The absurd cost of U.S. medical care

September 21, 2013 • 1:12 pm

A while back I had a sinus operation and reproduced the bill, which ultimately came to about $40,000, on these pages. Readers, especially those in countries with subsidized or government medical care, were astounded at the fees. Here’s another case like that.

A while back I had a 6-week-long gastric infection of unknown provenance. It lasted so long, and was so resistant to antibiotics, that I had to have three stool samples analyzed (pardon my indelicacy). I was dumbfounded when I got the list of costs for the first one, which was over $1200. Although I have medical insurance, I had to pay more than a quarter of that because of the “deductible” (an upfront fee you pay the first time you get medical care in a given year).

I have now received the bill for the second sample (the details of the analysis may interest those doctors among the readers). The bottom line is that my insurance company was billed $1357.00, though, as you see, I had to pay just $138.93 of that. The rest is paid by my insurance carrier.

The upshot is that these costs seem unconscionably high. The total bill for all three samples will come in at $3600 or more! Let me note that my doctor is superb, and did his best to diagnose what affected me (it was never found, but was probably a virus), and that my university has a good medical plan for faculty.  But still. . . .

This is symptomatic of the spiraling medical-care costs in the U.S.  I don’t mind paying my share to subsidize those who can’t afford proper medical care, but something seems badly amiss in the U.S. if it costs $3600 to search for a bacteria or protozoan.

This is especially apposite given the current fight in Congress, where Republicans are opposing “Obamacare.” And many Americans agree with them that it’s “socialized medicine.” Well, we already have socialized medicine for older people—it’s called “Medicare.” And we have socialized retirement, which is called “social security.”

It’s time America got over this stupid fear of “socialized anything.” We’re one of the few First World countries that is resistant to government-sponsored health care for non-retirees, and it’s embarrassing. Socialized medicine does not equal Communism.

Now have a gander at this:

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Yes, Virginia, you are a creationist

September 21, 2013 • 10:11 am

After journalist Virginia Hefferman wrote a ludicrous column at Yahoo News asserting that she was a creationist, the reaction was swift and negative, as was appropriate. When a fairly well-known tech writer endorses superstition because “it makes a better story,” one can expect some pushback. Have a look at her column “Why I’m a creationist,” if you haven’t seen it.  I went after her, too, but perhaps the most famous reaction was her Big Twitter War with Carl Zimmer.

After her deeply embarrassing piece, which surely put a dent in her career, there was some suggestion that she was only joking—pulling a Sokal-style hoax. I found that unlikely, and certainly Heffernan hasn’t suggested since that she was just pulling our leg.

But it’s pretty clear, now that Heffernan has given a 20-minute interview to Jian Ghomeshi at the CBC (audio is here), that she is indeed a creationist.  Heffernan’s “explanation” involves a lot of back-pedaling, denialism, and is, on the whole, a semi-incoherent exercise in damage control. (It’s hard to be a respected technology writer if you take Genesis literally.)

Basically, she claims that she’s not really espousing creationism but only “the mildest form of theism.” Oh, she adds, what she was really objecting to was evolutionary psychology and its claim that human males are evolutionarily more promiscuous and less choosy than females (a claim, by the way, that I find quite credible).  She notes, “Maybe it’s time to retire the whole approach of evolutionary psychology” (where have we heard that before?) and “I don’t know that I denied the truth of Darwin.”

She adds that she doesn’t like the “materialist and atheist world view of evolution”, and says that the field is unable to answer the two biggest questions: the origin of the cosmos (not, Virginia, the purview of biology!) and the origin of consciousness.

Ghomeshi asks her some hard questions, and her answers are evasive, loopy, and unsatisfactory. But she never denies her creationism.  And as for her disclaimers in the radio interview, just go back and see what she wrote originally:

Also, at heart, I am a creationist. There, I said it. At least you, dear readers, won’t now storm out of a restaurant like the last person I admitted that to. In New York City saying you’re a creationist is like confessing you think Ahmadinejad has a couple of good points. Maybe I’m the only creationist I know.

