Science Advisory: Children Should Keep Running with Scissors! (except, of course, not really)
David L. Katz, MD, MPH
CMO, Tangelo. Founder: Diet ID; True Health Initiative. Founding Director, Yale-Griffin PRC (1998-2019). Health Journalist. COVID Curmudgeon
New Guidelines: No Need for Kids to Cut Back on Running with Scissors for Their Good Health. (Except, again…not really.)
When just this variety of nonsense can blow to smithereens a news cycle or several, and along with them trust, understanding, and the life’s work of innumerable careful scientists, we have seemingly gone well beyond the pallid mischief of “clickbait.” We have seemingly contrived something like “information terrorism” - if that can be a thing.
We live, of course, in a world where preoccupation with terrorism is ubiquitous yet intimate, subtle but constant. The fixation is part of the background noise of modern existence; it oscillates in our collective conscious.
We are awash in constant information, too, and much of it is wrong. Opinion masquerades routinely as authority; expertise is actively disdained; and fallacy propagates faster and farther than verity. Clickbait is mundane enough to be misconstrued as quaint. Misinformation prevails, often with quite dire consequences- from the fate of elections, to that of our planet.
Where these two colossal forces of modern existence collide like tectonic plates, is there a new peril: information terrorism?
To be clear, terrorism need not be an act of physical violence per se. It need not kill anyone, although we all know it often does. The definitions vary, but Merriam Webster gives us this: “the systematic use of terror especially as a means of coercion.”
This will sound rather horrible, but it’s true just the same: you can neither terrorize nor coerce the dead. Those who die as a result of terrorism are its tragic means, rather than its loathsome ends. Terror and coercion are directed at the living.
So the goal of terrorism is to hold the vital attention hostage, to infiltrate culture at large and shift its currents. Where coercion is involved there may be some specific objective, but our own reality suggests that the goal may simply be to savage social norms and ravage peace of mind. The aim of anarchists is not a system that works better, but no system at all. The terrorism in the constant background of our routines and ruminations seems to want nothing more from us than our unfailing attention. It tells us: this is how the world is now, so you will not go through a day without homage directed here.
Ultimately, terrorism is a message, however pointless and aimless and abstruse. Terrorism is a memo. Terrorism is information coercing us by commanding our anxious preoccupation and an army of attendant inconveniences.
Which leads us back to: can information be terrorism?
These reflections follow a great debacle of public health, with innumerable lives at stake. We heard only recently, and rightly, that diet is the leading cause of premature death in our culture, killing at a scale vastly beyond the toll of bullets and bombs. Admittedly, of course, bullets and bombs are more immediate; there is more ghastly carnage in plain view. But for sheer scale- years lost from lives, and life lost from years, year after year- diet is massively more lethal.
Isn’t it terrifying, if not terrorizing, to be told that our food is the leading source of disease and demise threatening us and those we love- and then get diametrically clashing messages about how to fix it?
Everyone knows the Oklahoma City bomber; everyone knows the Unabomber; everyone knows the perpetrators at Columbine. That’s not because these people were right- it’s because they did terrible things. They took our attention hostage not with valid messages, but with heinous assaults.
That can be done to understanding, too.
The researchers who this time lobbed what the Union of Concerned Scientists called a “nothingburger” to refute the consensus about harms of processed meat have done much the same before. The same source, in this same journal, using just these methods- repudiated the links between added sugar and adverse health outcomes just a few years ago. In that instance, the paper trail led to industry beneficiaries, called out in high places. Whether that is true again is a matter of on-going investigation.
If processed meat is not a problem, and added sugar is not a problem…then where are the problems that account for poor diet as the leading cause of premature death, as it is known to be? Must we now anticipate “guidelines” based on such methods advising against intake of whole vegetables and fruits (for want of evidence); in favor of consuming ultraprocessed foods (for want of evidence opposing)?
There is but a hyphen between the dis-ease of such relentless worry, and disease of body, mind, and culture.
