Posts Tagged ‘pseudo-science’
Burden of proof: Should evidence determine policy?
My latest piece for the New Humanist
A growing number of activists are calling for science to play a larger role in policy. But will it work? Richard Wilson asks the experts
In the latter days of the last Labour government, then Home Office minister Vernon Coaker introduced a law designed to enable the prosecution of those who paid for sexual services. The government had published a lengthy report, “Tackling Demand for Prostitution”, arguing that evidence showed such a change could reduce the violence and exploitation suffered by commercial sex workers.
In the House, Liberal Democrat science spokesman Dr Evan Harris raised concerns that the evidence in the report had not yet been published – and could therefore not be properly scrutinised. Harris cited the fact that the Royal College of Nursing had expressed concern that further criminalisation could actually be counterproductive, driving victims of sexual exploitation further underground, and away from where they might seek help. There was, Harris argued, a need to examine more thoroughly the evidence on which the proposed legislation was based. “We are looking at publishing the evidence,” replied the Minister, but “in the end, you pick the evidence which backs your argument.”
To those familiar with the scientific method this cherry-picking of data to support a preconceived hypothesis is a hallmark of quackery. Watching the debate, “mouth agape”, was Harris’s Parliamentary researcher, and biology graduate, Imran Khan. Khan was astonished that a government minister could think about, or talk about, scientific evidence in this way. He is now Director of the Campaign for Science and Engineering (CaSE), a lobby group for science and technology education, and cites this tale as a textbook example of “policy-based evidence-making” – when evidence is chosen only to support or defend an already decided policy. Khan is one of a growing cadre of scientifically literate activists who see it as their job to root out this kind of back-to-front thinking, and to promote instead “evidence-based policy-making”, where rigorous, reputable and, crucially, publicly available evidence plays more than merely a fig leaf role in public policy. These include prominent public figures like Khan’s old boss Harris, who writes the Political Science blog for the Guardian, science writer and scourge of the chiropractors Simon Singh, and the Guardian’s Bad Science columnist Dr Ben Goldacre.
“He never has to know the actual facts of any issue; instead he’s equipped himself with a persuasive ploy which enables him to make non-experts believe he knows more than experts.”
Here’s Plato’s take on experts, evidence, and evidence of expertise. These words were first written more than 2,000 years ago – it seems both intriguing and perhaps also a bit depressing that they still have so much currency today.
The text below is from a dialogue between Socrates and Gorgias, a well-known ‘sophist’ who made his living from teaching the art of persuasion – aka “rhetoric”. The word ‘sophistry’ is today synonymous with arguments that are superficially plausible, yet nonetheless bogus…
From Plato’s Gorgias
Socrates: …You claim to be able to train up as a rhetorician anyone who’s prepared to listen to your teaching on the subject. Yes?
Gorgias: Yes.
Socrates: And you’ll teach him all he needs to know to persuade a crowd of people – not to make them understand, but to win them over. Is that right?
Gorgias: Yes.
Socrates: Now you claimed a little while back that a rhetorician would be more persuasive than a doctor even when the issue was health.
Gorgias: Yes I did, as long as he’s speaking in front of a crowd.
Socrates: By ‘in front of a crowd’ you mean ‘in front of non-experts’, don’t you? I mean, a rhetorician wouldn’t be more persuasive than a doctor in front of an audience of experts, of course.
Gorgias: True.
Socrates: Now, if he’s more persuasive than a doctor than he’s more persuasive than an expert, isn’t he?
Gorgias: Yes.
Socrates: When he isn’t actually a doctor himself. Yes?
Gorgias: Yes.
Socrates: And a person who isn’t a doctor is ignorant, of course, about the things which a doctor knows.
Gorgias: Obviously.
Socrates: So any case of a rhetorician being more persuasive than a doctor is a case of a non-expert being more persuasive than an expert in front of an audience of non-experts. Isn’t that what we have to conclude?
Gorgias: Yes, in this instance, anyway.
Socrates: But isn’t a practitioner of rhetoric in the same situation whatever the area of expertise? He never has to know the actual facts of any issue; instead he’s equipped himself with a persuasive ploy which enables him to make non-experts believe he knows more than experts.
Gorgias: Doesn’t that simplify things, Socrates? Rhetoric is the only area of expertise you need to learn. You can ignore all the rest and still get the better of the professionals!
Is it wrong to highlight the deaths of HIV-positive AIDS denialists who reject medications and urge others to do the same?
In “Don’t Get Fooled Again”, I look at the role played by the media in promoting dangerous pseudo-scientific ideas under the guise of “balance” in reporting. From the mid-1950s onwards, there was a clear consensus among scientists, based on very strong epidemiological evidence, that smoking caused lung cancer. Yet for several decades, many journalists insisted on “balancing” their reports on each new piece of research with a quote from an industry-funded scientist insisting that the case remained “unproven”.
The tobacco industry’s strategy from an early stage was not to deny outright that smoking was harmful, but to maintain that there were “two sides to the story”. In January 1954, the industry issued its now-famous “Frank Statement to Cigarette Smokers” – a full-page advertisement published in 50 major newspapers across the US.
“Recent reports on experiments with mice have given wide publicity to a theory that cigarette smoking is in some way linked with lung cancer in human beings”
the industry noted.
