How is knowledge spread and made compelling?

Our friend over at the Open Society blog republished one of our pieces. He “edited out some of the bit about right-left brains.” And we were fine with that, as we understood his reasons. He said that, “I think this sort of dichotomy causes more misunderstandings for the average person than it clarifies.” And, “in order to keep this piece accessible to everyone, it’s better not to get into ongoing technical neuroanatomy debates here.”

We have no dispute with his choice of editing. It was just information and we like to share information, but it wasn’t even a part of the central text of what had been written. Still, it was important in a general sense, as background knowledge and explanatory context. In another comment, he brought up scientific illiteracy and the sorry state of (un-)education in this country. And we couldn’t disagree with any of that. But we responded back with some lengthy comments clarifying our position.

It’s not my first instinct to edit myself, as might be apparent to anyone reading my blog. I’m not always known for my concision. The idea of changing what I write based on the presumed level of knowledge of prospective readers isn’t exactly my style, not that I don’t understand the purpose of doing so. It’s not as if I never consider how others might read what I write, something I always try to keep in mind. I do want to communicate well. I’m not here to merely talk to myself. But thinking about it made me more self-aware of what motivates me in wanting to communicate.

We’re talking about not only knowledge but, more importantly, understanding and meaning, what forms our sense of shared reality and informs our sense of shared purpose. It’s an interesting and worthy topic to discuss. By the way, we felt like speaking in the plural for the introduction here, but the comments below are in first-person singular. These are taken from the Open Society blog with some revision. So, we’re republishing our comments to the republishing of our post. It’s almost like a conversation.

Before we get to our comments below, let us share some personal experience. When we were young, we had regular conversations with our father. He would always listen, question, elicit further thoughts, and respond. But what he never did was talk down to us or simplify anything. He treated us as if we were intellectual equals, even though obviously that wasn’t the case. He was a professor who, when younger, had found learning easy and rarely studied. He had obvious proof his intellectual abilities. We, on the other hand, always struggled with a learning disability. Still, our father instilled in us a respect for knowledge and a love of learning.

That is how we strive to treat all others. We don’t know if that is a good policy for a blog. Maybe that explains why our readership is so small. One could interpret that as a failure to our approach. If so, we fail on our own terms. But we hope that, in our good intentions, we do manage to reach some people. No doubt we could reach a larger audience by following the example of the Open Society blog. That blog is a much more finished product than the bare-bones text on offer here. So, maybe all my idealism is moot. That is an amusing thought. Then again, Open Society has republished other posts by us. So that is some minor accomplishment. Maybe those edited versions are an improvement. I’ll leave that for others to decide

* * *

Sadly, you’re probably right that science education is so pathetically deficient in this country that discussion of even something so basic as the research on brain hemispheres likely “causes more misunderstandings for the average person than it clarifies.” I wish that weren’t true.

Still, I’d encourage others to look into the science on brain hemispheres. I’d note that the views of Iain McGilchrist (and Julian Jaynes, etc) have nothing to do with the layman’s interpretation. To be honest, there is no way to fully understand what’s going on here without some working knowledge in this area. But the basic idea comes across without any of the brain science. Maybe that is good enough for present purposes.

I’m not entirely opposed to making material more accessible in meeting people where they are at. But hopefully, this kind of knowledge will become more common over time. It is so fundamental that it should be taught in high school science classes. My aspiration for my blog is to inspire people to stretch their minds and learn what might at first seem difficult or strange, not that I always accomplish that feat. Instead, I’m likely to talk over people’s heads or simply bore them.

It can be hard to express to others why something seems so fascinating to me, why it’s important to go to the effort of making sense of it. I realize my mind doesn’t operate normally, to put it mildly. But even with my endless intellectual curiosity, I have to admit to struggling with the science at times (to be honest, a lot of the times). So, I sympathize with those who lose interest or get confused by all the differing and sometimes wrongheaded opinions about brain hemispheres or whatever.

* * *

Scientific illiteracy is a problem in the US. And it’s an open secret. I’ve seen plenty of discussion of it over the years. It would help if there was a better education system and not limited to college. Remember that three quarter of Americans don’t have any college education at all. That is why educational reform would need to start with grade school.

Still, I don’t know what is the main problem. I doubt the average American is quite as ignorant as they get treated, even if they aren’t well educated. For example, most Americans seem to have a basic grasp of the climate crisis and support a stronger government response. It’s not as if we had more science classes that we’d finally get politicians on board. The basic science is already understood, even by those politicians who deny it.

Saying the public is scientifically illiterate doesn’t necessarily tell us much about the problem. I was reading a book about the issue of climate change in one of the Scandinavian countries. They have a much better education system and more scientific literacy. But even there, the author said that it’s hard to have an honest public debate because thinking about it makes most people feel uncomfortable, depressed, and hopeless. So people mostly just don’t talk about it.

Part of it goes back to cognitive dissonance. Even when people have immense knowledge on a topic, there remains the dissociation and splintering. People can know all kinds of things and yet not know. The collective and often self-enforced silencing is powerful, as Derrick Jensen shows. The human mind operates largely on automatic. By the way, the science of brain hemispheres can explain some of why that is the case, a major focus of Jaynes’ work.

What we lack is not so much knowledge about the world as insight and understanding about our own nature. We have enough basic working knowledge already to solve or lessen all of the major problems, if we could only get out of our own way. That said, we can never have too much knowledge and improving education certainly couldn’t hurt. We’re going to need the full human potential of humanity to meet these challenges.

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Here is a thought. What if underestimating the public is a self-fulfilling prophecy? Paralyzing cynicism can come in many forms. And I know I’m often guilty of this. It’s hard to feel hopeful. If anything, hope can even seem naive and wrongheaded. Some argue that we’re long past that point and now it’s time for grieving lost opportunities that are forever gone. But even if we resign ourselves to mere triage, that still requires some basic sense of faith in the future.

I’m not sure what I think or feel about all of this. But what does seem clear to me is that we Americans have never fallen into the problem of overestimating the public. Instead, we have a disempowered and disenfranchised population. What motivation is there for the public to seek further knowledge when the entire system powerfully fucks them and their loved ones over and over again? What would inspire people to seek out becoming better informed through formal education or otherwise?

Knowledge matters. But the larger context to that knowledge matters even more. I don’t know what that means in practical terms. I’m just thinking the public should be given more credit, not so easily let off the hook. Even when public ignorance appears justified based on a failed education system or a successful non-education system, maybe that is all the more reason to hold up a high standard of knowledge, a high ideal of intellectual curiosity, rather than talking down to people and dumbing down discussion.

That isn’t to say we shouldn’t try to communicate well in knowing our audience. On many topics, it’s true that general knowledge, even among the elite, is limited at best and misinformed at worst. But the worst part is how ignorance has been embraced in so many ways, as if one’s truth is simply a matter of belief. What if we stopped tolerating this willful ignorance and all the rationalizations that accompany it. We should look to the potential in people that remains there no matter how little has been expected of them. We should treat people as intellectually capable.

Education is always a work in progress. Still, the American public is more educated today than a century ago. The average IQ measured in the early 1900s would be, by today’s standards of IQ testing, functionally retarded and I mean that literally (increases in IQ largely measure abstract and critical thinking skills). Few Americans even had high school degrees until the Silent Generation. Society has advanced to a great degree in this area, if not as much as it should. I worry that we’ve become so jaded that we see failure as inevitable and so we keep lowering our standards, instead of raising them higher as something to aspire toward.

My grandfather dropped out of high school. You know what was one of his proudest accomplishments? Sending two of his kids to college. Now kids are being told that education doesn’t matter, that college is a waste of money. We stopped valuing education and that symbolizes a dark change to the public mood. To not value education is to denigrate knowledge itself. This isn’t limited to formal education, scientific literacy and otherwise. I failed to get much scientific knowledge in high school and I didn’t get a college degree. Even so, I was taught by my parents to value learning, especially self-directed learning, and to value curiosity. I’ve struggled to educate myself (and to undo my miseducation), but I was inspired to do so because the value of it had been internalized.

The deficiency in education doesn’t by itself explain the cause. It doesn’t explain why we accept it, why we treat mass ignorance as if it were an inevitability. Instead of seeing ignorance as a challenge, as a motivation toward seeking greater knowledge, American society has treated ignorance as the natural state of humanity or at least the natural state of the dirty masses, the permanent underclass within the Social Darwinian (pseudo-)meritocracy. In this worldview, most people don’t merely lack knowledge but lack any potential or worth, some combination of grunt workers and useless eaters. What could shift this toward another way of seeing humanity?

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I was wondering where knowledge is truly lacking, where curiosity about a topic is lacking, and where it matters most. Climate change is one topic where I do think there is basic necessary level of knowledge, most people have a fair amount of interest in it, and it obviously is important. What’s going on with the climate change ‘debate’ has to do with powerful interests controlling the reigns of power. If politicians did what most Americans want, we’d already be investing money and doing research to a far greater degree.

Ignorance is not the problem in that case. But it’s different with other topics. I’ve noticed how lead toxicity and high inequality maybe do more fall victim to ignorance, in that for some reason they don’t get the same kind of attention, as they aren’t looming threats in the way is climate change. In one post, I called lead toxicity a hyperobject to describe its pervasive invisibility. Temperature can be felt and a storm can be watched, but lead in your air, water, and soil comes across as an abstraction since we have no way to concretely perceive it. Even the lead in your child’s brain shows no outward signs, other than the kid being slightly lower IQ and having some behavioral issues.

