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Administration Censors Statements On Controversial Scientific Issues

A New York Times Magazine story published on the newspaper’s website on Wednesday details the complicated history of screening for prostate cancer in the U.S. and revisits the related story of the U.S. Preventive Services Task Force meeting that was abruptly cancelled for political reasons on November 1, 2010, the day before the midterm Congressional elections. I was interviewed several times for this story, starting shortly after my resignation from my position at the Agency for Healthcare Research and Quality, where for 4 years I had supported the USPSTF’s scientific activities on a wide range of topics.

I commend science journalists Shannon Brownlee and Jeanne Lenzer for their tireless reporting efforts and dogged persistence in pursuing the real reason for the meeting’s cancellation, despite repeated and vigorous denials of senior government officials. Former USPSTF Chairman Ned Calonge confirms in the Times story that politics played a role: “In November 2010, just before midterm elections, the task force was again set to review its [prostate screening] recommendation when Calonge canceled the meeting. He says that word leaked out that if the November meeting was held, it could jeopardize the task force’s financing.” It’s true that several members of Congress had threatened to cut off funding for the Task Force after it recommended against routine mammography for women in their 40s. To the best of my knowledge, however, the order to cancel the meeting came directly from the White House, not Congress. And according to my superiors at the time, Dr. Calonge had no choice in the matter.

In a 2007 commentary in BMJ, former Assistant Surgeon General (and current Georgetown University colleague) Doug Kamerow, reflecting on the George W. Bush administration’s attempts to censor government health officials’ statements on controversial scientific issues, wrote:

Clearly a presidential administration should be allowed to attempt to set its agenda, to focus on what it thinks are important issues, and to prioritize. It also, of course, has a right to tout its accomplishments and take credit for even the serendipitous achievements that have taken place during its tenure. When, however, administration officials … bend the rules of science or evidence in pursuit of a political agenda or policy, it is a different matter entirely. That is the time for honorable government employees – whether career status or political appointees – who are unable to persuade the administration to desist from such distortions to call attention to them in the only way they can: resignation.

During my tenure at AHRQ, there were in fact heated disagreements between the USPSTF and other Bush-era health agencies on politically charged recommendations such as screening for HIV and illicit drug use. But whatever the Bush Administration did to interfere with science, it did not go so far as to unilaterally cancel any scheduled meetings of the USPSTF. That distinction, unfortunately, belongs to the Obama Administration. I hope that the New York Times story sheds some much-needed light on the shadowy politics surrounding prostate cancer screening, and in so doing, allows the current Task Force to re-assert its recently curtailed independence and unfettered ability to make science-based recommendations for the good of the public, rather than the agenda of any politician or political party.

*This blog post was originally published at Common Sense Family Doctor*

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One Response to “Administration Censors Statements On Controversial Scientific Issues”

  1. Ben says:

    If this cancellation was, in fact, politically motivated, it is something that needs to come to light. However, comparing Obama to Bush unfavorably when it comes to politically manipulated science is a bit of a stretch. The Obama administration may have called for this event to be postponed as to not impact the midterms, but it has let these recommendations be published only delayed – rather than blocked – the announcement. Delaying recommendations for 12 months to reduce political backlash can’t compare to the tactics of the Bush years. A 2004 report organized by the Union of Concerned Scientists noted that Bush suppressed the entire section on Global Warming in the EPA’s 2003 Report on the Environment; his administration manipulated the composition of multiple scientific and health advisory boards in order to ensure recommendations in line with administration preferences; encouraged oversight panels to include members with financial conflicts of interest to the overseen industry; and prevented the publication of a plethora of findings that his administration found “unpalatable” (even removing individuals who did not fall into line).

    I generally disagree with the Obama administration when it comes to healthcare, and I’m angry that they haven’t been more supportive of both this prostate screening recommendation or the earlier revisions to mammography screening recommendations, but this type of political manipulation is nothing new and is far less pernicious than the Bush administrations outright manipulation and suppression of “inconvenient truths”.

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