This is how I came to it. Like many people, I heard no end of Bible stories as a kid, but in the 1970s in New England they always came with the caveat that they were metaphors. So I read the metaphors of Genesis and Exodus and was amused and bugged and uplifted and moved by them. And then I guess I wanted to know the truth of how the world began, so I was handed the Big Bang. That wasn’t a metaphor, but it wasn’t fact either. It was something called a hypothesis. And it was only a sentence. I was amused and moved, but considerably less amused and moved by the character-free Big Bang story (“something exploded”) than by the twisted and picturesque misadventures of Eve and Adam and Cain and Abel and Abraham.

Later I read Thomas Malthus’ “Essay on the Principle of Population” and “The Origin of Species” by Charles Darwin, as well as probably a dozen books about evolution and atheism, from Stephen Jay Gould to Sam Harris.

The Darwin, with good reason, stuck with me. Though it’s sometimes poetic, “The Origin of Species” has an enchantingly arid English tone to it; this somber tone was part of a deliberate effort to mark it as science and not science fiction—the “Star Trek” of its time. The book also alights on a tautology that, like all tautologies, is gloriously unimpeachable: Whatever survives survives.

But I still wasn’t sure why a book that never directly touches on human evolution, much less the idea of God, was seen as having unseated the story of creation. In short, “The Origin of Species” is not its own creation story. And while the fact that it stints on metaphor—so as to avoid being like H.G. Wells—neither is it bedrock fact. It’s another hypothesis.

The tautology argument for natural selection is, of course, right out of the creationist playbook.  There’s no suggestion here that Heffernan has any truck with evolution.

Perhaps it would be good for Heffernan’s waning career if she pretended that she just made the whole piece up (that, after all, is what Henry Gee seems to be doing). But it’s too late for that, and her post facto special pleading isn’t convincing.

Henry Gee replies

September 21, 2013 • 7:31 am

If I criticize someone’s ideas on this site, and they want to reply here, I usually give them space above the fold.  And that’s what I’ll do for Henry Gee, senior biology editor for the magazine Nature. Gee, using the pseudonym “cromercrox,” has made two comments below my critique of his Guardian piece on the faults of scientists. I’ll put those comments here:

Given that his responses are nearly identical to what he emitted on Twitter (see below), I”m certain that these responses (in my comments) are from Gee himself. In fact, reader Veronica Abbass (in a comment on my earlier post) has verified this, as “Cromercrox” is the name Gee gives himself on his website, The End of the Pier Show.

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Besides making no effort to conceal his identity, I’m also sure this is Gee because these comments are nearly identical what he’s been emitting on his Twitter feed, where in the last 20 hours or so he’s posted elebenty gazillion rants and “defenses” of his remarks. To wit:


Picture 1[Grok? Didn’t that go out in the sixties?]

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My response to his comments?  I don’t believe for a minute that Gee was being ironic or humorous. This is simply a post facto attempt to cover up his ham-handedness. There was no irony or humor evident in his piece, or else they were SO subtle that they were lost on not only my readers, but those of the Guardian as well, where Gee’s been taking a severe drubbing for two days. The old defense “I was just being ironic” is often used when someone is caught flat-footed purveying nonsense.

As for my “longer rant” which supposedly proves Gee’s point—that scientists are intolerant of criticism—he’s completely off the mark. What we’re intolerant of, Dr. Gee, is not valid scientific criticism, which is the meat of our field, but stupid arguments that compare science to a religion, blame science for creationism and other forms of pseudoscience. or argue that science itself is responsible for excesses of technology often motivated by mendacity, capitalism, or greed.

Gee is being a real crybaby here, and doesn’t seem to understand the difference between valid criticism of his views and a Muslim “fatwa”.  Who among us has offered a price on  our opponents’ heads? And are we supposed to refrain from responding to your views, Dr. Gee?

