Grif comments on MetaMed: Evidence-Based Healthcare - Less Wrong
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Comments (191)
caveats: they're new; it's hard to do what they're doing; they have to look serious; this is valuable the more it's taken seriously.
They have really wonderful site design/marketing...except that it doesn't give me the impression that they will ever be making the world better for anyone other than their clients. Here's what I'd see as ideal:
On a more profiteering viewpoint, they could offer a report for either $5k for a private report, or $3k for a public report, with a promise to charge $50 for the public report until they reach $5k (or $6k, or an internal number that isn't unreasonable) and then release it.
Most people who are seriously sick tend to get into a pretty idealistic mode, is my experience, and would actually be further convinced by putting their $5k both to help themselves and to help others, and while sure, they could release the report themselves, metamed has a central, more trustable platform. If they want me to believe that they're interested in doing that kind of thing, it'd be nice if they had something up there to show me that they hope to.
On preview, I realize that the easy objection is that these are personalized reports, and data confidentiality is important. They obviously will only be able to publish pieces of reports that are not personal, and this is obviously a more costly thing than just tossing a pdf up on a website. Hm.
All of that said, they look like a really exciting company, I really hope they do well (and then take my advice =).
I suspect that later, when they have more presence in the public and expert view, they will open up new payment options to increase visibility of their reports, but only after they have employed significantly more researchers and run them through rigorous epistemic ethics training. Otherwise, there's little stopping a Big Pharma company from hiring Metamed for a $3,000 report, and then posting a biased summary of the report on their news page, along with an "APPROVED BY METAMED" sticker. Even worse if Metamed considers the "approval sticker" to be useful to spreading awareness of evidence-based medicine. The potential for corruption is just too high.