Category Archives: Science And Society

Science And Policy

Words of wisdom from Daniel Sarewitz:

Whatever science you’re doing on a post-normal problem, it is always going to be incomplete, and it is always going to be subject to revision, and highly uncertain. It can be viewed from numerous scientific perspectives. So multiple scientific studies can come up with multiple results, so it leads to a profusion of truths that can be mobilized on behalf of different sets of values. Values and facts can pair up with each other in different ways.

One example I love is how everyone talks about how there’s a consensus on GMOs. Well there is consensus around a narrow part of the GMO issue, like there is a consensus around a narrow part of climate change. But the real problems have to do with the ‚what could be done?‘ questions. So for GMOs for example, when people say there is a consensus, what they mean is ‚we know they’re not a health risk‘. So I’ll accept it on health risk, I don’t have a problem with it. But then you say, ‚and we know that they’ll be an essential part of the economic future of Africa‘. Well, maybe that’s true — whose model are you using? What kind of data have you used to generate that? What are your assumptions? I mean anything dealing with projections of the future and claims about how the world is going to look, in a multi-variate, open system, are going to be subject to different people coming up with different claims and conclusions. And that’s exactly what happens.

And when you bring science into the political debate, you have to pick and choose which science you want to use. You have to match that with particular priorities about what policy problems you want to solve. I think science is really important, I think we want to be factual, I think we want to have a grip on reality and I think science can help us do that. But for problems where there are so many paths forward, so many competing values, the systems themselves are so complicated, I don’t think science is a privileged part of the solution.

…The post-normal science idea really does challenge the notion of science as a unitary thing that tells us what to do, PNS really says that we have to think of science in a different way in these contested contexts, and I don’t think most scientists want to go there. The deficit model puts them in charge: “we communicate the facts, you listen and take action.” So if the problem isn’t solved it’s not science’s problem. This is a self-serving superstition that the scientific community generally holds. And superstitions are hard to destabilize.

Over on Twitter, I’ve been having arguments with people about the proposed cut at the EPA, in which the budget for “protecting the climate,” is reduced to “only” $29M.

What in the hell does “protecting the climate” even mean?

Bill Nye On Tucker Carlson

Bill Nye the Pseudo-Psychology Guy was amazing to behold last night.

Scott Adams has a good take on it:

Tucker then asked Nye a simple question about climate science. He asked how much of the warming is caused by human activity. Nye’s entire ego depended on knowing whether human activity is contributing to climate change in a big way, a medium way, or a small way. Tucker wanted some details. How much difference do humans make? After all, Nye had said this was settled science. Tucker just wanted to know what that settled science said.

Nye didn’t know. And by not knowing that simple answer about the percentage of human contribution to warming – the only issue that really mattered to the topic – he proved in public that his opinions on science are not based on facts or knowledge. Nye tried and tried to dodge the question, but Tucker was relentless. That was the trigger. Nye could plainly see, thanks to Tucker’s simple question, that his belief in science was just a belief, because he didn’t actually know the science. When your self-image and ego get annihilated on live television, you can’t simply admit you have been ridiculous all along. Your brain can’t let you do that to yourself. So instead, it concocts weird hallucinations to force-glue your observations into some sort of semi-coherent movie in which you are not totally and thoroughly wrong. That semi-coherent movie will look like a form of insanity to observers.

Look for Nye to go totally mental in the last minute of the clip, changing the topic to political leaks for no apparent reason. That’s your tell. His brain just sort of broke right in front of you.

If I’d been debating him, when he started ranting about being able to grow grapes in England, I’d have asked, “Bill, have you ever heard of Hadrian’s wall? Because the Romans were growing grapes that far north 2000 years ago. Do you know why Greenland was called that, and why North America was called “Vinland” by the Vikings? Are you blaming their SUVs?”

[Wednesday-afternoon update]

Nine reasons you shouldn’t listen to Bill Nye about science. Or anything else. And only nine?

When Evidence Says “No”

…but doctors say “yes”:

WHAT THE PATIENTS IN BOTH STORIES had in common was that neither needed a stent. By dint of an inquiring mind and a smartphone, one escaped with his life intact. The greater concern is: How can a procedure so contraindicated by research be so common?

When you visit a doctor, you probably assume the treatment you receive is backed by evidence from medical research. Surely, the drug you’re prescribed or the surgery you’ll undergo wouldn’t be so common if it didn’t work, right?

For all the truly wondrous developments of modern medicine — imaging technologies that enable precision surgery, routine organ transplants, care that transforms premature infants into perfectly healthy kids, and remarkable chemotherapy treatments, to name a few — it is distressingly ordinary for patients to get treatments that research has shown are ineffective or even dangerous. Sometimes doctors simply haven’t kept up with the science. Other times doctors know the state of play perfectly well but continue to deliver these treatments because it’s profitable — or even because they’re popular and patients demand them. Some procedures are implemented based on studies that did not prove whether they really worked in the first place. Others were initially supported by evidence but then were contradicted by better evidence, and yet these procedures have remained the standards of care for years, or decades.

