SciLence

 In Preventive Medicine Column

 

SciLence

I heard from a public health colleague this past week, whose work and time are partly funded by the Centers for Disease Control and Prevention, that the CDC did not want to be acknowledged as a funding source in a research paper addressing gun violence. Apparently, CDC scientists have marching orders to be more concerned about unflattering facts about gun violence, than about gun violence itself.

In high-profile media coverage you have likely seen, we also learned that the Trump Administration effectively issued gag orders to the USDA and the EPA. Apparently, we the people are to be kept uninformed not only about guns, but also about such matters of minor importance as our food supply, and the environment. And perhaps everything else, too, since the White House message to the press was: just keep your mouth shut.

Silence where science ought to be is a grave threat to us all.

Just about everyone is a fan of science, it’s just that some don’t realize it. Everyone using the Internet; everyone who has ever flown on a plane or driven across a suspension bridge; anyone who has ever gone out to enjoy the spectacle of a perfectly predicted eclipse or meteor shower…is a fan of science. So, too, is everyone who has ever thrown a light switch.

Apparently, the switch is being turned off in the White House to keep disquieting facts in the shadows. The EPA, for instance, told us about lead in the water in Flint, Michigan. In a world where the EPA is muzzled, we might still be in the dark about that. The USDA tells us about food-borne outbreaks, and recalls. Silence, in this case, aids and abets the designs of salmonella.

We are all dependent on the unfettered work and the unmuzzled communication of the EPA, and USDA, and FDA, and CDC to make informed decisions about the risks around us. Unless you have a toxicology lab in your garage, or are conducting elaborate epidemiologic surveillance in your basement, you are very unlikely to learn about them on your own. Absent access to the work of agencies serving the public health, we’d be none the wiser, a few might well be richer, and the rest of us sicker without knowing why. Conspiracy theorists could blame it all on vaccines, or sunspots.

Good science is an enemy to no one, since it advances understanding and knowledge, and thus choice. Good science empowers us with options. In medicine, we speak of “informed consent,” because uninformed consent is oxymoronic. Censorship, of course, keeps us uninformed- or worse, misinformed. Ignorance is the ultimate form of repression.

Scientists are the first to acknowledge that the sounds of science are not always, immediately, perfectly in tune. It can take any number of revisions to get the lyrics and melody of truth just right. But this very process leads us robustly and reliably toward truth and understanding. This very process informs and empowers us, as reliably as the progress from Kitty Hawk to the moon and Mars and beyond; from Morse to Microsoft; from miasms to the microbiome; from van Leeuwenhoek to Hubble; from the iron lung to drug-eluting intracoronary stents and pharmacogenomics. Science reliably, robustly, relentlessly informs and empowers us.

In a world of science silenced at the whim of tyrants, the sun would still revolve around a flat earth. Polio would still menace every parent’s beloved child come spring. And the lead would still be flowing in Flint. We would know nothing about dioxin, or BPA, or hexavalent chromium. The first we would learn about the mass extinctions we are inducing would be the disappearance of the last remaining lion, and tiger, and bear. And our first clue about climate change would be the cooking of our own goose in it, to an irrefutable cinder.

When science is subordinated to silence, and the press to propaganda- only tyrants control the flow of information. It is the pernicious nature of propaganda in the service of tyranny that it can convert even true patriots into pawns. In the guise of pop-culture diversion, Captain America: The Winter Soldier, conveys this very point.

Science informs and empowers, and is the enemy only to those who have cause to fear truth and understanding. Silence where science ought to be- sciLence– serves the unscrupulous secrets that favor shadows, and the profits of few over the good of many. SciLence is a vividly clear danger to us all that is suddenly, alarmingly present.

-fin Dr. David L. Katz;www.davidkatzmd.com; founder, True Health Initiative

Dr. David L. Katz
DAVID L. KATZ MD, MPH, FACPM, FACP, FACLM, is the founding director (1998) of Yale University's Yale-Griffin Prevention Research Center, and current President of the American College of Lifestyle Medicine. He earned his BA degree from Dartmouth College (1984); his MD from the Albert Einstein College of Medicine (1988); and his MPH from the Yale University School of Public Health (1993). He completed sequential residency training in Internal Medicine, and Preventive Medicine/Public Health. He is a two-time diplomate of the American Board of Internal Medicine, and a board-certified specialist in Preventive Medicine/Public Health. He has received two Honorary Doctorates. Dr. Katz has published roughly 200 scientific articles and textbook chapters, and 15 books to date, including multiple editions of leading textbooks in both Preventive Medicine, and nutrition. Recognized globally for expertise in nutrition, weight management and the prevention of chronic disease, he has a social media following of well over half a million. In 2015, Dr. Katz established the True Health Initiative to help convert what we know about lifestyle as medicine into what we do about it, in the service of adding years to lives and life to years around the globe.
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