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More than two decades before Brittany Maynard’s public advocacy for death with dignity inspired lawmakers in Washington, D.C., and at least 16 states to introduce legislation authorizing the medical practice of aid in dying for the terminally ill, Senator Frank Roberts of Oregon sponsored one of the nation’s first death-with-dignity bills.

It is often alleged that acupuncture is an ancient medical practice that has been refined and revered for thousands of years. In reality acupuncture is indeed an ancient medical practice, but it has in fact been in decline for thousands of years. In 1822 it was actually banned from the Imperial Medical Academy by Emperor Dao Guang. It wasn’t until 1966 that it was revived by Chairman Mao Zedong, but even he didn’t actually believe in it.

“Almost all trials of alternative medicines seem to end up with the conclusion that more research is needed. After more than 3,000 trials, that is dubious. ... Since it has proved impossible to find consistent evidence after more than 3,000 trials, it is time to give up.” — David Colquhoun

Knowledge, then, is less a canon than a consensus in a state of constant disruption. Part of the disruption has to do with error and its correction, but another part with simple newness—outright discoveries or new modes of classification and analysis, often enabled by technology.

ore commonly, however, changes in scientific facts reflect the way that science is done. Mr. Arbesman describes the "Decline Effect"—the tendency of an original scientific publication to present results that seem far more compelling than those of later studies. Such a tendency has been documented in the medical literature over the past decade by John Ioannidis, a researcher at Stanford, in areas as diverse as HIV therapy, angioplasty and stroke treatment. The cause of the decline may well be a potent combination of random chance (generating an excessively impressive result) and publication bias (leading positive results to get preferentially published). If shaky claims enter the realm of science too quickly, firmer ones often meet resistance. As Mr. Arbesman notes, scientists struggle to let go of long-held beliefs, something that Daniel Kahneman has described as "theory-induced blindness." Had the Austrian medical community in the 1840s accepted the controversial conclusions of Dr. Ignaz Semmelweis that physicians were responsible for the spread of childbed fever—and heeded his hand-washing recommendations—a devastating outbreak of the disease might have been averted.

For most of the past century, drugs approved and released to market have been tested only on male patients, leading to improper dosing and unacceptable side effects for women. The important physiological differences between men and women have only recently been taken into consideration in medical research. Emergency doctor Alyson McGregor studies these differences, and in this fascinating talk she discusses the history behind how the male model became our framework for medical research and how understanding differences between men and women can lead to more effective treatments for both sexes

The tribunal that questioned me was not juridical, but ecclesiastical. I was not asked about my faith. (For the record, I’m an atheist.) I was not asked if it was a miracle. I was asked if I could explain it scientifically. I could not, though I had come armed for my testimony with the most up-to-date hematological literature, which showed that long survivals following relapses were not seen.

In a project funded by the Office of Naval Research and coordinated under the Multidisciplinary University Research Initiative, scientists will explore the challenges of infusing autonomous robots with a sense for right, wrong, and the consequences of both. "Moral competence can be roughly thought about as the ability to learn, reason with, act upon, and talk about the laws and societal conventions on which humans tend to agree," says principal investigator Matthias Scheutz, professor of computer science at Tufts School of Engineering and director of the Human-Robot Interaction Laboratory (HRI Lab) at Tufts. "The question is whether machines -- or any other artificial system, for that matter -- can emulate and exercise these abilities." One scenario is a battlefield, he says. A robot medic responsible for helping wounded soldiers is ordered to transport urgently needed medication to a nearby field hospital. En route, it encounters a Marine with a fractured leg. Should the robot abort the mission to assist the injured? Will it? If the machine stops, a new set of questions arises. The robot assesses the soldier's physical state and determines that unless it applies traction, internal bleeding in the soldier's thigh could prove fatal. However, applying traction will cause intense pain. Is the robot morally permitted to cause the soldier pain, even if it's for the soldier's well-being?

The magnitude of false positives for medical tests—a positive test for a condition that a patient does not actually have—is something that is not well understood, even by members of the medical community. We should remember this, as the United States prepares to lock away potential scores of individuals who test positive for Ebola. Many observers do not realize just how many people may spend some time in quarantine when they do not have the dreaded disease.

The cognitive psychologist Max Gigerenzer once asked 24 physicians the following hypothetical question, and only two got it right: A test for breast cancer is 90% accurate in identifying patients who actually have breast cancer, and 93% accurate in producing negative results for patients without breast cancer. The incidence of breast cancer in the population is 0.8%. What is the probability that a person who tests positive for breast cancer actually has the disease? Think you know the answer? Many of the physicians in Gigerenzer’s study said there was a 90% probability that a now-terrified patient flagged for breast cancer is an actual victim of the disease. However, the correct probability is less than 10%.

Is It Wrong to Watch Football?

Medical ailments, such as cancer and heart attacks, kill considerably more people each year than either guns or automobiles, according to the CDC. But firearms and motor vehicles are among the leading non-medical causes of mortality in the United States. They kill more people than falls do each year, and considerably more people than alcohol.

There are a number of problems with teaching science as a collection of facts. First, facts change. Before oxygen was discovered, the theoretical existence of phlogiston made sense. For a brief, heady moment in 1989, it looked like cold fusion (paywall) was going to change the world. In the field of medical science, “facts” are even more wobbly. For example, it has been estimated that fewer than 10% of published high profile cancer studies are reproducible (the word “reproducible” here is a euphemism for “not total poppycock”).

It seems that getting end-of-life patients and their families to endorse “do not resuscitate” orders has been challenging. To many ears, “D.N.R.” sounds a little too much like throwing Grandpa under the bus. But according to a paper in The Journal of Medical Ethics, when the orders are reworded to say “allow natural death,” patients and family members and even medical professionals are much more likely to give their consent to what amounts to exactly the same protocols.

As biological research races forward, ethical quandaries are piling up. In a report published Tuesday in the journal eLife, researchers at Harvard Medical School said it was time to ponder a startling new prospect: synthetic embryos.In recent years, scientists have moved beyond in vitro fertilization. They are starting to assemble stem cells that can organize themselves into embryolike structures.Soon, experts predict, they will learn how to engineer these cells into new kinds of tissues and organs. Eventually, they may take on features of a mature human being.