Nonetheless, I’m not sure that is a problem of knowledge. Would teaching about lead toxicity actually make it more viscerally real? Maybe not. That’s a tough one. If you asked most people, they probably already know about the dangers of lead toxicity in a general sense and they already know about specific places where there are high rates, but they probably don’t grasp how widespread this is in so many communities, especially toxicity in general such as with toxic dumps. I don’t know what would make it seem more real.

Lead, as tiny particles, doesn’t only hide in the environment but hides in the body where it wreaks havoc but slowly and in many small ways. Your kid gets into a fight and has trouble at school. The first thought most parents have is simple concern for treating the behavior and the hurt the child is expressing. It doesn’t usually occur that there might be something damaging their child’s brain, nervous system, etc. All the parent sees is the result of changes in their child’s behavior. Knowledge, on the personal level, may or may not help that parent. Lead toxicity is often a larger environmental problem. What is really needed is a change of public policy. That would require not only knowledge, as politicians probably already know of this problem, but some other force of political will in the larger society. But since it’s mostly poor people harmed, nothing is done.

It’s hard to know how knowledge by itself makes a difference. It’s not as if there haven’t been major pieces on lead toxicity published in the mainstream media, some of them quite in depth. But the reporting on this comes and goes. It’s quickly forgotten again, as if it were just some minor, isolated problem of no greater concern. There definitely is no moral panic about it. Other than a few parents in poor communities that live with most severe consequences, it isn’t even seen as a moral issue at all.

That is what seems lacking, a sense of moral outrage and moral responsibility. I guess that is where, in my own thinking, self-understanding comes in. Morality is a deeper issue. Some of these thinkers on the mind and brain (McGilchrist, Jaynes, etc) are directly touching upon what makes the heart of morality beat. It’s not about something like brain hemispheres understood in isolation but how that relates to consciousness and identity, relates to the voices we listen to and the authority they hold. And, yes, this requires understanding a bit of science. So, how do we make this knowledge accessible and compelling, how do we translate it into common experience?

Take the other example. What about high inequality? In a way, it’s a hot topic and has grabbed public attention with Thomas Picketty, Kate Pickett, and Richard Wilkinson. Everyone knows it’s a problem. Even those on the political right are increasingly acknowledging it, such as the recent book Alienated America by the conservative Timothy Carney who works for a right-wing think tank. The knowledge is sort of there and yet not really. Americans, in theory, have little tolerance for high inequality. The problem is that, as the data shows, most Americans simply don’t realize how bad it’s gotten. Our present inequality is magnitudes beyond what the majority thinks should be allowable. Yet we go on allowing it. More knowledge, in that case, definitely would matter. But without the moral imperative, the sense of value of that knowledge remains elusive.

As for brain hemispheres, I suppose that seems esoteric to the average person. Even most well-educated people don’t likely take it seriously. Should they? I don’t know. It seems important to me, but I’m biased as this is an area of personal interest. I can make an argument that this kind of thing might be among the most important knowledge, since it cuts to the core of every other problem. Understanding how our brain-mind works underlies understanding anything and everything else, and it would help to explain what is going so wrong with the world in general. Knowledge of the brain-mind is knowledge about what makes knowledge possible at all, in any area. I suspect that, as long as our self-knowledge is lacking, to that degree any attempt at solving problems will be impotent or at least severely crippled.

Would discussing more about brain hemispheres and related info in the public sphere help with the situation? Maybe or maybe not. But it seems like the type of thing we should be doing, in raising the level of discussion in general. Brain research might not be a good place to start with our priorities. If so, then we need to find how to promote greater psychological and neurocognitive understanding in some other way. This is why I’m always going on about Jaynes, even though he seems like an obscure thinker. In my opinion, he may be one of the most important thinkers in the 20th century and his theories might hold the key to the revolution of the mind that we so sorely need. Then again, I could be giving him too much praise. It’s just that I doubt the world would be worse off for having more knowledge of this variety, not just knowledge but profound insight.

All in all, it’s a tough situation. Even if Jaynes’ book was made required reading in every school, I don’t know that would translate to anything beneficial. It would have to be part of a larger public debate going on in society. Before that can happen, we will probably need to hit a crisis that reaches the level of catastrophe. Then moral panic will follow and, assuming we avoid the disaster of authoritarianism, we might finally be able to have some serious discussion across society about what matters most. I guess that goes back to the context of knowledge, that which transmutes mere info into meaning.

* * *

Here is an interesting question. How does knowledge become common knowledge? That relates to what I mentioned in another comment. How does knowledge become meaning? Or to put it another way: How does the abstract become concretely, viscerally, and personally real? A lot of knowledge has made this shift. So much of the kind of elite education that once would have been limited to aristocracy and monks has now become increasingly common. Not that long ago, most Americans were illiterate and had next to no education. Or consider, as I pointed out, how the skills of abstract and critical thinking (fluid intelligence) has increased drastically.

We can see this in practical ways. People in general have more basic knowledge about the world around them. When Japan attacked, most Americans had little concept of where Japan was. We like to think American’s grasp of geography is bad and it may be, but it used to be far worse. Now most people have enough knowledge to, with some comprehension, follow a talk or read an article on genetics, solar flares, ocean currents, etc. We’ve become a scientific-minded society where there is a basic familiarity. It comes naturally to think about the world in scientific terms, to such extent that we now worry about scientific reductionism. No one worried about society being overtaken by scientific reductionism centuries ago.

Along with this, modern people have become more psychologically-minded. We think in terms of consciousness and unconsciousness, motives and behavior, cognitive biases and mental illnesses, personality traits and functions, and on and on. We have so internalized psychological knowledge that we simply take it for reality now. It’s similar with sociology. The idea of race as a social construction was limited to the rarified work of a few anthropologists, but now this is a common understanding that is publicly debated. Even something as simple as socioeconomic classes was largely unknown in the past, as it wasn’t how most people thought. My mother didn’t realize she was part of a socioeconomic class until she went to college and was taught about it in a sociology class.

That is what I’m hoping for, in terms of brain research and consciousness studies. This kind of knowledge needs to get over the hurdle of academia and spread out into the public mind. This is already happening. Jaynes’ ideas influenced Philip Pullman’s His Dark Materials which has been made into an HBO show. His ideas were directly discussed in another HBO show, Westworld, and caused a flurry of articles in the popular media. He also influenced Neal Stephenson in writing Snow Crash, also being made into a show, originally planned by Netflix but now picked up by HBO. I might take the superficial view of brain hemispheres as a positive sign. It means the knowledge is slowly spreading out into the general public. It’s an imperfect process and initially involves some misinformation, but that is how all knowledge spreads. It’s nothing new. For all the misinformation, the general public is far less ignorant about brain hemispheres than they were 50 years ago or a hundred years ago.

Along with the misinformation, genuine information is also becoming more common. This will eventually contribute to changing understandings and attitudes. Give it a generation or two and I’m willing to bet much of what McGilchrist is talking about will have made that transition into common knowledge in being incorporated into the average person’s general worldview. But it’s a process. And we can only promote that process by talking about it. That means confronting misinformation as it shows up, not avoiding the topic for fear of misinformation. Does that make sense?

Failure of Nutritional Knowledge in Science and Practice

“The idea that the same experiment will always produce the same result, no matter who performs it, is one of the cornerstones of science’s claim to truth. However, more than 70% of the researchers (pdf), who took part in a recent study published in Nature have tried and failed to replicate another scientist’s experiment. Another study found that at least 50% of life science research cannot be replicated. The same holds for 51% of economics papers”
~Julian Kirchherr, Why we can’t trust academic journals to tell the scientific truth

“The case against science is straightforward: much of the scientific literature, perhaps half, may simply be untrue”
~Richard Horton, editor in chief of The Lancet, one of the leading medical journals where nutritional studies are published

“It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor”
~Dr. Marcia Angell, former editor in chief of The New England Journal of Medicine

“Simulations show that for most study designs and settings, it is more likely for a research claim to be false than true. Moreover, for many current scientific fields, claimed research findings may often be simply accurate measures of the prevailing bias.”
~John Ioannidis, Why Most Published Research Findings Are False

“Possibly, the large majority of produced systematic reviews and meta‐analyses are unnecessary, misleading, and/or conflicted.”
~John Ioannidis, The Mass Production of Redundant, Misleading, and Conflicted Systematic Reviews and Meta‐analyses

“Nutritional epidemiologists valiantly work in an important, challenging frontier of science and health. However, methods used to-date (even by the best scientists with best intentions) have yielded little reliable, useful information.”
~John Ioannidis, Unreformed nutritional epidemiology: a lamp post in the dark forest

“Associations with cancer risk or benefits have been claimed for most food ingredients. Many single studies highlight implausibly large effects, even though evidence is weak. Effect sizes shrink in meta-analyses.”
~Jonathan Schoenfeld & John Ioannidis, Is everything we eat associated with cancer? A systematic cookbook review

“Some nutrition scientists and much of the public often consider epidemiologic associations of nutritional factors to represent causal effects that can inform public health policy and guidelines. However, the emerging picture of nutritional epidemiology is difficult to reconcile with good scientific principles. The field needs radical reform.”
~John Ioannidis, The Challenge of Reforming Nutritional Epidemiologic Research

“Incoming residents to a pediatric residency program appear to be deficient in basic nutritional knowledge. With the ever increasing burden of obesity and its associated co-morbidities on society, it is imperative that medical education focuses on preparing physicians to appropriately counsel all populations on proper nutrition.”
~M. Castillo, R. Feinstein, J Tsang & M. Fisher, Basic nutrition knowledge of recent medical graduates entering a pediatric residency program.

