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January 13, 2004

BLACK IS WHITE, UP IS DOWN....Via Chris Mooney, I see that the Bush administration assault on science is alive and well. Here's the story: Congress mandates that HHS produce an annual report on healthcare disparities related to race and poverty. The most recent version was released a month ago, but it turns out that the final version released by the political troops was dramatically different from the initial draft written by HHS scientists. Upon learning of this, Bush heckler-in chief Henry Waxman commissioned a report comparing the scientists' draft with the final draft. Here's my favorite part:

The scientists’ draft concluded that “disparities come at a personal and societal price,” including lost productivity, needless disability, and early death. The final version drops this conclusion and replaces it with the finding that “some ‘priority populations’ do as well or better than the general population in some aspects of health care.” As an example, the executive summary highlights that “American Indians/Alaska Natives have a lower death rate from all cancers.”

You gotta love it. Amid all the bad data they were able to find a few examples where minority groups did better than others, so they highlighted that instead. This is sort of like commissioning a report on income disparities and highlighting the fact that blacks do very well in the area of professional basketball.

Do these guys have no shame at all?

Posted by Kevin Drum at January 13, 2004 07:51 PM | TrackBack


Comments

No.

Posted by: Zizka at January 13, 2004 07:55 PM | PERMALINK

Hey you try governing by talking points!

Posted by: Rob at January 13, 2004 07:56 PM | PERMALINK

Who needs scientists when you have two eager 26-year-old MBAs at the American Enterprise Institute who can make the thing read like a ringing endorsement of a health insurance-less society?

Posted by: Norbizness at January 13, 2004 08:00 PM | PERMALINK

next up - a study on infant mortality that concludes that when it's higher for minorities it's actually a good thing because it spares many of them from lives in prison and poverty as adults.

After that is a report on how the earth is actually, technically revolving around the sun and less than 3000 years old.

Posted by: Joey Jojo at January 13, 2004 08:00 PM | PERMALINK

It would also be worthwhile knowing why fewer American Indians died of cancer.

For example, are Indians more susceptable(sp?) to urban diseases like diabetes, alcoholism, heart disease, etc? You might argue that some genetic component to each of these diseases might be more prevalent among Indians, because urbanization came late for them.

That is, people have to die from something, and if heart disease kills them first, then cancer won't.

Also, I'm not saying any of the above is fact or true, just that until the context is available, individual facts don't reveal much.

Posted by: ruthbuzzy at January 13, 2004 08:02 PM | PERMALINK

As an example, the executive summary highlights that “American Indians/Alaska Natives have a lower death rate from all cancers.”

Everybody dies of something, sooner or later.

The high cancer death rates in industrial societies is due in part to the great success we have had in combatting other diseases.

Posted by: rachelrachel at January 13, 2004 08:03 PM | PERMALINK

Anyone ever seen the oft repeated movie The Pentagon Wars on HBO?

Looks like another repeat.

Posted by: Carpbasman at January 13, 2004 08:05 PM | PERMALINK

The real question is; Can these people even spell the word "Shame?"

Posted by: Balta at January 13, 2004 08:05 PM | PERMALINK

Joey,

We've actually seen something like that happen. Remember the Phillip Morris Tobacco study in the Czech Republic back in 2001? They basically claimed that tobacco cuts government spending for programs such as health care, pensions, and housing for the elderly due to the premature deaths of smokers, resulting in a net economic gain. More here

Posted by: thingwarbler at January 13, 2004 08:07 PM | PERMALINK

Do these guys have no shame at all?

Come on, Kevin. Do you honestly think they give a damn about anyone except themselves?

Posted by: Old Hat at January 13, 2004 08:07 PM | PERMALINK

They have also made some really strange changes in funding priorities at NIH that reveal an ideology that Pat Robertson would love.

Posted by: Stuart at January 13, 2004 08:10 PM | PERMALINK

Nedra Pickler interpretation of study:

Today the government released a study claiming that in rare circumstances certain obscure minorities sometimes live longer than whites while neglecting to mention that all whites will end up dead.

