306. Summary: The Triumph of Doubt by David Michaels

We trust the food we eat, the drinks we drink, and the air we breathe are safe. That in case they’re unsafe, someone is working to minimize our exposure, or at least tell us the risks. In The Triumph of Doubt, former head of OSHA David Michaels reveals how companies fight for their rights to sell harmful products, expose workers to health hazards, and pollute the environment. They do it by manufacturing so-called “science.” Most this science is built not upon proving they’re not causing harm, but by doing whatever they can to cast doubt. Here, in my own words, is a summary of The Triumph of Doubt: Dark Money and the Science of Deception.

Products we use every day cause harm Chances are you’ve cooked on a pan coated with Teflon. Teflon is one of many polyfluoroalkyl substances, or PFAS. When introduced in the 1940s, they were considered safe. We now know they’re linked with high cholesterol, poor immune function, cancer, obesity, birth defects, and low fertility. PFAS, it turns out, have such a long half-life, they’re called “forever chemicals.” PFAS can now be found in the blood of virtually all residents of the United States, and have been found in unsafe levels worldwide – in rainwater.

You’ve probably heard that, in moderation, alcohol is actually good for you. But even one drink a day leads to higher overall mortality risk. More than one drink, greater risk of cardiovascular disease and cancer. Alcohol is a causal factor in 5% of deaths worldwide – about 3 million a year. 13.5% of deaths between ages 20–39 are alcohol-related.

If you’re in pain after an injury or surgery, your doctor might prescribe for you an opioid. But the rise in opioid addiction is responsible for the first drop in U.S. life expectancy in more than two decades. It’s sent shockwaves throughout society. It’s helped launch the epidemics of fentanyl and heroin overdoses, and the number of children in foster care in West Virginia, for example, rose 42% in four years.

You might love to watch professional football. But NFL players are nineteen times more likely to develop neurological disorders, and thirty percent could develop Alzheimer’s or dementia from taking so many hits.

The “product defense” industry sows doubt How have they done it? How have companies been able to manufacture and sell products that cause so much harm, for so long? They do it by defending their products, when the safety of those products are questioned. On the surface, that’s not so bad. But besides lying and deliberately deceiving, they abuse society’s trust in so-called “science,” and our lack of understanding of how much we risk when we move forward while still in doubt.

The tobacco industry is a pioneer of product defense There’s an entire industry that helps companies defend their products from regulation: It’s called, appropriately, product defense. The tobacco industry is most-known for its product defense. In 1953, John W. Hill of the PR firm Hill & Knowlton convinced the tobacco industry to start – one floor below his office in the Empire State Building – the Tobacco Industry Research Committee (TIRC). The TIRC was supposed to do rigorous scientific research to understand the health effects of smoking, but mostly they just attacked existing science, doing what they could to sow doubt.

Just a few years earlier, in 1950, a study had found heavy smokers were fifty times as likely as nonsmokers to get lung cancer. With the help of the TIRC, it would take a long time for these health risks to influence public policy. About thirty years later, most states had restricted smoking in some public places such as auditoriums and government buildings.

Smoking had proliferated in American culture when cigarettes had been provided in soldiers’ rations in WWI. Michaels describes one surgeon who, in 1919, made sure not to miss an autopsy of a man who had died of lung cancer, because it was the chance of a lifetime. He didn’t see another case of lung cancer for seventeen years, then saw eight within six months. All eight had started smoking while serving in the war.

Today, more than a century after cigarettes were widely introduced, we’ve finally seen a massive reduction in smoking in the U.S. We can fly on planes and go to restaurants and even bars, without being exposed to secondhand smoke.

The sugar industry has been at it even longer Predating the product defense efforts of the tobacco industry is actually the sugar industry. The Sugar Research Foundation was started in 1943. Scientific evidence first linked sugar with heart disease in the 1950s. In 1967, as Dr. Robert Lustig told us, Harvard scientists published in the New England Journal of Medicine an article blaming fat rather than sugar for heart disease. Fifty years later UCSF researchers discovered the scientists had been funded by the Sugar Research Foundation – which they hadn’t disclosed. Even more...