Don’t Trust the Experts? Media, Big Pharma, and Real Skepticism
October 31, 2026 · 23 min
Why listen
Neither blind trust nor reflexive doubt is honest, and this episode makes the case for something harder.
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In this episode
- How to question pharmaceutical industry incentives without dismissing medicine
- What Vioxx, OxyContin, and HIV treatment reveal about the same industry
- Why algorithms push every debate toward its most extreme voice
- A working definition of skepticism that is not just contrarianism with a flag
About this episode
Somewhere between “trust no one” and “trust the experts” is a harder and more honest position. In this episode, Jeff looks at the two sides of a growing cultural standoff. On one side are the compulsive contrarians, who distrust every institution. On the other are the contrarians to the contrarians, who defend those institutions by reflex. He argues that both have confused skepticism with ideology.
- Why questioning Big Pharma’s ad budget is fair, and calling medicine a scam is not
- What Vioxx, OxyContin, insulin, and HIV treatment tell us about the same industry
- How engagement algorithms reward the most extreme voice in the room
- A case for “discrimination” in its original sense: the ability to see distinctions
This episode is for anyone tired of being asked to choose a tribe before looking at the evidence.
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About Commune with Jeff Krasno
The Commune Podcast is where we explore the ideas and practices that help us live healthy, connected, purpose-filled lives.
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