> The medical establishment offers a shiny tempting solution. First, a total unwillingness to trust anything, no matter how plausible it sounds, until it’s gone through an endless cycle of studies and meta-analyses. Isn't this just... science? We learned from the ancient philosophers that really smart people can reason powerfully about a whole lot of things. But - if we want to know whether that reasoning holds up, i…
My experience (as an engineer) is that engineers get paid to manipulate the world around them in precise, predictable ways. As such, they tend to cultivate a core set of relatively simple principles (e.g. heat and material balances) which they take seriously by using to plan/design/etc their manipulations of the world. The engineer's creativity lies in finding new ways to combine the known-reliable principles, and stake their reputation on the result.
Scientists, on the other hand, are expected to come up with new principles. If they take too many ideas seriously, there is no room left for creative new explanations.
Medicine lies somewhere in between, insofar as doctors are trying to manipulate patient's health with the best principles they can find, but they also have to wear a scientists hat via diagnosis, i.e. figuring out which principles to apply to a patient.
And so the reaction to e.g. fundamentalism makes sense:
An engineer likes having a fundamental set of universal principles, and is comfortable using them to make plans for manipulating the world. They expect the religious world to work the same way as they do, and take those principles seriously.
A scientist wants to know "well I've got a new idea for a fundamental principle, how can we find out if I'm right?" And the fundamentalist has no answer.
A doctor will want to know how certain the fundamentalist is, and how they know those principles even apply to current situation, and the fundamentalist will have no answer.