Denialism Blog

  • In case you missed it, some denialism mentions of note

    Being inactive for the last couple of years I still read about denialism being mentioned in some interesting places. Two in particular I thought I share.

    Peter Gleick in Forbes write on “The Rise and Fall of Climate Change Denial is interesting largely because it’s in Forbes. And predictably, for publishing in a right-wing magazine, the comments are basically 100% against Gleick, a national academy member, accusing him of everything from incompetence to dishonesty. It’s actually pretty remarkable. But at least the scientific viewpoint is starting to infiltrate the literature of the right wing. Now only if we can get the WSJ to place a scientifically accurate article on global warming on their editorial pages. It would likely snow in hell first.

    The other is an interesting look at Denial from United Academics called Why We Deny including an article evaluating Michael Shermer’s latest work on the pscyhology of denial.

    In it I think a very good point is raised by Shermer (who I’ve been known to disagree with for his own cranky outlook on global warming), we actually shouldn’t expect people to be rational and accept science easily. Too much of the way we think is irrational, and too much of our psychology is based upon making the world conform to the way we view it, rather than conforming our belief to the way the world is. He points out that we tend to come to have beliefs first, often inculcated by family, religion, culture, or tradition, then spend a great deal of effort to rationalize those beliefs and selectively believe evidence that confirms it. After all, when beliefs are tied to such powerful emotive forces to change belief or confront evidence contrary to such belief can be emotionally devastating. The notion that humans are rational and believe things based on evidence or will even act in their own best interest based on logic and evidence is simply not supported by the evidence of how we behave. I find it still amazing that he can have such an insight about the fundamental irrationality of humans and still have a libertarian worldview, which I feel is critically dependent on treating humans as rational actors in an economy, either as individuals or groups. Clearly this is not the case.
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  • Eisen Busts Rep Carolyn Maloney parroting Elsevier Publishing's defense of the Research Works Act

    At It’s not junk Michael Eisen continues to expose the shameless actions of Carolyn Maloney to sell out science for the sake of publishers like Elsevier. As we remarked last week, it seems that very little money is required to buy a representatives favor towards your industry, even if that means acting against the public interest. Now, in her defense of the Research Works Act, which undoes the public distribution of research findings paid for by the public, her response appears to have been written by Elsevier itself.

    Eisen busts her in the act.
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  • How Do you Want to Die?

    Via Zite I found the article How Doctors Die by Ken Murray and was surprised to find it one of the best I’ve read on the issue of end-of-life care. The context is that of how Doctors typically forgo extreme measures in the face of terminal diagnoses, and often reject the type of care we routinely provide to our patients as “not for us”. While the article lacks hard data on the prevalence of these attitudes or behaviors, I have to say this viewpoint is consistent my experience of learning my colleague’s beliefs and how I now personally feel about ICU care . And I’m someone who is interested in trauma and critical care as a career…

    Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. He had a surgeon explore the area, and the diagnosis was pancreatic cancer. This surgeon was one of the best in the country. He had even invented a new procedure for this exact cancer that could triple a patient’s five-year-survival odds–from 5 percent to 15 percent–albeit with a poor quality of life. Charlie was uninterested. He went home the next day, closed his practice, and never set foot in a hospital again. He focused on spending time with family and feeling as good as possible. Several months later, he died at home. He got no chemotherapy, radiation, or surgical treatment. Medicare didn’t spend much on him.

    It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little. For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves. They know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want. But they go gently.

    Significantly, Murray discusses what “doing everything” can mean. Sadly, most people equate caring for their family member with asking for maximum care when they are sick or dying, but doctors know, and poorly communicate, that maximal care is often painful, expensive, and too often futile.

    Almost all medical professionals have seen what we call “futile care” being performed on people. That’s when doctors bring the cutting edge of technology to bear on a grievously ill person near the end of life. The patient will get cut open, perforated with tubes, hooked up to machines, and assaulted with drugs. All of this occurs in the Intensive Care Unit at a cost of tens of thousands of dollars a day. What it buys is misery we would not inflict on a terrorist. I cannot count the number of times fellow physicians have told me, in words that vary only slightly, “Promise me if you find me like this that you’ll kill me.” They mean it. Some medical personnel wear medallions stamped “NO CODE” to tell physicians not to perform CPR on them. I have even seen it as a tattoo.

    To administer medical care that makes people suffer is anguishing. Physicians are trained to gather information without revealing any of their own feelings, but in private, among fellow doctors, they’ll vent. “How can anyone do that to their family members?” they’ll ask. I suspect it’s one reason physicians have higher rates of alcohol abuse and depression than professionals in most other fields. I know it’s one reason I stopped participating in hospital care for the last 10 years of my practice.

