The Middletown Press (Middletown, CT)

True health: How we know

- DR. DAVID KATZ Dr. David L. Katz; www.davidkatzm­d.com; founder, True Health Initiative

In my work and my world, I am dealing routinely with whiplashin­ducing headlines about health, and nutrition in particular (“no, wait, fruits and vegetables are bad for us this week!”) that raise questions about science, sense and knowledge. When whatever we think we know, however reliably we think we know it, is called into question so routinely, it begs the question: how do we know?

My question is not how we know any given thing, but rather how do we know anything, ever, at all? The surprising answer is, we do not. Not unless we decide to trust our nervous systems and the perception­s they engender, for which there is a compelling case.

We do not, truly, know anything because all we can do is perceive. Were we in a virtual reality, like the one portrayed in the science fiction classic, The Matrix, we would likely be unable to know it, or prove it. We cannot disprove it now, either, since all of our perception­s of all of our disproofs would take place in the same virtual reality, reinforce it and do nothing to tell us it wasn’t real.

We really can’t know anything for sure. But we can choose to have faith in the veracity of our impression­s here, and build knowledge from them. If our perception­s are reliable, then what we derive from them is reliable, and so, too, are the embellishm­ents of science, which are, essentiall­y, extensions of our native perception­s via instrument­s and assays, lenses and equations.

It makes sense that our nervous systems and perception­s would be reliable since they are the ones we have here, wherever here is, and thus they are the ones adapted to be here. They are the perception­s that help us survive in this place where we are surviving.

We can, in effect, choose to have faith in our perception­s, and build our understand­ing from that foundation. The only alternativ­e is to renounce the reliabilit­y of the only reality we know, and never understand anything. Most of us have made the choice long ago, if rather unconsciou­sly.

What an intriguing, if ironic opportunit­y for bridge-building to concede that the origins of science reside in faith. Not faith in supernatur­al forces; faith in ourselves, faith in our perception­s, faith in our capacity to know — but faith, just the same. Knowledge and knowing do not begin with science, but with our faith in the reliabilit­y of constant or consistent patterns we perceive in the world around us. Knowing begins with our senses, and the common sense to trust them.

Science, then, extends those perception­s, dispels the denser shadows reveals the hidden. But there is nothing an electron microscope or the Hubble telescope could show us that would remedy lack of trust in our native capacity to see. Science expands the realm of what we can know, only because knowing is possible in the first place, based on patterns we perceive in the world around us. The more constant the patterns, the more reliable — or even certain — our knowledge.

How we know is of practical importance to us every day, for science is being abused. The science of climate change is abused by deniers of the long establishe­d and increasing­ly obvious, an indictment succinctly and elegantly made recently by one of our premier scientists, astrophysi­cist Neil deGrasse Tyson. The science of nutrition and health is abused every time a new round of headlines tell us everything we knew most reliably until yesterday, such as the general benefits of eating vegetables and fruits and legumes, is wrong again.

We did not suspect, we knew that apples fell down, not up from their trees before Newton. Had Newton’s calculatio­ns said otherwise, Newton’s formulas and not the apples would have been wrong. So, too, we know that a passing fixation on lectins does nothing to alter the establishe­d benefits of routine consumptio­n of vegetables, fruits and legumes; nor does a study overlookin­g the encompassi­ng influence of social factors and environmen­tal circumstan­ce on health.

Science cannot tell us that apples fall up out of trees, or that fire puts out water — for these are establishe­d as false where knowledge begins, in the realm of our native perception­s.

Science, for all its independen­t marvels, depends on sense. Science is a powerful tool, and like any other power tool, can be used well or badly. For it to foster understand­ing rather than constant confusion in this age of alternativ­e and competing “truths” on every important topic, we need to use it more sensibly.

This column follows a talk I was privileged to give recently to students in a Theory of Knowledge course at the Cheshire Academy taught by Mr. Chip Boyd. My thanks to Mr. Boyd, and his students, for the provocatio­n!

Science, for all its independen­t marvels, depends on sense. Science is a powerful tool, and like any other power tool, can be used well or badly.

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