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October 2002

Whose Science Is It, Anyway?

The federal government spends tens of billions of dollars a year on health research and has convened more than 250 committees of volunteer experts to advise on how to make the best use of taxpayer dollars in this most public of enterprises.

Yet recent action by the Bush administration evokes the question, "Whose science is it, anyway?"

Traditionally, taxpayers have gladly supported a huge investment in the health research enterprise with the expectation that it would result in improved health. They expect government to protect the public from medical charlatans, environmental toxins and business practices that harm people's health.

However, the Department of Health and Human Services is engaged in a wholesale shake-up of many scientific advisory committees, particularly those convened to address public health, patient rights and environmental protection. These committees make recommendations to the secretary on a host of issues that he cannot possibly have the time or knowledge to study himself. Occasionally, they conclude that the federal government ought to regulate some things, such as questionable DNA tests, chemical pollution or protocols for experimentation on human subjects.

Membership on these committees is term-limited, and turnover is expected when there is a change in administration. However, the changes under way by HHS would replace a corps of distinguished science advisers with minions of private industry and acolytes of the "religious right." One such change, for example, would place on a key environmental advisory panel a defender of the utility company beaten by Erin Brockovich.

One might now conclude that the role of the government is to subsidize private industry by releasing it from the burden of regulation that favors health and safety protection over corporate profits. And this is only the latest cause for alarm in the scientific community.

Earlier this year, HHS imposed a choke-hold on the release of information to the public by NIH and CDC, requiring that answers to all public and media inquiries be vetted by the scientifically uncredentialed political agents of the secretary. Now it is removing independent voices from the panels that advise him of where science should be heading. Can it be long before applications for research grants are subjected to a review process in which the evaluators are not scientists but corporate shills and political bullies?

The government may want to get out of the business of using the knowledge generated by its investment in research to protect and improve the health of its citizens and let the marketplace determine what is safe and effective. But it should at least say so and let the taxpayers who fund federal research know the risks.

 
 
 

Essays on Good Behavior
2008

Test Anxiety - September 2008
Fiddling While Health Care Fizzles - August 2008
The Eternal Promise of the Electronic Health Record - July 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