    This situation of futile care is sometimes referenced with some some gallows humor as the chee chee. Why are we unable to communicate to patients that often the treatments that we can provide aren’t something we’d chose for ourselves or for those we love?
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  • The Right Wing Appeal of Duesberg's HIV/AIDS denialism

    Via Ed

    If you ever wondered what motivated this particular HIV/AIDS denialist this video makes it obvious. Duesberg comes out and blames homosexual promiscuity for AIDS rather than a virus. I think examples like this make it clearer that the ideology responsible for this denialism is plain just plain homophobia after all. This is, of course, appealing to right wing ideologues so where does Duesberg end up? On right wing radio with the American Family Association’s Brian Fischer proposing the absurd “AIDS was invented for gays to steal grant-money” conspiracy theory. I think the Southern Poverty Law Center was right to designate AFA a hate group, and here’s qhy

    The AFA seeks to support “traditional moral values,” but in recent years it has seemed to specialize in “combating the homosexual agenda.” In 2009, it hired Bryan Fischer, the former executive director of the Idaho Values Alliance, as its director of analysis for government and policy. Taking a page from the anti-gay fabulist Scott Lively (see Abiding Truth Ministries, above), Fischer claimed in a blog post last May 27 that “[h]omosexuality gave us Adolph Hitler, and homosexuals in the military gave us the Brown Shirts, the Nazi war machine and 6 million dead Jews.” (Ironically, the elder Wildmon was widely denounced as an anti-Semite after suggesting that Jews control the media, which the AFA says “shows a genuine hostility towards Christians.”) Fischer has described Hitler as “an active homosexual” who sought out gays “because he could not get straight soldiers to be savage and brutal and vicious enough.” He proposed criminalizing homosexual behavior in another 2010 blog post and has advocated forcing gays into “reparative” therapy. In a 2010 “action alert,” the AFA warned that if homosexuals are allowed to openly serve in the military, “your son or daughter may be forced to share military showers and barracks with active and open homosexuals.”

    I guess it was just a matter of time before he latched onto HIV/AIDS denialism and I think this constitutes and example of crank magnetism. Such is the nature of the rabid ideologue – no matter how obviously absurd a belief is, if it affirms your warped ideology you support it.

  • Why no one should take Nexium and it should never have been approved

    As Chris discussed Saturday the WSJ had a silly article in which a woman demands a prescription drug from a flight attendant, asking for the wrong drug to treat her problem acutely, and then shockingly was refused this service. Worse, Nexium is mentioned by name, multiple times, and Nexium is actually a drug which should never have even been approved by the FDA. It really is only prescribed because of intense marketing because, logically, it has no business on the market and is no different than an existing drug, prilosec. Why would doctors irrationally prescribe this drug then? Because advertising encourages irrational choices.

    So why is Nexium such a scam? Read below the fold.
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  • Everything is Terrible

    i-259d49663be19f67a03ccae5c8a61ec5-eit-thumb-300x219-71830.jpgDenialism fans, you might enjoy the archive of informercials at my favorite website, Everything is Terrible. It’s so much fun to watch all those lame infomercials from the 80s and 90s and realize how little has changed in the marketing world.

    Okay, back to Chair Dancing.

  • Is this Product Placement in the Wall Street Journal?

    Writing in the Saturday (how to make it look like you’re rich edition) of the Wall Street Journal, Marisa Acocella Marchetto mentions an expensive, branded drug–Nexium–eight times. She even mentions its slogan (“the purple pill”)!

    As Mark has written elsewhere, it’s moronic to take Nexium because there are cheaper, efficacious alternatives, such as Prilosec, which is available over the counter. Consumer Reports noted in 2010 that Nexium was the most expensive PPI, at $248 a month, and that cheaper generics and over the counter medicines were available.

    In the story, she describes being trapped on an airplane without her precious Nexium and in serious pain (why not try something that would immediately stop the pain, such as Tums?). She begs for Nexium, and lo–another passenger has a doctor misinformed enough to prescribe it. But the evil flight attendant won’t let her have it, falsely believing that Marchetto was having a heart attack. Finally, there is an emergency landing, and an Irish physician treats her and “handed [her] a Nexium.” How convenient!

    I wonder why the editors of the Journal allowed this specific and expensive product to be mentioned so many times. Ironically, if she had simply asked for a antacid, she would have had been given Maalox by the flight attendant. Problem solved. The entire article could have been rewritten: “How I caused an international flight to be diverted because I demanded to be provided an expensive prescription drug by a flight attendant and how if I had just asked for an antacid everything would have been fine.”

    The article makes me recall the time I was in Atlanta airport, and the person in front of me asked a cashier, “all you have is water–don’t you have Dasani?” It’s that type of stupidity that keeps brands alive and wastes billions of consumer dollars.

