Skepticism about science and medicine

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Archive for the ‘fraud in medicine’ Category

The Loch Ness “Monster”: Its real and important significance

Posted by Henry Bauer on 2021/01/29

Because of my writings about Nessie, the Loch Ness Monster [1], I am periodically approached by various media. Last year I had published [2] the suggestion that the Loch Ness creatures are more plausibly related to sea turtles than to the commonly popular notion of plesiosaurs.

A Scottish journalist came across that article, and for one day something about it and me was featured in every yellow-press newspaper in Britain, and several broadcast media asked for interviews.

The episode reminded me of some of the things that are so wrong with modern mass media.

Their overriding concern is simply to attract an audience. There is no intention of offering that audience any genuinely insightful analysis or context or background information. Media attention span approximates that of Twittering. One television network asked for an instant interview, wanted the best phone-contact number, even offered me compensation — and then never followed up.

I did talk to one Russian and one Spanish station or network, and I tried to point to what the real significance is of the Loch Ness animals, namely, that their existence has been denied by official scientific sources for not much less than a century, demonstrating that official science can be wrong, quite wrong; and while that matters little if at all about Loch Ness, I said, it does matter greatly when official science is wrong about such matters of public importance as HIV/AIDS  or climate change,  about which official science does in fact happen to be wrong [3].

So far, however, my bait about those important matters has not been snapped up.

Misunderstandings about science are globally pervasive, especially not realizing that it is fallible. The consequent unwarranted acceptance of wrong beliefs about HIV and about carbon dioxide demonstrate the need for some institution independent of official science, independent of existing scientific organizations and institutions, to provide fact-checking of contemporary scientific consensuses, an impartial, unbiased, strictly evidence-based assessments of official science. In other words, society sorely needs a Science Court [4].

Misconceptions about science can already be seen as a significant reason for flaws in the announced policies of the new Biden administration, as it places high priority on “combating climate change” and engaging in a “moon shot” to cure cancer: having not learned any lessons from the failure of the war on cancer, or from the fact, obvious in great swaths of the geological literature, that carbon dioxide is demonstrably not the prime cause of global warming since there is no correlation between global temperatures and carbon-dioxide levels in the atmosphere [5], neither over the whole life of the Earth nor over the last couple of centuries.

——————————————————

[1]    The Enigma of Loch Ness: Making Sense of a Mystery, University of Illinois Press, 1986/88; Wipf & Stock reprint, 2012
GENUINE  FACTS about “NESSIE”, THE LOCH NESS “MONSTER”
[2]    “Loch Ness Monsters as Cryptid (Presently Unknown) Sea Turtles”, Journal of Scientific Exploration, 34 (2020) 93-104
[3]    Dogmatism  in Science and Medicine: How Dominant Theories Monopolize Research and Stifle the Search for Truth, McFarland, 2012
The Origin, Persistence and Failings of HIV/AIDS Theory, McFarland, 2007
[4]    Science Is Not What You Think: How It Has Changed, Why We Can’t Trust It, How It Can Be Fixed (McFarland 2017), chapter 12
“The Case for a Science Court”
Science Court: Why and What
[5]    “A politically liberal global-warming skeptic?”
”Climate-change facts: Temperature is not determined by carbon dioxide”

Posted in consensus, fraud in medicine, fraud in science, global warming, media flaws, politics and science, resistance to discovery, science is not truth, science policy, scientific culture, unwarranted dogmatism in science | Tagged: , , , , | 16 Comments »

The Banality of Evil — and modern medical practices

Posted by Henry Bauer on 2021/01/22


”The banality of evil” is a phrase famously used by Hannah Arendt in her description of the trial  of Adolf Eichmann. There has been much argument about what exactly she meant. For me, the insight is that evil is so often unintended, that it can result from perfectly well-intentioned actions.

The root of all evil is wrong belief.

If one believes that the most important thing about a human being is the immortal soul, and that the soul will burn in hell for eternity unless it has accepted what the Holy Roman Catholic Church believes, then obviously one should leave nothing undone in the effort to bring that soul to proper belief, even if that amounts to torturing the immortal soul’s body, even to death.

If one believes that one’s country was defeated and devastated by sabotage perpetrated by Jews, communists, homosexuals, gypsies, and the like, then obviously one should do whatever is necessary to rid the country of those perpetraitors.

 And so on

The human tragedy is that we acquire beliefs according to the environment into which we are born and in which we are raised; and once belief has been acquired, it tends to become increasingly entrenched and increasingly difficult to modify.

The problem for society is how best to ensure that collective public actions are based on correct rather than on wrong beliefs.

Nowadays that is taken to mean that public actions should be based on science.

Unfortunately, the nature of scientific activity is widely and thoroughly misunderstood [1], in particular its fallibility, which results inevitably from the fact that science is carried out by fallible human beings.

That fallibility is well illustrated by the history of medicine, where many past practices are now recognized as having been harmful rather than helpful — drawing out blood in sizable amounts, for example. Nowadays, the excellent intention to base medical practices on sound scientific knowledge has sadly gone wrong in several ways, as a result of beliefs that turn out to be wrong.  One pervasive reason is that statistical associations are taken as indicating cause and effect — an error that is warned against in even the most elementary introductions to statistical analysis.

Several pertinent stories are analyzed in Jeremy Greene’s magisterial Prescribing by Numbers [2].

One story has to do with blood pressure. Life insurance companies required physical examinations. Their accumulated data revealed that on average mortality increased with increasing blood pressure. Now, mortality increases with age; and it happens also that every relevant study has shown that blood pressure too increases naturally with age in otherwise healthy people. The association of blood pressure with mortality is an artefact illustrating the common principle in statistics that when two things, A and B, are each correlated with a third factor, C, then A and B will also show a correlation with one another; even though neither causes the other [3].

