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In our amazingly fast digital world, the collection of data has become very powerful. The power in numbers to help a client operate more efficiently, to help a lawmaker make a critical vote that will impact her constituents in countless ways, or even how an individual buys a car or house – all of these decisions are shaped by data gathered, analyzed, and acted upon. I like to think of it as data provides wisdom to make more powerful decisions.
The power in data comes from the analysis itself. It just cannot be a set of numbers in an Excel spreadsheet. What do they mean? Where are they from? What do they mean in relationship to one another? What trends do you see? What trends don’t you see? How does your data compare to some baseline? These are all types of questions that must be asked by those that want to use data to further their business, government, and/or personal decision making skills. The really cool thing about data analysis is that it is an incredibly creative and exciting process.
Experts have always posed a problem for democracies. Plato scorned democracy, rating it the worst form of government short of tyranny, largely because it gave power to the ignorant many rather than to knowledgeable experts (philosophers, as he saw it). But, if, as we insist, the people must ultimately decide, the question remains: How can we, non-experts, take account of expert opinion when it is relevant to decisions about public policy?
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we need to reflect on the logic of appeals to the authority of experts. First of all, such appeals require a decision about who the experts on a given topic are. Until there is agreement about this, expert opinion can have no persuasive role in our discussions.
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Another requirement is that there be a consensus among the experts about points relevant to our discussion. Precisely because we are not experts, we are in no position to adjudicate disputes among those who are.
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In many Western jurisdictions, the law presumes that adult persons, and sometimes children that meet certain criteria, are capable of making their own health care decisions; for example, consenting to a particular medical treatment, or consenting to participate in a research trial. But what exactly does it mean to say that a subject has or lacks the requisite capacity to decide? This last question has to do with what is commonly called “decisional capacity,” a central concept in health care law and ethics, and increasingly an independent topic of philosophical inquiry.
Decisional capacity can be defined as the ability of health care subjects to make their own health care decisions.
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