Comment by timr
16 hours ago
> (frankly astounding) findings produced by SDOH research
I'm telling you, these same "astounding" findings were around 20 years ago. I learned about them when I was an undergraduate. They haven't changed.
Things can be astounding and still be old news. Quantum mechanics were astounding in 1930. Doesn't mean we should firehose money into standard model research. The world moves on.
> You would prefer we spend all of our money on the 10-15% of health outcomes determined by actual medical care and simply ignore the remainder, and you argue this from a point of "logic?"
No. Next question.
I suspect, based on your disposition towards it, you actually are not keeping up with the latest in SDOH research, and so I'm not sure where your confidence comes from as to whether we're firehosing money into "standard model research" or whether we're building a more refined and useful picture of stuff that was more vaguely understood 20 years ago.
Is this a field you've been following closely, or am I listening to the equivalent of a person with no interest in quantum mechanics complaining that nothing new has happened in quantum mechanics?
> I suspect, based on your disposition towards it, you actually are not keeping up with the latest in SDOH research,
Man, you guys keep finding fun new ways of saying "if you don't like what I like, you must be uninformed".
Instead of doing that, inform me: what revolutionary new finding in SDOH have we discovered in the last 20 years? Prove me wrong.
> I'm not sure where your confidence comes from as to whether we're firehosing money into "standard model research" or whether we're building a more refined and useful picture of stuff that was more vaguely understood 20 years ago.
That's called a metaphor. Feel free to substitute any other example that you feel better illustrates the concept of "studying a question we already know the answer to".
Knowledge is always fractal, so it's not particularly responsive to argue that there might be something we don't know about the thing we've already intensively studied. Of course there might be...but when there are lots of questions we don't know the answer to, it's smarter to focus on those, instead.
Sure here's one revolutionary new finding in that timeframe: that a person's social/cultural environment affects DNA methylation and gene expression for the rest of their lives.
Here's another one: a person's perception of whether they "are" rural is actually a better predictor of their health outcomes than whether they actually are rural. I.e. two neighbors living side by side in suburban America, the one who perceives themselves to be rural will have dramatically worse outcomes than the one who perceives themselves to be urban/suburban.
These are both potentially useful things to know as we try to eliminate extreme health disparities between Americans.
You seem to think we have all the answers though, so what's the answer? How do we do it?
FWIW, the specific cited research where she's trying to quantify the health impacts of living near pollution sources is actually important for e.g. lawsuits where people try to hold corporations accountable for poisoning their children. Any value in that?
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