Posted by: Joey Jojo at January 13, 2004 08:11 PM | PERMALINK

In other news, poor people less likely to be poisoned by mercury from eating oysters, die in private jet crashes, or suffer heart attacks while being fellated by Las Vegas hookers while chock-full of cocaine.

Woohoo!

Yet again, Sam Johnson needs to be quoted:

The poor indeed are insensible of many little vexations which sometimes embitter the possessions of the rich. They are not pained by incivility, nor mortified by the mutilation of a compliment, but this happiness is like that of the malefactor who ceases to feel the cords that bind him when the pincers are tearing his flesh.

Posted by: ahem at January 13, 2004 08:12 PM | PERMALINK

So, If those damned lucky ducky native americans have a lower rate of dying from cancer, doesn't that mean they have a higher rate of dying from something else? Wonder what that is?

Oh, right. Exhorbitantia casinorevinuitis.

Posted by: bobbyp at January 13, 2004 08:12 PM | PERMALINK

The shame is all on us for tolerating a government like this.

We should be marching on Washington with brooms and burning bush in effigy.

The docility of the american people is alarming.

(hmmm..."burning bush"...where have I herd that before?)

Posted by: Straight-eye for the queer guy at January 13, 2004 08:13 PM | PERMALINK

'Tobacco Institute' science is alive and doing well within the halls of government.

Posted by: 2fair at January 13, 2004 08:14 PM | PERMALINK

I'll met minorities (especially Native Americans!) have a lower rate of Alzheimer's, too, because they have significantly shortly life expectancies than white folks, and thus fewer of them live long enough to get it. The Bushies will want to play that up too.

Posted by: Frederick at January 13, 2004 08:15 PM | PERMALINK

It's a way of life for these folks. They have no commitment to honesty or accuracy of the public record.

It is all about habitual liars--they lie effortlessly when they need to, but more importantly lie when they don't need to and even when they know they will be scrutinized and found out. At that point you realize that their lying isn't just a pathology, but it's a method of control, abusing trust, and achieving their goals through brazen manipulation. They only have to fool half the voters around election time--and that's not that hard if you are ruthless and a lot of Americans don't want to believe their president is dishonorable in the first place.

This is where the mass media have the greatest culpability and have proven themselves corrupt. It is their job to publicize the dishonesty and to shame the liars. Instead, they are sheep.

I don't even blame Bush and the GOP anymore. They've at least been consistent with their twisted, naked abuse of power--and I try not no hate snakes for being snakes. And, no, snakes tend not to feel much shame.

But journalism is an ethical calling founded on serving the public trust. It's Koppel, Rather, Brokaw, Russert, the CNN gang et al that I want to kick in the nuts. Not unlike the priests guilty of sexual molestation--much of the horror is the fundamental betrayal of the higher calling of their profession.

Posted by: Tim B. at January 13, 2004 08:19 PM | PERMALINK

Doctoring post-9/11 EPA, doctoring global warming, selective, misleading, shaped, shaded, exagerated, partial truth, wilful concealment ... seems like people are starting to catch on a little more ...

Posted by: Damfa at January 13, 2004 08:20 PM | PERMALINK

"Do these guys have no shame at all?"

You're assuming they're not inhuman.

These people don't think like us. The mindless supporters are in a soma-induced stupor, and the ones in charge and know what they're doing aren't even human.

You don't get anywhere asking, "Don't they even care that ... ", and trying to convince people that way. It's meaningless, like asking if an earthquake cares that it has killed thousands of people.

Posted by: Magnum at January 13, 2004 08:22 PM | PERMALINK

Frederick - don't forget that a large percentage of minorities escape the scourge of old age.

Old age - a terminal, cruel, silent and insatiable killer. for those with easy, lifelong access to healthcare.

Posted by: Joey Jojo at January 13, 2004 08:23 PM | PERMALINK

Everyone should visit Waxman's website:
http://tinyurl.com/jnjc

This essay in particular, by an anonymous NIH scientist, will make you weep in frustration:
http://tinyurl.com/2doyx

Posted by: Opus at January 13, 2004 08:31 PM | PERMALINK

... and I try not no hate snakes for being snakes.