Finally, as for Gee’s religiosity, I went by only the only thing I could find on the internet about his beliefs: his 2006 Nature piece in which he said the following:

I am one of those people for whom Dawkins would no doubt reserve his most trenchant criticism. Dawkins thinks that science itself provides sufficient awe and wonder to replace an instinct for the supernatural. I don’t. Religion, for all its ills and inequities, is one of the few things that makes us human: I am with the scientists of an earlier age, who found that their motivation in advancing the cause of knowledge was to magnify the name of the Creator.

Gee, in other words, saw himself as a latter-day William Paley.

And I did check out that piece (the link is above!). If Gee has abandoned his faith since 2006, I didn’t find that when I Googled “Henry Gee atheist.” So if I missed something, I apologize. But if I didn’t miss anything, I’m excused, for I don’t—thank God!—have a direct pipeline to Dr. Gee’s mind.  Still, his accommodationism, extreme even for an atheist, helps me understand why Nature has spent so much space lately osculating the rump of religion.

Note, too, that Gee has not responded to Pinker’s criticism that he misrepresented the use of statistics in testing scientific hypotheses.

Finally, a word of advice to Gee: it’s not always wise to respond to internet criticism. More often than not, by so doing you’ll wind up looking worse than ever, just as you’ve done here. And don’t pretend that you’re being humorous and ironic when you’re not.  Was Gee “humorous and ironic” when he wrote this intemperate comment on Nature network forums four years ago?:

Gee

The subtle irony—it burns! And what is that about “acne-ridden little numpties” with “no girlfriend, no penis, and no life”? That is SO funny that I spit out my coffee.

But what distresses me in Gee’s comment above is the equation of Dawkins’s followers with the Hitler Youth; Gee apparently lacks the notion that comparisons can ever be over the top. And having just been to Auschwitz, an experience that will change you forever if you’re a sentient human, I am even more upset that Gee (who is apparently of Jewish descent) has played the Nazi card before, as here on Pharyngula:

I am not asking to be liked, I am not asking that people join in … I am asking to be accorded the choice that is the privilege of all civilized societies to be allowed to practice their beliefs without molestation or being vilified for what they do, irrespective of how rational they think it.

But of course, some of you probably think I am an untermensch, as did the people who killed my grandparents and my two aunts — one a toddler, I have recently discovered, the other a babe in arms, and then recycled them as soap and lampshades, and presumably deserving of no better fate.

To equate criticism of Henry Gee with the extermination of his relatives by the Nazis is an invidious and self-pitying ploy. If this were not a civilized website, I would tell Dr. Gee where to get off, and in no uncertain terms.

Caturday felid trifecta: cat hero, cats taking selfies, and baby Hili!

September 21, 2013 • 5:13 am

Yes, dear readers, I have another trio of cat stories for this fine Saturday.

The first is an article from the Washington Post about the flooding in Colorado, and the heroism of Jezebel the Cat:

ESTES PARK, Colo. — As people came down from the flooded foothills of the Colorado Rockies, they brought tales of dramatic rescues, heartbreaking loss and neighbors coming together to protect their families and homes. Here are a few of their stories:

Jezebel the cat jumped on a sleeping Jon Johnson, batted his face and yowled until he woke up to find the Big Thompson River spilling into the cottages he and his wife Deyn rented to Estes Park visitors.

They ran from cottage to cottage, knocking on doors and shouting to the sleeping occupants, “Purse! Keys! Medicine! Go!”

The water rose from Deyn Johnson’s shin to her knee in less than a minute. Everybody was safely evacuated before the river swept three of the cottages away and knocked three more on their sides.

She lamented the loss of the Whispering Pines cottages, which they have run since 1993, but praised Jezebel for her swift action.

“We had no warning other than the cat,” Johnson said. “She is going to be treated like a queen for the rest of her life.”

Well, I’m sure readers will respond that the cat was simply freaked out and ran to its owners, and I probably subscribe to that interpretation as well.  Still, the owners would be dead without Jezebel, giving them just one more excuse to treat their cat like a queen (as all cats would like to be treated).

Sadly, I can’t find pictures of Jezebel, but if any readers do, send them along.