“Although conducted by doctors of professional standing, these experiments are not regarded as conclusive in the field of cancer research… we feel it is in the public interest to call attention to the fact that eminent doctors and research scientists have publicly questioned the claimed significance of these experiments.”
The strategy played cleverly to the media’s penchant for “controversy”, and proved remarkably successful. Long after the matter had been decisively settled among scientists, public uncertainty around the effects of smoking endured.
US cigarette sales continued rising until the mid-1970s – and it was only in the 1990s – four decades after the scientific case had been clearly established – that lung cancer rates began to tail off. Harvard Medical Historian Allan M Brandt has described the tobacco industry’s public deception – in which many mainstream journalists were complicit – as “the crime of the century”:
It is now estimated that more that 100 million people worldwide died of tobacco-related diseases over the last hundred years. Although it could be argued that for the first half of the century the industry was not fully aware of the health effects of cigarettes, by the 1950s there was categorical scientific evidence of the harms of smoking.
The motivations of the AIDS denialists may be very different, but their rhetoric and tactics are strikingly similar. During the early 1990s, Sunday Times medical correspondent Neville Hodgkinson was bamboozled into running a series of articles – over a period of two years – claiming that:
“a growing number of senior scientists are challenging the idea that the human immunodeficiency virus (HIV) causes AIDS”…
“This sensational possibility, now being contemplated by numerous doctors, scientists and others intimately concerned with the fight against the disease, deserves the widest possible examination and debate.”
Hodgkinson declared in December 1993.
“Yet it has been largely ignored by the British media and suppressed almost entirely in the United States… The science establishment considers itself on high moral ground, defending a theory that has enormous public health implications against the ‘irresponsible’ questioning of a handful of journalists. Their concern is human and understandable, even if we might expect our leading scientists to retain more concern for the truth while pursuing public health objectives.”
As with the tobacco industry’s “scepticism” over the link between smoking and cancer, the views promoted by Hodgkinson tended to focus on gaps in the established explanation (many of which have since been filled) rather than on any empirical research showing an alternative cause. But he did use one of the recurrent rhetorical motifs of the AIDS denial movement – highlighting the case of an HIV-positive “AIDS dissident” who refused to take anti-retroviral drugs but remained healthy.
Jody Wells has been HIV-positive since 1984. He was diagnosed as having AIDS in 1986. Today, seven years on, he says he feels fine with energy levels that belie his 52 years. He does not take the anti-HIV drug AZT…
He feels so strongly about the issue that he works up to 18 hours a day establishing a fledgling charity called Continuum, “an organisation for long-term survivors of HIV and AIDS and people who want to be”. Founded late last year, the group already has 600 members.
Continuum emphasises nutritional and lifestyle approaches to combating AIDS, arguing that these factors have been grossly neglected in the 10 years since Dr. Robert Gallo declared HIV to be the cause of AIDS.
Tragically – if predictably – Jody Wells was dead within three years of the article being written.
Although Hodgkinson left the Sunday Times in 1994, his articles on the “AIDS controversy” continued to be disseminated online, lending valuable credibility to the denialist cause – and have been credited with influencing Thabo Mbeki’s embrace of AIDS denial in the early part of this decade.
When, in 2000, President Mbeki invited several leading denialists to join his advisory panel on HIV and AIDS, Hodgkinson was one among a number who published articles in the South African media praising the decision. Writing in the New African, Hodgkinson called for “a humble, open, inquiring approach on all sides of this debate” – whilst simultaneously declaring that “AZT is a poison” and denouncing “the bankruptcy of AIDS science”.
Hodgkinson also wrote for Continuum’s magazine, which, following Jody Wells’ death was edited by HIV-positive medication refusnik Huw Christie. Christie defiantly launched the “Jody Wells Memorial Prize” (recently satirised here by Seth Kalichman) offering £1,000 to anyone who could prove to his satisfaction that HIV was real.
The magazine finally folded in 2001, with the Jody Wells Memorial Prize still on offer, after Huw Christie died from a disease which fellow denialists insisted was not AIDS-related. “Neither of your illnesses would have brought you down, Huw”, wrote Christie’s friend Michael Baumgartner in 2001. “You simply ran out of time to change gear. We both knew it did not need some ill-identified virus to explain your several symptoms”.
“Huw’s devotion to life has no doubt contributed to a better understanding of AIDS and he saved many who, without hearing a skeptical voice, would have been stampeded down the path of pharmaceutical destruction”
wrote HIV-positive San Francisco AIDS “dissident” David Pasquarelli.
“I readily acknowledge that if it wasn’t for the work of Huw and handful of other AIDS dissidents, I would not be alive today”.
Pasquarelli died at the age of 36 three years later.
The same document includes a tribute from Christine Maggiore, another HIV-positive AIDS “sceptic” who famously rejected medication, and publicly urged others to do the same. As has been widely reported, Maggiore died last month of an illness commonly associated with AIDS.
Connie Howard, writing in today’s edition of VUE Weekly, finds the reaction to Maggiore’s passing distasteful, claiming that: “some AIDS activists are celebrating—not her death exactly, but celebrating a point for their team nonetheless”.