“Many US medical schools still fail to prepare future physicians for everyday nutrition challenges in clinical practice. Nutrition is a dominant contributor to most chronic diseases and a key determinant of poor treatment outcomes. It cannot be a realistic expectation for physicians to effectively address obesity, diabetes, metabolic syndrome, hospital malnutrition, and many other conditions as long as they are not taught during medical school how to recognize and treat the nutritional root causes.”
~Kelly Adams, W. Scott Butsch & Martin Kohlmeier, The State of Nutrition Education at US Medical Schools

* * *

I’ve written about this topic before. In some of those earlier posts, I used a few of the above quotes. But I also came across some new quotes that emphasize the point. I decided to gather them all together in one place without analysis commentary, as they speak for themselves. I’ll allow myself to make a single note of significance.

A lot of medical research is done by doctors. In Rigor Mortis, Richard Harris points out that doctors aren’t generally well educated and trained in research methodology or statistical analysis. My cousin who does medical research confirmed this observation. On top of that, doctors when they were back in medical school also weren’t taught much about diet and nutrition — interns right out of medical school get about half the nutritional questions wrong, which would be a failing grade.

So, combine doctors not trained in research doing research on diet and nutrition which they never learned much about. It is not surprising that nutritional studies is one of the worst areas of replication crisis. The following are the prior posts about all of this:

Flawed Scientific Research
Scientific Failure and Self Experimentation
Clearing Away the Rubbish
Most Mainstream Doctors Would Fail Nutrition

* * *

Bonus Video – Below is a speech given by Dr. Aseem Malhotra at the European Parliament last year and another speech by Dr. Michael Eades. Among other things, he covers some of the bad methodologies, deceptive or misleading practices, and conflicts of interest.

Sometimes research is intentionally bad because of the biases of funding and ideological agendas, an issue I’ve covered numerous times before. It can’t all be blamed on the insufficient education of doctors in their doing research. After the video, I’ll throw in the links to those other pieces as well.

 

 

 

Cold War Silencing of Science
Eliminating Dietary Dissent
Dietary Dictocrats of EAT-Lancet
Monsanto is Safe and Good, Says Monsanto

On Health or Lack Thereof

Millennials’ health plummets after the age of 27: Study finds the generation has unprecedented rates of diabetes, depression, and digestive disorders
by Natalie Rahhal

  • After age 27, all major measures of health start to decline sharply for millennials, according to a new Blue Cross Blue Shield Report
  • Millennials have higher rates of eight of the top 10 most common health conditions by their mid-30s than generation X-ers did at the same age
  • As their health continues to decline, millennials stand to cost the American health care industry and economy steep sums

It's all downhill from here: A depressing graph shows steep health decline that begins after age 27 and continues until death for millennials
It’s all downhill from here: A depressing graph shows steep health decline that begins after age 27 and continues until death for millennials

Effect of Dietary Lipid on UV Light Carcinogenesis in the Hairless Mouse
by Vivienne E. Reeve, Melissa Matheson, Gavin E. Greenoak, Paul J. Canfield, Christa Boehm‐Wilcox, and Clifford H. Gallagher

Isocaloric feeding of diets varying in lipid content to albino hairless mice has shown that their susceptibility to skin tumorigenesis induced by simulated solar UV light was not affected by the level of polyunsaturated fat, 5% or 20%. However a qualitative effect of dietary lipid was demonstrated. Mice fed 20% saturated fat were almost completely protected from UV tumorigenesis when compared with mice fed 20% polyunsaturated fat. Multiple latent tumours were detected in the saturated fat‐fed mice by subsequent dietary replenishment, suggesting that a requirement for dietary unsaturated fat exists for the promotion stage of UV‐induced skin carcinogenesis.

Therapeutic benefit of combining calorie-restricted ketogenic diet and glutamine targeting in late-stage experimental glioblastoma
by Purna Mukherjee, Zachary M. Augur, Mingyi Li, Collin Hill, Bennett Greenwood, Marek A. Domin, Gramoz Kondakci, Niven R. Narain, Michael A. Kiebish, Roderick T. Bronson, Gabriel Arismendi-Morillo, Christos Chinopoulos, and Thomas N. Seyfried

Glioblastoma (GBM) is an aggressive primary human brain tumour that has resisted effective therapy for decades. Although glucose and glutamine are the major fuels that drive GBM growth and invasion, few studies have targeted these fuels for therapeutic management. The glutamine antagonist, 6-diazo-5-oxo-L-norleucine (DON), was administered together with a calorically restricted ketogenic diet (KD-R) to treat late-stage orthotopic growth in two syngeneic GBM mouse models: VM-M3 and CT-2A. DON targets glutaminolysis, while the KD-R reduces glucose and, simultaneously, elevates neuroprotective and non-fermentable ketone bodies. The diet/drug therapeutic strategy killed tumour cells while reversing disease symptoms, and improving overall mouse survival. The therapeutic strategy also reduces edema, hemorrhage, and inflammation. Moreover, the KD-R diet facilitated DON delivery to the brain and allowed a lower dosage to achieve therapeutic effect. The findings support the importance of glucose and glutamine in driving GBM growth and provide a therapeutic strategy for non-toxic metabolic management.

Writer’s block
by Dr. Malcolm Kendrick

Anyway, to return to the main issue here, which is that medical science may now be incapable of self-correction. Erroneous ideas will be compounded, built on, and can never be overturned. Because of a thing called non-reproducibility.

In most areas of science, there is nothing to stop a researcher going back over old research and trying to replicate it. The correct term is reproducibility. In every branch of science there is currently an acknowledged crisis with reproducibility.

‘Reproducibility is a hot topic in science at the moment, but is there a crisis? Nature asked 1,576 scientists this question as part of an online survey. Most agree that there is a crisis and over 70% said they’d tried and failed to reproduce another group’s experiments.’ 2

This is not good, but in medical research this issue is magnified many times. Because there is another in-built problem. You cannot reproduce research that has been positive. Take clinical trials into statins. You start with middle aged men, split them into two groups, give one a statin and one a placebo. At the end of your five-year trial, you claim that statins had a benefit – stopped heart attacks and strokes and suchlike.

Once this claim has been made, in this group, it becomes unethical/impossible to replicate this study, in this group – ever again. The ethics committee would tell you that statins have been proven to have a benefit, you cannot withhold a drug with a ‘proven’ benefit from patients. Therefore, you cannot have a placebo arm in your trial. Therefore, you cannot attempt to replicate the findings. Ever.

Thus, if a trial was flawed/biased/corrupt or simply done badly. That’s it. You are going to have to believe the results, and you can never, ever, have another go. Ergo, medicine cannot self-correct through non-reproducibility. Stupidity can now last for ever. In fact, it is built in.

When Evidence Says No, but Doctors Say Yes
by David Epstein

Even if a drug you take was studied in thousands of people and shown truly to save lives, chances are it won’t do that for you. The good news is, it probably won’t harm you, either. Some of the most widely prescribed medications do little of anything meaningful, good or bad, for most people who take them.

In a 2013 study, a dozen doctors from around the country examined all 363 articles published in The New England Journal of Medicine over a decade—2001 through 2010—that tested a current clinical practice, from the use of antibiotics to treat people with persistent Lyme disease symptoms (didn’t help) to the use of specialized sponges for preventing infections in patients having colorectal surgery (caused more infections). Their results, published in the Mayo Clinic Proceedings, found 146 studies that proved or strongly suggested that a current standard practice either had no benefit at all or was inferior to the practice it replaced; 138 articles supported the efficacy of an existing practice, and the remaining 79 were deemed inconclusive. (There was, naturally, plenty of disagreement with the authors’ conclusions.) Some of the contradicted practices possibly affect millions of people daily: Intensive medication to keep blood pressure very low in diabetic patients caused more side effects and was no better at preventing heart attacks or death than more mild treatments that allowed for a somewhat higher blood pressure. Other practices challenged by the study are less common—like the use of a genetic test to determine if a popular blood thinner is right for a particular patient—but gaining in popularity despite mounting contrary evidence. Some examples defy intuition: CPR is no more effective with rescue breathing than if chest compressions are used alone; and breast-cancer survivors who are told not to lift weights with swollen limbs actually should lift weights, because it improves their symptoms.

A separate but similarly themed study in 2012 funded by the Australian Department of Health and Ageing, which sought to reduce spending on needless procedures, looked across the same decade and identified 156 active medical practices that are probably unsafe or ineffective. The list goes on: A brand new review of 48 separate studies—comprising more than 13,000 clinicians—looked at how doctors perceive disease-screening tests and found that they tend to underestimate the potential harms of screening and overestimate the potential benefits; an editorial in American Family Physician, co-written by one of the journal’s editors, noted that a “striking feature” of recent research is how much of it contradicts traditional medical opinion.

That isn’t likely to change any time soon. The 21st Century Cures Act—a rare bipartisan bill, pushed by more than 1,400 lobbyists and signed into law in December—lowers evidentiary standards for new uses of drugs and for marketing and approval of some medical devices. Furthermore, last month President Donald Trump scolded the FDA for what he characterized as withholding drugs from dying patients. He promised to slash regulations “big league. … It could even be up to 80 percent” of current FDA regulations, he said. To that end, one of the president’s top candidates to head the FDA, tech investor Jim O’Neill, has openly advocated for drugs to be approved before they’re shown to work. “Let people start using them at their own risk,” O’Neill has argued.

