Monday, June 26, 2023

Hearing friends recently discuss vaccine skeptics’ lack of critical thinking set me thinking.

Yes, science apparently had the better argument, that vaccines and masks were helping fight COVID-19. This seemed pretty clear fairly soon. But believing in the science doesn’t automatically mean I thought critically. Maybe I listened just as vacuously as someone else, but to different speakers.

Yes, it got bound up in politics; yes, Mr. Trump misinformed anyone who listened to him; but consider the context of vaccine skepticism.

Historically, science needed centuries to supplant religion and folklore as humanity’s most trusted guide. (From Galileo to Locato Sí?) Scientific method deserves its status, although only an idiot assumes it’s infallible. (See thalidomide, asbestos flowerpots, shock treatment.)

But many tributaries flowed into the powerful river of anti-vaccine sentiment.

First, like that dam that burst recently in Ukraine, weakened by months of sustained shelling, science suffered some cynical but long and strong artillery attacks: as we finally began to take seriously the health dangers of cigarettes (referred to casually as “cancer sticks” even in 1905), the tobacco industry fought like cornered rats. They denied science, attacked the scientific method, and hired greedy scientists to spout untruths in scientific wording. And hired politicians. Oil companies borrowed that playbook to deny that our climate was changing largely because of human (mis)conduct. They convinced many and dangerously delayed or prevented meaningful action.

Not only did these cynical bombardments of science weaken science’s strong position in some minds, but watching apparently serious scientists delivering scripted lines as earnestly as movie actors taught us all that scientists can be bought. If that’s so, unless you give the subject a sustained study, why should a non-scientist accept the authority of peer-reviewed journals? Maybe all the peers got bought!

Science also suffers from self-imposed wounds by its practitioners. Scientists have praised some useless medicines. Drug companies have deep-sixed bad test results while exaggerating the significance of others. There’s been a revolving door through which young industry employees take jobs with the FDA, do “regulatory” work than sometimes falls short of “neutral and unbiased,” then return to industry in higher-paid positions.

Most in the FDA want the process to work. But we litigated one case for a small company that developed an extremely promising and affordable drug to combat a deadly disease, and contracted with a company in the U.S. to shepherd the drug through tests and FDA approval. A larger company was charging folks $50,000 per year for a drug that merely weakened symptoms. Our client’s drug could have stopped that gravy train. The big company cleverly bought the shepherd company, paused work on our drug, and announced the drug was dangerous and ineffective. Yeah, years later we prevailed in court, with a jury ordering the bad guys to pay almost $600 million dollars, but too late to help the patients our client’s drug might have helped. At trial, both sides had scientific “expert witnesses” – some sincere, and others with long records of saying what the got paid to say. That stuff makes scientists and drug companies look even less trustworthy than used-car salespersons.

Yeah, it’s startling to kids who lined up to get polio shots, seeing all this skepticism; and devious folks foment that, for profit or politics.

But fighting those folks, and repairing Science’s reputation, might require an enhanced understanding of where skeptics are coming from – including a realistic look at industry misconduct.

                             – 30 --

 

[The above column appeared Sunday, 25 June, in the Las Cruces Sun-News and on the newspaper's website, as well as on the KRWG website. A related radio commentary will air during the week both on KTAL-LP (101.5 FM / http://www.lccommunityradio.org/) and on KRWG Radio. ]

[Our community radio station, KTAL, re-aired an interview of Bernie Digman by Randy Harris. Listening to part of it sparked the reflections above. I’m not sure there’s anything new there, but the vaccine skeptics possible defenses seemed worth articulating, partly because whenever we are in any majority, we tend to give short shrift to minority opinions; but meaningful and persuasive responses depend upon hearing and perhaps understanding some of what’s resonating with the minority. Having so often been articulating a minority opinion in my native country probably enhances my commitment to that.]

[Maybe the column goes too easy on folks like Robert Kennedy, Jr., who’s trying to build a political career on false statements about vaccines. He derserves obscurity. But it makes less sense to criticize him than it does to do my little bit to make the ground less fertile for the seeds of misinformation he’s scattering.]