Ummm Tim B., real snakes can't help being snakes. They're reptiles and have no choice in the matter. On the other hand, Bush and crew make conscious choices about the things they do. Don't you dare give them a pass. They don't deserve it.

As long as their families are protected they couldn't care less about what happens to anyone else. Call me idealistic, but politicians are supposed to be public servants. Their tactics are a betrayal of everything this country was founded on and has ever aspired to be.

Posted by: four legs good at January 13, 2004 08:32 PM | PERMALINK

ahem: that's brilliant :)

Posted by: nova silverpill at January 13, 2004 08:33 PM | PERMALINK

I dare any conservative to defend this.

Posted by: praktike at January 13, 2004 08:39 PM | PERMALINK

Wow...looks like a case example straight out of the book "How to Lie With Statistics". I'm a social scientist. If find the Bushies' misuse of data from the sciences to be absolutely sickening. Unsurprising, but sickening.

Posted by: James at January 13, 2004 08:42 PM | PERMALINK

I'll bet that shorter life expectancy is also a reason why Native Americans and Eskimos have lower cancer death rates. The longer you live, the more likely you are to get cancer at some point, particularly given that it takes a long time to develop (e.g. you get it because you were exposed to something 20 years ago). So if members of a minority group such as Native Americans tend to keel over at age 50 they are probably less likely to die of cancer than white folks who live to be 80.

Posted by: Frederick at January 13, 2004 08:52 PM | PERMALINK

"We should be marching on Washington with brooms and burning bush in effigy."

Inspiration

Posted by: James at January 13, 2004 08:55 PM | PERMALINK

Uhh, well the reason cancer rates are so high is because we are all living to much older ages, so I guess it just makes sense that if the life expectancy of a particular group is low, they will have lower incidents of cancer.

duh...

Posted by: libertas at January 13, 2004 08:58 PM | PERMALINK

Why should these guys have any shame.

"Shame" implies a sense of limits, of propriety.

But with a media that hardly ever calls these fuckers to account for anything, why should they have any sense of limits?

Why should they not instead have a sense that they can get away with anything?

And to some extent, they are right.

Posted by: Jeremiah Elias at January 13, 2004 08:59 PM | PERMALINK

I dare any conservative to defend this.

(conservative)Y DONT U CITE SOME1 CREDIBLE 4 ONCE?(/conservative)

Posted by: 2shoes at January 13, 2004 09:10 PM | PERMALINK

I notice there aren't a lot of conservatives addressing this. Honestly, this is just a more noticeable version of the problem we see with this entire administration: they only see the things they want to see.

Posted by: M. at January 13, 2004 09:11 PM | PERMALINK

(lalalalalalalalal I can't hear you lalalalalalal)

Posted by: Mr Conservative at January 13, 2004 09:18 PM | PERMALINK

four legs good hit on a great "meme" (yeah, I know, I'm sick of that word too) that should be endlessly repeated in the campaign:

They're supposed to be public servants.

Whoever the Dem nominee turns out to be, he should frame EVERYTHING in those terms. Every action of this administration should be questioned by our nominee with the follow-up, "did this serve the public's interests?"

In this context, it's pretty easy to see that even the vaunted tax cuts don't make the grade - they served the interests of the rich and powerful, at the expense of the public who will pay off the debt created as a result. And so on and so forth.

Posted by: Jennifer at January 13, 2004 09:22 PM | PERMALINK

But they're not out to serve the *public* interest! They're there to serve the interests of their constituency/supporters/patrons. Give them a pile of negative examples, and they'll find a single counter example, and they'll say that that's enough (or try and spin it to be enough).

Posted by: jfk at January 13, 2004 09:42 PM | PERMALINK

"Do these guys have no shame at all?"

Answer:
Karl Rove.

Next question please.