Howard suggests, echoing Hodgkinson, that “Many HIV-positive people who choose an alternative holistic health route defy all odds and stay well and symptom-free for decades”, and that she has “talked to HIV-positive people living well—really well—without drugs.”
According to Howard:
“it’s time that choice and discussion become possible without hate instantly becoming the most potent ingredient in the mix… The vitriol delivered the way of both dissidents and the reporters telling the stories of the dissidents is a crime… Christine Maggiore deserves to have chosen her own path and to be respected for it.”
AIDS denialists and their sympathisers often accuse mainstream AIDS researchers of not being open to “discussion” or “debate”. Yet meaningful discussion is only possible when both sides are operating in good faith. The problem with AIDS and HIV is that the evidence linking the two is so overwhelmingly strong that the only way to maintain a consistently denialist position is to engage in “bogus scepticism” – arbitrarily dismissing good evidence that undermines one’s favoured viewpoint, misrepresenting genuine research in order to create the appearance of controversy where there is none, seeking to give unpublished amateur research equal status with peer-reviewed studies by professional scientists, and treating minor uncertainties in the established theory as if they were knock-down refutations. In such circumstances, reasoned debate simply becomes impossible.
Howard doesn’t specify which AIDS activists she believes “view the death of an AIDS dissident as a victory” or have celebrated Maggiore’s passing, so it’s difficult to evaluate the truth of that particular claim.
But the notion that everyone is duty bound to “respect” Christine Maggiore’s decision to embrace AIDS denial – and counsel others to do the same – does seem a tad problematic.
What Howard chooses not to tell her readers is that Maggiore’s denial extended not only to refusing medical treatment for herself – she also declined to take measures to mitigate the risk of transmission to her young daughter, Eliza Jane, and refused to have her tested or treated for HIV. When Eliza Jane died in 2005 of what a public coroner concluded was AIDS-related pneumonia, Maggiore refused to accept the result, attacked the coroner’s credibility, and claimed that the verdict was biased.
Missing too, is any reference to South Africa, where Maggiore travelled in 2000 to promote her ideas on AIDS and HIV. Maggiore is said to have personally influenced Thabo Mbeki’s decision to block the provision of anti-retroviral drugs to HIV-positive pregnant women. A Harvard study recently concluded that this decision alone resulted in 35,000 more babies being infected with HIV than would otherwise have been the case. Overall, the study concluded, Mbeki’s denialist policies had led to more than 300,000 preventable deaths.
If the Harvard researchers are correct, then AIDS denialism – of which Christine Maggiore was a vocal proponent – has already caused many more deaths than did the war in Bosnia during the early 1990s. Yet the only “crime” that Connie Howard seems prepared to acknowledge in relation to AIDS and HIV is the ill-feeling directed towards Christine Maggiore, her fellow “dissidents”, and the journalists who give space to their denialist views – views which have repeatedly been shown to be based not on science, but on “selective reading of the scientific literature, dismissing evidence… requiring impossibly definitive proof, and dismissing outright studies marked by inconsequential weaknesses”.
Should we “respect” a person’s decision to refuse medical treatment, even if that leads to their own premature death? Arguably we should. But should we also respect that same person’s decision, on ideological grounds, to deny medical treatment to a young child, with fatal consequences? Should we respect their decision to support a pseudo-scientific campaign denying the established facts about a serious public health issue, when that campaign results in hundreds of thousands of deaths?
It is surely possible to agree that Christine Maggiore’s premature death was an appalling human tragedy, whilst pointing out that she was nonetheless dangerously misguided – and that the manner of her passing makes the tragedy all the more poignant.
Christine Maggiore, Jody Wells, Huw Christie, and David Pasquarelli form part of a grim roll-call of HIV-positive medication refusniks who chose to argue publicly that the state of their health cast doubt on the established science around AIDS and HIV, and then went on to die from the disease. For AIDS activists to remain silent in such circumstances would be a dereliction of duty. Publicly highlighting the human cost of AIDS denial, so that similar deaths may be prevented in future, must surely take precedence over showing “respect” to dangerously misguided people, however tragic the circumstances of their demise.
See also: The parallels between AIDS denial and Holocaust negationism
David Gorski on the insidious myth of “balance” in science reporting
I believe that most reporters in the media do really want to get it right. However, they are hobbled by three things. First, many, if not most, of them have little training in science or the scientific method and are not particularly valued by their employers. For example, witness how CNN shut down their science division. Second, the only medical or science stories that seem to be valued are one of three types. The first type is the new breakthrough, the cool new discovery that might result in a new treatment or cure. Of course, this type doesn’t distinguish between science-based and non-science-based “breakthroughs.” They are both treated equally, which is why “alternative medicine” stories are so popular. The second type is the human interest story, which is inherently interesting to readers, listeners, or viewers because, well, it’s full of human interest. This sort of story involves the child fighting against long odds to get a needed transplant, for example, especially if the insurance company is refusing to pay for it. The third type, unfortunately, often coopts the second type and, to a lesser extent, the first type. I’m referring to the “medical controversy” story. Unfortunately, the “controversy” is usually more of a manufactroversy. In other words, it’s a fake controversy. No scientific controversy exists, but ideologues desperately try to make it appear as though a real scientific controversy exists. Non-medical examples include creationism versus evolution and the “9/11 Truth” movement versus history. Medical examples include the so-called “complementary and alternative medicine” movement versus science-based medicine and, of course, the anti-vaccine movement.
