It is true that some off-label drug use is based on very unsettled science and has more risks. But medicine - and not just cancer care - involves lots of hard choices. And the more serious the disorder, often the more likely it is that for every right and wrong treatment choice there are many other practical decisions painted in shades of gray.
Interpretation
Medical decisions often involve difficult choices and uncertainties.
This quote highlights the complexity of medical decision-making, particularly in cases involving off-label drug use. It suggests that while there are established treatments, there are many scenarios where choices are not clear-cut, and decisions must be made amidst uncertainty and varying degrees of risk, reflecting the complexities of healthcare.
In practice
During a medical conference discussing treatment options for complex conditions.
Science offers the chance to cure debilitating and once-intractable disorders like hemophilia and sickle cell disease. But we need to make sure the ability to access these therapies, or the risk that someone can be locked out of them, doesn't widen gaps between the rich and poor.
In fast moving fields like cancer, where doctors tailor treatments based on evidence that's constantly evolving, two years can be an eternity of waiting to learn about important science. For some patients, that interval can be fatal.
We need to make sure that access to a curative drug doesn't become a yardstick by which poverty is eventually measured. Doing so requires a shared commitment between innovators and the insurance plans that are harder pressed to offer these advances to the poor.
Whoever, in the pursuit of science, seeks after immediate practical utility, may generally rest assured that he will seek in vain.
As Darwin himself was at pains to point out, natural selection is all about differential survival within species, not between them.
I am no poet, but if you think for yourselves, as I proceed, the facts will form a poem in your minds.
Science is a human activity, and the best way to understand it is to understand the individual human beings who practise it. Science is an art form and not a philosophical method. The great advances in science usually result from new tools rather than from new doctrines. ... Every time we introduce a new tool, it always leads to new and unexpected discoveries, because Nature's imagination is richer than ours.
The word 'universe' is obviously not intended to have a plural, but science has evolved in such a way that we need a plural noun for something similar to what we ordinarily call our universe.
Theory attracts practice as the magnet attracts iron.
Subscribe for the occasional hand-picked quote. No noise.