When Trust Collapses: Efficacy, Safety, and the Architecture of Deception

There is a word that runs like a current beneath this entire discussion: trust. Trust is not sentimental. It is not emotional fragility. It is a structural requirement for any functioning medical system. When you extend your arm for an injection, when you swallow a pill, when you allow a physician to advise you on behalf of your child, you are engaging in a profound act of trust. You are accepting that the person and the institution behind that recommendation have weighed the evidence honestly, disclosed the risks fully, and placed your well-being above profit, politics, or prestige.

https://garynull.substack.com/p/when-trust-collapses-efficacy-safety