Showing posts with label tobacco. Show all posts
Showing posts with label tobacco. Show all posts

Wednesday, June 30, 2010

Book Review – Doubt is Their Product: How Industry’s Assault on Science Threatens Your Health by David Michaels


“Doubt is our product” is how a tobacco company executive once described the industry’s attempt to hide the fact that smoking cigarettes caused lung cancer and related diseases. And that is the theme that David Michaels uses throughout his book. He argues rather persuasively that the tactic of denying the science first perfected by the tobacco companies has been used over and over again by other industries. The goal – to protect profits and avoid litigation liability from exposing people to dangerous chemicals and other practices.

The book is replete with case studies and examples, many from his personal experience as an epidemiologist and a former Assistant Secretary of Energy responsible for protecting the health and safety of workers, neighboring communities, and the environment surrounding the nation’s nuclear weapons facilities. He talks about problems with lead and children, workplace cancers from beryllium, “popcorn lung” destruction from diacetyl, secondhand smoke, asbestos, chromium, vinyl chloride in plastics, diet drugs fen-phen, Vioxx, and nuclear radiation, among others. In each case the responsible industry delayed action and avoided taking responsibility while the regulators were hamstrung by a combination of insufficient authority, political unwillingness, and nearly always deficient resources.

Throughout the case studies Michaels also discusses some of the tactics and strategies used by industry to keep from being regulated. While he only gives a passing mention of climate change, the tactics he describes in this 2008 book are clearly evident in this new opportunity for delay. I’m familiar with most of the cases he mentions, some quite familiar and others less so, but I learned quite a bit more about the behind the scenes high jinks that frankly I found a bit startling. As the title suggests, the primary tactic is “create doubt,” otherwise known as “highlight the uncertainty.” Science can never be fully certain because there is always another question that can be asked. Industry has exploited this by emphasizing any uncertainty so that no regulatory decision can be made. One common method is to employ “reanalysis.” That is, get the raw data from a study that is adverse to your position, then reanalyze it over and over, changing assumptions and conditions, enough to get a different conclusion, which then can be used to cast doubt. If reanalysis doesn’t do it, then conduct a new study, often designed specifically to create conflicting data, so again there is uncertainty. Call whatever industry does “sound science” (a term invented by the lobbying firm Hill and Knowlton for the tobacco industry) and call whatever regulators do “junk science” (a term made famous by long-time industry propagandist Steven Milloy, who of course got his start from the tobacco industry).

There is much more, of course. The book is extremely well documented, with many pages of end notes. Michaels is himself a former regulator and so experienced many of his case studies first hand. For those who are not familiar with the history of industry-created doubt, the book will be a real eye-opener. Unfortunately, I found it all too familiar.

Find other science related book reviews (click and scroll down).

Thursday, June 11, 2009

Senate Votes to Give FDA Power to Regulate Tobacco - Good Idea or Bad Idea?


Today the US Senate voted 79-17 to "give the Food and Drug Administration authority to regulate the content, marketing and advertising of cigarettes and other tobacco products" according to a story in the Washington Post. The bill would give regulators "new power to limit nicotine in cigarettes, drastically curtail ads and ban candied tobacco products aimed at young people." The vote now sends the bill back to the House, which had previously passed a similar bill. Speaker Pelosi apparently believes the House can simply pass the Senate version and send it on to President Obama, who has supported the idea despite the fact that he is a smoker who has struggled to quit (or perhaps because he is a smoker who has struggled to quit).

Many may not realize it, but tobacco products have been exempt from the normal regulation administered by the Food & Drug Administration. This bill would change all that.

Supporters of the bill say it is long overdue, and that it will save hundreds of thousands of lives annually and reduce the "$100 billion in annual health care costs linked to tobacco," which is considered one of the "leading preventable causes of death in the United States" according to those quoted in the Washington Post story.

While no opponents of the bill - which got bipartisan support - were quoted in the Post article, there are many who believe that regulating tobacco is an unwelcome intrusion into personal choices. They point to the inability of Prohibition to reduce alcohol consumption, and its eventual repeal.

So, is it a good idea for tobacco use to come under the regulatory arm of the FDA? Will it save lives? Reduce health care costs? Place a burden on the tobacco industry? Fail to result in changes in smoking habits?