Objecting to experiments that compare two unobjectionable policies or treatments.


Journal

Proceedings of the National Academy of Sciences of the United States of America
ISSN: 1091-6490
Titre abrégé: Proc Natl Acad Sci U S A
Pays: United States
ID NLM: 7505876

Informations de publication

Date de publication:
28 05 2019
Historique:
pubmed: 11 5 2019
medline: 31 3 2020
entrez: 11 5 2019
Statut: ppublish

Résumé

Randomized experiments have enormous potential to improve human welfare in many domains, including healthcare, education, finance, and public policy. However, such "A/B tests" are often criticized on ethical grounds even as similar, untested interventions are implemented without objection. We find robust evidence across 16 studies of 5,873 participants from three diverse populations spanning nine domains-from healthcare to autonomous vehicle design to poverty reduction-that people frequently rate A/B tests designed to establish the comparative effectiveness of two policies or treatments as inappropriate even when universally implementing either A or B, untested, is seen as appropriate. This "A/B effect" is as strong among those with higher educational attainment and science literacy and among relevant professionals. It persists even when there is no reason to prefer A to B and even when recipients are treated unequally and randomly in all conditions (A, B, and A/B). Several remaining explanations for the effect-a belief that consent is required to impose a policy on half of a population but not on the entire population; an aversion to controlled but not to uncontrolled experiments; and a proxy form of the illusion of knowledge (according to which randomized evaluations are unnecessary because experts already do or should know "what works")-appear to contribute to the effect, but none dominates or fully accounts for it. We conclude that rigorously evaluating policies or treatments via pragmatic randomized trials may provoke greater objection than simply implementing those same policies or treatments untested.

Identifiants

pubmed: 31072934
pii: 1820701116
doi: 10.1073/pnas.1820701116
pmc: PMC6561206
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

10723-10728

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2019 the Author(s). Published by PNAS.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Michelle N Meyer (MN)

Center for Translational Bioethics and Health Care Policy, Geisinger Health System, Danville, PA 17821; michellenmeyer@gmail.com.

Patrick R Heck (PR)

Center for Translational Bioethics and Health Care Policy, Geisinger Health System, Danville, PA 17821.
Autism and Developmental Medicine Institute, Geisinger Health System, Lewisburg, PA 17837.

Geoffrey S Holtzman (GS)

Center for Translational Bioethics and Health Care Policy, Geisinger Health System, Danville, PA 17821.
Autism and Developmental Medicine Institute, Geisinger Health System, Lewisburg, PA 17837.

Stephen M Anderson (SM)

Center for Translational Bioethics and Health Care Policy, Geisinger Health System, Danville, PA 17821.
Autism and Developmental Medicine Institute, Geisinger Health System, Lewisburg, PA 17837.

William Cai (W)

New York City Lab, Microsoft Research, New York, NY 10011.

Duncan J Watts (DJ)

New York City Lab, Microsoft Research, New York, NY 10011.

Christopher F Chabris (CF)

Autism and Developmental Medicine Institute, Geisinger Health System, Lewisburg, PA 17837.
Institute for Advanced Study in Toulouse, 31015 Toulouse, France.

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