How can science be so readily corrupted? Science may have the force of a freight train, but sense must lay its tracks. Absent that, you get a train wreck- like the one we’ve all just witnessed.
Consider that any researchers so inclined could readily apply these same methods of systematic review and grading evidence to…children running while holding scissors. They would surely find a complete lack of randomized trials, and would certainly score the evidence as extremely deficient if not absent altogether. Recent history suggests they would accordingly publish guidelines advising children to keep running with scissors.
If you believe that’s a good idea, I have a bridge in Brooklyn to sell you. There’s plenty of room for children to run there, with scissors or otherwise.
Science is for advancing understanding of what’s true. This is not science; it’s anti-science. It’s a nothingburger, or nothingbomb, lobbed at understanding to blow it up.
Why? The only apparent reason is notoriety. Blow up understanding, and own some number of news cycles, as surely as if you blew up a building. Blow up understanding, and you take our collective attention hostage.
Corrupted information about a corrupted food supply has been killing relentlessly for decades. In the age of Internet echo chambers, has it evolved into information terrorism? I won’t presume to answer my question. But I do presume to say: it’s time we ask it.
Science can be weaponized to blow up understanding rather than advance it. The only real defense is sense. Would that it were common.
-fin
Dr. David L. Katz, founder & President of the True Health Initiative
Global Service Delivery Leader | Digital Transformation Executive| Driving Customer Success & Business Growth | Keynote Speaker & Author
5 年Well put and if only our national leadership can understand that what terrorist can’t do our food companies and inept scientists are doing I.e killing or destroying the health of millions and we as a society simple have accepted it as a price of convenience and progress or is it? We live in a dangerous nation with junk food and fast food at every corner and majority are not upset or disappointed but we get enraged by people getting shot. Why this disproportionate response to the same end result by the disease care system or our processed food supply industry. Thanks for the article and hope we get educated about the real threat of terrorism for our neighborhood fast food joints !!!!
Executive, Operating Partner,Consultant, Clinician, Author, Professor, Board Member, Investor, Entrepreneur
5 年Brilliantly communicated: “How can science be so readily corrupted??Science may have the force of a freight train, but sense must lay its tracks.?Absent that, you get a train wreck- like the one we’ve all just witnessed.” “Blow up understanding, and you take our collective attention hostage.”
Author: WHEALTHSPAN / teaches Lifestyle Medicine / Speaker / President, Home Ideations / Past President, National Aging in Place Council, Member, American College of Lifestyle Medicine
5 年Thoughts on what motivated AIM to publish what was bound to be highly controversial? Unfamiliar with GRADE analysis, but questions inherent bias? Overall, it seemed light on content and largely headline. Also unclear who in the medical and public communities are served. The only potential content worth looking at was how we present data, as relative vs absolute, but even there they missed the mark. Is the College is feeling under threat of irrelevance?
Certified Lifestyle Medicine Physician | Board Certified Obstetrician/Gynecologist | Health Coach | Lose Excess Weight | Gain Energy | Reverse Chronic Disease | Get Off Burdensome Medications
5 年Yes, brilliant! I’ve had a vascular surgeon colleague flat out tell me that he wouldn’t tell his patients about a plant based diet as it would keep them from needing his specialized care. Cardiology colleagues called me “naive.” Sadly, I know many docs are feeling quite satisfied with the AIM latest publication.
Pres., Council on Size & Weight Discrimination
5 年Many people no longer trust scientific pronouncements. It takes a city under water, and 100-year floods, year after year, for some to take the climate seriously. Unfortunately, the equivalent nutritionally to a Katrina is less obvious to the naked eye, and vested interests stand to make a fortune off people’s ignorance. As Katz has pointed out in a previous post, the recent unfortunate press release about red meat and processed meats will likely cause the public to become even more cynical about nutrition science. And rebuttals from people like Dr Katz and Marian Nestle will not affect people who only read front page headlines.