So, while Americans can expect to see more drugs and devices sped to those who need them, they should also expect the problem of therapies based on flimsy evidence to accelerate. In a recent Stat op-ed, two Johns Hopkins University physician-researchers wrote that the new 21st Century Cures Act will turn the label “FDA approved” into “a shadow of its former self.” In 1962, Congress famously raised the evidentiary bar for drug approvals after thousands of babies were born with malformed limbs to mothers who had taken the sleep aid thalidomide. Steven Galson, a retired rear admiral and former acting surgeon general under both President George W. Bush and President Barack Obama, has called the strengthened approval process created in 1962 the FDA’s “biggest contribution to health.” Before that, he said, “many marketed drugs were ineffective for their labeled uses.”

Striking the right balance between innovation and regulation is incredibly difficult, but once remedies are in use—even in the face of contrary evidence—they tend to persist. A 2007 Journal of the American Medical Association papercoauthored by John Ioannidis—a Stanford University medical researcher and statistician who rose to prominence exposing poor-quality medical science—found that it took 10 years for large swaths of the medical community to stop referencing popular practices after their efficacy was unequivocally vanquished by science.

Science institute that advised EU and UN ‘actually industry lobby group’
by Arthur Nelson

An institute whose experts have occupied key positions on EU and UN regulatory panels is, in reality, an industry lobby group that masquerades as a scientific health charity, according to a peer-reviewed study.

The Washington-based International Life Sciences Institute (ILSI) describes its mission as “pursuing objectivity, clarity and reproducibility” to “benefit the public good”.

But researchers from the University of Cambridge, Bocconi University in Milan, and the US Right to Know campaign assessed over 17,000 pages of documents under US freedom of information laws to present evidence of influence-peddling.

The paper’s lead author, Dr Sarah Steele, a Cambridge university senior research associate, said: “Our findings add to the evidence that this nonprofit organisation has been used by its corporate backers for years to counter public health policies. ILSI should be regarded as an industry group – a private body – and regulated as such, not as a body acting for the greater good.”

The New Faces of Coke
by Kyle Pfister

Of the 115 individuals Coca-Cola admitted to funding, here’s a breakdown:

By sector, 57% (65) are dietitians, 20% (23) are academics, 7% (8) are medical professionals (mostly Doctors), 6% (7) are fitness experts, 5% (6) are authors, 3% (3) are chefs, and 1% (1) are food representatives. I was not able to identify sectors for two of the funded experts.

Kellogg Paid ‘Independent Experts’ to Promote Its Cereal
by Michael Addady

Kellogg paid council experts an average of $13,000 per year, according to emails and contracts obtained by the Associated Press. The payment was for expert to engage in “nutrition influencer outreach” and refrain from offering their services to products that were “competitive or negative to cereal.”

Outreach usually meant one of two things: Experts would claim Kellogg was their favorite brand on social media, or they would tout the cereal during public appearances. Kellogg’s spokesperson Kris Charles told Fortune in a statement that the experts’ association with the company was disclosed at public appearances.

Additionally, the experts’ connection to the company may have affected some of their published work. For example, an independent expert was involved in publishing an academic paper in the Journal of the Academy of Nutrition and Dietetics that defined a “quality breakfast.” Kellogg had the opportunity to edit the paper and even asked that the author remove a suggestion about limiting added sugar (something the sugar industry has also been accused of doing with heart disease research).

FDA: Sampling finds toxic nonstick compounds in some food
by Ellen Knickmeyer, John Flesher, and Michael Casey

A federal toxicology report last year cited links between high levels of the compounds in people’s blood and health problems, but said it was not certain the nonstick compounds were the cause.

The levels in nearly half of the meat and fish tested were two or more times over the only currently existing federal advisory level for any kind of the widely used manmade compounds, which are called per- and polyfluoroalykyl substances, or PFAS.

The level in the chocolate cake was higher: more than 250 times the only federal guidelines, which are for some PFAS in drinking water.

Food and Drug Administration spokeswoman Tara Rabin said Monday that the agency thought the contamination was “not likely to be a human health concern,” even though the tests exceeded the sole existing federal PFAS recommendations for drinking water.

Why smelling good could come with a cost to health
by Lauren Zanolli

About 4,000 chemicals are currently used to scent products, but you won’t find any of them listed on a label. Fragrance formulations are considered a “trade secret” and therefore protected from disclosure – even to regulators or manufacturers. Instead, one word, fragrance, appears on ingredients lists for countless cosmetics, personal care and cleaning products. A single scent may contain anywhere from 50 to 300 distinct chemicals.

“No state, federal or global authority is regulating the safety of fragrance chemicals,” says Janet Nudelman, policy director for Breast Cancer Prevention Partners (BCPP) and co-founder of the Campaign for Safe Cosmetics. “No state, federal or global authority even knows which fragrance chemicals appear in which products.”

Three-quarters of the toxic chemicals detected in a test of 140 products came from fragrance, reported a 2018 BCPP study of personal care and cleaning brands. The chemicals identified were linked to chronic health issues, including cancer.

Eliminating Dietary Dissent

There was a hit piece in the Daily Mail that targeted three experts in the field, all doctors who are involved in research. It’s not exactly a respectable publication, but it does have a large mainstream readership and so its influence is immense, at least within the UK (even as an American, I occasionally come across Daily Mail articles). Here is the response by Dr. Malcolm Kendrick’s (Scottish). And by Dr. Zoe Harcombe’s (Welsh). Both responses were sent to the Daily Mail. The hit piece was published in timing with her planned speech before the UK Parliament, an attempt to discredit her and to distract from debate of the evidence. The third target of attack, Dr Aseem Malhotra (British) who also spoke to the UK Parliament (and the European Parliament as well), chose not to respond as he concluded it would be futile and it appears he was correct, in that the Daily Mail chose not to alter its message in the least because of what Kendrick and Harcombe wrote.

This is the same basic battle that I’ve mentioned previously, the conflict between two prestigious British medical journals, the BMJ and the Lancet. It has developed into full ideological warfare. But those defending the status quo are being forced to acknowledge their detractors, which is an improvement over silencing.

In the failed attacks on Robert Atkins (American), Annika Dahlqvist (Swedish), Gary Taubes (American), Tim Noakes (South African), Gary Fettke (Australian), Peter C.Gøtzsche (Danish), Maryanne Demasi (Australia), Shawn Baker (American), Annette Presley (American), and many others over similar disputes, and among others who have felt the politically correct wrath of conventional and corporatist authority (I could mention Uffe Ravnskov, Nina Teicholz, etc; there is Malcolm Kendrick, Zoe Harcombe, and Aseem Malhotra as well; and, as I’ve discussed before,  there were the earlier attacks on Adelle Davis, Carlton Fredericks, Gayelord Hauser, and Herman Taller), we see how the powers that be use mainstream institutions (private and public) as weapons. But that isn’t to ignore that there are also some successful examples of silencing such as John Yudkins (British), Jen Elliott (Australian), Maryanne Demasi (Australian), etc.

In The Big Fat Lie that was made into the documentary Fat Fiction, Nina Teicholz discusses other major figures in the healthcare field and research community that were effectively silenced in being discredited and excluded, in that they couldn’t get funding and were no longer invited to speak at scientific conferences; and Gary Taubes earlier discussed the same territory in Good Calories, Bad Calories; but if you prefer a detailed personal account of how a systematic attack is done, read Tim Noakes’ Lore of Nutrition. Anyways, failed or successful, these attacks are cautionary tales in setting examples of what the authorities can and will do to you if you step out of line. It creates a stultifying atmosphere and a sense of wariness among researchers, healthcare professionals, science writers, journalists, and public intellectuals — hence encouraging people to censor themselves.

In a similar area of dispute, there is another ongoing fight where an individual, Diana Rodgers (American), like the others has been targeted. Attacking individuals in trying to destroy their careers or authority seems to be the standard tactic. Fortunately, social media sheds light on this dark practice and brings out the support for these doctors, dieticians, researchers, etc who in the past would’ve felt isolated. It’s one of the positives of the internet.

Yet again, here is an example of conventional idiocy in its attempt to use a mainstream platform to spread disinfo and enforce conformity. Consider Newsweek that, like the Daily Mail, is a low quality but widely read mainstream publication. They decided to do a piece critical of the carnivore diet. And the writer they assigned to do it normally writes about video games and pop culture. Unsurprisingly, written by someone with no knowledge or expertise, the article was predictably misinformed. Every single comment in the comments section was critical (nearly the same in the comments of Nina Teicholz’s tweet), including comments by doctors and other experts. It’s less to do with a specific diet. This same kind of backlash is seen toward every variety of low-carb diet, whether plant-based paleo or plant-free carnivore, whether high-(healthy)fat or moderate, whether ketogenic or not. The reason is that there is no way to have a low-carb diet while maintaining large profits for the present model of the big biz food system of heavily-subsidized, chemical-drenched, and genetically-modified surplus grains as used to produce shelf-stable processed foods.

And it is far from limited to trashy popular media, as the same kinds of dismissive articles are found in higher quality publications like the Guardian, along with major medical organizations such as Harvard and the Mayo Clinic (although there is increasing positive press as the scientific research and popular support becomes overwhelming). Harvard, for example, is closely tied to the EAT-Lancet agenda (by way of Walter Willett, the ideological heir of Ancel Keys and, as I recall, involved in the leak of Robert Atkins’ medical records in a failed attempt to smear his reputation after his death) and the corporations behind it (Harvard, like other universities, have become heavily funded by corporations, as government funding has dried up; the Koch brothers have been key figures in the corporate takeover of universities with influence over hiring and firing of faculty and, by the way, the Koch brothers are heavily invested in big ag which is to say they are financially connected to the government-subsidized “green revolution” and the processed food industry).

