[HN Gopher] Time to assume that health research is fraudulent un...
       ___________________________________________________________________
        
       Time to assume that health research is fraudulent until proven
       otherwise?
        
       Author : lnyan
       Score  : 447 points
       Date   : 2021-07-19 16:12 UTC (6 hours ago)
        
 (HTM) web link (blogs.bmj.com)
 (TXT) w3m dump (blogs.bmj.com)
        
       | MauranKilom wrote:
       | This article talks about "zombie trials" as if it were known to
       | the reader what exactly that means. Anyone who could clue me in?
        
         | danuker wrote:
         | Following the reference trail leads to this:
         | 
         | > I categorised trials with false data as 'zombie' if I thought
         | that the trial was fatally flawed.
         | 
         | https://associationofanaesthetists-publications.onlinelibrar...
        
         | nabla9 wrote:
         | >I have chosen the word 'zombie' to indicate trials where false
         | data were sufficient that I think the trial would have been
         | retracted had the flaws been discovered after publication. The
         | varied reasons for declaring data as false precluded a single
         | threshold for declaring the falsification sufficient to deserve
         | the name 'zombie',
         | 
         | 1. Carlisle JB. False individual patient data and zombie
         | randomised controlled trials submitted to Anaesthesia.
         | Anaesthesia 2020; https://doi.org/10.1111/anae.15263.
        
       | argvargc wrote:
       | Yes, though it's not much of a problem for those unwilling to
       | take the leap based on only one or two emergent studies, who
       | might prefer relying on decades of safety data.
       | 
       | Oh, but then that entirely sensible and understandable action
       | might get one censored, deleted, fired, fined and/or
       | discriminated against as a third class citizen. Cui bono?
        
         | tasogare wrote:
         | Exactly. I've argued on social media with "trust the science"
         | people: none of them were scientists while I am one. People in
         | general have no idea how the sausage is made and how broken the
         | system is. A year or more ago I was joking with a coworker "I
         | hope medical studies are done more seriously than what we do".
         | Today I wouldn't make the same joke given how the situation
         | went out of control with states enforcing authoritarian
         | policies based on poor understanding of how science work.
        
       | supperburg wrote:
       | People cite paper titles like they are facts. Nobody even knows
       | whether or not it was an epidemiology study or an interventional
       | study, they just say "they did a study showing that underwater
       | basket weaving lowers your risk for colon cancer!" Nobody
       | actually reads the studies.
       | 
       | During a debate or conversation, many people cite studies in
       | support of their point of view. This is a problem because now the
       | other person is swamped with a dozen studies to analyze and
       | debunk before proving he's right. And academia is producing huge
       | volumes of these bullshit studies so no matter how you slice it,
       | a huge unnecessary burden has been created of digging through all
       | of them and circling the flaws.
       | 
       | Thankfully, there is an emerging cultural mechanism to deal with
       | this in the growing "epidemiology is bullshit" sentiment. This is
       | good because it reduces the bulk of bullshit that will ultimately
       | need to be processed and debunked. If the study is epidemiology
       | just cross it out by default. Those studies need to burn in hell.
       | Shine the light of day on them and brandish the holy crucifix
       | whenever you see one.
       | 
       | The only thing worse than a science denier is a person who
       | blindly parrots study titles without ever reading the body of the
       | paper let alone understand it. People complain endlessly about
       | armchair scientists who are spreading misinformation based on
       | their uneducated assessment of scientific data. And the people
       | who complain about this are always the same people who cite
       | studies that they don't understand like complete idiots,
       | spreading misinformation just as widely.
        
         | wolverine876 wrote:
         | > there is an emerging cultural mechanism to deal with this in
         | the growing "epidemiology is bullshit" sentiment
         | 
         | There is an emerging cultural mechanism - more a rampaging mob
         | - that says 'X is bullshit' as a simple way of denying facts or
         | issues that are inconvenient or difficult. It's used for the
         | news media, academia, non-partisan government agencies (e.g.,
         | the CDC), etc., etc. and for everyone who disagrees.
         | 
         | I say this social mechanism is bullshit - the sources they
         | disregard come with plenty of evidence, saying they are
         | bullshit comes with none - it's just easy to say.
         | 
         | It's also very destructive. Where do we get our epidemiology or
         | news or whatever else if anyone can claim anything is bullshit
         | at any time, halting everything until they are proven wrong?
         | It's up to them to prove their claim right; we can't all halt
         | and freeze in place every time someone makes the minimal effort
         | to vocalize, 'X is bullshit'. Without evidence, their claim is
         | meaningless and should be ignored.
         | 
         | Epidemiology, the imperfect human institution it is, provides
         | many successes.
        
