As far as I can see, basically the authors of the paper want decouple the idea of "truth" from empirical reality and evidence.
That's not true. The ‘regimes of truth’ used by judges at court don't decouple truth from empirical reality and evidence. At the same time it's not the same ‘regime of truth’ used in EBM. They argue against monoculture and that there's one standard of truth that everybody in science has to follow.
That not only means that the existing questions might get biased answers but also that important questions don't get scientific investigation because they are not interesting in the EBM paradigm. That's classic Kuhn. Scientific paradigms not only determine answers but also questions and old questions often get forgotten with new paradigms.
They bring the question: How should a woman assign meaning to the diagnosis she just received that,
genetically, she has a 40% probability of developing breast cancer in her lifetime? What will this number mean in real terms, when she is asked to evaluate the meaning of such personal risk in the context of her entire life, a life whose value and duration are themselves impossible factors in the
equation?
Under classic EBM that's not a question about which you can write a scientific paper.
that there's one standard of truth that everybody in science has to follow.
Yes, I think that's about correct -- there should be.
because they are not interesting
Whether a question is "interesting" has nothing to do with single or multiple standards of truth.
The bring the question: `How should a woman assign meaning..."
That's not a question for science. It's a question for a psychotherapist, lay or professional.
that's not a question about which you can write a scientific paper
Correct and I like it this way. Not everything has to be science.
If it's worth saying, but not worth its own post (even in Discussion), then it goes here.
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