 

 

3 comments:

  1. Sadly, this op/ed missed the entire point of tRump's failed advocacy for exploring household bleach injections, hydroxychoroquine and/or ivermectin (horse de-wormer meds) which caused more public confusion because Americans traditionally trust and respect their president.
    I suggest Goodman and the general public read Michael Lewis' The Premonition ~ A Pandemic Story. The book is a 300-page dive into how disparate, independent American scientists trying to address and resolve a growing pandemic utilizing their collective talents while resisting tRump administration/CDC public policy bureaucracy.
    Book sleeve synopsis: "For those who could read between the line, the censored news out of China was terrifying, but the president insisted there was nothing to worry about... The characters you will meet in these pages are as fascinating as they are unexpected....A local public health officer (California) uses her worm's-eye view to see what the CDC misses, and reveals great truths about American society. A secret team of dissenting doctors, nicknamed the Wolverines, has everything necessary to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the pandemic scares of bird flue and swine flu...everything, that is, except official permission to implement their work."
    Scientific academia is imperfect, IMO, but baked-in to public policy and public health protocol is political resistance from an ignorant and obstreperous president desperately trying to downplay the imminent deaths of 1 million Americans by a fast-spreading pathogenic virus during an election year.
    The Premonition is a fascinating read that informs readers of behind-the-scenes efforts to tackle a public health problem that Trump didn't want to address.

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    1. Rather, the American public was treated to:
      - January 22nd to CNBC: "We have it totally under control. It's one person coming in from China, and we have it under control. It's going to be just fine."

      - January 24th tweet: “China has been working very hard to contain the Coronavirus. The United States greatly appreciates their efforts and transparency. It will all work out well. In particular, on behalf of the American People, I want to thank President Xi!”
      The Irish Times

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      US
      ‘One day, it’s like a miracle, it will disappear’: Trump on Covid-19
      As the US president tests positive, here’s timeline of some of his comments regarding coronavirus

      US president Donald Trump, in quarantine on Friday after testing positive for coronavirus, has underplayed the pandemic for months, eschewing masks, criticising others who wear them and holding large rallies with unmasked supporters against the advice of public health professionals.

      While facing sharp criticism for his response to an outbreak that has killed more than 200,000 people in the United States alone, the president has touted his management of the crisis. Here is a timeline of some of his comments regarding coronavirus:

      - January 22nd to CNBC: "We have it totally under control. It's one person coming in from China, and we have it under control. It's going to be just fine."

      - January 24th tweet: “China has been working very hard to contain the Coronavirus. The United States greatly appreciates their efforts and transparency. It will all work out well. In particular, on behalf of the American People, I want to thank President Xi!”



      - February 23rd to reporters: “We’re very much involved. We’re very, very cognisant of everything going on. We have it very much under control in this country.”

      - February 27th at the White House: "It's going to disappear. One day, it's like a miracle, it will disappear."

      - March 10th after meeting Republican senators: “This was unexpected. And it hit the world. And we’re prepared, and we’re doing a great job with it. And it will go away. Just stay calm. It will go away.”

      - March 13th to reporters: “Yeah, no, I don’t take responsibility at all, because we were given a - a set of circumstances and we were given rules, regulations, and specifications from a different time.”

      - March 15th at a White House briefing: “This is a very contagious virus. It’s incredible. But it’s something that we have tremendous control over.”

      In my view, Goodman's article is specious at best without consideration of federal public health policy and chain of command hegemony that controlled R&D funding during the pandemic contrary to science in deference to election politics.

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  2. Another great column Peter. Unfortunately, some scientific research published in peer reviewed journals slip by editors and reviewers when researchers cook their data. We saw this last week when the ethics Professor from Harvard was accused of this. Hopefully it is rare.

    But don't get me started on publishers like Elsevier who are taking advantage of the whole publish or perish situation and making huge profits off the backs of free labor and institutions who pay them.

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