       | adolph wrote:
       | Is this some vaccine hesitancy in disguise from BMJ?
       | 
       |  _Stephen Lock, my predecessor as editor of The BMJ, became
       | worried about research fraud in the 1980s, but people thought his
       | concerns eccentric. Research authorities insisted that fraud was
       | rare, didn't matter because science was self-correcting, and that
       | no patients had suffered because of scientific fraud. All those
       | reasons for not taking research fraud seriously have proved to be
       | false, and, 40 years on from Lock's concerns, we are realising
       | that the problem is huge, the system encourages fraud, and we
       | have no adequate way to respond._
        
         | artifact_44 wrote:
         | That was my first thought as well. Casting doubt, and then in a
         | few days we'll see this opinion piece references by some right
         | wing politician who is vaccinated but "can understand their
         | constituents hesitency to trust the medical establishment".
         | 
         | Also I haven't seen anyone bring up the perverse incentive of
         | capitalism in this thread. Like.. let's just pretend this is
         | moral failing rather than the literal race to the bottom of
         | capitalism.
        
           | adolph wrote:
           | Perverse incentives exist in many socio-political systems,
           | capitalism isn't unique in that regard. For example, the
           | Soviet whaling industry [0] sounds almost like the paperclip
           | maximization AI [1].
           | 
           | 0. https://en.wikipedia.org/wiki/Whaling_in_the_Soviet_Union_
           | an...
           | 
           | 1. https://en.wikipedia.org/wiki/Instrumental_convergence#Pap
           | er...
        
         | zucker42 wrote:
         | What? How do you figure that? Some person points out actual
         | instances of poor quality research and you imply he is anti-
         | vaccine? I can find no record of this person discouraging
         | vaccination.
        
           | adolph wrote:
           | Ok, maybe its just a coincidence that it was published right
           | when the current dangers of misinformation are so high and so
           | many are failing to believe science.
        
             | wizzwizz4 wrote:
             | The solution to "people aren't believing academia" is to
             | make academia more trustworthy (probably by filtering for
             | trustworthiness rather than making individuals more
             | trustworthy), not to encourage scientism. Seeking the truth
             | is still important, after all.
        
             | zucker42 wrote:
             | Well of course I'm not going to believe blatantly
             | fraudulent "science". That has nothing to do whether or not
             | I would take a COVID vaccine (I have). Trying to suppress
             | the truth that there is shoddy or false research to keep up
             | appearances is ridiculous. There's something between
             | ignoring scientific evidence you dislike and credulously
             | taking everything a scientist says as fact.
             | 
             | And the "dangers of misinformation" have been high for a
             | long time now (perhaps since antiquity). Modern climate
             | change denial has its roots in the 90s, and modern vaccine
             | skepticism is similarly old.
        
               | adolph wrote:
               | What is your plan for identifying the "blatantly
               | fraudulent?"
               | 
               | How do you know your medical provider agrees with you
               | about what is "blatantly fraudulent?"
        
               | joshuaissac wrote:
               | > What is your plan for identifying the "blatantly
               | fraudulent?"
               | 
               | One way is to assume that all health research is
               | fraudulent, unless proven otherwise through replication
               | by multiple unrelated parties.
        
             | faeriechangling wrote:
             | >failing to believe science
             | 
             | Believing in science means believing in falsification and
             | sceptism. This was published during the ongoing replication
             | crisis in medicine where we're finding that more than half
             | of cancer studies don't replicate [1]. This replication
             | crisis hasn't been put on hold and all science is now
             | deemed irrefutable or you are VACCINE HESISTANT and
             | DANGEROUS.
             | 
             | I'm mostly confident in the COVID vaccines because we're at
             | billions of doses and there is so much uncorrelated data
             | about the vaccines, and they're so controversial and their
             | safety/efficacy is being looked at by so many people that
             | one can be relatively confident about their efficacy and
             | safety (so long as you look at uncensored information to
             | avoid systemic bias). We don't need to be science
             | denialists and start denouncing scepticism on safety
             | grounds, we can point out there are special reasons to be
             | confident in the vaccines.
             | 
             | [1] https://www.npr.org/sections/health-
             | shots/2017/01/18/5103048...
        
