{"id":153,"date":"2015-02-24T23:59:29","date_gmt":"2015-02-25T04:59:29","guid":{"rendered":"http:\/\/www.datagoneodd.com\/blog\/?p=153"},"modified":"2015-02-24T23:59:59","modified_gmt":"2015-02-25T04:59:59","slug":"recognizing-bias","status":"publish","type":"post","link":"http:\/\/www.datagoneodd.com\/blog\/2015\/02\/24\/recognizing-bias\/","title":{"rendered":"Recognizing bias"},"content":{"rendered":"<p>This post will not deal with statistics (I know, 3 posts in and I&#8217;m already breaking with my proposed theme), though it does have to do with one of the reasons I think we let bad stats persuade us. Once we make our mind up about an issue, it seems all too easy to just take anything that conforms to our view of reality as true without any real verification. \u00a0If I intend to blog about others drawing dubious conclusions, I figure it is only fair that I point out when I do it as well.<\/p>\n<p>It should surprise no one that this started with social media. \u00a0Yesterday I saw a post or tweet linking to a story about Idaho representative\u00a0Vito Barbieri asking if a woman could swallow a camera for a remote gynecological exam. \u00a0<a href=\"http:\/\/www.spokesman.com\/blogs\/boise\/2015\/feb\/23\/lawmakers-question-spurs-impromptu-anatomy-lesson\/\" target=\"_blank\">Here<\/a> is an example of one such article<sup class='footnote'><a href='#fn-153-1' id='fnref-153-1' onclick='return fdfootnote_show(153)'>1<\/a><\/sup>. I fell for it hook, line, and sinker.<!--more--><\/p>\n<p>What I should have done is tried to find the hearing transcript or video of the testimony. \u00a0Instead, I had no problem believing that a white, male, Republican from a conservative\u00a0state would say something\u00a0that showed such a profound lack of knowledge of the female body, ala <a href=\"http:\/\/www.politico.com\/news\/stories\/0812\/79864.html\" target=\"_blank\">Todd Akin<\/a>. \u00a0I also made the requisite snarky comments on the internet. \u00a0Had I bothered to do my research, here is what I would have found:<\/p>\n<p>The hearing in question was on <a href=\"http:\/\/www.legislature.idaho.gov\/legislation\/2015\/H0154.htm\" target=\"_blank\">Idaho House Bill 154<\/a>. \u00a0The stated <a href=\"http:\/\/www.legislature.idaho.gov\/legislation\/2015\/H0154SOP.pdf\" target=\"_blank\">purpose<\/a> of House Bill 154 is as follows:<\/p>\n<blockquote><p><em>This\u00a0legislation\u00a0requires\u00a0a\u00a0physician\u00a0to\u00a0conduct\u00a0an\u00a0in-person\u00a0examination\u00a0and\u00a0counseling\u00a0of\u00a0a\u00a0pregnant\u00a0woman\u00a0prior\u00a0to\u00a0prescribing\u00a0abortion-inducing\u00a0drugs.<\/em><\/p><\/blockquote>\n<p>The issue here was purportedly one of safety <sup class='footnote'><a href='#fn-153-2' id='fnref-153-2' onclick='return fdfootnote_show(153)'>2<\/a><\/sup>. As part of the hearing, Dr. Julie Madsen testified opposing the bill and part of her testimony was about the relative safety of abortions. \u00a0Her full testimony can be heard <a href=\"https:\/\/www.youtube.com\/watch?v=3jg6gMj4Km4#t=4541\" target=\"_blank\">here<\/a> starting at ~1:15:49. Part of her argument was that abortions were much less risky than even colonoscopies, which are generally considered to be a safe procedure. \u00a0Here is where all the controversy started. \u00a0At <a href=\"https:\/\/www.youtube.com\/watch?v=3jg6gMj4Km4#t=5240\" target=\"_blank\">1:27:20<\/a> Rep. Barbieri appeared to be trying to make the point that comparing colonoscopies to pharmaceutical abortions was not a valid comparison<sup class='footnote'><a href='#fn-153-3' id='fnref-153-3' onclick='return fdfootnote_show(153)'>3<\/a><\/sup> and so he asked the following:<\/p>\n<blockquote><p><em>You mentioned the risk of colonoscopy, can that be done by drugs?<\/em><\/p><\/blockquote>\n<p>Dr. Madsen, wanting to bring up an applicable corollary to telemedicine answered as follows:<\/p>\n<blockquote><p><em>Mr. Chairman, Representative Barbieri \u2013 it cannot be done by drugs. It can however be done remotely, where you swallow a pill and this pill has a little camera and it makes its way through your intestines, and those images are uploaded to a doctor who is often thousands of miles away who then interprets that.<\/em><\/p><\/blockquote>\n<p>It was here that Barbieri found an opportunity to make a point that this whole issue was really about safety. \u00a0One of the supposed risks of allowing doctors to prescribe abortion drugs through telemedicine is that if a doctor is not there to monitor the patient, there could be excessive bleeding that might go untreated. While, in the case of colonoscopies, a camera pill could be swallowed, there is not an easy way for a patient to get a camera into her own uterus. \u00a0So he asked, rhetorically:<\/p>\n<blockquote><p><em>Follow up \u2013 can this same procedure then be done in a pregnancy? Swallowing a camera and helping the doctor determine what the situation is<\/em><\/p><\/blockquote>\n<p>At this point, Dr. Madsen delivered her now famous reply:<\/p>\n<blockquote><p><em>Mr. Chairman and Representative \u2013 it cannot be done in pregnancy, simply because when you swallow a pill, it would not end up in the vagina.<\/em><\/p><\/blockquote>\n<p>To which Barbieri sarcastically responded:<\/p>\n<blockquote><p><em>Fascinating, that certainly makes sense, Doctor.