angus, let me give you some examples of what I am talking about:
Center for Science in the Public Interest is mainly interested in health and nutrition policies. As you pointed out, the realm of medicine is primarily concerned with engineering, not science. The CSPI claims to be representing science (hence the name), but their mission is not to present scientific facts, but rather to constantly tell policies makers what they "should" do. Read their press room: "Hardee's Monster Thickburger More Porno Than Ever" Is this presentation of fact, or a sensational attempt to browbeat consumers into making CSPI-favored choices?
Here's another example, from the Union of Concerned Scientists:
Provocative point--but not science. Scientists are not foreign policy experts; they are not in a position to decide what the greatest security threats are. Scientists are not engineers; they rarely have a feeling for what is currently possible with technology.
There is no shortage of scientists willing to tell the public what they should do. The worst part is the arrogance; the belief that "I'm right because I'm a scientist" is bad enough. It gets worse when it becomes "I'm a scientist, therefore I'm super smart, therefore I am an expert in all fields." As a local example take Carl Wieman, who won the Nobel Prize in physics for studying Bose-Einstein condensate. Dr. Wieman is active in pushing for the Kyoto treaty for carbon emissions, but he has little real authority since he is neither a climatologist nor an economist.
Policy makers have to balance the input of many different experts to come up with the best decision. There are too many scientists who proclaim that only their beliefs matter.