***

Many of us know that celebrities often take “selfies” (photographs of yourself snapped with your cellphone) and post them on Twitter as publicity.  But did you know that cats do it, too? Wil Wheaton’s Tumblr site gives some really funny examples of cats who have photographed themselves. Some examples:

Picture 1 Picture 2

***

Finally, did you ever wonder what Hili looked like as a kitten? Well, she was ineffably cute (she’s a bit more than a year old now). Here are two photographs of Baby Hili taken by reader Sarah Lawson:

Hili Kitten

Hili on kitchen window si 1

And here’s one I just took in Dobrzyn showing that Hli still favors her perch on the kitchen window:

Hili Now

I’ve often wished that cats would remain kittens forever: “bonsai kittens,” as some call them. I even wrote an essay in junior high school about this desire, which I called “The Perpetual Kitten.” I wonder if any readers share that wish?

Hili Dialogue: Saturday

September 21, 2013 • 2:45 am

When Hili wants to come in, she jumps on the windowsill outside the room where Andrzej and Malgorzata work at their computers. Andrzej gets worried when Hili doesn’t appear in the evenings, and often goes out to look for her.

Hili: I’ve been sitting here for ten minutes and nobody had seen me.
A: I was looking for you in the garden.
Hili: You just sit still at your computer and I will make myself found.
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In Polish:
Hili: Od dziesięciu minut tu siedzę i nikt mnie nie widzi.
Ja: Szukałem cię w ogrodzie.
Hili: Siedź spokojnie przy komputerze, już ja się sama znajdę.
By the way, her name is pronounced with long “e”s: “Hee-Lee”. As I’ve said before, “Hili” means “she’s mine” in Hebrew.

 

Nature editor Henry Gee goes all anti-science

September 20, 2013 • 9:14 am

UPDATE 2: In a comment below, reader Piotr Gąsiorowski calls attention to a column that Gee wrote in Nature in 2006, “Delusions of faith as a science,” which is a severe attack on Dawkins’s The God Delusion.  Gee’s piece includes these statements:

Yes, the scientific process is not a parade of absolutes. Science is relative. Faith, however, is absolute.

. . .I am one of those people for whom Dawkins would no doubt reserve his most trenchant criticism. Dawkins thinks that science itself provides sufficient awe and wonder to replace an instinct for the supernatural. I don’t. Religion, for all its ills and inequities, is one of the few things that makes us human: I am with the scientists of an earlier age, who found that their motivation in advancing the cause of knowledge was to magnify the name of the Creator.

For me, Dawkins’ single good point — the only one in 374 pages of secular sermonizing — is that the creation of the Creator is itself inexplicable. As a person of faith, I feel myself sufficiently humble to accept this, and just leave it at that. Science is meant to be humbler still, to bend its findings with the evidence.

I think this gives us some insight into Gee’s views.
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UPDATE 1: On Twitter, Steve Pinker noted something I missed: Gee doesn’t appear to understand the meaning of p values when applied to scientific results. (Alternatively, he may just not be explaining himself well.) This is what Gee said:

If this all sounds rather rarefied, consider science at its most practical. As discussed in Dr McLain’s article and the comments subjacent, scientific experiments don’t end with a holy grail so much as an estimate of probability. For example, one might be able to accord a value to one’s conclusion not of “yes” or “no” but “P<0.05”, which means that the result has a less than one in 20 chance of being a fluke. That doesn’t mean it’s “right”.

As Steve notes in the series of tw**ts below, a p value (say, < 0.05) doesn’t say anything about the chance of your alternative hypothesis being right, but the chance that you would obtain your Nature-publishable result even if your other (“null”) hypothesis were right. The “probability” is not, as Gee implies, the probability that you’re right, but the probability that you look right even when you’re not:

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Henry Gee is a powerful man in science: he’s an editor of Nature.  And that means that every young or ambitious scientist is afraid of him, for Gee is one of those people who decides whether your paper gets published in one of the world’s two most influential scientific journals—something that can make or break the career of a researcher.

But I’m at the tail end of my career, and while I might not have criticized Gee’s ideas when I was younger (I was a bit cowardly!), I have nothing to fear from doing so now.  Let me first add, before I take apart his claims, that Gee appears to be a cat-lover, so there’s at least one good point on his scorecard.