<\/em><\/p><\/blockquote>\n<p>It was at this point that the internet went into the usual hysterics, which I bought into without hesitation. Now it is one thing to pass this story along without question, but what really disappoints\u00a0me in this case are the actions of people that knew what actually went on. \u00a0In case you can&#8217;t tell by some of my earlier comments, my opinions on the issue of abortion are decidedly pro-choice. \u00a0As such, I have made donations to Planned Parenthood (as well as abortion access funds). \u00a0In this case, however, I find the <a href=\"http:\/\/www.ppvotesnw.net\/2015\/02\/24\/ppvnw-statement-on-hb-154-and-vito-barbieris-ridiculous-comments\/\" target=\"_blank\">statement<\/a> released by Planned Parenthood Votes Northwest to pretty blatantly misrepresent the situation. \u00a0If you listen through the rest of the testimony you will hear from Planned Parenthood\u00a0Idaho Legislative Director Hannah Brass Greer, so we know she was at the hearing. \u00a0However, despite knowing what actually happened, here is what she had to say:<\/p>\n<blockquote><p><em>Today\u2019s comments demonstrate exactly why politicians should not be in the business of making medical decisions. In Idaho and across the country, women deserve the freedom and privacy to make the private decisions that are best for themselves and their families.\u00a0 We already knew that these politicians are only interested in restricting access to essential medical services, and after today we can confirm they don\u2019t even have the most basic knowledge of the human body to have an informed opinion. Women deserve better leadership from our elected officials.<\/em><\/p><\/blockquote>\n<p>To their credit, PPVNW does provide a link to an excerpt of the testimony as well as a brief transcript of what was said, but I still struggle to describe their statement as anything short of deceptive.<\/p>\n<p>My overarching point here is that when looking at evidence on a subject you have a pre-existing opinion of, it is particularly import to verify that the information is actually credible and not just accept it at face value because it agrees with what you already believe to be true.<\/p>\n<p>Oh, and pro-tip to Idaho Republicans. \u00a0If you want people to believe your bill is actually about women&#8217;s health &amp; safety<sup class='footnote'><a href='#fn-153-4' id='fnref-153-4' onclick='return fdfootnote_show(153)'>4<\/a><\/sup> and not just a a thinly veiled attempt to decrease abortion access, in the future you might want to avoid\u00a0having the <a href=\"http:\/\/www.spokesman.com\/blogs\/boise\/2015\/feb\/23\/party-line-vote-house-panel-passes-controversial-anti-abortion-bill\/\" target=\"_blank\">bill drafted<\/a> by the <a href=\"https:\/\/www.linkedin.com\/pub\/david-ripley\/11\/799\/368\" target=\"_blank\">Executive Director of Idaho Chooses Life<\/a><\/p>\n<div class='footnotes' id='footnotes-153'>\n<div class='footnotedivider'><\/div>\n<ol>\n<li id='fn-153-1'> I believe the original article I saw was <a href=\"http:\/\/www.startribune.com\/lifestyle\/health\/293718211.html\" target=\"_blank\">here<\/a>, however it has since been updated to include some more relevant details <span class='footnotereverse'><a href='#fnref-153-1'>&#8617;<\/a><\/span><\/li>\n<li id='fn-153-2'> That is pretty clearly bullshit, but I&#8217;ll get to that later <span class='footnotereverse'><a href='#fnref-153-2'>&#8617;<\/a><\/span><\/li>\n<li id='fn-153-3'> The irony here is that the reason why this isn&#8217;t a fair comparison is part of the Dr&#8217;s point\u00a0&#8211; in general even low risk surgery is likely to be riskier than a properly prescribed prescription <span class='footnotereverse'><a href='#fnref-153-3'>&#8617;<\/a><\/span><\/li>\n<li id='fn-153-4'> For some reason their concern&#8217;s for a women&#8217;s safety never seems to consider the <a href=\"http:\/\/www.cdc.gov\/reproductivehealth\/MaternalInfantHealth\/SevereMaternalMorbidity.html\" target=\"_blank\">risks of pregnancy<\/a> <span class='footnotereverse'><a href='#fnref-153-4'>&#8617;<\/a><\/span><\/li>\n<\/ol>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>This post will not deal with statistics (I know, 3 posts in and I&#8217;m already breaking with my proposed theme), though it does have to do with one of the reasons I think we let bad stats persuade us. Once we make our mind up about an issue, it seems all too easy to just &#8230; <a title=\"Recognizing bias\" class=\"read-more\" href=\"http:\/\/www.datagoneodd.com\/blog\/2015\/02\/24\/recognizing-bias\/\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"generate_page_header":"","_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-153","post","type-post","status-publish","format-standard","hentry","category-argument-analysis"],"_links":{"self":[{"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/posts\/153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/comments?post=153"}],"version-history":[{"count":8,"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/posts\/153\/revisions"}],"predecessor-version":[{"id":161,"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/posts\/153\/revisions\/161"}],"wp:attachment":[{"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/media?parent=153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/categories?post=153"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.datagoneodd.com\/blog\/wp-json\/wp\/v2\/tags?post=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}