internet. My blog platform allows me to schedule posts, but my ability to share those posts on Facebook was pretty hit or miss. So—apologies to readers for the lack of regularity.

It’s experiences like this that make me realize how utterly dependent I have become upon today’s technology, and how helpless I feel when I can’t immediately read and respond to emails, or consult Dr. Google to find information.

This particular trip was a long-planned cruise vacation with our younger two grandchildren, ages 12 and 14. No parents invited. We began in Boston, and ended with Quebec City and Montreal, Canada. (Along the way, I think we guaranteed the continued profitability of Gray Lines tours…)

In many ways, visiting Canada doesn’t seem different from visiting other parts of the U.S. Even in Quebec, where French is the “first” language, everyone speaks English, and the clothes and customs are familiar. Starbucks and McDonalds and Subway are ubiquitous.

But there are differences, and they reflect well on Canada. And not so well on us.

The news was full of stories about Canadians’ embrace of Syrian refugees, for example. Canadian families wanting to “adopt” a refugee family (in the sense of helping that family acclimate, find housing and employment, and willingness to function as a resource) significantly outnumber available “adoptees.” The articles provided an embarrassing contrast to so many Americans’ deeply suspicious and negative response to that same refugee population.

Then there was the contrast provided by Canada’s physical and social infrastructure.

Quebec’s sprawling historic districts were meticulously maintained. Streets everywhere we went were free of potholes, and public art was everywhere—including on the sides of buildings and on the supports for highways. In both cities, public parks, public squares and other public spaces were everywhere and filled with people. Montreal, we are told, was just named one of the globe’s “smart cities.” (We were duly grateful–we finally had  wifi!)

Canadians all seemed to approve of their Premier. Those with whom we spoke were uniformly grateful for and supportive of the country’s national health care system. Several taxi drivers bragged about the efficiency of their cities’ winter snow removal (given the amount of snow they get, it’s an obvious priority.)

And everyone with whom we interacted was so polite….albeit quite willing to share with Americans that they are appalled and repulsed by Donald Trump.

Travel is generally instructive, if only to make us look at our own cities with fresh eyes—to ask ourselves what our cities and neighborhoods would look like to someone from another country. What would we brag about? What would embarrass us?

A few days as a tourist allows only a very superficial assessment of any city or country. I have no idea what civic or governmental problems bedevil the residents of the charming places we visited, what urban challenges are unmet, what social problems remain unresolved.

Still—it’s hard not to get a bit wistful when you see all that well-maintained infrastructure…..

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