More reaction to the death of Christine Maggiore
From the Los Angeles Times
It is admittedly difficult to spot the moment when a scientific theory becomes an accepted fact. It took hundreds of years for the Catholic Church to acknowledge the work of Galileo, and it still flinches at Darwin. Meanwhile, the rest of the sentient universe long ago accepted that the Earth orbits the sun, and all but the most determined creationists see the undeniable evidence of evolution at work. Still, science is a discipline of questions, and rarely is a fact established so firmly that it will silence all critics. At the Creation Museum near Cincinnati, the exhibit guides visitors “to the dawn of time” — just 6,000 years ago. That makes for some startling conclusions, not the least of which is that dinosaurs and humans were created by God on the sixth day and lived side by side. Call it the Flinstones theory.
Of course, new questions inevitably emerge from new inquiry and new data. How, then, to judge when a theory becomes fact, when it slips beyond legitimate objection? The test lies in balance: A preponderance of evidence accumulates on one side or the other. Those who contest that evidence must demonstrate the plausibility of alternatives and produce evidence to support them. If the alternatives are implausible, they melt away. Eventually, there is nothing left to uphold the view that the sun is circling the Earth or that natural selection is a secular myth.
In some instances, these debates are interesting but not terribly consequential. But sometimes they are of staggering significance. When the theory in question is about the cause of climate change or AIDS, misplaced skepticism, whether cynical or well-intentioned, can lead to grave results. For years, the South African government joined with Maggiore in denying that HIV is responsible for AIDS and resisting antiretroviral treatment. According to a new analysis by a group of Harvard public health researchers, 330,000 people died as a consequence of the government’s denial and 35,000 babies were born with the disease.
Determined to reject scientific wisdom, Maggiore breast-fed her daughter. Eliza Jane died in 2005, at the age of 3. The L.A. County coroner concluded that the cause of death was AIDS-related pneumonia. Maggiore refused to believe it.
Quackometer lists Don’t Get Fooled Again among the best books of 2008
From Quackometer
Whereas Goldacre looked at the dangers of nonsense more from a personal and UK point of view, Wilson takes on a more global and political perspective. He tells us how whole areas of Russian science were hijacked by fake experts during the Soviet era who were more adept at playing political games than honestly seeking truth. Lysenko was the master at this as he held back Russian and Chinese biology and agriculture for decades as ideology became more important than evidence. The consequences of this were the death of millions through starvation.
Roger Darlington reviews Don’t Get Fooled Again
From Roger Darlington’s website.
…a highly readable book which represents a refreshing gale of common sense and rationality. Wilson critiques a wide range of contemporary nonsense including:
- Pseudo-news such as the testimony of a certain ‘Nurse Nayirah’ in 1990 that Iraqi troops occupying Kuwait had removed babies from incubators or the insistence of American and British politicians that Saddam’s Hussein’s Iraq possessed weapons of mass destruction;
- Pseudo-science such as the efforts to show that smoking does not cause cancer or that white asbestos poses no measurable risk to health or that Trofim Lysenko in the pre-war Soviet Union had revolutionary techniques to transform agriculture or that South African President Thambo Mbeki was right in insisting that the HIV virus does not cause AIDS;
- Conspiracy theories such as the assertion by ex British agent David Shayler that the London bombings of July 2007 were not the act of terrorists;
- Relativism which, in its most radical form, asserts that there are no objective facts, only competing strands of subjective opinion, and even in ‘milder’ forms like cultural relativism rejects logic and evidence as ‘western’ or ‘imperialist’ modes of thinking;
- Religious fundamentalism which requires belivers to accept on faith the absolute truth of a prescribed list of written beliefs even when the relevant texts are obscure, contradictory or contrary to evidence;
- The justifications given for torture by democratic states like the USA and for terrorism given by extremist groups who likewise believe that the ends justify the means.
Wilson helpfully identifies some of the many factors that permit and indeed encourage such acts of irrationality including wishful thinking, over-idealisation, demonising perceived enemies, moral exclusion, and groupthink. In a spirited defence of rationality, he asserts: “The basic principles of logic, consistency, evidence, and ‘inductive reasoning’ are common to every human society and present in all belief systems”.
“Misinformed”, “substantially misleading” and “absurd” – the UK government’s verdict on Christopher Booker’s claims
The Sunday Telegraph columnist Christopher Booker has been taking some flack this week over his latest bogus claims on global warming. This in turn has triggered renewed scrutiny of Booker’s denialism on other issues – particularly his assertions about white asbestos, which I examine in “Don’t Get Fooled Again”.
I thought it might be useful to collate some of the responses to Booker’s articles over the years from the UK government’s Health and Safety Executive. Most are letters to the editor, correcting false statements that Booker has made about the HSE and its work. Only the first appears to have been accepted by the Sunday Telegraph for publication – the newspaper usually refuses to print letters which contradict Booker’s bogus claims.
Christopher Booker’s articles on the dangers of white asbestos (Notebook, Jan 13, 27, Feb 10) are misinformed and do little to increase public understanding of a very important occupational health issue.
