A reply from SMARTRISK

John Lewko is partly correct in thinking I am convinced we should stop taking risks.1 But I don't view the issue as a choice between this course of action and “becoming better risk managers.” Reducing risk-taking seems the only logical option until there is evidence that someone has discovered the Holy Grail of successful risk management. And it remains the only option until it has been proven that risk management can be taught to others, especially adolescents. To be clear, I advocate the “precautionary principle.”2

I have not read all that Lewko cites but I would be astounded if any of these sources offer the needed assurances. Certainly this issue is complex and the debate he proposes is long overdue. I am surprised that others have not joined in the discussion and encourage them to do so.

It is not difficult to agree in principle with some of what Lewko argues. But what we now need is evidence. Consequently, I challenge him and his colleagues to apply their considerable resources and expertise to provide the answers and hope they will accept the obligation to share what they learn with others. In the meantime, responsible safety organizations have no option but to encourage the public to minimize risk-taking.

Barry Pless Professor of Pediatrics, Epidemiology and Biostatistics McGill University Montréal, Que.