That, however, is more than offset by his piece at the latest “Occam’s Corner” section of the Guardian, “Science, the religion that must not be questioned.”  Actually, I’m quite surprised at Gee’s long-ish essay, because it’s bascially anti-science—and by that I don’t mean that it’s an attack on scientism. Rather, it’s an attack on science itself and the people who practice it.  Nevertheless, Gee makes many of the points that accommodationists and religious people make against science. Finally, he levels the ultimate insult at science, comparing it to a religion in its authoritative priesthood of researchers who, claims Gee, can’t brook criticism. It is absolutely unbelievable that an editor of a major scientific journal can say things like this.

J’accuse Dr. Gee of the following claims (his words are indented and in regular Roman type):

Science has been wrong and can’t much be trusted.

As my learned colleague Dr Sylvia McLain, who is both a scientist and a person of the opposite sex, explained here just the other day, this is business as usual. All scientific results are in their nature provisional – they can be nothing else. Someone will come along, either the next day or the next decade, with further refinements, new methods, more nuanced ways of looking at old problems, and, quelle surprise, find that conclusions based on earlier results were simplistic, rough-hewn – even wrong.

The problem is that we (not the royal we, but the great unwashed lay public who won’t know the difference between an eppendorf tube and an entrenching tool) are told, very often, and by people who ought to know better, that science is a one-way street of ever-advancing progress, a zero-sum game in which facts are accumulated and ignorance dispelled. In reality, the more we discover, the more we realise we don’t know. Science is not so much about knowledge as doubt. Never in the field of human inquiry have so many known so little about so much.

Part of Gee’s confusion in the piece is that he’s not quite sure who is misleading the public: is it the scientists or the journalists? (He ultimately blames both.) And there are two problems with this accusation.

First, Gee is simply wrong that scientists (and many journalists) try to hide the provisional nature of scientific truth.  Crikey, I can’t think of the number of times I’ve heard popular scientists emphasize the fact that science does sometimes go wrong, and that it’s based on doubt and repeated testing and criticism by others. Those who have written honestly about science in this way include almost all the great popularizers of our era: Dawkins, Gould, Sagan, Feynman, and so on. I remember, for example, Sagan writing that, unlike religious believers, scientists always have a voice whispering in their ear: “Remember, you might be wrong.” And of course Feynman’s explications of the provisional nature of science are famous. Here are two:

“The scientist has a lot of experience with ignorance and doubt and uncertainty, and this experience is of very great importance, I think. When a scientist doesn’t know the answer to a problem, he is ignorant. When he has a hunch as to what the result is, he is uncertain. And when he is pretty damn sure of what the result is going to be, he is still in some doubt. We have found it of paramount importance that in order to progress, we must recognize our ignorance and leave room for doubt. Scientific knowledge is a body of statements of varying degrees of certainty — some most unsure, some nearly sure, but none absolutely certain. Now, we scientists are used to this, and we take it for granted that it is perfectly consistent to be unsure, that it is possible to live and not know. But I don’t know whether everyone realizes this is true. Our freedom to doubt was born out of a struggle against authority in the early days of science. It was a very deep and strong struggle: permit us to question — to doubt — to not be sure. I think that it is important that we do not forget this struggle and thus perhaps lose what we have gained.”

and

“I can live with doubt, and uncertainty, and not knowing. I think it’s much more interesting to live not knowing than to have answers which might be wrong. I have approximate answers, and possible beliefs, and different degrees of certainty about different things, but I’m not absolutely sure of anything, and in many things I don’t know anything about, such as whether it means anything to ask why we’re here, and what the question might mean. I might think about a little, but if I can’t figure it out, then I go to something else. But I don’t have to know an answer. I don’t feel frightened by not knowing things, by being lost in a mysterious universe without having any purpose, which is the way it really is, as far as I can tell, possibly. It doesn’t frighten me.”