–Timothy Walker, Director General, Health & Safety Executive, February 2002
The articles in the Sunday Telegraph by Christopher Booker entitled “Fatal cracks appear in asbestos scam as HSE shifts its ground” and “Booker wins asbestos battle” (11 December) highlighted aspects of the current Health and Safety Commission consultation on changes to the asbestos regulations.
While we welcome the emphasis in the articles on evidence-based policy making, I need to correct a comment about our views. While risks from white asbestos may be significantly lower than the risks from blue or brown, HSE does not agree that white asbestos poses no medical risk.
-Jonathan Rees, Deputy Chief Executive, Health and Safety Executive, December 2005
The Health and Safety Laboratory’s research does not confirm that white asbestos in textured coatings poses “no health risk” (Christopher Booker, 6 August). In its report for the Health and Safety Executive, the Laboratory found rather that the level of asbestos fibres in the air from work with textured coatings will not exceed the proposed new lower control limit when carried out using good practice.
Chrysotile asbestos, as found in many textured coatings, is classified as a category 1 carcinogen hazardous by inhalation by both the World Health Organisation and the EU.
-Geoffrey Podger, Chief Executive, Health and Safety Executive, August 2006
HSE does not exaggerate the risks of white asbestos cement fibres as claimed by Christopher Booker (Farmers face £6 bn bill for asbestos clean up’ 25 May). The article was substantially misleading…
The HSE paper quoted in the article in fact makes no specific statement about the risks of asbestos cement. It provides a summary of risk estimates for mesothelioma and lung cancer in relation to blue, brown and white asbestos across a range of exposures. Blue and brown asbestos are substantially more hazardous than white, but all three types can cause mesothelioma and lung cancer.
Finally, HSE in no way promotes the interests of the asbestos removal industry and it is absurd to suggest otherwise.
-Geoffrey Podger, Chief Executive, Health and Safety Executive, May 2008
“Way of the Woo” questions Booker’s latest claim on global warming
From “Way of the Woo”:
Did you hear NASA announced that last month was the hottest October on record? No? How about now:
The world has never seen such freezing heat
On Monday, Nasa’s Goddard Institute for Space Studies (GISS), which is run by Al Gore’s chief scientific ally, Dr James Hansen, and is one of four bodies responsible for monitoring global temperatures, announced that last month was the hottest October on record.
That was from the opinion pages of The Telegraph, “Britain’s No. 1 quality newspaper website”. The Investor’s Business Daily says in their Editorial/Opinion section:
Cold, Hard Facts
Despite record snows and low temperatures around the world last month, a major Al Gore supporter says October was the hottest on record.
And Barbara Sowell of the Digital Journal piles on:
Another Dagger in the Heart of Global Warming Advocacy
When GISS made the announcement last week it was shocking. All over the world were reports of unseasonal cold temperatures and record snowfalls. Even the U.S. National Oceanic and Atmospheric Administration registered 115 lowest-ever temperatures for the month of October.
Were you shocked by last week’s announcement? NASA announcing that “October was the hottest on record” is certainly a headline grabber and I have to admit that I was shocked…shocked that my Google newsfeed didn’t pick up on this story. I checked the major news outlets…ABC, CBS, NBC, CNN, FOX, etc. I was shocked to find that none of them carried any mention last week of this historical data point in the Global Warming timeline. Of these, only FOX news has posted a quick paragraph on the matter by Britt Hume:
In Hot Water
Last week, NASA’s Goddard Institute for Space Studies — one of the four bodies responsible for monitoring global temperatures used by the United Nations — announced last month was the hottest October on record. That was because the institute’s maps showed a 10-degree increase across parts of Russia.
So why didn’t responsible news organizations write a story about NASA’s announcement? You’re not going to believe this but there was no announcement. Christopher Booker, who wrote the original Telegraph article, made it up. Call it a lie, a fantasy, or Booker’s dream story…but it never happened. What did happen was that NASA’s Goddard Institute for Space Studies (GISS) posted an erroneous data point in their monthly tabulation of global temperature data. A glitch or a program error (or whatever) caused large sections of Russian temperature data from September to be carried over into October. That is, their particular data was duplicated, causing the overall global average temperature to be artificially high. The new data point would suggest that last October was indeed the hottest October on record.
NASA did not issue a press release, did not hold a press conference, did not send out news bulletins…they did not even so much as attempt any kind of ballyhoo around this new figure. Understand that James Hansen would practically drool over such a figure because it would, in the midst of our current economic turmoil and the transition of government power, bring the topic of manmade Global Warming back to the fore.
See also: ““The Bias and Logical Fallacies of Christopher Booker’s ‘Freezing Heat’” and “Global warming data blunder: Worth the fuss?”
Harvard study blames Mbeki’s AIDS denial for 330,000 deaths
In “Don’t Get Fooled Again” I trace the growth of the insidious cult of AIDS denial, from its origins in the US in the early 1980s, to the moment it was embraced by the South African government of Thabo Mbeki.
The economist Nicoli Nattrass has estimated that 340,000 lives could have been saved had Mbeki not blocked the distribution of lifesaving drugs, under the influence of AIDS “dissidents” including the virologist Peter Duesberg, who insists that HIV does not cause AIDS and is harmless.
