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BüCHER<br />

Doubt is their Product<br />

How Industry’s Assault on<br />

Science Threatens your<br />

Health<br />

David Michaels, Oxford University Press, 2008 (372 p.)<br />

D. Michaels is an epidemiologist<br />

and currently director<br />

of the Project on Scientific<br />

Knowledge at the George<br />

Washington University.<br />

During the Clinton administration<br />

he served as Assistant<br />

Secretary of Energy for Environment,<br />

Safety and Health.<br />

He has therefore not only a<br />

broad scientific knowledge,<br />

but had the opportunity to<br />

witness how things are happening<br />

at the political level.<br />

D. Michaels summarises in this thrilling book very many<br />

examples of how leading industries were able to block<br />

legislations, which would have outlawed or at least significantly<br />

reduced carcinogenics either in the work process<br />

or in the general environment. Of course he starts<br />

with the two best known examples: tobacco and asbestos.<br />

The second one is very revealing. Currently it is responsible<br />

for 100’000 deaths a year worldwide. Although<br />

first hints to the health consequences of export of asbestos<br />

were voiced already in 1898 and although already from<br />

1918 many American and Canadian life insurance companies<br />

declined generally to insure asbestos workers, industry<br />

was able to cover up the scientific evidence until the<br />

70’s-80’s of last century (see also <strong>Schweizer</strong> Krebsbulletin<br />

2/2008, Die Asbestlüge, Geschichte und Gegenwart einer<br />

Industriekatastrophe, M. Roselli, 166 p.).<br />

The same tactic was applied in the case of tobacco when<br />

Michaels speaks of the «most infamous example». He<br />

is quoting one cigarette executive who once observed<br />

«doubt is our product, since it is the best means of competing<br />

with the body of fact that exists in the minds of the<br />

general public. It is also the means of establishing a controversy».<br />

In other words: industry has learned that debating<br />

the science is much easier and more effective than<br />

debating the policy. Someone could say: this has just been<br />

the case in the past. But you need just to open the newspapers<br />

today and to watch news on TV and you will see<br />

that what is happening today with global warming is exactly<br />

what has happened many years ago with asbestos or<br />

tobacco. The waste majority of climate scientists believe<br />

there is adequate evidence to justify immediate intervention.<br />

Opponents of action, lead by the fossil fuels industry,<br />

are delaying this policy debate simply by challenging the<br />

science with a classic doubt campaign.<br />

The tactic has always been the same: just to say, yes there<br />

are data, but they are as yet not conclusive. We need more<br />

studies in order to be sure. To achieve that, you need just<br />

to find a couple of mercenary scientists, who will be certifying<br />

that it would be somewhat better to have a few<br />

more data….<br />

To keep the public confused about the hazards caused by<br />

global warming, secondhand smoke, asbestos, lead, plastics<br />

and many other toxic materials (described in detail in<br />

the book by D. Michaels), industry executives have hired<br />

unscrupulous scientists and lobbyists to dispute the scientific<br />

evidence that would alert the public to this dangers.<br />

Their goal is the manufacture of doubt.<br />

This is a fascinating book which should be read by all<br />

physicians who are interested in improving the health of<br />

the population.<br />

Michaels offers concrete proposals to improve the regulatory<br />

system, by taking the politics out of science and ensuring<br />

that concern for public health and safety guides the<br />

regulatory policy and not the corporate interest.<br />

Franco Cavalli<br />

<strong>Schweizer</strong> Krebsbulletin • Nr. 3/2010 289

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