Second,  Gee’s saying “the more we discover, the more we realize we don’t know” is a kind of deepity. Yes, further knowledge raises yet more questions that we hadn’t realized, but that doesn’t mean that some questions don’t get answered. A water molecule has two hydrogen atoms and one oxygen atom. The earth is about 4.6 billion years old.  Our closest living relative is the chimpanzee. The continents move, traveling on plates.

Yes, science is about doubt and knowledge, and some of that knowledge, while not true in the philosophically absolute sense, is true in the only sense that matters: you’d bet all your fortune on its being right.  I’d give up my fortune (small as it is) right now if some scientist proved that earth was 10,000 years old. In fact, I’d bet a thousand dollars against ten dollars on this issue.  If you listen to Gee, you get the idea that our knowledge of the cosmos hasn’t advanced at all.

Science can only reach probabilistic conclusions, and it’s all based on statistics.

If this all sounds rather rarefied, consider science at its most practical. As discussed in Dr McLain’s article and the comments subjacent, scientific experiments don’t end with a holy grail so much as an estimate of probability. For example, one might be able to accord a value to one’s conclusion not of “yes” or “no” but “P<0.05”, which means that the result has a less than one in 20 chance of being a fluke. That doesn’t mean it’s “right”.

One thing that never gets emphasised enough in science, or in schools, or anywhere else, is that no matter how fancy-schmancy your statistical technique, the output is always a probability level (a P-value), the “significance” of which is left for you to judge – based on nothing more concrete or substantive than a feeling, based on the imponderables of personal or shared experience. Statistics, and therefore science, can only advise on probability – they cannot determine The Truth. And Truth, with a capital T, is forever just beyond one’s grasp.

Perhaps Gee has gotten jaded scrutinizing the p values in Nature manuscripts, but not all science is based on probability values, and even when it is, those values are often much less than 0.05 (physics, for example, uses much smaller values—0.00001, I think, when it tried to confirm the existence of the Higgs Boson.  And scientific results are often based on far more than statistics.  There’s not a single p value in On the Origin of Species.  Nor was there any in Watson and Crick’s double-helix model of DNA, or in the determination of the structure of benzene.

Yes, all science is provisional, and it is logically possible (though I’d bet my fortune against it) that the propositions above could be wrong.  But to imply—to Guardian readers!—that science could be fallacious because mere probabilities are involved does a disservice to public understanding of our field.  Yes, ABSOLUTE truth is beyond our grasp (or anyone else’s), but really, wouldn’t Doctor Gee bet his house on the fact that life evolved rather than was created a few thousand years ago?  It’s time that we stop saying that science can’t find real truth without drawing the distinction between philosophically absolute truth and what I (a nod to Anthony Grayling) call practical absolute truth: the kind of scientific truth that is so unlikely to be wrong that we’d bet our lives and savings on it.

Science has betrayed the public faith by giving us bad stuff like pollution and atomic bombs.

I think it [the public demand for real truth in science, as opposed to other areas] goes back to the mid-20th century, especially just after the second world war, when scientists – they were called “boffins” – gave us such miracles as radar, penicillin and plastics; jet propulsion, teflon, mass vaccination and transistors; the structure of DNA, lava lamps and the eye-level grill. They cracked the Enigma, and the atom. They were the original rocket scientists, people vouchsafed proverbially inaccessible knowledge. They were wizards, men like gods, who either had more than the regular human complement of leetle grey cells, or access to occult arcana denied to ordinary mortals. They were priests in vestments of white coats, tortoiseshell specs and pocket protectors. We didn’t criticise them. We didn’t engage with them – we bowed down before them.

How our faith was betrayed! (This is the great unwashed “we” again.) It wasn’t long before we realised that science gave us pollution, radiation, agent orange and birth defects. And when we looked closely, “we” (oh, I give up) found that the scientists were not dispensing truths, but – gasp – arguing among themselves about the most fundamental aspects of science. They weren’t priests after all, but frauds, fleecing us at some horrifically expensive bunco booth, while all the time covering up the fact that they couldn’t even agree among themselves about the science they were peddling us like so much snake oil. And if they couldn’t agree among themselves, why should good honest folks like you and me give them any credence?