Now a study by the Harvard School of Public Health has arrived at a very similar figure, estimating the death toll resulting from Mbeki’s decision to withhold the drugs as “more than 330,000”. The prominent South African HIV treatment access campaigner Zackie Achmat has called for Mbeki to be held to account for his government’s failure, either through a judicial inquiry, or a revived “Truth and Reconciliation Commission”.
Don’t Get Fooled Again reviewed by Tom Cunliffe
From A Common Reader
Scepticism about media, politics and finances comes naturally to most of us these days, particularly when people who should know better have brought the world to a state of economic crisis (did our rulers really not know that unfettered greed is no basis for an economic world-order?). It is refreshing to read a book like Don’t Get Fooled Again, which takes our vague feeling that “things aren’t quite right” and shows us that gut instincts are often quite correct, and we really shouldn’t believe the utterances of any institution or public figure without first submitting them to some pretty stringent tests.
Richard Wilson puts forward a good case for scepticism, reminding his readers that humanity has a long history of “meekly engaging in depraved acts of inhumanity on the basis of ideas that turned out to be total gibberish”.
Much of his book focuses on the public relations industry, citing a number of case studies to show how opinion can be manipulated. He devotes a whole chapter to the way tobacco companies in the 1950s manipulated news organisations to question the increasingly obvious link between smoking and lung cancer. The strategy consisted of getting an influential academic on-side (geneticist Clarence Cook Little in this case), and using him to question every scrap of evidence which research scientists gathered supporting the need for anti-smoking legislation.
Little insisted that it was not enough to show that lung cancer victims were smokers, but that until the cause of the link could be demonstrated under laboratory conditions, the link was irrelevant. Tests showing that mice contracted cancer when exposed to cigarette smoke were contested, but on the other hand, animal tests which were favourable to the tobacco industry were heavily publicised. Wilson shows that genius of the PR campaign was capitalising on the media’s love of “debate”.
A story really takes off when two sides are seen in opposition, even when it is obvious that the alleged “controversy” is falsely based. This can be observed every day on programmes like BBC Radio 4’s Today programme, when even the most blindingly obvious truth has to be contested by a protagonist with opposing views, with the result that equal weight is given to both nonsense and fact. One million people walked the streets of London to protest about the US/GB invasion of Iraq but this had no effect on those who wanted for a variety of reasons to believe the fantastic reports about Iraq’s offensive capability.
Wilson warns of the dangers of pseudo-science, and its ability to influence government and other decision-makers. Wilson traces this back to Trofim Lysenko, Stalin’s favorite scientist who’s wrong-headed ideas about agronomy led to mass starvation throughout Russia. Even worse, Lysenko’s ideas were taken up by Chairman Mao and his followers whose Lysenko-inspired agrarian reforms led to the worst man-made famine in history, with the loss of 30 million lives.
The chapter on “groupthink” describes that way in which a closed group of people can adopts a false belief and then support itself in perpetuating it despite mounting evidence suggesting its falsity. I found myself thinking again of the decision to invade Iraq taken by Tony Blair’s cabinet when I read Richard Wilson’s list of symptoms of groupthink:
- Invulnerability – everything is going to work out right because we are a special group
- Rationalisation – explaining away warnings that challenge the group’s assumptions
- Unquestioning belief in the morality of the group and ignoring moral consequences of the group’s decisions
- Sterotyping those who oppose the group’s view as weak, evil, impotent of stupid
- Direct pressure being placed on any member who questions the group couched in terms of “disloyalty”
- Self-censorship of ideas that stray from the consensus
- The illusion of unanimity among group members with silence being viewed as agreement.
I have worked on many large I.T. projects and have seen these processes at work when projects have begun to fail and careers and reputations are at risk. Project teams easily acquire the need to plough on despite all warning signals to the contrary until finally the project is abandoned far too late for anyone to be able to recover any benefits from it.
Wilson goes on to consider the HIV/AIDS denial movement, begun in America and then influencing the thinking of the South African government where “AIDS dissidents” have had a malign effect on public policy leading to the denial of effective treatment for many. President Tabo Mbeki immersed himself in AIDS denial literature and invited American AIDS dissidents to join a presidential advisory panel on AIDS and HIV, one of whose aims was to inivestigate “whether there’s this thing called AIDS . . . whether HIV leads to AIDS, whether there’s something called HIV”. By 2005, more than 5.5 million South Africans were infected with HIV and 1000 were dying each day from AIDS.
In his concluding chapter, Richard Wilson lists the common threads which run through false and illusory belief systems: fundamentalism, relativism, conspiracy theories, pseudo-scholarship, pseudo-news, wishful thinking, over-idealisation, demonisation of perceived enemies, groupthink. While many of the ideas in this book are nothing new in themselves, Wilson has gathered them together, with many fascinating examples from recent history, to provide a very useful handbook for people who know that things they read in the paper or hear on the television are “not quite right” and need to be challenged.
I was pleased to find that Richard Wilson has a blog Don’t Get Fooled Again in which he reports on many of the topics covered in his book.
Stephen Colbert on “truthiness”…
“That’s where the truth lies – right down here in the gut. Do you know you have more nerve endings in your gut than you have in your head? You can look it up.
Now, I know some of you are going to say, ‘I did look it up, and that’s not true.’ That’s ’cause you looked it up in a book. Next time, look it up in your gut. I did. My gut tells me that’s how our nervous system works.”