The misinterpretation of life-insurance statistics has resulted in contemporary medical practice based on a wrong belief, namely, that it is beneficial is to bring everyone’s blood pressure to a level that is normal only for people in their twenties.

This mistake becomes particularly harmful since the means used to lower blood pressure almost invariably involve administering drugs, though lip service is always paid to advising appropriate diet and exercise as the first resort.

That drug companies are permitted to advertise direct to consumers (among developed countries, only in the USA and New Zealand) means that such practices become so taken-for-granted as to be virtually unquestionable.

Another mistaken belief is that high levels of cholesterol in the blood constitute cardiovascular disease and increased risk of stroke and heart-attack. The corollary misguided belief is that bringing cholesterol levels down by administering statin drugs is beneficial; even though statins hinder the body’s production of coenzyme Q10, which is a necessary component of the energy-producing mechanisms of all cells. Inevitably, therefore, statins induce in muscular weakness, which is officially but quite mistakenly described as a “side” effect; it is a direct effect.

Many well documented books and articles have debunked the cholesterol theory (for example, Kendrick (2007) and Ravnskov (2000) in [4]), without effecting any change in standard practice — although many individuals ignore or defy their doctor’s prescribing of statins.

Not only do modern American medical practices rely on misleading, incompetent statistical analyses, they are based fundamentally on the wrong belief that preventive medicine can be successfully practiced by administering of drugs. This becomes increasingly harmful when those drugs continue to be prescribed as people get older and the steadily cumulating danger from drug “side” effects outweigh any possible benefit from “reducing risk” of one or another ailment [5].

Drug-based treatments are particularly well entrenched because the pharmaceutical industry is hugely profitable in large part because of the profligate prescribing of drugs stimulated by pervasive advertising.

The greatest immediate improvement in prescribing practices would result if the Food and Drug Administration and other regulatory authorities would demand statistically competent and honest protocols for clinical trials, including that outcomes not be assessed as “significant at p ≤ 0.05” but in terms of NNT and NNH: numbers of patients needed to be treated for 1 successful outcome compared to numbers of patients needed to be treated to observe 1 undesired adverse event [6].

That would prevent much harm, for example that now perpetrated by HPV vaccines, which are responsible for the greatest number of officially reported averse events as well as many horrifying anecdotes [7]; while there is no actual proof that HPV causes any cancer at all, HPV having been found guilty only because a few strains (out of many dozens) are often statistically associated with some cancers.

Well intentioned physicians are doing harm because of wrong beliefs, even as dozens of books [4] have exposed the misdeeds and their causes.

Is it not an evil,
 to persuade people to ingest things that do harm
 without any compensating good?

————————————————–

[1]    Science Is Not What You Think: How It Has Changed, Why We Can’t Trust It, How It Can Be Fixed, McFarland, 2017
[2]    Jeremy Greene, Prescribing by Numbers, Johns Hopkins University Press, 2007
[3]    “Seeking Immortality? Challenging the drug-based medical paradigm”, Journal of Scientific Exploration, 26 (2012) 867-80
[4]    What’s Wrong with Present-Day Medicine
[5]    “When is enough, enough? Stopping medicines in older people”, Best Practices Journal, #27 (April 2010) 6-9; Rushabh J. Dagli & Akanksha Sharma, “Polypharmacy: A global risk factor for elderly people”, Journal of International Oral Health,  6 (#6, 2014) i–ii
[6]    How (not) to measure the efficacy of drugs
[7]    Mary Holland, Kim Mack Rosenberg & Eileen Iorio,  The HPV Vaccine On Trial: Seeking Justice For A Generation Betrayed, Skyhorse, 2018
Documentary: Sacrificial Virgins

Posted in consensus, fraud in medicine, medical practices, prescription drugs, science is not truth, scientific culture, scientists are human, unwarranted dogmatism in science | Tagged: , , | 1 Comment »

The HIV/AIDS blunder: Missed opportunities for mainstream research to self-correct

Posted by Henry Bauer on 2021/01/20

Quite a number of specific mis-steps conspired to the acceptance and continuance of HIV/AIDS theory. They illustrate much of what has gone wrong with science: It is subject to interference by commercial, political, and ideological influences; it is comprised of a variety of institutions that do not interact usefully or reliably. Above all:


 Science has no overarching watchdog to ensure
 that theories change appropriately
 as evidence accumulates