Posted by: Jay R. - Oregon at January 13, 2004 09:45 PM | PERMALINK

Cancer and heart disease are diseases of aging.

Native American's have a lower cancer death rate than most Americans because their lifespans are so much shorter:

The average American has a lifespan of 76.5 years; for Native Americans it is 70.6 years.

Native Americans alcoholism death rate is 770% of the general rate, their death rate from tuberculosis is 750% higher, for diabetes 420% higher.

Of course they don't have as high a death rate from cancer. Like other Third World populations, without adequate health care and drinking water, they don't live long enough to die from cancer (speaking as whole, about averages for the general population -- not individuals).

Source: US Indian Health Service
http://info.ihs.gov/Health/Health11.pdf

Posted by: G Newman at January 13, 2004 09:59 PM | PERMALINK

G Newman,

Exactly. Administration really should have said, "For example, American Indians die earlier."

Gee, I wonder why they didn't put it that way?

Posted by: scarshapedstar at January 13, 2004 10:20 PM | PERMALINK

Here's a worry on the back of my mind...

Is there some Republican actor that Rove will get to run against Waxman when he's up for reelection?

Posted by: David at January 13, 2004 10:20 PM | PERMALINK

What Zizka said: No. They have no shame, and neither do the trolls on this thread saying things like, "Everybody dies sometime."

Posted by: Temperance at January 13, 2004 10:40 PM | PERMALINK

I am ashamed that everyone dies sometime.

Posted by: kelly at January 13, 2004 11:00 PM | PERMALINK

Bush and crew make conscious choices about the things they do.

I truly wonder about this sometimes. Bush in particular strikes me as a very unconscious creature, largely acting out a role he believes is "right" with little understanding of the real, inexorable consequences of his decisions.

And if O'Neill is to be believed, he was literally told as Secretary of Treasury that "Reagan proved deficits don't matter". To my ears that isn't cynicism; that's being utterly possessed by a fantasy ideology at the expense of basic reality.

How much of it is fantasy and how much of it is rank powerlust? Or some weird combination of the two...like I said I wonder. It goes into the mystery of what evil is, what motivates people to do reprehensible things, and quite importantly--why do so many Americans seem to want to believe fantasies.

Don't you dare give them a pass. They don't deserve it.

I don't. I consider them criminals, zealots and dangerous people in positions of extreme power. Eventually, however, criminality or zealotry seems so innate in some people, that it becomes foolish to be surprised when a crime is committed, or a zealot ignores reality. It's time to move on to the strategy of defeating the snake. That is where the media should have stepped in long ago, because the deceptions have been so blatant and reckless. And the consequences are so predictable. They are morally culpable.

The point of my post is that during a massive crime wave, eventually you have to ask why all the cops (aka the media) are eating donuts all day instead of taking down the criminals. That becomes the relevent question, and it's going to become the major issue as we approach the election cycle and the media rediscovers its love of crapping on Democrats and repeating lies.

Whether it is right to have high moral expectations of political leaders is another question--the short answer is yes, of course--but at this point I'll settle for a decent Democrat and a mass media that is interested in telling the truth.

Posted by: Tim B. at January 13, 2004 11:07 PM | PERMALINK

"Shame" implies a sense of limits, of propriety.

Oh, they have one, only it pretty much begins and ends at sexual behaviour. If, e.g., they feel totally mortified on seeing a naked-bosomed statue of Justice, or they're still ga-ga over a BJ that happened eight years ago to somebody else,they know they're decent people.

By those standards, perverting a publicly funded study to make themselves look good, or (more commonly) some self-induced confusion about the difference between public money and their own wallet is, in comparison, a trivial gauge of their true mettle.

Posted by: Molly, NYC at January 13, 2004 11:12 PM | PERMALINK

This administration makes no pretense of caring for any but the affluent, people like them. They understand that inequality and suffering is what keeps our country strong

Everything is for the best in this best of all possible countries.

Posted by: bad Jim at January 14, 2004 12:39 AM | PERMALINK

Dead minorities PAY NO TAXES AT ALL!!!
They're lucky duckies to have shitty-to-no healthcare!

