The US Center for Disease Control Gets Political
|January 23, 2014||Posted by Staff under Health|
This 2014 excerpt of Naked Capitalism (by Yves Smith), Jan 16, is by Bob Goodwin, an investor and medical device entrepreneur, was posted in Dubious statistics, Guest Post, Health care, and Regulations and regulators.
The US Center for Disease Control is on record taking the position of the Infectious Disease Society of America on treatment of Lyme disease. But it seems odd for the CDC to be taking a position to kill a new test, especially considering that two different university hospitals are currently doing independent reviews of the same test.
I wrote here last week that I was getting blocked on Wikipedia from providing details about the Lyme Wars because Wikipedia only wanted to present the mainstream view.
The two camps in the war have only one scientific disagreement that I can detect. The mainstream medicine’s view is that the Lyme bacteria is non-persistent if treated with a few weeks of antibiotics, and even if untreated, the infection should be considered cleared when the immune system is no longer fighting the bacteria. People can still be sick later, but this sickness is likely due an auto-immune reaction. The minority position is that the bacteria hides and burrows, changes forms and builds biofilm colonies that both make the bacteria resistant to antibiotics, but also invisible to the immune system.
For 20 years there has been no meaningful change in the treatment For Lyme disease or the scientific consensus due to the war. Contrast that with the HIV epidemic, and the pace of innovation by the exact same set of researchers and doctors, and yet the CDC estimates that 4 million people in the US may have been infected, and only 10% of those diagnosed.
A good Lyme test would go a large way to ending the wars, because at some point in the debate one side is right and the other is wrong.
There are microscopes now that can see the details of bacteria and microbiology is flourishing with new insights. And testing a test is very easy. Unless there is a war.
With 2 universities already testing the culture, and the ability to independently test so simple, why is the CDC wading into research wars? In the words of Professor Durland Fish of Yale University, “This battle cannot be won on a scientific front. We need to mount a socio-political offensive; but we are out-numbered and out-gunned. We need reinforcements.” (here)
Ed. Notes: Bureaucrats and scientists put opinion and bias above fair analysis, as do most people, us being a political species. Left unsaid above is that insurance companies don’t want to deal with the cost of another chronic disease, and the new test would show that Lyme disease could be chronic.
How do we de-politicize big businesses like insurance and big bureaucracies like the CDC? We make them responsible to, and beholden to, the patient. Researchers and officials should not get their paychecks from a central, powerful source but from many clients. That would introduce the discipline of the market.
To introduce the discipline of the government, politicians and bureaucrats need to be free of corporate influence. Corporations should not be so big as to wield so much influence. That calls for reforming limited liability of business and empowering consumers with shares of society’s surplus.