Who should lead on the response to a public health crisis such as the COVID-19 pandemic? In a commentary in The American Journal of Medicine noted public health experts have said that appropriate concerns – not fear – should play a significant role in the emerging pandemic, and political leaders should empower public health officials to drive the response. Our political leaders are quick enough to say they are 'being led by the science', but this is to a large extend disingenuous. Science cannot tell politicians what to do. It can only advise and given assessments of the probable consequences of decisions. But those decisions must be taken by politicians. The decisions are based on balancing different objectives - the economy, social impact, the effectiveness of any course of action, public attitudes and compliance - there is no one set of expertise on these. Psychologists, sociologists, public health experts, epidemiologists, clini...
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