Most of us like to think our decisions are grounded in facts. Whether it’s in medicine, business, or everyday life, we assume the “best” option rises to the top through clear evidence.
But for most of history — and even today — that hasn’t really been the case.
In this episode, I talk with science journalist Helen Pearson, author of Beyond Belief: How Evidence Shows What Really Works, about the surprisingly recent rise of evidence-based thinking, why it transformed fields like medicine, and why it still struggles to take hold in others.
We discuss how doctors once relied more on authority than data, why a single study can be misleading, and how systematic reviews became the gold standard for figuring out what actually works. Helen also explains how these ideas have spread into social policy and business — with mixed success — and why human nature often resists evidence, even when it’s right in front of us.
Along the way, we get into how to spot bad claims, why misinformation spreads so easily today, and how you can become a sharper, more evidence-minded thinker in your own life.
Show Highlights
- Why evidence-based medicine is a surprisingly recent development
- The two pioneers who helped change how doctors make decisions
- What was wrong with the old “eminence-based” approach
- Why one study rarely tells you the truth
- What a systematic review is and why it matters
- How the Cochrane Collaboration helps doctors cut through information overload
- The challenge of dealing with millions of new studies every year
- What COVID revealed about our evidence systems under pressure
- How evidence-based thinking moved into social policy and reduced poverty
- Why most policies and programs still aren’t properly tested
- The problem with “HIPPOs” (Highest Paid Person’s Opinion) in business
- Why management is especially vulnerable to fads and trends
- How AI is both helping and complicating scientific research
- Why evidence alone isn’t enough to make decisions
- How to teach kids (and yourself) to spot bad claims
- Simple “evidence hacks” you can use in everyday life
Resources Related to the Podcast
- Beyond Belief: How Evidence Shows What Really Works by Helen Pearson
- The Cochrane Collaboration
- Helen Pearson
If you’re looking to make better decisions — in your work, your health, or your everyday life — this episode will give you a clearer lens for separating what works from what just sounds good.
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