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January 2005

Political Science

The statue of Albert Einstein outside the National Academy of Science on Constitution Avenue is inscribed with his words: “The right to search for truth implies also a duty; one must not conceal any part of what one has recognized to be true.” These words in stone are mocked daily by the inhabitant of a house just a few blocks away on Pennsylvania Avenue.

Much has been written about how the Bush administration is politicizing science. But in our democracy, taxpayer-supported science is inherently political. The Eisenhower, Kennedy and Johnson administrations emphasized support for space science and science education during the Cold War. The Clinton administration endorsed the Human Genome Project. Stem cell policy and a missile defense system are priorities that reflect the political agenda of the party in power even though they run counter to prevailing scientific consensus.

Public funding of scientific research is not permanently endowed but rather reflects referenda that take place on a two-year congressional cycle. Scientists routinely invite politics into their calling when, through their universities, they ask their congressional representatives to override study section scores or seek earmarked funding to establish research centers outside the peer-review system. While the administration's efforts to limit research on sex and stem cells, and to influence membership in study sections, subvert the established approach to priority-setting, they do not, in the short term, fundamentally undermine the scientific enterprise.

The current outrage is understandable but misses the real threat to science — the administration's subtle yet deliberate redefinition of accepted principles of what constitutes good evidence to guide policy development. For example, the Data Quality Act, signed into law as part of the 2000 omnibus spending bill, gives the Office of Management and Budget license to arbitrarily vary the quality standards for evidence to alter existing regulations. During the current administration, it has been used by industry and conservative think tanks to challenge health and safety warnings about smokeless tobacco, sugar, dietary salt, fertilizer and asbestos; findings about climate change; and regulations about endangered species.

How can we regain the standing of science and protect its role in providing unbiased data to inform policy?

First, scientists must be far more vigilant about the end uses of research, not just safeguarding the immediate business of its production. Second, scientists must protect against real and apparent conflicts of interest, including participating in self-serving political advocacy. Third, scientists must transcend disciplinary and institutional interests to defend the standards of evidence used in decision-making.

There is no reason to believe that the behavior of the Bush administration is going to change in the next four years. It is therefore critical that scientists organize, choose their battles wisely and guard against self-serving complicity in undermining objectivity.

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Essays on Good Behavior
2008

Decontructing the Kennedy Coverage - June 2008
Stuck Reading the Small Print - May 2008
Let Them Eat Cupcakes? - April 2008
My 81-Year Old Mom: Drug Safety Expert? - March 2008
A Paradox of Progress - February 2008
“Trust but Verify.” Verify? - January 2008
2007

Better Computer Use Could Enhance Health - December 2007
Expand Care to Treat Broad Patient Needs - November 2007
Science Message Muddled, Public Befuddled - October 2007
Health Reform May Require Outside Instigators - September 2007
Research in the Medical Marketplace - August 2007
No Free Lunch for Health Care Reform - July. 2007
So Many Choices, So Little Information! - June 2007
Improving Health, Climate Similarly Daunting Challenges - May 2007
Lessons and Cautions - April 2007
The Price of Patient Passivity - March 2007
Lipstick-On-A-Pig Health Reform- February 2007
Power,Politics and Performance - January 2007
2006

Quantifying People Particles- Dec. 2006
Great Expectations - Nov. 2006
November Solutions - Oct. 2006
Consequences of Terror Fatigue - Sept. 2006
Carrots and Two-by-Fours- August 2006
The Simple Life - July 2006
Visions of Riskless Solutions - June 2006
The Cure Is First, Then the Disease - May 2006
Give Me Ambiguity, or Something Else - April 2006
A New Vision of Aging - March 2006
Pedestrian Solution to Health Care - Feb. 2006
Daunting in the Dark - Jan. 2006
2005

Reframing the Suboptimal - Dec. 2005
Coming Home to Roost - Nov. 2005
No Killer Apps in Health Information - Oct. 2005
Homeland Security and Public Health - Sep. 2005
They Only Play One on TV - Aug. 2005
Suzy Spotless Takes on Obesity - July 2005
Obligations of Science and Society - June 2005
Caveat Viewer - May 2005
Putting Yourself First - April 2005
Risking the Social Contract - March 2005
Intelligence Quest - Feb. 2005
Political Science - Jan. 2005
2004

Renewing Old Values - Dec. 2004
Home Depot Health Care - Nov. 2004
Radicchio and Responsibility - Oct. 2004
What We Know and When We Know It - Sept. 2004
Evidence-Based Medicare: A Start- Aug. 2004
Leave No Scientist Behind - July 2004
FDA Gives Plan B an F - June 2004
Is Our People Healthy - May 2004
A Full Partnerhsip for the Future - April 2004
Demography Is Destiny - March 2004
Feeling Safe or Being Safe? - Feb. 2004
Prevention Deficit Disorder - Jan. 2004
2003

New Roles, New Spirits - Dec. 2003
La Dolce Vita - Nov. 2003
Pointing Fingers in the Dark - Oct. 2003
Keeping Fit for a Lifetime - Sept. 2003
You Get What They Pay For - Aug 2003
Good At-Bats - July 2003
Undermining Science - June 2003
SARS and the Free Market - May 2003
A Bold Commitment - April 2003
Odds and Ends - Mar. 2003
Neglected Questions - Feb. 2003
Ship Happens - Jan. 2003
2002

Inconvenient Information - Dec. 2002
Capturing the Value of Health Research - Nov. 2002
Whose Science is it, anway? - Oct. 2002
Grief: Our most prevalent condition - Oct. 2002
A Tale of Two Cities - Sept. 2002
The Opportunity of Cost of Time - Aug. 2002
Balancing the Research Portfolio - Jul. 2002
Point, Click, Heal - Jun. 2002
From Lab to Living Room - May 2002

The Zigzag Path to Truth - Apr. 2002

If it Weren't for the honor - Mar. 2002
No Magic Arrow - Feb. 2002
Media and Messages - Jan. 2002
2001

Persistant Prompting - Dec. 2001
The Winds of Spore - Nov. 2001
Eating Your Heart Out - Sept. 2001
A New Way to Purchase Health - Aug. 2001
These essays appeared in the Center's
newsletter and may be quoted with attribution.

All Essays written by:
Jessie C. Gruman, Ph.D.
President
Center for the Advancement of Health