               | adolph wrote:
               | don't replicate != fraudulent
               | 
               |  _I 'm mostly confident in the COVID vaccines_ <- Is this
               | "mostly" qualifier not the dangerous front end of
               | misinformation and vaccine hesitancy?
        
               | faeriechangling wrote:
               | I've got both vaccines especially early for my age group
               | (clinical vulnerability) and I've been lobbying my
               | vaccinated peers to at least get one dose, so apparently
               | not.
               | 
               | I say "mostly confident" because we have literally zero
               | data of effects after 3 years and can only make
               | inferences, and it's foolish to feign knowledge you do
               | not have to avoid being called "hesitant", but my lack of
               | confidence does not make me hesitate to recommend the
               | vaccine. I also lack knowledge of long term effects of
               | COVID itself which may in fact be worse than the long
               | term effects of any vaccine given COVID does most of what
               | the vaccines do plus extra nasty stuff.
        
               | adolph wrote:
               | You are recommending something over nothing despite not
               | being confident in the data about your recommendation?
               | 
               | Which vaccines were in "both vaccines?" An mRNA and J&J,
               | or just both administrations of a two-shot mRNA vaccine?
        
               | wizzwizz4 wrote:
               | > _You are recommending something over nothing despite
               | not being confident in the data about your
               | recommendation?_
               | 
               | (Not OP but) Yes. Reasoning despite uncertainty is
               | entirely possible; if you want a mathematical formalism,
               | look into Bayesian statistics.
        
         | long_time_gone wrote:
         | Is there a name for the phenomenon where an internet comment is
         | guilty of doing the thing it accuses others of doing?
        
           | adolph wrote:
           | also need the name for the one where an accusation is made
           | through a question
        
           | hammock wrote:
           | It's called transference in the spook world, and you'll see
           | it in the media/politics all the time.
        
         | bena wrote:
         | This is almost an apples/oranges comparison.
         | 
         | There's research and then there's research.
         | 
         | Yes, all approved medicines are the result of medical research.
         | But approving medicines isn't the entirety of medical research.
         | 
         | I'm sure you've heard of the adage: egos are large when the
         | stakes are low. This is related to that. The push to "get
         | published" is so great that if you know that your research has
         | no practical effect or that it won't affect anyone, you can
         | kind of make up whatever results you want. As long as it
         | publishes. The goal isn't to find the truth or to answer a
         | question, the goal is to get a byline in a paper. And you get
         | more and better bylines by discovering something radical and
         | novel rather than by saying "Nope, doesn't work, just like
         | expected".
         | 
         | On the flip side, when the results really matter, you'll find
         | people do proper due diligence. Especially when your results
         | will be essentially confirmed practically by billions of people
         | on the planet. When the stakes are high, we wind up being way
         | more cautious.
         | 
         | Of course, I hear your meta-concern. Because, yes, people will
         | use this paper to pull the "Science is a lying bitch"* card.
         | But it is also an issue that must be dealt with or at the very
         | least acknowledged. As the article itself notes, someone did
         | notice it in the 80s, but due to very concern of casting doubt
         | on medical research, they kind of just hoped it wouldn't be an
         | issue. And now the issue is too great to deal with simply.
         | 
         | In the end, medical, and really all scientific, research cannot
         | be "hit driven". Failure _must_ be an option. And if this month
         | 's issue of The BMJ is a bit "boring" or "thin", then so be it.
         | The focus must be more on finding the correct answer rather
         | than the flashier answer. Even when the stakes are small.
         | 
         | *Science is a lying bitch: From the It's Always Sunny in
         | Philadelphia episode "Reynolds vs. Reynolds: The Cereal
         | Defense". One of the characters uses the fact that certain
         | noted scientists had incomplete ideas about certain scientific
         | phenomenon or weren't completely right on every subject as
         | proof that science itself was flawed and couldn't be trusted on
         | the subject of evolution and therefore one should believe the
         | biblical account of creation because the bible hasn't been
         | changed since it was written.
        