Yet a growing movement is emerging from below, not only seen in comments sections and social media, but also in forming new organizations to demand accountability; for example, Gary Taubes’ Nutrition Science Initiative (NuSI) that is promoting much needed research. In reaction, the self-proclaimed authority figures in the mainstream are trying to enforce dietary conformity. I suspect the fact that so many people are questioning, doubting, and experimenting is precisely the reason elites all of a sudden are pushing even harder for basically the old views they’ve been pushing for decades. They sense the respect for their position is slipping and are in damage control mode. This isn’t only about statins, LCHF diet, or whatever else. It indicates a deeper shift going on (with low-carb diets on the rise) and those who are resisting it because of vested interests. What’s at stake is a paradigm change and the consequences of the status quo remaining in place are dire for public health.

* * *

On a related note, there is also a dark side to how the internet has been wielded as propaganda network. We know how effectively social media can be used to spread disinfo — yes, by whackos and controlled opposition like Alex Jones but even more powerfully by governments and corporations, think tanks and lobbyist groups, astroturf operations and paid trolls.

Wikipedia and Rational Wikipedia seem to have been taken over by defenders of the establishment, a sad fate for both of them. Many Wikipedia pages related to low-carb diets and alternative health (including tame criticism of statins by world reknown scientists) have been heavily slanted or deleted on Wikipedia. This agenda of censorship goes straight to the top — Jimmy Wales, the founder of Wikipedia, has called all critics of conventional medicine “lunatic charlatans” and demands that they be eliminated from Wikipedia, as if they never existed. This is a major change from earlier Wikipedia policy that promoted articles showing multiple viewpoints, but the reason for the change is that Wikipedia is being pressured to be an authoritative source as with traditional encyclopedias since Wikipedia is now used by services like Apple’s Siri.

Rational Wikipedia labels as “statin denier” anyone who is skeptical of highly profitable and corporate-promoted overprescription of statins, including critics who are practicing doctors and peer-reviewed researchers (the same false accusation is made by other pseudo-skeptical organizations such as CSICOP) — according to this logic, one of the most well-respected medical journals in the world, the BMJ, are “statin denialists” for being skeptical of the overuse of statins that the scientific research shows can cause much harm. Meanwhile, Rational Wikipedia rationalizes away this concerted effort of propaganda, probably because it’s the same people behind both operations, by way of hard-to-track sock puppets (I know from personal experience and research how deep the hole can go in trying to track down the identity of a disinfo agent, be they paid troll or merely the mentally disturbed). Pseudo-skepticism has come to rule the internet —- some of it as mentally disturbed true-believers but it also includes organizations that are astroturf. And so be skeptical most of all of anyone who poses as a skeptic.

Fortunately, alternatives are emerging such as Infogalactic as a non-censored, balanced, and independent version of Wikipedia. Unlike Wikipedia, an editor or group of editors can’t monopolize or delete a page simply because they ideologically disagree with it. And unlike Rational Wikpedia, there is no narrow institutional ideology informing what is allowable.

This is partly why it is so hard for the average person to find good info. Not only are we being lied to by big gov and big biz by way of big media for the same powerful interests are co-opting the new media as well. The purge and demonetizing of alternative voices, left and right, on YouTube was a great example of this. A similar purge has happened on Pinterest, generally censoring alternative health views and specifically targeting low-carb diets using centralized propaganda as the justification: “Keto doesn’t conform to CDC dietary guidelines” — despite the fact that ketogenic diets are among the most widely and longest researched with massive amount of data supporting numerous areas of benefit: longevity, cancer, epilepsy, autism, insulin resistance, autoimmune conditions, Alzheimer’s, etc. If the CDC is anti-science when particular science opposes highly profitable corporate interests, that is a major problem — but it shouldn’t be surprising that Pinterest, a highly profitable corporation (likely owned by a parent company that also owns other companies involved in agriculture, food production, pharmaceuticals, etc), defends the interests of big biz in collusion with big gov.

There is a struggle by the powerful to regain control of all potential avenues of propaganda and perception management. In terms of public debate, it’s always a matter of the perception of who wins. This is why propagandists, as with advertisers, have long understood that repetition of claims or ideas will make them so familiar as to feel true — what is called cognitive ease. That is why it is so important to silence opponents and make them invisible. Repetition requires total control, as the other side will also attempt to repeat their views. But it doesn’t matter how often alternative views are repeated if they are effectively erased from public view and from public forums. Look widely for info and scrutinize everything carefully. Find the few experts that are genuine honest actors and follow what they put out.

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The Dark Side of Wikipedia
from Full Measure

Astroturfing Revealed–the Ruining of Wikipedia
by Angela A. Stanton

Wikipedia Declares War on Low Carb Diet Experts
by Aarn

Jimmy Wales Admits Free Access To Health Knowledge Has Strict Limits On Wikipedia
by Paul Anthony Taylor

Wikipedia: Cementing The Power Of The Status Quo
from Dr. Rath Health Foundation

Let me tell you a little bit about how the @Wikipedia farce works from someone who spent a lot of time battling there as an editor.
by Mike Carrato

Wikipedia Captured by Skeptics
from Skeptics about Skeptics

The Philip Cross Affair
by Craig Murray

Wikipedia censorship of natural, non-drug therapies
from Alliance for Natural Health

Kendrick, Wikipedia and ‘Dark Forces’ Waging War on Science
by Marika Sboros

Dr Malcolm Kendrick – deletion from Wikipedia
by Malcolm Kendrick

Wikipedia a parable for our times
by Malcolm Kendrick

Who Deserves to be a Wikipedia Article?: The Deletion of Dr. Malcolm Kendrick
by Anthony Pearson

‘Fat Head’ Targeted For Deletion By The Weenie At Wikipedia
by Tom Naughton

Follow-Up On The Weenie Wiki Editor
by Tom Naughton

BEWARE: New Plan to Censor Health Websites
by Joseph Mercola

Reddit discussions:
Doctors who are against statin are being removed from Wikipedia
Fat Head movie Wikipedia article up for deletion next !
Malcolm Kendrick and other low-carb and keto advocates are being attacked at Rationalwiki as pseudoscientists

Cold War Silencing of Science

In the early Cold War, the United States government at times was amazingly heavy-handed in its use of domestic power.

There was plenty of surveillance, of course. But there was also blatant propaganda with professors, journalists, and artists on the payroll of intelligence agencies, not to mention funding going to writing programs, American studies, etc. Worse still, there were such things as COINTELPRO, including truly effed up shit like the attempt to blackmail Martin Luther King, jr. into committing suicide. There is another angle to this. Along with putting out propaganda, they would do the opposite by trying to silence alternative voices and enforce conformity. They did that with the McCarthyist attacks on anyone perceived or falsely portrayed as deviant or as a fellow traveler of deviants. This destroyed careers and did successfully lead to some suicides of those devastated. But there was another kind of shutting down that I find sad as someone who affirms a free society as, among else, the free flow of information.

When Nikola Tesla died, the FBI swooped in and stole his research with no justification, as Tesla was a US citizen and such actions are both illegal and unconstitutional. They didn’t release his papers until 73 years later and no one knows if they released everything, as there is no transparency or accountability. One of the most famous examples is much more heinous. Wilhelm Reich was targeted by the American Medical Association, FDA, and FBI. The government arrested him and sentenced him to prison where he died. All of his journals and books were incinerated. In the end, the FDA had spent $2 million investigating and prosecuting Reich, simply because they didn’t like his research and of course his promoting sexual deviancy through free love.

These were not minor figures either. Nikola Tesla was one of the greatest scientists in the world and most definitely the greatest inventor in American history. And Wilhelm Reich was a famous doctor and psychoanalyst, an associate of Sigmund Freud and Carl Jung, and a well known writer. Their otherwise respectable positions didn’t protect them. Imagine what the government could get away with when they targeted average Americans with no one to protest and come to their defense. This same abuse of power was seen in related fields. A major focus of Reich’s work was health and, of course, he shared that area of concern with the FDA who saw it as their personal territory to rule as they wished. The FDA went after many with alternative health views that gained enough public attention and they could always find a reason to justify persecution.

I’ve come across examples in diet and nutrition, such as last year when I read Nina Planck’s Real Food where she writes about Adelle Davis, a biochemist and nutritionist who became a popular writer and gained celebrity as a public intellectual. Since she advocated a healthy diet of traditional foods, this put her in the cross-hairs of the powerful that sought to defend the standard American diet (SAD):

“My mother’s other nutritional hero was Adelle Davis, the best-selling writer who recommended whole foods and lots of protein. […] Davis had a master’s degree in biochemistry from the University of Southern California Medical School, but she wrote about nutrition in a friendly, common-sense style. In the 1950s and ’60s, titles like Let’s Eat Right to Keep Fit and Let’s Get Well became bestsellers. […] Like Price, Davis was controversial. “She so infuriated the medical profession and the orthodox nutrition community that they would stop at nothing to discredit her,” recalls my friend Joann Grohman, a dairy farmer and nutrition writer who says Adelle Davis restored her own health and that of her five young children. “The FDA raided health food stores and seized her books under a false labeling law because they were displayed next to vitamin bottles.” ”

In the same period during the 1950s and 1960s, the FDA went after Carlton Fredericks in an extended battle. He had a master’s degree and a doctorate in public health education and was a former associate professor. What was his horrific crime? He suggested that the modern food supply had become deficient in nutrients because of industrial processing and so that supplementation was necessary for health. It didn’t matter this was factually true. Fredericks’ mistake was stating such obvious truths openly on his radio show and in his written material. The FDA seized copies of Eat, Live and Be Merry (1961) for allegedly recommending the treatment of ailments “with vitamin and mineral supplements, which products are not effective in treating such conditions” (Congress 1965) which were “not effective”. They declared this as “false labeling”, despite it never contradicting any known science at the time or since. Then a few years later, the Federal Trade Commission brought a similar charge of false advertising in the selling of his tape-recorded programs and writing, but the allegations didn’t stick and the case was dropped.

