Saturday, November 21, 2009

Odds & Ends


The New York Times yesterday posted a good analysis of the debate on medical screening tests here.
This week, the science of medicine bumped up against the foundations of American medical consumerism: that more is better, that saving a life is worth any sacrifice, that health care is a birthright.

Two new recommendations, calling for delaying the start and reducing the frequency of screening for breast and cervical cancer, have been met with anger and confusion from some corners, not to mention a measure of political posturing.

The backers of science-driven medicine, with its dual focus on risks and benefits, have cheered the elevation of data in the setting of standards. But many patients — and organizations of doctors and disease specialists — find themselves unready to accept the counterintuitive notion that more testing can be bad for your health.
And speaking of science, the climate change unbelievers believe they have found evidence, in hacked email messages, of a scientific conspiracy. The story is here.

Frankly, there's nothing reprinted from those emails that leads to any conclusion other than scientists don't fully understand everything, which they're willing to concede. But there are apparently folks who believe they have found incontrovertible evidence that Roosevelt wanted the Japanese to attack Pearl Harbor there is a vast international plot, involving nearly every scientist in the field, to scare us out of our Constitutional right to drive a Hummer.

Finally, Greg Marx at Columbia Journalism Review has an appropriate bit on the inside-the-beltway pundits' tendency to miss the point:
As media narratives go, this whole “Barack Obama is a popular individual and a gifted speaker with a compelling personal story, but doesn’t automatically get everything he wants!” thing is getting awfully old, awfully fast.

The theme popped up months ago, when the press began to notice that though America had elected a “change” president, the world was—surprise!—not changing overnight. It cropped up again around the time of the off-year elections, when the media noticed that Obama’s personal appeal is not a magical amulet that can be transferred to unpopular Democrats. And it has framed much of the coverage of Obama’s recently completed trip to Asia.
And Marx cites a Politico article, typical of the genre.
Marx observes,
[I]sn’t it a reporter’s job to explain how the world really works, not just to reinforce lazy notions? It would have been much more interesting—and honest—to frame the story like this: “No big news was made, but we shouldn’t have expected it. As for long-term ramifications, here’s Obama’s plan, and here’s his timeline. What will he have to do in order to accomplish his goals? What are the odds that he will accomplish them? How might this trip pay benefits—or create risks—down the road?”

It is no indictment of Barack Obama that his personal charms did not sway Chinese policy. It’s a minor indictment of the media that they feigned surprise at that outcome.

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