Part 2: When Expertise Became Personal – HealthCare in America
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Public health expertise was not always controversial. For decades, it functioned largely in the background—technical, imperfect, and mostly invisible. When it worked, few noticed. When it failed, corrections were usually quiet and procedural.
That changed when expertise became personal.
As trust in institutions weakened, authority began to migrate away from systems and toward individuals. Complex guidance was no longer evaluated primarily on evidence or process, but on who was delivering it—and how consistently.
This shift did not require a coordinated effort. It was a natural response to confusion. When institutions struggle to communicate clearly, people look for human proxies they can assess intuitively.