A brief perusal of web search results brought up a similar case. Gayelord Hauser was a nutritionist with degrees in naturopathy and chiropractic who, like the others, became a popular writer — with multiple books translated into 12 languages and a regular column in Hearst newspapers read nationwide. What brought official ire down upon him was that he became so famous as to be befriended by numerous Hollywood actors, which elevated his popularity even further. Authority figures in the government and experts within the medical field saw him as a ‘quack’ and ‘food faddist’, which is to say as an ideological competitor who needed to be eliminated. His views worthy of being silenced included that American should eat more foods rich in B vitamins and to avoid sugar and white flour. As you can see, he was a monster and a public menace. This brought on the righteous wrath of the American Medical Association along with the flour and sugar lobbies. So, this led to an initial charge of practicing medicine without a license with products seized and destroyed. Later on, in recommending black-strap molasses as a nutrient-dense food which it is, the FDA made the standard accusation of product endorsement and false claims, and this was followed by the standard action of confiscating his 1950 best-selling book on healthy diet, Look Younger, Live Longer. Now Hauser is remembered by many as a pioneer in his field and as founder of the natural food movement.

Let me end with one last example of Cold War suppression. In reading Nina Teicholz’s The Big Fat Surprise, I noticed a brief reference to Herman Taller, a New York obstetrician and gynecologist. He too was an advocate of natural health. His book Calories Don’t Count got him into trouble for the same predictable reasons with claims of “false and misleading” labeling. He also sold supplements, but nothing bizarre — from bran fiber to safflower oil capsules, the latter being brought up in the legal case. His argument was that, since fish oil was healthy, other polyunsaturated fatty acids (PUFAs) would likewise be beneficial. It turns out he was wrong about safflower oil, but his scientific reasoning was sound for what was known at the time. His broader advocacy of a high fat diet with a focus on healthy fats has become mainstream since. Certain PUFAs, the omega-3 fats, are absolutely necessary for basic physiological functioning and indeed most people in the modern world do not get enough of them.

Anyway, it was never about fair-minded scientific inquiry and debate. So $30,000 worth of safflower‐oiI capsules and 1,600 copies of his book were taken from several warehouses. To justify this action, FDA Commissioner George P. Larrick stated that, “The book is full of false ideas, as many competent medical and nutritional writers have pointed out. Contrary to the book’s basic premise, weight reduction requires the reduction of caloric intake. There is no easy, simple substitute. Unfortunately, calories do count.” He decreed this from on high as the ultimate truth — the government would not tolerate anyone challenging this official ideology and yet scientists continue to debate the issue with recent research siding with Taller’s conclusion. According to the best science presently available, it is easy to argue that calories don’t count or, to put it another way, calorie-counting diets have proven a failure in study after study — a fact so well known that mainstream doctors and medical experts admit to its sad truth, even as they go on advising people to follow it and then blaming them for its failure.

If you’ve ever wondered how Ancel Keys’ weak evidence and bad science came to dominate as official dietary recommendations pushed by medical institutions, the federal government and the food industry, the above will give you some sense of the raw force of government authority that was used to achieve this end. It wasn’t only voices of popular writers and celebrity figures that were silenced, eliminated, and discredited. Gary Taubes and Nina Teicholz discuss how a related persecution happened within academia where independent researchers lost funding and no longer were invited to speak at conferences. For a half century, it was impossible to seriously challenge this behemoth of the dietary-industrial complex. And during this era, scientific research was stunted. This Cold War era oppression is only now beginning to thaw.

Clearing Away the Rubbish

“The case against science is straightforward: much of the scientific literature, perhaps half, may simply be untrue”
~Richard Horton, editor in chief of The Lancet

“It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor”
~Dr. Marcia Angell, former editor in chief of NEJM

Back in September, there was a scientific paper published in Clinical Cardiology, a peer reviewed medical journal that is “an official journal of the American Society for Preventive Cardiology” (Wikipedia). It got a ton of attention from news media, social media, and the blogosphere. The reason for all the attention is that, in the conclusion, the authors claimed that low-carb diets had proven the least healthy over a year period:

“One-year lowered-carbohydrate diet significantly increases cardiovascular risks, while a low-to-moderate-fat diet significantly reduces cardiovascular risk factors. Vegan diets were intermediate. Lowered-carbohydrate dieters were least inclined to continue dieting after conclusion of the study. Reductions in coronary blood flow reversed with appropriate dietary intervention. The major dietary effect on atherosclerotic coronary artery disease is inflammation and not weight loss.”

It has recently been retracted and it has come out that the lead author, Richard M. Fleming, has a long history of fraud going back to 2002 with two FBI convictions of fraud in 2009, following his self-confession. He has also since been debarred by the U.S. Food and Drug Administration. (But his closest brush with fame or infamy was his leaking the medical records of Dr. Robert Atkins, a leak that was behind a smear campaign.) As for his co-authors: “Three of the authors work at Fleming’s medical imaging company in California, one is a deceased psychologist from Iowa, another is a pediatric nutritionist from New York and one is a Kellogg’s employee from Illinois. How this group was able to run a 12-month diet trial in 120 subjects is something of a mystery” (George Henderson). Even before the retraction, many wondered how it ever passed peer-review considering the low quality of the study: “This study has so many methodological holes in it that it has no real value.” (Low Carb Studies BLOG).

But of course, none of that has been reported as widely as the paper originally was. So, most people who read about it still assume it is valid evidence. This is related to the replication crisis, as even researchers are often unaware of retractions, that is when journals will allow retractions to be published at all, something they are reluctant to do because it delegitimizes their authority. So, a lot of low quality or in some cases deceptive research goes unchallenged and unverified, neither confirmed nor disconfirmed. It’s rare when any study falls under the scrutiny of replication. If not for the lead author’s criminal background in the Fleming case, this probably would have been another paper that could have slipped past and been forgotten or else, without replication, repeatedly cited in future research. As such, bad research builds on bad research, creating the appearance of mounting evidence, but in reality it is a house of cards (consider the takedown of Ancel Keys and gang in the work by numerous authors: Gary Taubes’ Good Calories, Bad Calories; Nina Tiecholz’s The Big Fat Surprise; Sally Fallon Morrell’s Nourishing Diets; et cetera).

This is why the systemic problem and failure is referred to as a crisis. Fairly or unfairly, the legitimacy of entire fields of science are being questioned. Even scientists no longer are certain which research is valid or not. The few attempts at determining the seriousness of the situation by replicating studies has found a surprisingly low replication rate. And this problem is worse in the medical field than in many other fields, partly because of the kind of funding involved and more importantly because of how few doctors are educated in statistics or trained in research methodology. It is even worse with nutrition, as the average doctor gets about half the questions wrong when asked about this topic, and keep in mind that so much of the nutritional research is done by doctors. An example of problematic dietary study is that of Dr. Fleming himself. We’d be better off letting physicists and geologists do nutritional research.

There is more than a half century of research that conventional medical and dietary opinions are based upon. In some major cases, re-analysis of data has shown completely opposite conclusions. For example, the most famous study by Ancel Keys blamed saturated fat for heart disease, while recent reappraisal has shown the data actually shows a stronger link to sugar as the culprit. Meanwhile, no study has ever directly linked saturated fat to heart disease. The confusion has come because, in the Standard American Diet (SAD), saturated fat and sugar have been conflated in the population under study. Yet, even in cases like that of Keys when we now know what the data shows, Keys’ original misleading conclusions are still referenced as authoritative.

The only time this crisis comes to attention is when the researcher gets attention. If Keys wasn’t famous and Fleming wasn’t criminal, no one would have bothered with their research. Lots of research gets continually cited without much thought, as the authority of research accumulates over time by being cited which encourages further citation. It’s similar to how legal precedents can get set, even when the initial precedent was intentionally misinterpreted for that very purpose.

To dig through the original data, assuming it is available and one knows where to find it, is more work than most are willing to do. There is no glory or praise to be gained in doing it, nor will it promote one’s career or profit one’s bank account. If anything, there are plenty of disincentives in place, as academic careers in science are dependent on original research. Furthermore, private researchers working in corporations, for obvious reasons, tend to be even less open about their data and that makes scrutiny even more difficult. If a company found their own research didn’t replicate, they would be the last in line to announce it to the world and instead would likely bury it where it never would be found.

There is no system put into place to guard against the flaws of the system itself. And the news media is in an almost continual state of failure when it comes to scientific reporting. The crisis has been stewing for decades, occasionally being mentioned, but mostly suppressed, until now when it has gotten so bad as to be undeniable. The internet has created alternative flows of information and so much of the scrutiny, delayed for too long, is now coming from below. If this had happened at an earlier time, Fleming might have gotten away with it. But times have changed. And in crisis, there is opportunity or at very least there is hope for open debate. So bring on the debate, just as soon as we clear away some of the rubbish.

