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Proposals to reconcile free speech & public health

merekinzites

Updated: Jun 20, 2022

What do experts suggest to balance these two important rights?





In the context of the COVID-19 pandemic, free speech and protecting public health have, at times, been at odds with one another. In a broader context, though, these two ideals are very aligned. They both represent important human rights. Societies generally have been healthier throughout history when narratives on things like religion, politics, health, and science aren't restricted.


In the long run, the best offense is a good defense. Teaching robust, age-appropriate information literacy skills and how to avoid confirmation bias throughout the educational experience will prepare people to be more discerning and less susceptible when they come into contact with false information. In the meantime, though, many creative pathways have been proposed.



Proposals for the Government

  • Sanctioning professional recommendations that patients undertake illegal or dangerous treatments and enforcing tort law actions in cases that result in alleged patient injury

  • Imposing sanctions on individualized medical advice by unlicensed individuals or organizations practicing medicine without a license

  • Imposing sanctions for false or misleading information offered to obtain a financial or personal benefit

  • Threatening disciplinary action by licensing boards against health professionals when their speech to patients portrays incorrect science or substandard medicine

  • Expanding the FTC’s supervisory and rulemaking authority

  • Expanding the FCC’s broadcast regulatory authority over social media-based comms/news

  • Passing laws to address high risk social media algorithms, such as the Algorithmic Accountability Act or the Protecting Americans from Dangerous Algorithms Act

  • Banning behavioral advertising & microtargeting/hyper-personalization on social media

  • Addressing foreign interference & manipulation via states or state-sanctioned actors online

  • Taking down coordinated bot networks and automated accounts


Proposals for Professional Organizations


  • Proactively engaging with patients and the public on health misinformation, often called "pre-bunking"

  • Making use of technology and media platforms to share accurate and engaging health information with the public

  • Partnering with community groups, other local organizations, and trusted community leaders to prevent and address health misinformation


Proposals for Relationships & Communication


  • Understanding your audience and tailoring the messages to appeal to them

  • Communicating in a way that respects individual autonomy but considers collective burden

  • Avoiding manipulation and coercion

  • Being honest and transparent, communicating uncertainty when it is present

  • Avoiding “blaming the victim”

  • Providing information that is actionable

  • Providing information that is developed through systematic, transparent and evidence‐informed processes



Proposals for Social Media Companies


  • Assessing the benefits and harms of products and platforms and take responsibility for addressing the harms

  • Giving researchers access to useful data to properly analyze the spread and impact of misinformation

  • Strengthening the monitoring of misinformation

  • Proactively addressing information deficits (pre-bunking)

  • Amplifying communications from trusted messengers and subject matter experts

  • Prioritizing protecting health professionals, journalists, and others from online harassment

  • Adding a function that allows users to fact check and rate the reliability/accuracy of the post


Proposals for Journalists and Media Organizations


  • Training journalists, editors, and others to recognize, correct, and avoid amplifying misinformation

  • Proactively addressing the public’s questions

  • Providing the public with context to avoid skewing their perceptions about ongoing debates on health topics

  • Carefully reviewing information in preprints

  • Using a broader range of credible sources— particularly local sources

  • Considering headlines and images that inform rather than shock or provoke


 

References:


Center for Humane Technology (2022). Policy reforms toolkit. HumaneTech.com. Retrieved on June 19, 2022, from https://www.humanetech.com/policy-reforms


Murthy, V. H. (2021). Confronting health misinformation: The U.S. Surgeon General's advisory on building a healthy information environment. HHS.gov. Retrieved on June 19, 2022, from https://www.hhs.gov/sites/default/files/surgeon-general-misinformation-advisory.pdf


Oxman, A. D., Fretheim, A., Lewin, S., Flottorp, S., Glenton, C., Helleve, A., Vestrheim, D. F., Iverson, B. G. & Rosenbaum, S. E. (2022). Health communication in and out of public health emergencies: To persuade or to inform?. Heath Research Policy and Systems, 20:28. https://doi.org/10.1186/s12961-022-00828-z


Sage, W. M. & Yang, Y. T. (2022). Reducing "COVID-19 misinformation" while preserving free speech. Journal of the American Medical Association, 327(15), 1443-1444.


van der Linden, S. (2022). Misinformation: susceptibility, spread, and interventions to immunize the public. Nature Medicine, 28, 460-467. https://doi.org/10.1038/s41591-022-01713-6


Image credit: Designed by rawpixel.com / Freepik


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