  1. 1.The first and crucial mistake was when the Secretary of Health and Human Services (Margaret Heckler) held a press conference at which Robert Gallo claimed to have discovered the probable cause of AIDS. Illustrated by this sad episode is political interference and the pervasive ignorance of how science works:
    →     Gallo had not yet published anything. Insiders regarded him as incompetent and untrustworthy. Investigative journalism later (2002) fully documented that he is an unscrupulous charlatan [1].
    →     Heckler’s background was as a lawyer and a politically active Republican.
    →     Activists had been campaigning vigorously for the Republican administration to do something about AIDS.
     →    This official endorsement of Gallo’s claim acted as a signal that anyone who wanted research support from the National Institutes of Health (NIH) would likely be successful by proposing to work on HIV; virologists in particular were hungry for funding after their failure to discover cancer-causing viruses in the “war on cancer” [2].
  2. 2.An important contributing factor  was statistical incompetence at the Centers for Disease Control (CDC):
    →     Mistakenly taking “gay” rather than drug abuse as the most meaningful association with AIDS [3]. The CDC should also have been aware  that AIDS-like symptoms had been quite common among addicts during the 1960-70s epidemic of so-called recreational drug use [4].
    →     Initiated the misleading “young, previously healthy, gay men” characterization based on 5 cases aged 29-36, average 32.6 [5]. Its Task Force on Kaposi’s Sarcoma had found the average age of AIDS victims to be 35. When Cochrane [6] re-examined the medical records 20 years later, she found that the average age of the first 25 AIDS patients in San Francisco had been 38. This mattered crucially: The greatest risk for sexual infections is among people <30; lifestyle ailments are increasingly likely at older ages, more compatible with a decade or two of what used to be called dissolute living.
    CDC researchers as early as 1987 failed to recognize the significance of their finding that, among Job Corps  members at ages about 17 and younger, females are more likely to test HIV-positive than males [7].
  3. 3.The Army HIV Research Office also failed to recognize the significance of their finding that at ages about 17 and younger, females are more likely to test HIV-positive than males [8].
  4. 4.Duesberg had published comprehensive debunkings of HIV in 1987 [9] and 1989 [10]. The latter  has a footnote promising a rebuttal from Gallo that never eventuated, despite several reminders [11: 233].
  5. 5.As the years went by, more and more conundrums emerged whose significance was missed:
    →     The purple skin-patches of Kaposi’s Sarcoma had been the iconic signature of AIDS,  yet after half-a-dozen years they had become rare among AIDS patients.
    →     The correlation between drug abuse and AIDS became stronger and stronger.
    →     Prostitutes who did not use drugs were not at risk of  becoming HIV-positive.
    →     Drug abusers who used clean needles would more likely to test HIV-positive than those who exchanged needles.
    →     Marriage and pregnancy are risk factors for testing HIV-positive.
    →     Many further instances, with primary sources cited also for the points above, see The Case against HIV

Lessons:

The clearest general lesson is that policymakers and administrators should not take far-reaching actions on matters of science or medicine without advice from individuals who have at least an elementary acquaintance with the history of science and the understanding of present-day scientific activity incorporated in Science and Technology Studies (STS [12]). Anyone with that background would be familiar with the danger of accepting any scientific claim made by an individual researcher or administrator of research before the claim had even been published. The training of most scientists and most doctors neglects that important background.

A fairly general lesson is that competence in statistics may be sorely lacking even in an agency like CDC where gathering and analyzing statistical data is a central task. Much has been written during the last several decades about the pervasive abuse and misuse of statistics in medicine and medical science [13].

It is also not irrelevant that an overwhelming of proportion of those who were carrying out and reporting HIV tests were medical doctors, MDs or DVMs, rather than people trained in research. This is not to discount and the insights of the many MDs who have been able to learn from experience and to transcend some of the mistaken lore they were originally taught [14]. But medical training focuses on applying what is known, not on questioning it. By contrast,  journalists who were covering the HIV/AIDS story [1, 15] had a more holistic mindset and noticed how inadequate the officially accepted view is.

A part of understanding what contemporary scientific or research activity involves is to recognize that the overwhelming proportion of individuals doing what is loosely called “research” or “science”  are not engaged in seeking fundamental truths. Most of the published reports on HIV testing were based on taking for granted that HIV causes AIDS and gathering data for other purposes, say, recruitment into the Armed Forces, or the presumed need of for antiviral drugs in different regions of Africa; so those “researchers” had been blind to  the steady accumulation of data incompatible with the view of HIV as a contagious infection.

Present-day institutions of medical science
are incapable of self-correcting a mistaken “consensus”

That is why society needs a Science Court

***************************************************************************

[1]    John Crewdson, Science Fictions: A scientific mystery, a massive cover-up and the dark legacy of Robert Gallo, Little, Brown, 2002
[2]    Peter Duesberg, Inventing the AIDS Virus, Regnery, 1996; chapter 4
[3]    John Lauritsen, “CDC’s tables obscure AIDS-drug connection”, Philadelphia Gay News, 14 February 1985 (and five other papers); reprinted as chapter I in The AIDS war: propaganda, profiteering and genocide from the medical-industrial complex, ASKLEPIOS, 1993
[4]    Neville Hodgkinson, AIDS: The Failure of Contemporary Science, Fourth Estate, 1996
[5]    Pneumocystis Pneumonia — Los Angeles, Morbidity and Mortality Weekly Report, 30 (#21, 5 June 1981.) 250-52
[6]    Michelle Cochrane, When AIDS began: San Francisco and the Making of an Epidemic, Routledge, 2004
[7]    Michael E. St. Louis, George A. Conway, Charles R. Hayman, Carol Miller, Lyle R. Petersen, Timothy J. Dondero,  “Human Immunodeficiency Virus Infection in Disadvantaged Adolescents: Findings From the US Job Corps”, JAMA, 266
(1991): 2387-91;  Fig. 4 [authors’ training: 5 MD, 1 RN]
 [8]   John F. Brundage, Donald S. Burke, Robert Visintine, Michael Peterson, Robert R. Redfield. “HIV Infection among young adults in the New York City area”, New York State Journal of Medicine, May 1988, 232-33; Fig. 3 [authors’ training: 5 MD, 1 DVM]
Donald S. Burke, John F. Brundage, Mary Goldenbaum, Lytt I. Gardner, Michael Peterson, Robert Visintine, Robert R. Redfield, & the Walter Reed Retrovirus Research Group, “Human Immunodeficiency Virus Infections in Teenagers: Seroprevalence Among Applicants for US Military Service”, JAMA, 263 (1990) 2074-77; Table 1 [authors’ training: 4 MD, 1 DVM, 1 MS, 1 PhD]
Burke, D. S., J. F. Brundage, J. R. Herbold, W. Berner,  L. I. Gardner, J. D. Gunzenhauser,  J. Voskovitch, & R. R. Redfield, “Human immunodeficiency virus infections among civilian applicants for United States military service, October 1985 to March 1986”, New England Journal of Medicine, 317 (1987) 131-36; Fig 1 [authors’ training: 5 MD, 1 PhD, 1 DVM]
[9]    Peter H. Duesberg, “Retroviruses as carcinogens and pathogens: expectations and reality”, Cancer Research, 47 (1987) 1199-220
[10]  Peter H. Duesberg, “Human immunodeficiency virus and acquired immunodeficiency syndrome: correlation but not causation”, Proceedings of the National Academy of Sciences, 86 (1989) 755-64.
[11]  Henry H. Bauer, The Origin, Persistence and Failings of HIV/AIDS Theory, McFarland, 2007
[12]  “STS draws on the full range of disciplines in the social sciences and humanities to examine the ways that science and technology shape, and are shaped by, our society, politics, and culture. We study contemporary controversies, historical transformations, policy dilemmas, and broad philosophical questions” (Department of Science, Technology, and Society at Virginia Tech)
[13]  Illustrated in many of the books cited in What’s Wrong with Present-Day Medicine
but see particularly the cited articles by Altman, Ioannidis, Matthews
[14]  See for example in the books listed in [13] those by Angell, Brody, Goldacre, Gøtzsche, Greene, Kendrick, LeFanu, Ravnskov, Smith
[15]      See books by Farber, Hodgkinson, Leitner, Shenton, in The Case against HIV