* * *

Retracted: Long‐term health effects of the three major diets under self‐management with advice, yields high adherence and equal weight loss, but very different long‐term cardiovascular health effects as measured by myocardial perfusion imaging and specific markers of inflammatory coronary artery disease

The above article, published online on 27 September 2018 in Wiley Online Library (wileyonlinelibrary.com), has been withdrawn by agreement between the journal Editor in Chief, A. John Camm and Wiley Periodicals, Inc. The article has been withdrawn due to concerns with data integrity and an undisclosed conflict of interest by the lead author.

A convicted felon writes a paper on hotly debated diets. What could go wrong?
by Ivan Oransky, Retraction Watch

Pro-tip for journals and publishers: When you decide to publish a paper about a subject — say, diets — that you know will draw a great deal of scrutiny from vocal proponents of alternatives, make sure it’s as close to airtight as possible.

And in the event that the paper turns out not to be so airtight, write a retraction notice that’s not vague and useless.

Oh, and make sure the lead author of said study isn’t a convicted felon who pleaded guilty to healthcare fraud.

“If only we were describing a hypothetical.

On second thought: A man of many talents — with a spotty scientific record
by Adam Marcus, Boston Globe

Richard M. Fleming may be a man of many talents, but his record as a scientist has been spotty. Fleming, who bills himself on Twitter as “PhD, MD, JD AND NOW Actor-Singer!!!”, was a co-author of short-lived paper in the journal Clinical Cardiology purporting to find health benefits from a diet with low or modest amounts of fat. The paper came out in late September — just a day before the Food and Drug Administration banned Fleming from participating in any drug studies. Why? Two prior convictions for fraud in 2009.

It didn’t take long for others to begin poking holes in the new article. One researcher found multiple errors in the data and noted that the study evidently had been completed in 2002. The journal ultimately retracted the article, citing “concerns with data integrity and an undisclosed conflict of interest by the lead author.” But Fleming, who objected to the retraction, persevered. On Nov. 5, he republished the study in another journal — proving that grit, determination, and a receptive publisher are more important than a spotless resume.

Scientific Failure and Self Experimentation

In 2005, John P. A. Ioannidis wrote “Why Most Published Research Findings Are False” that was published in PloS journal. It is the most cited paper in that journal’s history and it has led to much discussion in the media. That paper was a theoretical model but has since been well supported — as Ioannidis explained in an interview with Julia Belluz:

“There are now tons of empirical studies on this. One field that probably attracted a lot of attention is preclinical research on drug targets, for example, research done in academic labs on cell cultures, trying to propose a mechanism of action for drugs that can be developed. There are papers showing that, if you look at a large number of these studies, only about 10 to 25 percent of them could be reproduced by other investigators. Animal research has also attracted a lot of attention and has had a number of empirical evaluations, many of them showing that almost everything that gets published is claimed to be “significant”. Nevertheless, there are big problems in the designs of these studies, and there’s very little reproducibility of results. Most of these studies don’t pan out when you try to move forward to human experimentation.

“Even for randomized controlled trials [considered the gold standard of evidence in medicine and beyond] we have empirical evidence about their modest replication. We have data suggesting only about half of the trials registered [on public databases so people know they were done] are published in journals. Among those published, only about half of the outcomes the researchers set out to study are actually reported. Then half — or more — of the results that are published are interpreted inappropriately, with spin favoring preconceptions of sponsors’ agendas. If you multiply these levels of loss or distortion, even for randomized trials, it’s only a modest fraction of the evidence that is going to be credible.”

This is part of the replication crisis that has been known about for decades, although rarely acknowledged or taken seriously. And it is a crisis that isn’t limited to single studies —- Ioannidis wrote that, “Possibly, the large majority of produced systematic reviews and meta-analyses are unnecessary, misleading, and/or conflicted” (from a paper reported in the Pacific Standard). The crisis cuts across numerous fields, from economics and genetics to neuroscience and psychology. But to my mind, medical research stands out. Evidence-based medicine is only as good as the available evidence — it has been “hijacked to serve agendas different from what it originally aimed for,” as stated by Ioannidis. (A great book on this topic, by the way, is Richard Harris’ Rigor Mortis.) Studies done by or funded by drug companies, for example, are more likely to come to positive results for efficacy and negative results for side effects. And because the government has severely decreased public funding since the Reagan administration, so much of research is now linked to big pharma. From a Retraction Watch interview, Ioannidis says:

“Since clinical research that can generate useful clinical evidence has fallen off the radar screen of many/most public funders, it is largely left up to the industry to support it. The sales and marketing departments in most companies are more powerful than their R&D departments. Hence, the design, conduct, reporting, and dissemination of this clinical evidence becomes an advertisement tool. As for “basic” research, as I explain in the paper, the current system favors PIs who make a primary focus of their career how to absorb more money. Success in obtaining (more) funding in a fiercely competitive world is what counts the most. Given that much “basic” research is justifiably unpredictable in terms of its yield, we are encouraging aggressive gamblers. Unfortunately, it is not gambling for getting major, high-risk discoveries (which would have been nice), it is gambling for simply getting more money.”

I’ve become familiar with this collective failure through reading on diet and nutrition. Some of the key figures in that field, specifically Ancel Keys, were either intentionally fraudulent or really bad at science. Yet the basic paradigm of dietary recommendations that was instituted by Keys remains in place. The fact that Keys was so influential demonstrates the sad state of affairs. Ioannidis has also covered this area and come to similar dire conclusions. Along with Jonathan Schoenfeld, he considered the question “Is everything we eat associated with cancer?”

“After choosing fifty common ingredients out of a cookbook, they set out to find studies linking them to cancer rates – and found 216 studies on forty different ingredients. Of course, most of the studies disagreed with each other. Most ingredients had multiple studies claiming they increased and decreased the risk of getting cancer. Most of the statistical evidence was weak, and meta-analyses usually showed much smaller effects on cancer rates than the original studies.”
(Alex Reinhart, What have we wrought?)

That is a serious and rather personal issue, not an academic exercise. There is so much bad research out there or else confused and conflicting. It’s about impossible for the average person to wade through it all and come to a certain conclusion. Researchers and doctors are as mired in it as the rest of us. Doctors, in particular, are busy people and don’t typically read anything beyond short articles and literature reviews, and even those they likely only skim in spare moments. Besides, most doctors aren’t trained in research and statistics, anyhow. Even if they were better educated and informed, the science itself is in a far from optimal state and one can find all kinds of conclusions. Take the conflict between two prestigious British journals, the Lancet and the BMJ, the former arguing for statin use and the latter more circumspect. In the context of efficacy and side effects, the disagreement is over diverse issues and confounders of cholesterol, inflammation, artherosclerosis, heart disease, etc — all overlapping.

Recently, my dad went to his doctor who said that research in respectable journals strongly supported statin use. Sure, that is true. But the opposite is equally true, in that there are also respectable journals that don’t support wide use of statins. It depends on which journals one chooses to read. My dad’s doctor didn’t have the time to discuss the issue, as that is the nature of the US medical system. So, probably in not wanting to get caught up in fruitless debate, the doctor agreed to my dad stopping statins and seeing what happens. With failure among researchers to come to consensus, it leaves the patient to be a guinea pig in his own personal experiment. Because of the lack of good data, self-experimentation has become a central practice in diet and nutrition. There are so many opinions out there that, if one cares about one’s health, one is forced to try different approaches and find out what seems to work, even as this methodology is open to many pitfalls and hardy guarantees success. But the individual person dealing with a major health concern often has no other choice, at least not until the science improves.

This isn’t necessarily a reason for despair. At least, a public debate is now happening. Ioannidis, among others, sees the solution as not difficult (psychology, despite its own failings, might end up being key in improving research standards; and also organizations are being set up to promote better standards, including The Nutrition Science Initiative started by the science journalist Gary Taubes, someone often cited by those interested in alternative health views). We simply need to require greater transparency and accountability in the scientific process. That is to say science should be democratic. The failure of science is directly related to the failure seen in politics and economics, related to powerful forces of big money and other systemic biases. It is not so much a failure as it is a success toward ulterior motives. That needs to change.

* * *

Many scientific “truths” are, in fact, false
by Olivia Goldhill

Are most published research findings false?
by Erica Seigneur

The Decline Effect – Why Most Published Research Findings are False
by Paul Crichton

Beware those scientific studies—most are wrong, researcher warns
by Ivan Couronne

The Truthiness Of Scientific Research
by Judith Rich Harris

Is most published research really wrong?
by Geoffrey P Webb

Are Scientists Doing Too Much Research?
by Peter Bruce

No One Knows

Here is a thought experiment. What if almost everything you think you know is wrong? It isn’t just a thought experiment. In all likelihood, it is true.

Almost everything people thought they knew in the past has turned out to be wrong, partly or entirely. There is no reason to think the same isn’t still the case. We are constantly learning new things that add to or alter prior fields of knowledge.

We live in a scientific age. Even so, there are more things we don’t know than we do know. Our scientific knowledge remains narrow and shallow. The universe is vast. Even the earth is vast. Heck, human nature is vast, in its myriad expressions and potentials.

In some ways, science gives a false sense of how much we know. We end up taking many things as scientific that aren’t actually so. Take the examples of consciousness and free will, both areas about which we have little scientific knowledge.

We have no more reason to believe consciousness is limited to the brain than to believe that consciousness is inherent to matter. We have no more reason to believe that free will exists than to believe it doesn’t. These are non-falsifiable hypotheses, which is to say we don’t know how to test them in order to prove them one way or another.

Yet we go about our lives as if these are decided facts, that we are conscious free agents in a mostly non-conscious world. This is what we believe based on our cultural biases. Past societies had different beliefs about consciousness and agency. Future societies likely will have different beliefs than our own and they will look at us as oddly as we look at ancient people. Our present hyper-individualism may one day seem as bizarre as the ancient bicameral mind.

