Working in Complexity and Doubt
This chapter studies how, when we are faced with complexity and doubt, we can make decisions about health that align with the approach of the Cherokee Nation and avoid some of the mistakes made by other leadership teams during COVID-19. Working in complexity and doubt requires, above all, balance. On one hand, we must be able to identify what we do know and respect the science enough to integrate this information into the choices we make. On the other hand, we must appreciate the limits of our understanding while not being paralyzed by them. It is important to cultivate a comfort with ambiguity and doubt, so we can position ourselves to make decisions that support health. Operating in a grey area between knowledge and ignorance is, in many ways, a common practice in science and public health. The chapter then raises the issue of cancel culture, polarization, and political groupthink, arguing that they reflect something core to the collective relationship to ambiguity, doubt, and complexity. They suggest how uncomfortable many of us are with these fundamental elements of life.