Posted in consensus, fraud in medicine, funding research, media flaws, medical practices, peer review, politics and science, resistance to discovery, science is not truth, science policy, scientific culture, Uncategorized, unwarranted dogmatism in science | Tagged: | Leave a Comment »

Why skepticism about science and medicine?

Posted by Henry Bauer on 2020/09/06

My skepticism is not about science and medicine as sources or repositories of objective knowledge and understanding. Skepticism is demanded by the fact that what society learns about science and medicine is mediated by human beings. That brings in a host of reasons for skepticism: human fallibility, individual and institutional self-interest, conflicts of interest, sources of bias and prejudice.

I have never come across a better discussion of the realities about science and its role in society than Richard Lewontin’s words in his book, Biology as Ideology (Anansi Press 1991, HarperPerennial 1992; based on 1990 Massey Lectures, Canadian Broadcasting Corporation):

“Science is a social institution about which there is a great deal of misunderstanding, even among those who are part of it. . . [It is] completely integrated into and influenced by the structure of all our other social institutions. The problems that science deals with, the ideas that it uses in investigating those problems, even the so-called scientific results that come out of scientific investigation, are all deeply influenced by predispositions that derive from the society in which we live. Scientists do not begin life as scientists, after all, but as social beings immersed in a family, a state, a productive structure, and they view nature through a lens that has been molded by their social experience.
. . . science is molded by society because it is a human productive activity that takes time and money, and so is guided by and directed by those forces in the world that have control over money and time. Science uses commodities and is part of the process of commodity production. Science uses money. People earn their living by science, and as a consequence the dominant social and economic forces in society determine to a large extent what science does and how it. does it. More than that, those forces have the power to appropriate from science ideas that are particularly suited to the maintenance and continued prosperity of the social structures of which they are a part. So other social institutions have an input into science both in what is done and how it is thought about, and they take from science concepts and ideas that then support their institutions and make them seem legitimate and natural. . . .
Science serves two functions. First, it provides us with new ways of manipulating the material world . . . . [Second] is the function of explanation” (pp. 3-4). And (p. 5) explaining how the world works also serves as legitimation.

Needed skepticism takes into account that every statement disseminated about science or medicine serves in some way the purpose(s), the agenda(s), of the source or sources of that statement.

So the first thing to ask about any assertion about science or medicine is, why is this statement being made by this particular source?

Statements by pharmaceutical companies, most particularly their advertisements, should never be believed, because, as innumerable observers and investigators have documented, the profit motive has outweighed any concern for the harm that unsafe medications cause even as there is no evidence for definite potential benefit. The best way to decide on whether or not to prescribe or use a drug is by comparing NNT and NNH, the odds on getting benefit compared to the odds of being harmed; but NNT and NNH are never reported by drug companies. For example, there is no evidence whatsoever that HPV vaccination decreases the risk of any cancer; all that has been observed is that the vaccines may decrease genital warts. On the other hand, many individuals have suffered grievous harm from “side” effects of these vaccines (see Holland 2018 in the bibliography cited just below, and the documentary, Sacrificial Virgins. TV ads by Merck, for example in August 2020 on MSNBC, cite the Centers for Disease Control & Prevention as recommending the vaccine not only for girls but also for boys.

For fully documented discussions of the pervasive misdeeds of drug companies, consult the books listed in my periodically updated bibliography, What’s Wrong with Present-Day Medicine.
I recommend particularly Angell 2004, Goldacre 2013, Gøtzsche 2013, Healy 2012, Moynihan, & Cassels 2005. Greene 2007 is a very important but little-cited book describing how numbers and surrogate markers have come to dominate medical practice, to the great harm of patients.

Official reports may be less obviously deceitful than drug company advertisements, but they are no more trustworthy, as argued in detail and with examples in “Official reports are not scientific publications”, chapter 3 in my Dogmatism in Science and Medicine: How Dominant Theories Monopolize Research and Stifle the Search for Truth (McFarland 2012):
“reports from official institutions and organizations . . . are productions by bureaucracies . . . . The actual authors of these reports are technical writers whose duties are just like those of press secretaries, advertising writers, and other public-relations personnel: to put on the actual evidence and conclusions the best possible spin to reinforce the bureaucracy’s viewpoint and emphasize the importance of the bureaucracy’s activities.
Most important: The Executive Summaries, Forewords, Prefaces, and the like may tell a very different story than does the actual evidence in the bulk of the reports. It seems that few if any pundits actually read the whole of such documents. The long public record offers sad evidence that most journalists certainly do not look beyond these summaries into the meat of the reports, given that the media disseminate uncritically so many of the self-serving alarums in those Executive Summaries” (p. 213).