Posted by: Merkin at January 14, 2004 02:40 AM | PERMALINK

I think it unlikely that anyone would have tried to get away with American Indian cancer statistics that were purely a function of life expectancy, and to be honest it worries me that so many people in this thread have made that assumption without checking (I also haven't checked, but I haven't made the assumption either). My guess would be that American Indians tend to live outside cities.

Posted by: dsquared at January 14, 2004 03:16 AM | PERMALINK

On the other hand, the Repug's mentioned us.

Sharpton didn't when attacking Dean, and no one seemed to notice.

Posted by: Eric at January 14, 2004 03:43 AM | PERMALINK

Daniel-the House report itself mentions that the cancer finding maybe due to the shorter lifespan of Native Americans. The House report maybe wrong, but that would really require effort to find the issued report and see if the statistic is just a reported rate or actually the result of some type of probity model. I would guess the former.

Posted by: Rob at January 14, 2004 05:34 AM | PERMALINK

Shame? The Heritage Foundation "demonstrates that the average "poor" person, as defined by the census, "has a living standard far higher than the public imagines." Because they own a tv and a crappy car, you see. No reason to pay attention to those "lucky duckies" anymore...

Posted by: BAM at January 14, 2004 05:46 AM | PERMALINK

It's the MBA types that frame the argument in terms profitable to Wepublican lies.

In Michigan, there is only fraction of the money remaining from the tobacco settlement during the Clinton years. That fraction was reserved for funding a life sciences initiative. Now a big chunk of that is going to fund training MBAs to administer "entrepreneurial efforts" in biotech.

It is interesting how the Wepublican pro-business types are obsessed with perpetual motion and pulling oneself up by one's own bootstraps.

It may be partially because such schemes are so amenable to fraud.

Look at what has been done to NASA and the NIH.

When people don't understand the process of science, it makes it far easier to fool them with grand schemes, smoke, mirrors, and flashing lights.

Posted by: kelley b. at January 14, 2004 05:46 AM | PERMALINK

Oh, they have one, only it pretty much begins and ends at sexual behaviour.

Man, you don't even want to know what kinks those twisted puppies enjoy.

Posted by: Casmir Radon at January 14, 2004 06:10 AM | PERMALINK

I read years ago that Native Americans have a much lower rate of lung cancer. Combined with their dramatically higher rate of alcoholism--more or less a mirror image of the rates among whites--it was speculated that the root cause was natural selection: Native Americans were smoking tobacco for millennia before our arrival, but had never been exposed to alcohol, and vice versa. Consequently each race had zero resistance to each other's particular vice. Jared Diamond's Guns, Germs and Steel makes more or less the same point in re other epidemiological vectors.

I frankly don't think that 6 years difference in life expectancy would be sufficient to explain the difference, though. But the Administration's debasement of science is disgusting however you cut it.

Posted by: Tk at January 14, 2004 06:59 AM | PERMALINK

shorter HHS report:

Everyone should pull themselves up by their OWN bootstraps and if they can't we should just shoot them.

Posted by: Josh Prophet at January 14, 2004 07:06 AM | PERMALINK

The Shrub administration's debasement of science? One seriously wonders how they expect to get to Mars using Ptolemy's geocentric view of the universe.

Posted by: raj at January 14, 2004 07:22 AM | PERMALINK

dsquared wrote, I think it unlikely that anyone would have tried to get away with American Indian cancer statistics that were purely a function of life expectancy, and to be honest it worries me that so many people in this thread have made that assumption without checking...

I checked, and it appears that your worries are well-founded; the incidence among Native Americans is lower even when age-adjusted. See this
page
at the NCI, and this more specific page there.

Of course, this doesn't mean that Bush et al. aren't trying to highlight good news in a biased manner.

Posted by: Stephen J Fromm at January 14, 2004 08:10 AM | PERMALINK

Science is just a plot by those secular humanists to take God out of our Government. If those studies don't produce the conclusions our faith tells us is correct, why then that's just liberal bias.

