Governing by Polling Public Opinion: A Potentially Dangerous Idea for Our Healthcare System

Abstract

Kaplan and Baron-Epel advanced the notion that findings from public surveys should inform health policy decision making with respect to funding allocation. This approach to governing can draw large support from the populace, legislators, and the academic community alike. Yet, it has the potential to undermine evidence-based health policy decision making. In this paper, I delineate six drawbacks and several related corollaries drawn from historical events that have occurred during the recent coronavirus pandemic. These examples illustrate the dire downstream consequences (e.g., disregard for the needs of minority groups; diminution of critical services not broadly supported by the public; promotion of fringe group or foreign actor agendas; advancement of poorly informed opinions; shift from a forward-thinking, proactive perspective to a retroactive one; and reliance on potentially biased estimates) that may follow if public surveys become embedded in healthcare policy decision making. Without solutions to the drawbacks delineated in this paper, health policy driven by public opinion is likely to cause more harm than good.