If this was April 1, I’d suspect Gee was making a Poisson d’Avril joke here.  The accusation that scientists weren’t dispensing truth with inventions like penicillin and vaccination is just dumb. And as for the other stuff, well, yes, scientists didn’t realize the implication of stuff like thalidomide. But in many cases such malfeasance rested not on science itself, but the misuse of technology for profit or other nonscientific considerations.  Let me ask you: would you rather not have had any science since the mid 20th century, given that some research had bad side effects?

I didn’t think so.  And really, you can blame all the bad things that come out of science on the scientific process itself? Is pollution really the fault of science, or of overpopulation and capitalism? Some of the bad effects of science rest not on scientific ignorance but on sheer human mendacity—a kind of mendacity that, like that of Josef Mengele, will pervert science for its own misguided ends.

As for Gee’s conclusion that science has fleeced the public at a bunco booth, and covered up our disagreements, that’s just wrong.  Science’s disagreements are always public, as they should be Did we hide the argument about the philosophical meaning of quantum mechanics? Or about whether the continents actually moved? Or whether evolution had operated? Or whether neutrinos could move faster than light? How can the editor of a science journal even say stuff like this?

The dishonesty of scientists has promoted the rise of pseudoscience.

I kid you not: Gee really says this:

And if [scientists] couldn’t agree among themselves, why should good honest folks like you and me give them any credence?

Witness the rise of creationists, alien-abductees and homeopaths; the anti-vaxers and the climate-change deniers; those convinced that Aids was a colonial plot, and those who would never be convinced that living under power lines didn’t necessarily give you cancer; ill-informed crystal-gazers of every stripe, who, while at the same time as denouncing science as fraudulent, tried to ape it with scientific-sounding charlatanry of their own.

If the once-inaccessible scientists had been defrocked, why couldn’t just anyone borrow their robes? Announce that camel turds are the latest miracle super-food; put on a white coat and mumble impressive nonsense about zero-point energy, omega fatty acids and the mystery third strand of DNA; and you’re in business, ready to exploit fool after fool at a bunco booth of your own making.

And all this because scientists weren’t honest enough, or quick enough, to say that science wasn’t about Truth, handed down on tablets of stone from above, and even then, only to the elect; but Doubt, which anyone (even girls) could grasp, provided they had a modicum of wit and concentration. It wasn’t about discoveries written in imperishable crystal, but about argument, debate, trial, and – very often – error.

Unbelievable! Really? Scientific disagreement gave rise to creationism and homeopathy and antivaxers and the whole pseudoscientific enterprise?  Does Gee know that creationism was around long before Darwin, and is still with us? How on earth did it come as a reaction to 20th-century disagreements about evolution?  Does Gee know about all the research on why seemingly sane people believe bad and crazy things?  Did religion—the ultimate form of woo—arise because of scientific disagreements?

No, these things come from human gullibility, credulousness, and wish-thinking, not from scientific dishonesty.  Scientists are far more honest about their work than are homeopaths, creationists, anti-vaxers and the like, and to lay the blame for pseudoscience on the arrogance of and disagreement among scientists, and on our supposed inability to admit that we don’t find “Truth,” is sheer lunacy.

Scientists and science journalists don’t express the nature of science, for they squelch dissent.

TV programmes on science pursue a line that’s often cringe-makingly reverential. Switch on any episode of Horizon, and the mood lighting, doom-laden music and Shakespearean voiceover convince you that you are entering the Houses of the Holy – somewhere where debate and dissent are not so much not permitted as inconceivable. If there are dissenting views, they aren’t voiced by an interviewer, but by other scientists, and “we” (the great unwashed) can only sit back and watch uncomprehending as if the contenders are gods throwing thunderbolts at one another. If the presenters are scientists themselves, or have some scientific knowledge, be they Bill Oddie or David Attenborough, their discourse is one of monologue rather than argument, received wisdom rather than doubt.