    Full disclosure: although I mentioned Nexium(R) numerous times in this blog post, I have not received any material support from AstraZeneca nor am I taking the Purple Pill and washing it down with Dasani.

  • The New Yorker Ranks the Republicans vs. Science

    And get’s it wrong

    What’s amazing is they rank Newt first at the same time acknowledging he destroyed the Office of Technology Assessment.

    Jon Huntsman may have the most rational scientific and technological policies of anyone in the field, but Gingrich, sometimes called Newt Skywalker, has far more passion. As Kelefa Sanneh argues in the current issue, the philosophy of Gingrichism is nothing but a combination of the idiosyncratic views of the man himself–which include his beliefs in the virtues of space exploration and his opposition to regulating the Internet, even when it comes to porn. He was an early adopter of Twitter, and he once made the cover of Wired. He is ranked atop Scientific American’s recent “Geek Guide” to the 2012 candidates. As Sanneh notes, one of Gingrich’s manifestos about information policy includes a preface by the science-fiction writer Jerry Pournelle, declaring, “It’s raining soup, and Newt Gingrich has the blueprints for soup bowls.”

    His record is scarcely perfect. As Speaker, Gingrich abolished the Office of Technology Assessment–a move reminiscent of Nixon abolishing the White House’s Office of Science and Technology Policy. But, for the most part, Gingrich has moved policy in the right directions. And he gets extra credit for sitting on the couch with Nancy Pelosi to talk about global warming.

    So, he destroyed the office in congress that used science to evaluate legislation, as well as the efficacy of that legislation once enacted. He removed scientific guidance from the legislative branch, but because he’s passionate about the internets that doesn’t make him the worst thing to happen to science in the last 30 years?

    I realize we’re looking for the shiny turd in a cowpie here, but Gingrich? No way. Huntsman should be ranked first because he at least acknowledges global warming is real, a brave stand to take amongst a bunch of deniers. Whereas Gingrich dumped that chapter from his book after Rush Limbaugh suggested he might actually be on the side of reality. What’s going to matter more in the next 4 years? A president that took a brave stance on regulating internet porn? Or one that took a stance on global warming?

    None of these guys has any scientific chops but that seems too much to ask in politicians on either side these days. But this analysis by the New Yorker is embarrassingly superficial.

  • Carolyn Maloney (D-NY) and Darrell Issa (R-CA) sell out science

    I’m never shocked by what Issa can do in a never-ending downward spiral of serving business interests, but it’s sad that NY rep Carolyn Maloney has joined him backing a bill to sell out science. Once again the publishers are trying to destroy public access, and make everyone pay to read science you’ve already paid for with your taxes.

    The Research Works Act reads:

    No Federal agency may adopt, implement, maintain, continue, or otherwise engage in any policy, program, or other activity that–

    (1) causes, permits, or authorizes network dissemination of any private-sector research work without the prior consent of the publisher of such work; or

    (2) requires that any actual or prospective author, or the employer of such an actual or prospective author, assent to network dissemination of a private-sector research work.

    This really should be a settled issue but the publishers won’t let it go. They are allowed to limit access for a time to make profit for publishing research, but in the end, we’re talking about taxpayer funded research here. In the end, taxpayers should be able to read the results without paying again. It’s good for science too, especially internationally, because not every library can afford subscriptions to every journal in the universe. Open access will allow research to be more rapidly disseminated around the world.

    And what did it take to make Carolyn Maloney back the publishers over the public and advance this bill? About $9000 in donations from publishers (Issa only needed about $2000). It’s pathetic how cheap it is to get a member of congress to vote for an industry over the public.

    Here’s her email page if you want to send her a nasty-gram. Tell her to change position on H.R.3699 the “Research Works Act”.

    h/t it’s not junk

  • Don't mess with your neck doing yoga either

    For some reason the NYT is all about neck injury lately. In yesterday’s discussion of a possible chiropractic induced injury, Russell asked:

    But given all the other stresses people put on their necks, from accidents such as headbumps, from purposeful athletics such as whacking soccer balls, and from just craning one’s head in odd positions when performing various kinds of mechanical labor, it puzzles me that the risk from a chiropractor would be much greater than the risks from these other kinds of use/abuse. Of course, this is not excuse for the chiropractor, who is imposing that risk, likely on those more susceptible to injury, under false pretense or treating disease. It’s more a general lament that we each carry so much haphazard anatomy.

    Interesting he should mention this as today the NYT has an article How Yoga Can Wreck Your Body describing many ways that neck hyperextension during this popular exercise can also create similar injuries to the vertebral and carotid arteries.

    The mechanism is similar…
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