Key Moments

#113: Normative errors — a conversation with my daughter about current events

Peter Attia MDPeter Attia MD
People & Blogs4 min read23 min video
Jul 8, 2020|1,600 views|44|8
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TL;DR

Peter Attia uses a doctor's training analogy to discuss systemic racism and normative errors in policing.

Key Insights

1

The death of George Floyd highlights deep-seated systemic racism, particularly within law enforcement.

2

Historical context of racism is crucial for understanding current racial injustices.

3

Personal experiences, like Peter Attia's encounter with police, illustrate racial profiling, albeit on a smaller scale.

4

Analogy of medical errors (technical, judgment, normative) can be applied to professions with high stakes, like policing.

5

Normative errors, related to character and ethics, are unacceptable and require immediate removal from professions.

6

Addressing systemic racism requires identifying and eliminating normative errors, not just tolerating them.

INTRODUCTION TO A DIFFICULT CONVERSATION

Peter Attia begins by acknowledging the difficulty of discussing George Floyd's death and its aftermath. He expresses his hesitation to engage publicly due to a lack of expertise in certain areas but chooses to have a conversation with his daughter, Olivia, to explore the issue through a framework he understands: medical training. This approach aims to provide a structured way to think about complex societal problems, even if it doesn't cover every facet of the issue.

UNDERSTANDING THE ROOTS OF RACISM

Olivia expresses confusion and dismay about the events, questioning the basis of racial judgment. Peter emphasizes the historical depth of racism in America, explaining that understanding the systemic nature of racism requires delving into the history of Black people in the United States. He stresses that history education should go beyond tests and essays to truly grasp the centuries-old foundations of racial inequality.

PERSONAL EXPERIENCES WITH RACIAL BIAS

Peter shares a personal story from his college years where he was stopped and treated with suspicion by a police officer due to his appearance, despite riding his bike on the sidewalk. While acknowledging this incident was minor compared to racial discrimination faced by Black individuals, he uses it to illustrate how appearance and perceived 'otherness' can trigger biased interactions with law enforcement, hinting at underlying racism. Olivia's father highlights that this interaction differs vastly from how a white person would be treated in a similar situation.

THE ANALOGY OF MEDICAL ERRORS

To frame the discussion, Peter introduces an analogy from medical training, categorizing mistakes into three types: technical, judgment, and normative. Technical errors involve mistakes in execution (e.g., accidentally cutting a bile duct), while judgment errors pertain to decisions about treatment or patient care. Both are forgivable if owned, learned from, and not repeated, signifying a commitment to improvement and competence.

IDENTIFYING NORMATIVE ERRORS

Normative errors are defined as mistakes of character, involving dishonesty or placing self-interest above patient well-being. Examples include falsifying patient records regarding allergies or financial conflicts of interest influencing medical decisions. These errors are deemed unacceptable and indicative of a flawed character, requiring immediate dismissal from medical programs and the profession, as they suggest a propensity for larger, more harmful mistakes.

APPLYING NORMATIVE ERRORS TO POLICING

Peter suggests that systemic racism in policing can be understood as a form of normative error. He argues that actions like George Floyd's prolonged struggle with law enforcement cannot be isolated incidents but likely stem from a history of racist behavior. The implication is that professions with high stakes, like law enforcement, cannot tolerate normative errors, even in their initial stages, as they have severe consequences and suggest a character flaw that will likely be amplified over time if not immediately addressed.

THE NEED FOR ZERO TOLERANCE

The conversation underscores the need for a zero-tolerance policy towards racism within law enforcement, drawing a parallel to not accepting even a small percentage of faulty pilots. Just as surgeons must be held to the highest ethical standards, police officers exhibiting racist tendencies, which are fundamentally normative errors, must be identified and removed. The system must prioritize vetting individuals for character and ethical soundness. Unacceptable behavior, especially when it suggests a pattern of racism, must be addressed decisively. This approach is different from merely tolerating racism; it is about actively eradicating it from professional systems.

MOVING TOWARDS PRODUCTIVE CHANGE

Peter and Olivia discuss productive ways to address systemic racism, referencing rapper Killer Mike's call for political action, voting, and systemic change over rioting and looting. The importance of engaging in political processes to vote out those who enable racism is highlighted as a more productive path. Olivia notes the absence of such discussions in her school curriculum, expressing a desire for more formal education on these critical social and political issues.

THE ROLE OF EDUCATION AND SELF-POLICING

The discussion touches on the challenges of self-policing within professions, noting that police officers, doctors, and teachers alike may be reluctant to police their own. However, the pervasive nature of racism across many professions, from medicine to education, is acknowledged. The high stakes in law enforcement make its manifestations particularly visible and consequential. Ultimately, using the concept of normative errors as a tool to identify and remove individuals with character flaws is proposed as a crucial step towards a more just system.

Framework for Addressing Errors and Racism

Practical takeaways from this episode

Do This

Own up to mistakes immediately and do not try to cover them up.
Learn from mistakes and ensure they are not repeated.
Foster and encourage open and honest discussion of technical and judgment errors.
Treat racism as a normative error and do not tolerate it in any form.
Engage in political action and vote out those who allow racism to proliferate.

Avoid This

Attempt to hide or deny mistakes.
Repeat the same mistakes in technical or judgment errors.
Tolerate normative errors in any profession.
Engage in rioting or looting as a form of protest.

Common Questions

The brutal death of George Floyd, captured on video, has brought widespread attention to issues of police brutality and systemic racism. It has sparked global protests and conversations about racial injustice.

Topics

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