> They refuse to look critically at the trade offs.
That is a bald assertion. I do not agree.
Of course it depends what you mean by "they", but medical researchers do look critically at the trade offs
There were failures of communication from fear that nuance would be misunderstood as uncertainty
Also for large sections of the population, many in my community, the state generally and the medical establishment in particular, have no credibility for the sadistic way they have been treated.
Everything in life has trade offs. Everything.