So too with press releases from academic institutions.

As for statements direct from academic and professional experts, recall that, as Lewontin pointed out, “people earn their living by science”. Whenever someone regarded as an expert or authority makes public statements, an important purpose is to enhance the status, prestige, career, profitability, of who is making the statement. This is not to suggest that such statements are made with deliberate dishonesty; but the need to preserve status, as well as the usual illusion that what one believes is actually true, ensures that such statements will be dogmatically one-sided assertions, not judicious assessments of the objective state of knowledge.

Retired academic experts like myself no longer suffer conflicts of interest at a personal or institutional-loyalty level. When we venture critiques of drug companies, official institutions, colleges and universities, and even individual “experts” or former colleagues, we will be usually saying what we genuinely believe to be unvarnished truth. Nevertheless, despite the lack of major obvious conflicts of interest, one should have more grounds than that for believing what we have to say. We may still have an unacknowledged agenda, for instance a desire still to do something useful even as our careers are formally over. Beyond that, of course, like any other human beings, we may simply be wrong, no matter that we ourselves are quite sure that we are right. Freedom from frank, obvious conflicts of interest does not bring with it some superhuman capacity for objectivity let alone omniscience.

In short:
Believe any assertion about science or medicine, from any source, at your peril.
If the matter is of any importance to you, you had best do some investigating of evidence and facts, and comparison of diverse interpretations.

Posted in conflicts of interest, consensus, fraud in medicine, fraud in science, medical practices, peer review, politics and science, science is not truth, scientific literacy, scientism, scientists are human, unwarranted dogmatism in science | Tagged: , , , , | Leave a Comment »

Percentages absolute or relative? Politicizing science

Posted by Henry Bauer on 2020/08/24

Convalescent plasma reduces the mortality of CoVID-19 by 35%, citizens of the United States were assured in a press conference on 23 August 2020, and the approval of this treatment for emergency use by the Food and Drug Administration (FDA) underscored that this constituted a breakthrough in treating the pandemic disease.

As usual, critical voices ventured to disagree. One physician reported that he had been using this treatment for a considerable length of time and had noted a perhaps marginal, certainly not great benefit for this intervention. Others pointed out that the use of convalescent plasma in general was nothing new.

That “35%” mortality reduction was emphasized a number of times in the televised official announcement. It was only a few days later that we learned that the original data suggested a reduction of mortality to about 8% from 11-12% for presumably comparable patients not so treated. In other words, 3 to 4% of patients may have derived a benefit in terms of decreased mortality.

Indeed, 8 is about 35% less than 11-12. However, a 3.5% reduction in mortality is nothing like a 35% reduction.

This episode illustrates what is quite commonplace as drug companies seek to impress doctors and patients with the wonderful benefits to be derived from their medications: relative effects rather than absolute ones are reported.

This is just one of the many things wrong with present-day practices in medicine, of course; dozens of works describing the dysfunctions are listed in my periodically updated bibliography.

Investigative reporters also revealed and that the FDA’s emergency use approval had come at the behest of the White House. Historians will recall that the whole science of genetics was derailed in the Soviet Union for a generation as Stalin’s administration enshrined as science the pseudoscience invented by Lysenko.

Posted in conflicts of interest, fraud in medicine, media flaws, medical practices, politics and science, prescription drugs, scientific literacy | Tagged: , , , | 1 Comment »

Modern Psychiatric Diagnosis is Bullshit

Posted by Henry Bauer on 2019/07/09

I use the term   “bullshit”, of course, as the appropriate description of “assertions made without regard to whether or not they have any truth value”, following the analysis of professor of philosophy Harry Frankfurt in his book On Bullshit (Princeton University Press, 2005).

Those who commit bullshit orally or in writing do, of course, often imagine that they are asserting something that is true, but they are merely parroting popular shibboleths, “what everyone knows”,  without having taken any time it to examine the evidence for themselves (see Climate change is responsible for everything, as everyone knows (but what everyone knows is usually wrong).

Extraordinary as it may seem, the professional reference work on psychiatric diagnosis, the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association and (since 2013) in its 5th edition (DSM-5), gives every appearance of having been put together without any careful attention to evidence, or for that matter to whether it makes any sense.

A couple of years ago, I pointed to the nonsense incorporated in DSM-5 about ADHD — Attention-Deficit/Hyperactivity Disorder (The banality of evil — Psychiatry and ADHD).

Now, the peer-reviewed professional journal Psychiatry Research has published a detailed analysis revealing that the diagnostic categories in DSM-5 make no sense in theory or in practice: (Allsopp et al., Heterogeneity in psychiatric diagnostic classification, Psychiatry Research 279 (2019) 15–22; https://doi.org/10.1016/j.psychres.2019.07.005).

It should suffice to offer two quotes:

“ [I]n the majority of diagnoses in both DSM-IV-TR and DSM-5 (64% and 58.3% respectively), two people could receive the same diagnosis without sharing any common symptoms.”

“[T]here are 270 million combinations of symptoms that would meet the criteria for both PTSD and major depressive disorder, and when five other commonly made diagnoses are seen alongside these two, the figure rises to one quintillion symptom combinations — more than the number of stars in the Milky Way.”

QED

Of course, the professional literature refrains from exposing its guild’s follies, the nakedness of the unclothed Emperor, to the general public, hence the article’s title is “Heterogeneity in psychiatric diagnostic classification”, unlikely to catch the eye of the uninitiated, rather than the plain “Modern psychiatric diagnosis is bullshit”, but both are saying the same thing. As George Bernard Shaw noted a century or so ago, “All professions are conspiracies against the laity”.