– Stephen Colbert, White House Correspondents Association dinner, April 2006
“Against the evidence” – New Statesman piece
The New Statesman has just published an article I’ve written, coinciding with the publication of “Don’t Get Fooled Again” (a version read by a strange robotic voice can be found here…)
Throughout the 1960s, the tobacco industry famously spent millions promoting a small group of vociferous “sceptics” who, in the face of overwhelming evidence, continued to deny the link between smoking and cancer. The strategy paid off. Long after a clear scientific consensus had emerged, much of the public still believed that the case remained unproven.
In a sceptical age, even those disseminating wholly bogus ideas – from corporate pseudo-science to 9/11 conspiracy theories – will often seek to appropriate the language of rational inquiry. But there is a meaningful difference between being a “sceptic” and being in denial. The genuine sceptic forms his beliefs through a balanced evaluation of the evidence. The sceptic of the bogus variety cherry-picks evidence on the basis of a pre-existing belief, seizing on data, however tenuous, that supports his position, and yet declaring himself “sceptical” of any evidence, however compelling, that undermines it.
While it is easy to guess the motivations of an industry-funded scientist denying the dangers posed by his commercial sponsor, or a far-right historian expressing “scepticism” about the Holocaust, other cases are more puzzling. It is difficult to explain why, for example, a respected academic would dismiss the mountain of proof that HIV causes Aids. But several have, notably the Berkeley virologist Peter Duesberg.
HIV is a type of “retrovirus”. Duesberg has argued for decades that retroviruses rarely, if ever, harm their hosts. Rather than modify this theory in the light of evidence that one such virus was killing millions, Duesberg in the late 1980s announced his “scepticism” about that evidence, and has stuck to his guns ever since.
Early on, these ideas found a receptive audience among HIV sufferers, desperate for an alternative prognosis. The cause was later taken up by conspiracy theorists convinced that Aids was a money-spinning fabrication of the global pharmaceutical industry.
In South Africa, at the beginning of this decade, Aids scepticism gained currency with a political class dismayed at the prices being charged for life-saving medicines. Under the influence of Duesberg and his fellow “dissidents”, Thabo Mbeki’s government chose to delay for several years public provision of anti-HIV drugs. The economist Nicoli Nattrass estimates that this decision – made amid one of the world’s worst Aids epidemics – may already have cost hundreds of thousands of lives.
Bogus scepticism does not centre on an impartial search for the truth, but on a no-holds-barred defence of a preconceived ideological position. The bogus sceptic is thus, in reality, a disguised dogmatist, made all the more dangerous for his success in appropriating the mantle of the unbiased and open-minded inquirer.
Richard Wilson’s “Don’t Get Fooled Again” is out now, published by Icon Books (£12.99)
Berners-Lee warns over online pseudo-science
While I was writing “Don’t Get Fooled Again” I came across numerous examples of pseudo-science being disseminated via the net, from the poisonous theories of the AIDS denialists to the clumsy corporate quackery of the industry-funded Chrysotile Institute.
Following the recent scare stories about the CERN project and the MMR vaccine, Tim Berners-Lee, the man often credited with inventing the World Wide Web, has raised concerns over the extent to which unsubstantiated claims about science are often disseminated online. Berners-Lee suggests that we should consider some kind of ratings system (or systems) to give a public measure of the reliability of the multitude of online sources.
Having waded through page after page of the eloquently-worded online nonsense scattered across the net over the last year – and read some of the stories of those who have been persuaded on the basis of a pseudo-scientific conspiracy theory to stop taking medicines that could have saved their lives, it’s easy to agree that there is a very serious issue here.
But I’m not sure that formal ratings systems will really help. Pseudo-scientists like the AIDS denialist Peter Duesberg already claim that their exclusion from the mainstream media, and their failure to get published in peer-reviewed scientific journals, is evidence of the ‘conspiracy of silence’ ranged against him. If some sort of ‘reliability rating’ system is introduced, the conspiracy theorists will simply say the same thing about the fact that their website has been refused a rating (or given a very low one). It seems unlikely that the kind of person who would be taken in by conspiracist claims about peer review and the mainstream media is going to be immune to similarly paranoid arguments about ‘reliability ratings’. Setting up a formal system is just going to give the conspiracy theorists something else to get paranoid about.
It also seems to me that increasing numbers of people are now figuring out for themselves how to gauge the reliability of what they see and read online, and that a more effective way of combatting web tomfoolery might simply be to promote some basic ‘rules of thumb’, drawn from experience, which web users can then apply in their own way.
A further point is that by focussing solely on the dangers of nonsense being spread in the online media, we risk letting established media sources off the hook, when complacency in this area is equally dangerous. In “Don’t Get Fooled Again” I found many cases of mainstream journalists being comprehensively duped by dangerous pseudo-scientific ideas – from the bamboozling of the Sunday Times journalist Neville Hodgkinson and the Sunday Telegraph commentator Christopher Booker, to the PR deceptions of the tobacco industry during the 1960s and 1970s.
The barefoot scientist and the Great Leap Forward
One of the oddest cases I came across while researching “Don’t Get Fooled Again” was that of Trofim Denisovitch Lysenko, Stalin’s “barefoot scientist”, who must rank as one of the greatest fraudsters of the modern age.
