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Sharon Manson Singer - Evidence, Instinct and Values The Role of … · Dr. Sharon Manson Singer...
Transcript of Sharon Manson Singer - Evidence, Instinct and Values The Role of … · Dr. Sharon Manson Singer...
Dr. Sharon Manson Singer
President
April 6, 2009
Evidence, Instinct and ValuesThe Role of Citizens in
Decision Making
Evidence, Decisions, Outcomes: Optimizing the Use of Drugs and Health Technologies 2009 CADTH Symposium
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Overview
• CPRN Research Model
• The Value of Evidence
• Acting with Political Instinct
• Understanding Values
• The Role of Citizens
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CPRN’s Research
• Canada’s leading socio-economic think tank
• High quality academic-level, peer-reviewed
research
• Research routinely translated into policy
options
• Citizen engagement on policy options to
discover what Canadians value – Round
Tables, Deliberative Dialogues
• Broad dissemination through our web site –
over 2.5 million downloads annually
• Neutral and non-partisan
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CPRN’s Deliberative Dialogue
Features
• Random Selection from an agreed upon
sampling frame to ensure representative
sample for each dialogue
• Create safe, neutral, non-partisan space for
dialogue
• A process of “justifiable democracy” whereby
citizens justify their policy choices to one
another
• Creates a repository of deeply held values that
can inform political choices
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The Value of Evidence
• Evidence based decision making assumes that
we can know with certainty the right answer
• Western Bio-medical model is based on
scientific evidence and practice
• Often the “Science” is biased, contradictory or
both
• Practice is not always informed by evidence
• Scientific evidence evolves over time
• Trends are not always correct predictors of
outcomes
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Political Instinct
• Evidence is only one piece of the information
used to make decisions
• At a Cabinet table there are many other
considerations and judgments made in the
evaluation of which policy options to adopt,
reject or push off the table
• Key question at the Cabinet table: Where’s the
demand?
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Values
• Values embody the principles which guide our
decision making
• Values are not easily changed – unlike polling
or focus group results, values are a stable
predictor of how citizens will respond to policy
options
• Understanding citizen values can be and
should be known before taking action on
policy options
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The Role of Citizens – Reasons for Exclusion
• Decisions are too complex to be made without
requisite expertise
• Scientific base is too complex to explain
• Protects citizen certainty
• Perception of an average level of risk
• Insufficient time for appropriate consultation
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PSHAW!
• Romanow Commission on Health
• Nuclear Waste Management
• Province of Choice for Young People in
Newfoundland and Labrador
• Citizen Forums on Electoral Reform (BC, ON)
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Social Inclusion Builds Social Cohesion
• Democratic process of decision-making will
have to respond to the technological
expectations of the next generation of citizens
• Social networking technologies enable a new
form of engagement that is participatory and
collaborative
• Participatory democracy allows citizens to
build consensus around trade-offs and
collectively build values for decision-making
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For additional information:
www.cprn.org
e-mail: [email protected]
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