A Critical Choice ■ 25
Eaton didn’t know the source of the original
claim that vaccines cause autism, but she knew
that in order to be scientifically literate and
make an informed decision for her daughter, she
needed to find it. Scientific claims directly affect
our lives because we make decisions based on
them. Some of these are small decisions: Should
I take a multivitamin every morning? How often
should I exercise?
Others are larger decisions: Should I vote to
support carbon taxes? Does a cell phone cause
tumors from radiation? Should I vaccinate my
children? The good news is that you can learn to
evaluate scientific claims. You can be skeptical
about claims and, using critical thinking, make
scientifically literate decisions for yourself.
Credentials, Please
Caroline was born in January 2010 (Figure 2.4).
Eaton had Caroline vaccinated when she was two
months old, but then Eaton found herself gripped
with fear. “I worried I was doing more harm than
good,” she says. Because of her rising fears, she
did not get Caroline’s four-month vaccinations.
Eaton sought out a pediatrician who would
discuss her fears about vaccination. Several
pediatricians refused to talk with her about a
delayed vaccination schedule; some even refused
to treat Caroline if she was not vaccinated.
Finally, Eaton found a pediatrician who was
willing to listen and discuss. After Eaton shared
her concerns about vaccine safety, the pediatri-
cian handed Eaton a book, Vaccines and Your
Child, by a pediatrician named Paul Offit. In the
book, Offit laid out how vaccines work, how they
are made, and which risks are real and which
are false. He also provided documentation, with
detailed references to scientific papers, showing
that there is no scientific evidence that vaccines
cause autism.
Eaton found the book to be well written and
informative, but she wondered whether she could
trust Offit. She checked his credentials—a first
step toward assessing the strength of a person’s
scientific claim. Does the person making a scien-
tific claim have a PhD or MD? Is the degree in
the field in which they are making the claim?
PhDs in physics do not have training in germ
theory, for example, and medical doctors do not
have training in atmospheric science.
Offit had an MD from the University of Mary-
land and was a professor of vaccinology and pedi-
atrics at the University of Pennsylvania. He was
also chief of the Division of Infectious Diseases
and the director of the Vaccine Education Center
at the Children’s Hospital of Philadelphia. In
other words, Offit had an advanced degree in an
appropriate field and held a job at a reputable
university. While good credentials alone do not
guarantee that a source is trustworthy, scientists
practice for many years in their area of expertise,
and their scientific claims tend to be based on
that expertise and carefully stated.
In addition to evaluating someone’s creden-
tials, it is important to assess whether the person
making a scientific claim has an agenda or bias
(a prejudice or opinion for or against something).
Does the person have an ideological, political, or
religious belief that will be supported by the scien-
tific claims being made? Does the person have a
Figure 2.4
Anna and Caroline Eaton
Anna Eaton had concerns about vaccinations for
her first child, Caroline.
Paul Offit is a pediatrician and chief of the Division
of Infectious Diseases at the Children’s Hospital
of Philadelphia.
PAUL OFFIT