Lysenko, an agronomist by training, first rose to prominence in the late 1920s, when the Soviet state newspaper Pravda credited him with “turning the barren fields of the Transcaucasus green in winter, so that cattle will not perish from poor feeding, and the peasant Turk will live through the winter without trembling for tomorrow”. He managed to hold sway over Soviet science for most of the next four decades, less because of his scientific abilities than for his talents in self-promotion – and for the ruthless way that he dealt with his enemies.
Lysenko managed to present himself as the embodiment of a Communist ideal, the “barefoot scientist”, a peasant genius whose expertise derived not, primarily, from books, but from his practical understanding of the problems facing the Soviet worker, born of his own toil in the fields. His theories were likewise very agreeable to the Communist authorities, both in spirit and in consequence. Lysenko argued that, just as human nature could – as the Soviets believed – be fundamentally remoulded by the application of Marxist-Leninist principles, so the nature of plants could be transformed by the application of Lysenkoism. Wheat could be “trained” to thrive under Arctic conditions, simply by soaking the seeds in freezing water. Lysenko also rejected as “bourgeois” the Darwinist idea that organisms of the same species would naturally compete for resources. He insisted that, on the contrary, crops that were sowed very close together – be they pea plants or apple trees – would in fact co-operate with each other, and thrive, through a kind of agricultural “class solidarity”.
But there was one very big problem with these theories: they didn’t work. And when they began to be put into practice, lots of people starved. But the famines of the early 1930s seem to have done little to dent Lysenko’s reputation.
When statistical analysis by other Soviet scientists found no evidence to support his claims, Lysenko stepped up his use of inflammatory and politicised rhetoric. He declared that “mathematics has no relevance to biology – that is why we biologists do not take the slightest interest in mathematical calculations that confirm the useless statistical formulas of the Mendelists”. Lysenko rejected whole swathes of work as “bourgeois pseudo-science”, flatly denied the existence of genes as a bourgeois invention, and denounced geneticists as “fly-lovers and people haters”. In a speech before Stalin in 1935, Lysenko announced that “a class enemy is always an enemy whether he is a scientist or not”. “Bravo, comrade Lysenko!” came the response from the Soviet leader.
Over the next few years, Lysenko and his followers became increasingly vicious in their attacks on their fellow scientists. The geneticists Muralov, Meister and finally one of the country’s leading lights, Nikolai Vavilov, were arrested and jailed. Many others followed, with those who were not deliberately killed often dying in prison, as Vavilov did in 1943. Lysenko, meanwhile, was made President of the Lenin Academy of Agricultural Sciences, and subsequently became – ironically – head of the Institute of Genetics within the prestigious Soviet Academy of Sciences.
Lysenko’s influence in the USSR began to decline after the death of Stalin, but his ideas had begun to spread beyond the Soviet Union. China’s Mao Zedong, in particular, was inspired by the claimed successes of Lysenko’s theories in the USSR, and in 1958 sought to make them a key component of his “Great Leap Forward”. This was a plan to transform Chinese industry and agriculture, by the application of Communist principles, with the aim of economically surpassing the capitalist West within 15 years. Along with Lysenko ideas about “close planting”, Mao sought to impose the collectivisation of farming, and orchestrated a nationwide campaign to kill every sparrow in China. These measures failed disastrously – agricultural production plummeted Although the extermination of sparrows meant that there were fewer birds eating grain, there were also fewer birds eating locusts. Much of the food that had survived Mao’s efforts to revolutionise agriculture was devoured amid the worst Chinese locust plague in living memory. Historians estimate that more than 20 million people may have died before the Great Leap Forward was abandoned, in 1961. While Lysenko’s ideas were only one component of the disaster, they certainly will not have helped.
Lysenko’s downfall finally came in 1964, following a speech by the Soviet physicist Andrei Sakharov, at the General Assembly of the Soviet Academy of Sciences. Among Soviet scientists, physicists enjoyed a relatively priveleged position due to their importance to the country’s nuclear programme, and were thus one of the few groups able to speak openly. Sakharov accused Lysenko of being “responsible for the shameful backwardness of Soviet biology and of genetics in particular, for the dissemination of pseudo-scientific views, for adventurism, for the degradation of learning, and for the defamation, firing, arrest, even death, of many genuine scientists”. The dam had broken, and within months the Academy of Sciences carried out a damning investigation into Lysenko’s work, which largely destroyed his reputation.
Yet Lysenko’s fate was in sharp contrast to that of his victims. Where Vavilov and his fellow geneticists had been imprisoned or killed, Lysenko was allowed to live out a comfortable retirement, dying in relative obscurity in 1976.
Lysenko was very much a creature of the Soviet era, but he has many heirs. In “Don’t Get Fooled Again” I explore some of the parallels between Trofim Lysenko and his modern-day successors.
The Hoofnagles’ step-by-step guide to cranky success
Ever wanted to make a name for yourself trying to convince everyone that World War II never happened, that vitamin C can cure AIDS, or that white asbestos poses “no measurable risk to health”? If so, then the Hoofnagle brothers, over at the Denialism blog, have a handy step-by-step guide that will tell you everything you need to know about how to get started!