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.

My faith in the medical profession has never been high, and stories like this do nothing to raise it. If you want to be healthy (and in some cases just stay alive), you have to be pro-active.

[Update a while later]

I hadn’t read the whole thing when I posted this (I still haven’t; it’s long), but I found this interesting:

In the late 1980s, with evidence already mounting that forcing open blood vessels was less effective and more dangerous than noninvasive treatments, cardiologist Eric Topol coined the term, “oculostenotic reflex.” Oculo, from the Latin for “eye,” and stenotic, from the Greek for “narrow,” as in a narrowed artery. The meaning: If you see a blockage, you’ll reflexively fix a blockage. Topol described “what appears to be an irresistible temptation among some invasive cardiologists” to place a stent any time they see a narrowed artery, evidence from thousands of patients in randomized trials be damned. Stenting is what scientists call “bio-plausible” — intuition suggests it should work. It’s just that the human body is a little more Book of Job and a little less household plumbing: Humans didn’t invent it, it’s really complicated, and people often have remarkably little insight into cause and effect.

“Bioplausible” also applies to terrible dietary advice: If you don’t understand biochemistry (and unfortunately, most nutritionists and even many MDs don’t) it makes sense that eating cholesterol gives you high cholesterol and eating fat makes you fat. You are, after all, what you eat, right?

Note also the story about the blood-pressure meds that have no measurable effect on reducing rates of heart attacks. I suspect that, like cholesterol lowering, such drugs are treating a symptom. It’s why despite my life-long high BP (really, my only health risk other than bad choice of parents), I resist using drugs to lower it, because I really have never had any evidence of other issues, and keep a close eye on things like peripheral arteries, carotid blockage, liver function, eye health, etc.

The Diet That Cannot Be Named

This mouse study seems very promising, but there is a word missing here:

In consideration of the challenges and side effects associated with prolonged fasting in humans, we developed a low-calorie, low-protein and low-carbohydrate but high-fat 4-day fasting mimicking diet (FMD) that causes changes in the levels of specific growth factors, glucose, and ketone bodies similar to those caused by water-only fasting (Brandhorst et al., 2015) (see also Figure S1 for metabolic cage studies). Here, we examine whether cycles of the FMD are able to promote the generation of insulin-producing β cells and investigate the mechanisms responsible for these effects.

It’s called “ketogenic,” people. Kee Toe Jen Ick. Low carb, high fat.

The ASAP

wonders why NASA is considering crewing the first flight of SLS/Orion:

In a statement at the beginning of the Feb. 23 meeting of the Aerospace Safety Advisory Panel (ASAP), chairwoman Patricia Sanders said that if NASA decides to put a crew on the first SLS/Orion launch, Exploration Mission 1 (EM-1), it must demonstrate that there is a good reason to accept the higher risks associated with doing so.

“We strongly advise that NASA carefully and cautiously weigh the value proposition for flying crew on EM-1,” she said. “NASA should provide a compelling rationale in terms of benefits gained for accepting additional risk, and fully and transparently acknowledge the tradeoffs being made before deviating from the approach for certifying the Orion/SLS vehicle for manned spaceflight.”

“If the benefits warrant the assumption of additional risk,” she added, “we expect NASA to clearly and openly articulate their decision-making process and rationale.”

The point of my book was not that NASA should simply be more accepting of risk, or be reckless, but balance the risk against the reward. In my opinion, accelerating commercial crew would be worth the risk, to end our dependence on Russia, and increase the productivity of the ISS. Redoing Apollo 8 half a century after the original as a political stunt would not.

[Update a little before 1 PM EST]

NASA is about to have a news conference, probably in response.

[Update post conference]

It was the Bills Gerstenmaier and Hill. Gerst is always deadpan, but one had the impression that he’s not enthusiastic. They’re doing a feasibility study because the White House asked, and won’t be making any recommendations, just describing would it would take in terms of changes in schedule and budget. They just want to see “if they can fly crew sooner.” They expect to have some answers in a month or so (presumably as part of the input for FY2018 budget request). I wish the White House would ask them if they could fly crew sooner on Dragon and Starliner. That would be worth doing.

I can’t believe I just typed the words “FY 2018 budget request.” Makes me feel old.

[Update a few minutes later]

[Update a few minutes later]

Here‘s Keith Cowing’s story.

[Early afternoon update]

And here‘s Eric Berger’s take.

[Update a while later]

And Joel Achenbach’s.

I’d note that the reason they would only have two crew is probably a) to reduce the number of losses if it doesn’t go well and b) more margin in the (primitive?) life support.

[Saturday-afternoon update]

Amy Shira Teitel (like me) thinks that this makes no sense.