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Pseudo-science of ADHD at FDA

Posted by Henry Bauer on 2019/05/27

Attention-deficit-hyperactivity-disorder, ADHD, is diagnosed on the basis of an entirely subjective scale which is also irrational,  for example in postulating different criteria at different ages (The banality of evil — Psychiatry and ADHD).

The diagnostic criteria for ADHD are purely behavioral, since no physical basis for ADHD has ever been established. Of course, ADHD is far from alone in that respect among the disorders catalogued in psychiatry’s “Bible”, the Diagnostic and Statistical Manual of Mental Disorders (DSM), now (since 2013) in its 5th edition (DSM-V or DSM-5).

Despite the lack of  any proven physical basis for mental disorders, psychiatry has experimented with such physical treatments as lobotomy and shock treatment (nowadays described as electroconvulsive therapy, ECT).

Psychiatry’s latest venture into treatment of ADHD Is the application of electrical stimuli based on what can only be described as guesswork about a possible physical basis for ADHD and further guesswork as to whether the stimuli could accomplish anything useful. “Guesswork” because this extraordinary intervention has been approved by the FDA on the basis of a ridiculously limited clinical trial (FDA permits marketing of first medical device for treatment of ADHD):
“62 children with moderate to severe ADHD were enrolled in the trial and used either the eTNS therapy each night or a placebo device at home for four weeks”.
The results were anything but spectacular, indeed not very convincing at all:
“the average ADHD-RS score in the active group decreased from 34.1 points at baseline to 23.4 points, versus a decrease from 33.7 to 27.5 points in the placebo group.”
Bearing in mind that these scores come from subjective assessments, one might conclude that the trial results might — at best — serve as a basis for continuing research.
Or perhaps one might conclude more cautiously, indeed more sensibly,  that further research might not be warranted since the treatment has undesirable side-effects:
“The most common side effects observed with eTNS use are: drowsiness, an increase in appetite, trouble sleeping, teeth clenching, headache and fatigue. No serious adverse events were associated with use of the device.”
Not all parents might agree, after all,  that it is of no serious concern that children have difficulty in sleeping and experience headache, fatigue, and teeth clenching, particularly as there is no guarantee of any benefits.

So far as the ADHD-RS is concerned, note how easily a total score could change by 10 points or more, when rating on a 0-3 scale such behavior as

1. Fails to give close attention to details or makes careless
mistakes in schoolwork.

or

2. Fidgets with hands or feet or squirms in seat

Ponder the full scale of 18 items, yielding scores between 0 and 54, so an average of 27:         ADHD-RS -IV


Words fail me. For an appropriate critique, see Michael Cornwall,
DA Approves Using Electricity All Night Long on Children’s Brains, 21 May 2019

 

 

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Aluminum adjuvants, autoimmune diseases, and attempted suppression of the truth

Posted by Henry Bauer on 2019/03/24

An earlier post (Adjuvants — the poisons hidden in some vaccines) described the danger that aluminum adjuvants in vaccines pose, including that they may indeed be associated with a risk of inducing autism. A recent book, How to End the Autism Epidemic,   underscores that risk and exposes what should be the crippling, disqualifying conflicts of interest of one of the most prominent accepted experts on vaccinations. I had learned about this from a splendidly informative article by Celeste McGovern at Ghost Ship Media (Prescription to end the autism epidemic, 17 September 2018).

It turns out that animals as well as human beings have experienced tangible harm from vaccines containing aluminum adjuvants: in particular, sheep. Celeste McGovern has reported about that in other recent posts:
Spanish sheep study finds vaccine aluminum in lymph nodes more than a year after injection, behavioural changes, 3 November 2018; Vaccines induce bizarre anti-social behaviour in sheep, 6 November 2018; Anatomy of a science study censorship, 20 March 2019.

This last piece describes the attempt to prevent the truth about aluminum adjuvants from becoming public knowledge, by pressuring the publisher, Elsevier, to withdraw an already accepted, peer-reviewed article in one of its journals: “Cognition and behavior in sheep repetitively inoculated with aluminum adjuvant-containing vaccines or aluminum adjuvant only”, by Javier Asína et al., published online in Pharmacological Research before being withdrawn. Fortunately there are   nowadays resources on the Internet that make it more difficult for the censors to do their dirty work. One invaluable resource is the Wayback Machine, which too few people seem to know about. In the present case, a PDF of the Asína et al. article, as accepted and published online as “In Press” in Pharmacological Research, is available at ResearchGate.

Elsevier publishes thousands of scientific and medical journals, including in the past some that were actually advertisements written by and paid for by pharmaceutical companies, presented dishonestly and misleadingly as genuine scientific periodicals: Elsevier published 6 fake journals); Elsevier had a whole division publishing fake medical journals).

Elsevier had also engaged in censorship on earlier occasions, in one case to the extent of emasculating a well respected, independent publication, Medical Hypotheses (see Chapter 3, “A Public Act of Censorship: Elsevier and Medical Hypotheses”, in Dogmatism in Science and Medicine: How Dominant Theories Monopolize Research and Stifle the Search for Truth).

