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The medical literature faces a knowledge crisis due to P-value testing, leading to spurious correlations. Addressing induction limitations and epistemological access can improve scientific understanding and patient care.

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Area of Science:

  • Epistemology
  • Philosophy of Science
  • Medical Research

Background:

  • The current scientific reproducibility crisis is rooted in a fundamental crisis of knowledge, specifically an epistemological one.
  • The prevalent use of null hypothesis testing with a P-value threshold of <.05 contributes to the medical literature being populated with spurious correlations instead of genuine knowledge.

Purpose of the Study:

  • To highlight three foundational issues contributing to the current crisis of knowledge in scientific research.
  • To propose a re-evaluation of scientific reasoning paradigms to foster more robust and reliable knowledge generation.

Main Methods:

  • Discussion of the problem of induction and its implications for scientific reasoning.
  • Introduction of the concept of epistemological access to explain limitations in extracting true findings from data.
  • Analysis of the iatrogenics of information, where increased data can paradoxically be detrimental.

Main Results:

  • Scientific reasoning, primarily inductive, is inherently limited by the problem of induction.
  • The concept of epistemological access demonstrates that low-level data is insufficient for uncovering true scientific findings.
  • The iatrogenics of information suggests that excessive data can impede knowledge acquisition and lead to ineffective treatments.

Conclusions:

  • Revisiting foundational issues in scientific reasoning is crucial for overcoming the reproducibility and knowledge crisis.
  • A deeper understanding of epistemology and data interpretation is necessary to ensure the integrity of scientific literature.
  • Addressing these issues can mitigate the harm caused by information overload and lead to more effective medical treatments.