I believe there might have been a time when science journalists would engage with scientists, picking holes in their ideas directly, as if throwing traders out of the temple. I yearn for scientific versions of political journalists of the calibre of Jeremy Paxman, James Naughtie or John Humphreys who could take on scientists on their own terms, rather than letting them drop their pearls of wisdom and wander off unchallenged. For that kind of journalism, TV is more or less a desert, though the blogosphere is better. There are more hopeful signs on radio, with the likes of my former Nature colleague Adam Rutherford, who gave Andrew Wakefield – you know, the MMR-and-autism guy – a thorough working over on the Home Service a while back. But, you might argue, Wakefield is too easy a target. And yet, as science journalists such as Simon Singh and Ben Goldacre have discovered, even those apparently easy targets whose scientific credentials are challenged resort very easily to legislation in the way that politicians never would.

There’s a bit of truth here, as lazy science journalists sometimes don’t do their homework and check “exciting” new results with other scientists.  But other scientists are more than willing to critique their colleagues, for that’s what the game is about.

And the notion that scientists who present t.v. or radio shows cover up our ignorance doesn’t resonate with me. Yes, t.v. shows are often designed to show people what we know rather than what we don’t know, but I don’t sense some big conspiracy there to cover up dissent. Indeed, just look at my book, in which I deliberately tried to highlight our areas of ignorance.  Gee should also realize that what excites people in popular media are the real advances, not the unknowns. Still, those unknowns are widely available in any popular book by scientists. Read Brian Greene, Lisa Randall, Richard Dawkins, or Carl Sagan to see how dogmatic scientists really are. Their books are full of “we don’t know this.” Any book on string theory or modern physics is riven with doubts (try The Trouble with Physics by Lee Smolin, for example).

Science is not only like religion, it is a religion.

Finally, Gee levels the ultimate gratuitous insult at science: he says that, in its dogmatism and refusal to accept criticism, science is like religion. And if you attack the received wisdom in science, you’re doing something analogous to blasphemy. The last paragraph boggles the mind:

And yet, as science journalists such as Simon Singh and Ben Goldacre have discovered, even those apparently easy targets whose scientific credentials are challenged resort very easily to legislation in the way that politicians never would.

Why is this? The answer, I think, is that those who are scientists, or who pretend to be scientists, cling to the mantle of a kind of religious authority. And as anyone who has tried to comment on religion has discovered, there is no such thing as criticism. There is only blasphemy.

This is pure nonsense.  Show me a scientist who clings to the mantle of a religion-like authority, who makes pronouncements about what is true without trying to test them, and I’ll show you a bad scientist, one doomed to being discredited.  The whole enterprise of science, as Gee should know very well, is based on argument and doubt and on scientists trying to show each other to be wrong. “No such thing as criticism”? How can an editor say this—an editor whose job is precisely to solicit such criticism from other scientists? How is it possible for someone with a deep acquaintance of science to claim that scientific criticism is stifled or punished in the same way as is religious blasphemy? The whole point of Nature is to encourage that kind of criticism, for that’s the way that the journal, or any journal, adjudicates the truth of scientific claims.

After rereading Gee’s piece, I had a moment’s fear that it was some kind of Sokal-style hoax: an attack on scientism à la Pinker.  But I’m sure it’s not. I don’t know where this kind of misguided analysis comes from, but deeply misguided it is.

And it makes me fear for Nature, for how can a powerful figure at that journal turn out such stuff? I find it doubly distressing because it is Gee is paid to ensure that science is not treated as a kind of religion, and I’m sure he has no lack of critics and reviewers ready to tear apart the papers submitted to him.

His rant is a complete mystery to me.

Moar wildlife from Idaho

September 20, 2013 • 8:00 am

Reader Stephen Barnard continues to send a largesse of gorgeous animal photographs, and I’m chuffed that readers get to see it here first.  The latest includes three species of birds.

First we have two female mallards (Anas platyrhynchos):

gadwalls

And then a red-tailed hawk (Buteo jamaicensis), clearly showing how it got its name:

Red-tailed hawk

Finally, a lovely Northern flicker (Colaptes auratus):

Flicker