Doctors, scientists and other technically trained candidates were among the winners in this week’s US midterm elections, according to a report on the political action committee 314 Action Fund. The organization, which supports pro-science candidates, says more than 80% of its congressional candidates won their races, including 14 of 17 candidates for the US House of Representatives.

The victories include Michigan senator-elect and epidemiologist Abdul El-Sayed, South Carolina senator-elect and pediatrician Annie Andrews, Ohio governor-elect and physician Amy Acton, and North Carolina representative-elect Jamie Ager. Their wins have put renewed attention on a question that sits at the intersection of science, health and democratic representation: what changes when people trained to work with evidence, uncertainty and technical systems seek elected office in large numbers?

The answer will depend on how those officeholders govern, rather than on credentials alone. But the scale and concentration of this election cycle stand out. Richard Frank, director of the Brookings Institution’s Center on Health Policy, told Wired that health-care workers and scientists have long been part of Congress, but not in numbers like this single wave.

A campaign network built around science

314 Action Fund was founded by chemist and former congressional candidate Shaughnessy Naughton after her unsuccessful 2016 race. The group’s stated focus is electing pro-science voices to public office. Naughton told Wired that data-driven, fact-based decisionmakers benefit the governing process when they hold seats at the table.

In the latest cycle, the PAC spent more than $30 million on campaign donations and support, including fundraising for individual races, according to Naughton. She said the organization raised $3.6 million for Andrews in the contest for the South Carolina Senate seat previously held by Lindsay Graham, and another $3 million for Acton’s campaign for Ohio governor.

The group reported that nine of its successful congressional races flipped seats from Republican to Democrat. The list of victorious candidates in flipped districts included an oncology nurse-practitioner, a mathematician, a microbiologist, a nuclear engineer and an agricultural scientist. Hundreds of its down-ballot candidates also won, Naughton said.

Those occupations should not be treated as a single political bloc. Scientific and medical training does not determine a person’s ideology, priorities or decisions in office. Still, the range of fields represented is notable because it connects the election to policy areas where technical knowledge is frequently consequential, including health care, research funding, energy, agriculture and infrastructure.

Health care became a political organizing point

Naughton characterized the cycle as a health-care election. That assessment fits the prominence of clinicians among the named winners and the PAC’s investment in physician candidates. It also reflects a broader political reality: health policy can combine deeply personal experiences with complicated questions about evidence, access, public spending and administration.

For candidates with medical backgrounds, clinical work can become both a source of expertise and a campaign narrative. Physicians and nurses may be able to speak directly about patient care and the effects of policy on the systems where treatment is delivered. At the same time, elected office asks for more than professional knowledge. Legislators must balance competing interests, negotiate coalitions and make choices across subjects far beyond their original training.

The same is true for scientists entering politics. Technical literacy can help an officeholder assess research claims and understand the implications of a policy proposal, but it does not remove the political work of setting priorities. What it may change is the number of people in office whose careers have required them to work with measurement, peer scrutiny and incomplete information.

A response to conflict over expertise

Frank linked the increase in science-oriented candidates to hostility toward medical and technical expertise during the Trump administration. He described science as having been under attack and said it was unsurprising that scientists would respond by running for Congress. Historian Kristoffer Shields of Rutgers University’s Eagleton Institute of Politics also identified developments at the federal level, including the defunding of laboratories, as part of the context for the rise in such candidates.

That interpretation makes this election result more than a story about professional diversity. It suggests that some researchers and clinicians have concluded that engagement through expert commentary, institutional advocacy or professional organizations is not sufficient on its own. Running for office is a more direct, and more demanding, attempt to influence the rules that shape scientific and medical work.

Whether this becomes a durable electoral pattern is uncertain. One favorable cycle does not establish a permanent realignment, and the 314 Action figures describe candidates supported by a particular organization rather than every scientist or health worker who ran. The group’s high success rate also cannot, by itself, show why voters chose those candidates.

Even so, the outcomes mark a visible expansion of the science and health professions’ presence in electoral politics. The most consequential test will come after the campaigns: how these new officeholders approach public health, research, technical regulation and the many policy debates in which evidence is necessary but rarely settles every choice. For now, the election has made one point clear: a sizable cohort of candidates with scientific and medical backgrounds has moved from advising public officials to becoming public officials themselves.

This article is based on reporting by Wired. Read the original article.

Originally published on wired.com