Advocating for Comparative Effectiveness Research

Comparative Effectiveness Research is guided by the goal of creating information capacities regarding the best comparative evidence base on treatment effectiveness, side effects, and benefits of different treatment options. The CER process is one that attempts to de-center the shroud of secrecy and scientific legitimacy that the medical industry (pharmaceuticals, physicians etc.) rely on. What is most important about the CER process is the implicit acknowledgement that is built into it: that the culture of medicine operates often under a great deal of uncertainty, misinformation, and lack of solid information. The CER process therefore seeks to a) foster a scientific evidence base for comparing different treatments, and b) de-center the blindfolded legitimacy patients put in physicians by seeking to put information in the hands of patients.

It is precisely in this backdrop that I have witnessed resistance from physicians about CER in one-on-one interactions with them. That the transparency of information in CER threatens the privilege that many physicians enjoy in the status quo (based on the fundamentalism of science) does not come as a surprise. What however does come as a surprise is the argument that is being used by physicians and several lobbies funded by physicians: that patients don't know what is good for them, and medical decisions are best left in the hands of physicians.

Consider the hypocrisy of the argument that uses the language of science to make the very processes of science invisible to local communities. Part of the medical establishment is up in arms about CER precisely because physicians are scared about what this means for their practices and profts.

Personally, I am excited about what the CER processes promise to bring into medicine in the US, perhaps an opportunity for culture change, one that moves medicine from this hollow relic of sacredness that it occupies to a practice that is constituted in relationships, through struggles, and through the practices of healing and curing that work in the intimate spaces of phsyician-patient relationships, working together to heal the marks of disease and illness.

The Haka, the Hurt, and the Work We Owe

The Haka, the Hurt, and the Work We Owe An Indian in Aotearoa reflects on resistance, complicity, and the solidarities we have yet to build Mohan Jyoti Dutta I watched the haka. I watched it several times, in fact. Each time, I tried to sit with what I was feeling before reaching for what I was supposed to think. Let me be honest about who I am in this conversation, because that matters. I am an upper caste, upwardly mobile Indian man. I am a professor at a university in Aotearoa. I carry the accumulated privileges of Brahminical socialisation, of English-medium education, of institutional access that was never designed for the communities I now write about and alongside. I say this not as confession but as orientation — because where you stand shapes what you see, and I have learned, through years of working with communities at the margins, that the refusal to name your own location is itself a colonial habit. The haka directed at Parmjeet Parmar did not offend me. It ...

The Suit Walks the Corridor

The Suit Walks the Corridor At ten past nine on a Monday the corridor on the top floor of the administration building fills with the sound of expensive shoes. The carpet up here was laid in the last refurbishment and still gives slightly underfoot, the way a good hotel lobby does, and the doors along it close with the soft, well-engineered thud of a German car. Along this carpet, in the direction of the lift marked Executive, comes the suit. It comes in navy and in charcoal, in the odd daring pinstripe, in the female version too, a tailored jacket over a silk shell, and heels that announce themselves on the tile of the lift lobby a full three seconds before the person arrives. The suit carries a flat white from the good cafe, the one that closed the student cafe to open, and a lanyard that swings with the confidence of a thing that opens doors. The suit passes the framed founding professors, who were photographed in gowns and look, at this distance, like a row of disapproving pe...

The Substack and the Slur: How a Manufactured Crisis Toppled a Wahine Māori Political Editor

The Substack and the Slur: How a Manufactured Crisis Toppled a Wahine Māori Political Editor On the architecture of the Aotearoa culture-war machine, and the danger it poses to a democracy heading into 2026 There is a particular cadence to the afternoon on which the career of a senior Māori journalist at TVNZ is finished. It is unhurried. It begins with a tweet — in this case, a single image of a typed statement, posted by Maiki Sherman, the now-former political editor of TVNZ, on the afternoon of Friday, 8 May 2026, announcing that she had parted ways with the broadcaster. The post was terse, dignified, and final. As RNZ later reported , Sherman wrote that the scrutiny of the previous week had placed enormous pressure on her and rendered her role "untenable." The first wahine Māori to lead a major broadcaster's political team was gone. The story that finished her had not, ten days earlier, existed in any newspaper, on any wire, on any website you would consider mai...

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