We forget how primitive our society still is. In many ways, not much has changed over the past centuries or even across the recent millennia. Humans still live their lives basically the same. For as long as civilization has existed, people live in houses and ride on wheeled vehicles. When we have health conditions, invasively cutting into people is still often standard procedure, just as people have been doing for a long long time. Political and military power hasn’t really changed either, except in scale. The most fundamental aspects of our lives are remarkably unchanged.

At the same time, we are on the edge of vast changes. Just in my life, technology has leapt ahead far beyond the imaginings of most people in the generations before mine. Our knowledge of genetics, climate change, and even biblical studies has been irrevocably altered—throwing on its head, much of the earlier consensus.

We can’t comprehend what any of it means or where it is heading. All that we can be certain is that paradigms are going to be shattered over this next century. What will replace them no one knows.

Of Mice and Men and Environments

Here is one of the most important issues we face. It effects a wide array of scientific research. But it also has vast implications for our lives and our entire society. It is about the power of environments, including even the slightest of differences.

A mouse’s house may ruin experiments
Environmental factors lie behind many irreproducible rodent experiments.
by Sara Reardon, Nature Journal

It’s no secret that therapies that look promising in mice rarely work in people. But too often, experimental treatments that succeed in one mouse population do not even work in other mice, suggesting that many rodent studies may be flawed from the start.

“We say mice are simpler, but I think the problem is deeper than that,” says Caroline Zeiss, a veterinary neuropathologist at Yale University in New Haven, Connecticut. Researchers rarely report on subtle environmental factors such as their mice’s food, bedding or exposure to light; as a result, conditions vary widely across labs despite an enormous body of research showing that these factors can significantly affect the animals’ biology.

“It’s sort of surprising how many people are surprised by the extent of the variation” between mice that receive different care, says Cory Brayton, a pathologist at Johns Hopkins University in Baltimore, Maryland. At a meeting on mouse models at the Wellcome Genome Campus in Hinxton, UK, on 9–11 February, she and others explored the many biological factors that prevent mouse studies from being reproduced.

I came across this issue in a book by David Shenk, The Genius in All of Us. The book is about genetics and IQ. But he brings up many other issues, such as the difficulties and problems of research.

He discusses a mouse study that demonstrates the power of environmental factors. It is far worse than the above article indicates. Even when all known factors are carefully controlled, the results can still be far different, to the point of being divergent in particular areas.

Below is the passage from Shenk’s book (Kindle Locations 1624-1657). I’ve shared before, but it bears repeating.

To say that there is much we don’t control in our lives is a dramatic understatement, roughly on the order of saying that the universe is a somewhat large place. To begin with, there are many influences we can’t even detect. In 1999 , Oregon neuroscientist John C . Crabbe led a study on how mice reacted to alcohol and cocaine. Crabbe was already an expert on the subject and had run many similar studies, but this one had a special twist: he conducted the exact same study at the same time in three different locations (Portland , Oregon; Albany, New York; and Edmonton, Alberta) in order to gauge the reliability of the results. The researchers went to “extraordinary lengths” to standardize equipment, methods, and lab environment: identical genetic mouse strains, identical food, identical bedding, identical cages, identical light schedule, etc. They did virtually everything they could think of to make the environments of the mice the same in all three labs.

Somehow, though, invisible influences intervened. With the scientists controlling for nearly everything they could control, mice with the exact same genes behaved differently depending on where they lived. And even more surprising: the differences were not consistent, but zigged and zagged across different genetic strains and different locations. In Portland, one strain was especially sensitive to cocaine and one especially insensitive , compared to the same strains in other cities. In Albany, one particular strain— just the one— was especially lazy. In Edmonton , the genetically altered mice tended to be just as active as the wild mice, whereas they were more active than the wild mice in Portland and less active than the wild mice in Albany. It was a major hodgepodge.

There were also predictable results. Crabbe did see many expected similarities across each genetic strain and consistent differences between the strains. These were, after all, perfect genetic copies being raised in painstakingly identical environments. But it was the unpredicted differences that caught everyone’s attention. “Despite our efforts to equate laboratory environments, significant and, in some cases, large effects of site were found for nearly all variables,” Crabbe concluded. “Furthermore, the pattern of strain differences varied substantially among the sites for several tests.”

Wow. This was unforeseen, and it turned heads . Modern science is built on standardization; new experiments change one tiny variable from a previous study or a control group, and any changes in outcome point crisply to cause and effect. The notion of hidden, undetectable differences throws all of that into disarray. How many assumptions of environmental sameness have been built right into conclusions over the decades?

What if there really is no such thing? What if the environment turns out to be less like a snowball that one can examine all around and more like the tip of an iceberg with lurking unknowables? How does that alter the way we think about biological causes and effects?

Something else stood out in Crabbe’s three-city experiment : gene-environment interplay . It wasn’t just that hidden environmental differences had significantly affected the results. It was also clear that these hidden environments had affected different mouse strains in different ways— clear evidence of genes interacting dynamically with environmental forces.

But the biggest lesson of all was how much complexity emerged from such a simple model. These were genetically pure mice in standard lab cages. Only a handful of known variables existed between groups. Imagine the implications for vastly more complex animals— animals with highly developed reasoning capability, complex syntax, elaborate tools, living in vastly intricate and starkly distinct cultures and jumbled genetically into billions of unique identities. You’d have a degree of GxE volatility that would boggle any scientific mind— a world where, from the very first hours of life, young ones experienced so many hidden and unpredictable influences from genes, environment, and culture that there’d be simply no telling what they would turn out like.

Such is our world. Each human child is his/ her own unique genetic entity conceived in his/ her own distinctive environment , immediately spinning out his/ her own unique interactions and behaviors. Who among these children born today will become great pianists, novelists, botanists , or marathoners? Who will live a life of utter mediocrity? Who will struggle to get by? We do not know.

More Words

I’ve written so often about knowledge and ignorance, truth and denialism. My mind ever returns to the topic, because it is impossible to ignore in this media-saturated modern world. There are worthy things to debate and criticize, but it is rare to come across much of worth amidst all the noise, all the opinionating and outrage.

I don’t want to just dismiss it all. I don’t want to ignore it and live blissfully in my own private reality or my own narrow media bubble. I feel compelled to understand the world around me. I actually do care about what makes people tick, not just to better persuade them to my own view, but more importantly to understand humanity itself.

Still, noble aspirations aside, it can be frustrating and I often let it show. Why do we make everything so hard? Why do we fight tooth and nail against being forced to face reality? Humans are strange creatures.

At some point, yet more argument seems pointless. No amount of data and evidence will change anything. We can’t deal with even relatively minor problems. Hope seems like an act of desperation in face of the more immense global challenges. Humanity will change when we are forced to change, when maintaining the status quo becomes impossible.

It is irrational to expect most humans to be rational about almost anything of significance. But that doesn’t mean speaking out doesn’t matter.

I considered offering some detailed thoughts and observations, but I already expressed my self a bit in another post. Instead, I’ll just point to a somewhat random selection of what others have already written, a few books and articles I’ve come across recently—my main focus has been climate change:

Apocalypse Soon: Has Civilization Passed the Environmental Point of No Return?
By Madhusree Mukerjee

It’s the End of the World as We Know It . . . and He Feels Fine
By Daniel Smith

Learning to Die in the Antrhopocene: Reflections on the End of a Civilization
By Roy Scranton

Reason in a Dark Time: Why the Struggle Against Climate Change Failed – And What it Means for Our Future
By Dale Jamieson

Hyperobjects: Philosophy and Ecology after the End of the World
By Timothy Morton

Slow Violence and the Environmentalism of the Poor
By Rob Nixon

The Culture of Make Believe
By Derrick Jensen

The Elephant in the Room: Silence and Denial in Everyday Life
By Eviatar Zerubavel

States of Denial: Knowing about Atrocities and Suffering
By Stanley Cohen

Living in Denial: Climate Change, Emotions, and Everyday Life
By Kari Marie Norgaard

Don’t Even Think About It: Why Our Brains Are Wired to Ignore Climate Change
By George Marshall

What We Think About When We Try Not To Think About Global Warming: Toward a New Psychology of Climate Action
by Per EspenStoknes

How Culture Shapes the Climate Change Debate
By Andrew Hoffman

The Republican War on Science
By Chris Mooney

Reality Check: How Science Deniers Threaten Our Future
By Donald R. Prothero

Climate Change Denial: Heads in the Sand
By Haydn Washington

Climate Cover-Up: The Crusade to Deny Global Warming
By James Hoggan

Merchants of Doubt: How a Handful of Scientists Obscured the Truth on Issues from Tobacco Smoke to Global Warming
By Naomi Oreskes & Erik M. Conway

The man who studies the spread of ignorance
By Georgina Kenyon

This Changes Everything: Capitalism vs. The Climate
By Naomi Klein

Climate Change, Capitalism, and Corporations: Process of Creative Self-Destruction
By Christopher Wright & Daniel Nyberg

Exxon: The Road Not Taken
By Neela Banerjee

Poison Spring: The Secret History of Pollution and the EPA
By E.G. Vallianatos

Carbon Democracy: Political Power in the Age of Oil
By Timothy Mitchell

Democracy Inc.: How Members Of Congress Have Cashed In On Their Jobs
By The Washington Post, David S. Fallis, Scott Higham (Author), Dan Keating, & Kimberly Kindy

Democracy Incorporated: Managed Democracy and the Specter of Inverted Totalitarianism
By Sheldon S. Wolin