If the shenanigans and cover-ups about aluminum adjuvants make an insufficiently alarming horror story,   please look at yet another article by Celeste McGovern: Poisoned in Slow Motion, 1 October 2018:

“Immune-system disease is sweeping the globe. . . . Autoimmune/inflammatory syndrome induced by adjuvants, or ASIA — a wildly unpredictable inflammatory response to foreign substances injected or inserted into the human body . . . . The medical literature contains hundreds of such cases. . . . [with] vague and sundry symptoms — chronic fatigue, muscle and joint pain, sleep disturbances, cognitive impairment, skin rashes and more . . . that . . . share the common underlying trigger of certain immune signaling pathways. Sometimes this low-grade inflammation can smolder for years only to suddenly incite an overt autoimmune disease. . . . Chronic fatigue syndrome (also known as myalgic encephalitis), once a rare “hypochondriac” disorder, now affects millions of people globally and has been strongly associated with markers of immune system dysfunction. . . . One in thirteen American children has a hyperactive immune system resulting in food allergy,4 and asthma, another chronic inflammatory disease of the immune system, affects 300 million people across the globe.5 Severe neurological disorders like autism (which now affects one in 22 boys in some US states) have soared from virtual nonexistence and are also linked to a damaged immune system.”

[4. Pediatrics, 2011; 128: e9-17
5. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. 2008.
6. Eur J Pediatr, 2014; 173: 33-43]

******************************************************************

These particulars offer further illustrations of the general points that I have been making for some time:

 Science and medicine have become dogmatic wielders of authority through being co-opted and in effect bought out by commercial interests. Pharmaceutical companies are perhaps in the forefront of this takeover, but the influence of other industries should not be forgotten, for instance that of Monsanto with its interest in Genetically Modified products; see Dogmatism in Science and Medicine: How Dominant Theories Monopolize Research and Stifle the Search for Truth, Jefferson (NC): McFarland 2012

 Science, research, medicine, are very different things nowadays than they were up to about the middle of the 20th century, and very different from the conventional wisdom about them. Media, policy makers, and the public need an independent, impartial assessment of what science and medicine are said to have established; needed is  a Science Court; see Science Is Not What You Think: How It Has Changed, Why We Can’t Trust It, How It Can Be Fixed, McFarland, 2017

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HPV does not cause cervical cancer; HPV vaccination can be deadly

Posted by Henry Bauer on 2018/09/16

Evidence continues to mount that the presumed connection between HPV and cervical cancer is no more than a statistical association, not a causative relationship:

The Gardasil controversy: as reports of adverse effects increase, cervical cancer rates rise in HPV-vaccinated age groups 

Annette Gartland

“The Gardasil vaccines continue to be vaunted as life-saving, but there is no evidence that HPV vaccination is reducing the incidence of cervical cancer, and reports of adverse effects now total more than 85,000 worldwide. Nearly 500 deaths are suspected of being linked to quadrivalent Gardasil or Gardasil 9.
As Merck’s latest human papillomavirus (HPV) vaccine, Gardasil 9, continues to be fast tracked around the world, the incidence of invasive cervical cancer is increasing in many of the countries in which HPV vaccination is being carried out.”

Once again independent scientists without conflicts of interest are maltreated by bureaucratic organizations with conflicts of interest to commercial interests, drug companies in particular:

“This article was updated with information from the AHVID on 14/09/2018.
Update 15/9/2018:
Peter Gøtzsche has been expelled from the Cochrane Collaboration. Six of the 13 members of the collaboration’s governing board voted for his expulsion.
. . . . .
‘This is the first time in 25 years that a member has been excluded from membership of Cochrane. This unprecedented action taken by a minority of the governing board . . . . ‘
In just 24 hours, Gøtzsche said, the Cochrane governing board had lost five of its members, four of whom were centre directors and key members of the organisation in different countries.
Gøtzsche says that, in recent years, Cochrane has significantly shifted more to a profit-driven approach.
‘Even though it is a not-for-profit charity, our ‘brand’ and ‘product’ strategies are taking priority over getting out independent, ethical and socially responsible scientific results,’ he said'”.

 

 

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How science changed — IV. Cutthroat competition and outright fraud

Posted by Henry Bauer on 2018/04/15

The discovery of the structure of DNA was a metaphorical “canary in the coal mine”, warning of the intensely competitive environment that was coming to scientific activity. The episode illustrates in microcosm the seismic shift in the circumstances of scientific activity that started around the middle of the 20th century [1], the replacement of one set of unwritten rules by another set [2].
The structure itself was discovered by Watson and Crick around 1950, but it was only in 1968, with the publication of Watson’s personal recollections, that attention was focused on how Watson’s approach and behavior marked a break from the traditional unwritten rules of scientific activity.
It took even longer for science writers and journalists to realize just how cutthroat the competition had become in scientific and medical research. Starting around 1980 there appeared a spate of books describing fierce fights for priority on a variety of specific topics:
Ø    The role of the brain in the release of hormones; Guillemin vs. Schally — Nicholas Wade, The Nobel Duel: Two Scientists’ 21-year Race to Win the World’s Most Coveted Research Prize, Anchor Press/Doubleday, 1981.
Ø    The nature and significance of a peculiar star-like object — David H. Clark, The Quest for SS433, Viking, 1985.
Ø    “‘Mentor chains’, characterized by camaraderie and envy, for example in neuroscience and neuropharmacology” — Robert Kanigel, Apprentice to Genius: The Making of a Scientific Dynasty, Macmillan, 1986.
Ø    High-energy particle physics, atom-smashers — Gary Taubes, Nobel Dreams: Power, Deceit, and the Ultimate Experiment, Random House, 1986.
Ø    “Soul-searching, petty rivalries, ridiculous mistakes, false results as rivals compete to understand oncogenes” — Natalie Angier, Natural Obsessions: The Search for the Oncogene, Houghton Mifflin, 1987.
Ø    “The brutal intellectual darwinism that dominates the high-stakes world of molecular genetics research” — Stephen S. Hall, Invisible Frontiers: The Race to Synthesize a Human Gene, Atlantic Monthly Press, 1987.
Ø    “How the biases and preconceptions of paleoanthropologists shaped their work” — Roger Lewin, Bones of Contention: Controversies in the Search for Human Origins, Simon & Schuster, 1987.
Ø    “The quirks of . . . brilliant . . . geniuses working at the extremes of thought” — Ed Regis, Who Got Einstein’s Office: Eccentricity and Genius at the Institute for Advanced Study, Addison-Wesley, 1987.
Ø    High-energy particle physics — Sheldon Glashow with Ben Bova, Interactions: A Journey Through the Mind of a Particle Physicist and the Matter of the World, Warner, 1988.
Ø    Discovery of endorphins — Jeff Goldberg, Anatomy of a Scientific Discovery, Bantam, 1988.
Ø    “Intense competition . . . to discover superconductors that work at practical temperatures “ — Robert M. Hazen, The Breakthrough: The Race for the Superconductor, Summit, 1988.
Ø    Science is done by human beings — David L. Hull, Science as a Process, University of Chicago Press, 1988.
Ø    Competition to get there first — Charles E. Levinthal, Messengers of Paradise: Opiates and the Brain, Anchor/Doubleday 1988.
Ø    “Political machinations, grantsmanship, competitiveness” — Solomon H. Snyder, Brainstorming: The Science and Politics of Opiate Research, Harvard University Press, 1989.
Ø    Commercial ambitions in biotechnology — Robert Teitelman, Gene Dreams: Wall Street, Academia, and the Rise of Biotechnology, Basic Books, 1989.
Ø    Superconductivity, intense competition — Bruce Schechter, The Path of No Resistance: The Story of the Revolution in Superconductivity, Touchstone (Simon & Schuster), 1990.
Ø    Sociological drivers behind scientific progress, and a failed hypothesis — David M. Raup, The Nemesis Affair: A Story of the Death of Dinosaurs and the Ways of Science, Norton 1999.