Posted by: melior at January 14, 2004 08:55 AM | PERMALINK

Thanks for the link, Stephen.

Just goes to show how easy it is to let one's prejudices run wild with speculation.

Like you, though, it doesn't refute the fact that the scientists' conclusions were tinkered with in order to make the Repugnican point. It annoys me beyond belief that Bu$hCo: 1) uses taxpayer money to fund good scientific studies and then 2) uses the credibility of the scientists to make the Repugnican spin sound reliable.

And, like one poster above, I blame the media the most. Republicans don't get a free pass, however, they are simply acting according to their nature. The news section of any medium is supposed to report the truth. They can slant things any way they want on the editorial pages and titillate us on the feature pages. But news should be news. They bear the responsibility for Shrub's popularity.

Posted by: chris at January 14, 2004 08:55 AM | PERMALINK

dsquared, remember that the concept of age-adjusted rates is far, far beyond the sound-bite level prevailing in the USA today (and in 'USA Today', one of the leading newspapers).

I honestly don't think that most reporters or editors would understand it, even after you sat them down and explained it. And right-wingers would have no trouble (morally or practically) in winning that sound-bite contest.

Posted by: Barry at January 14, 2004 09:10 AM | PERMALINK

As Judge Judy says, they will piss on your leg and tell you it's raining.

And (as I say) they will tell you only they can protect you from the rain.

Here is some piss to drink. Compared to lemonade it has a much brighter color.

Posted by: Tripp at January 14, 2004 09:18 AM | PERMALINK

Here are the key findings from the draft report, which itself could be considered politicized by many on the right:

1) Inequality in quality exists
2) Disparities come at a personal and societal price
3) Differential access may lead to disparities in quality
4) Opportunities to provide preventive care are frequently missed.
5) Knowledge of why disparities exist is limited
6) Improvement is possible
7) Data limitations hinder targeted improvement efforts.

And here are the key findings from the final, so-called "politicized" report:

1. Americans have exceptional quality of health care; but some socioeconomic, racial, ethnic, and geographic differences exist.
2. Some “priority populations” do as well or better than the general population in some aspects of health care.
3. Opportunities to provide preventive care are frequently missed.
4. Management of chronic diseases presents unique challenges.
5. There is still a lot to learn.
6. Greater improvement is possible.

Wow. Indeed, this is a gross miscarraige of medical justice perpetuated by the Bushitler junta!!

Posted by: joey at January 14, 2004 09:27 AM | PERMALINK

joey,
I miss your point. The second version does indeed seem like it has passed through a pair of very rosy glasses.

Are you saying the 2 versions say essentially the same thing?

Posted by: Tripp at January 14, 2004 11:50 AM | PERMALINK

Hey Joey- Why is the word disparity so offensive to the right?

Posted by: Senior Administration Official at January 14, 2004 12:03 PM | PERMALINK

1) The scientists who wrote the original report are products of a liberally-biased academic origin and are merely indulging in class warfare.

2) Their studies are based on top secret documents that were leaked to them by their spouses - who are covert CIA operatives.

3) It is just a theory and you need to balance it by looking at it through Intelligent Design.

4) We need to spin the science because of the war on terrorism.

5) They used a static analysis rather than a dynamic one.

6) Look over there! There is a hint of good economic news/new expensive proposal that you should look at rather than this.

Posted by: McDruid at January 14, 2004 02:44 PM | PERMALINK

I forgot one:

Belief in science is correlated with declining birth rates.

Posted by: McDruid at January 14, 2004 02:47 PM | PERMALINK

Shorter Waxman report:

"The Bush junta is covering up the medical Holocaust being perpetrated daily against the Black and Brown Peoples in Amerikkka."

Rose-colored glasses? Compared with those brownshirt-colored glasses that Waxman is looking through?

Skip Waxman's spin job and go read the original executive summaries for yourselves. They're at the Chris Mooney link. It does seem that the initial report might have been drawing conclusions that were, oh, a bit DRAMATIC, considering the facts on the ground.

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