Abstract

Science and medicine have had great success in reducing the uncertainties surrounding sickness over the last 100 years. But current efforts to reduce the risk of future disease in healthy people depend on abstract and disembodied statistical models that are increasingly distant from individual lives with little or no likelihood of personal benefit. When couched in numerical terms and combined with the fear of an unknown future, we are easily manipulated by the authority of fact. A new form of authority is needed, rooted in relationship, informed by sound science, and embracing risk. Enabled through the support of caring relationships to make commitments in the face of uncertain outcomes, we will be better able to choose wisely in our hope for health.