These titles illustrate that observers were able to find intense competitiveness wherever they looked in science; though mostly in medical or biological science, with physics including astronomy the next most frequently mentioned field of research.
Watson’s memoir had not only featured competition most prominently, it had also revealed that older notions of ethical behavior no longer applied: Watson was determined to get access to competitors’ results even if those competitors were not yet anxious to reveal all to him [3]. It was not only competitiveness that increased steadily over the years; so too did the willingness to engage in behavior that not so long before had been regarded as improper.
Amid the spate of books about how competitive research had become, there also was published. Betrayers of the Truth: Fraud and Deceit in the Halls of Science by science journalists William Broad and Nicholas Wade (Simon & Schuster, 1982). This book argued that dishonesty has always been present in science, citing in an appendix 33 “known or suspected” cases of scientific fraud from 1981 back to the 2nd century BC. These actual data could not support the book’s sweeping generalizations [4], but Broad and Wade had been very early to draw attention to the fact that dishonesty in science was a significant problem. What they failed to appreciate was why: not that there had always been a notable frequency of fraud in science but that scientific activity was changing in ways that were in process of making it a different kind of thing than in the halcyon few centuries of modern science from the 17th century to the middle of the 20th century.
Research misconduct had featured in Congressional Hearings as early as 1981. Soon the Department of Health and Human Services established an Office of Scientific Integrity, now the Office of Research Integrity. Its mission is to instruct research institutions about preventing fraud and dealing with allegations of it. Scientific periodicals began to ask authors to disclose conflicts of interest, and co-authors to state specifically what portions of the work were their individual responsibility.
Academe has proliferated Centers for Research and Medical Ethics [5], and there are now periodicals entirely devoted to such matters [6]. Courses in research ethics have become increasingly common; it is even required that such courses be available at institutions that receive research funds from federal agencies.
In 1989, the Committee on the Conduct of Science of the National Academy of Sciences issued the booklet On Being a Scientist, which describes proper behavior; that booklet’s 3rd edition, titled A Guide to Responsible Conduct in Research, makes even clearer that the problem of scientific misconduct is now widely seen as serious.
Another indication that dishonesty has increased is the quite frequent retraction of published research reports: Retraction Watch estimates that 500-600 published articles are retracted annually. John Ioannidis has made a specialty of reviewing literature for consistency, and reported: “Why most published research findings are false” [7]. Nature has an archive devoted to this phenomenon [8].

Researchers half a century ago would have been aghast and disbelieving at all this, that science could have become so untrustworthy. It has happened because science changed from an amateur avocation to a career that can bring fame and wealth [9]; and scientific activity changed from a cottage industry to a highly bureaucratic corporate industry, with pervasive institutional as well as individual conflicts of interest; and researchers’ demands for support have far exceeded the available supply.

And as science changed, it drew academe along with it. More about that later.

===============================================

[1]    How science changed — III. DNA: disinterest loses, competition wins
[2]    How science has changed— II. Standards of Truth and of Behavior
[3]    The individuals Watson mentioned as getting him access corrected his recollections: they shared with him nothing that was confidential. The significant point remains that Watson had no such scruples.
[4]    See my review, “Betrayers of the truth: a fraudulent and deceitful title from the journalists of science”, 4S Review, 1 (#3, Fall) 17–23.
[5]   There is an Online Ethics Center for Engineering and Science. Physical Centers have been established at: University of California, San Diego (Center for Ethics in Science and Technology); University of Delaware (Center for Science, Ethics and Public Policy); Michigan State University (Center for Ethics and Humanities in the Life Sciences); University of Notre Dame (John J. Reilly Center for Science, Technology, and Values).
[6]    Accountability in Research (founded 1989); Science and Engineering Ethics (1997); Ethics and Information Technology (1999); BMC Medical Ethics (2000); Ethics in Science and Environmental Politics (2001).
[7]    John P. A. Ioannidis, “Why Most Published Research Findings Are False”, PLoS Medicine, 2 (2005): e124. 
[8]    “Challenges in irreproducible research”
[9]    How science has changed: Who are the scientists?

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