         | AnimalMuppet wrote:
         | No, this is about _all of medecine_ , not about vaccines for a
         | specific illness.
        
           | adolph wrote:
           | Are "vaccines for a specific illness" not in the set "all of
           | medicine?"
        
             | AnimalMuppet wrote:
             | Yes. But "all of medecine" is not in the set "vaccines for
             | a specific illness".
        
               | adolph wrote:
               | _Affirming the consequent, sometimes called converse
               | error, fallacy of the converse, or confusion of necessity
               | and sufficiency, is a formal fallacy of taking a true
               | conditional statement (e.g., "If the lamp were broken,
               | then the room would be dark,") and invalidly inferring
               | its converse ("The room is dark, so the lamp is broken,")
               | even though the converse may not be true._
               | 
               | https://en.wikipedia.org/wiki/Affirming_the_consequent
        
               | AnimalMuppet wrote:
               | You are trying to take a very general statement and make
               | it a statement only about one very specific subset. That
               | does not mean that someone pointing out your logical
               | flaws is falling into the converse fallacy.
               | 
               | It's like someone writes an article about drought in the
               | west, and you're saying that they must really be talking
               | about El Centro, California. Yes, it probably includes El
               | Centro, but it's also talking about Phoenix, and LA, and
               | Salt Lake City, because it's really talking about the
               | west as a whole. Trying to make it be "about" El Centro
               | is missing the point.
        
               | adolph wrote:
               | The article is about all of medical research. Vaccine
               | development is part of medical research and is therefore
               | included. I did not attempt to "make it a statement about
               | one very specific subset." I pointed out that the article
               | is similar to the kind of article seized upon by people
               | who have vaccine hesitancy ideations.
               | 
               | Take your straw elsewhere.
        
       | wxnx wrote:
       | I work on large multi-center clinical trials as a machine
       | learning engineer. One of my projects involves the semi-
       | automation of the detection of fraudulent data.
       | 
       | There's one link in the chain here missing that some people here
       | seem to be ignoring. The authors of this post (while entirely
       | correct) draw no link between "bad data" (which is doubtlessly
       | responsible for a large number of "bad papers"/"bad trials") and
       | "bad clinical practice."
       | 
       | I don't know a single clinician who would base their care on the
       | findings of a single-center RCT of the kind described in this
       | article. Or the findings of a meta-analysis of single-center
       | RCTs, for that matter.
       | 
       | Bad data happens in multi-center RCTs too, and in fact that's
       | what I'm focused on, but a lot of work already (and therefore $,
       | for the cynical) goes into the validation of data (see [1] for a
       | brief description). Phase III clinical trials in the west
       | practically require a robust multi-center RCT, where systemic
       | fraud is very difficult to perform (but not impossible [2]). By
       | the time a Phase III trial is conducted, the efficacy of the drug
       | can already be estimated, and the focus of the drug company (who
       | yes, often fund these trials) is to conduct a trial which is
       | unimpeachable in the face of a regulatory board (who are
       | generally good at their jobs, although the revolving-door tends
       | to reduce public trust and should be legislated away).
       | 
       | In short, I support most of the proposed changes to incentives
       | around publish-or-perish. I reject the notion that these
       | incentives are (currently) significant drivers of decreased
       | quality of standard of care in the West. I think global
       | governance structures, as suggested in this article, could
       | improve understanding among both clinicians who are not
       | necessarily scientists and the general public about just how
       | validated a given standard of care is.
       | 
       | tl;dr Most good evidence-based practitioners already think this
       | way -- not because they inherently believe fraud is rampant,
       | necessarily, but because evidence says the kinds of studies where
       | fraud is most prevalent are untrustworthy for other reasons.
       | 
       | [1] doi:10.1177/1740774512447898
       | 
       | [2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340084/
        
         | jonnycomputer wrote:
         | I think institutional incentives matter a lot, and the
         | reasonably lucrative prospect of careers outside of academia if
         | things don't work out. That is perhaps why we see such stark
         | regional differences.
         | 
         | No one I know has committed fraud in their research. I've seen
         | mistakes in their code however, but that is another story.
        
         | SubiculumCode wrote:
         | Some segments on HN have strong anti-scientist sentiments (even
         | while they proclaim to be pro-science), assumine we all are
         | crooked, stupid or both, hence your insightful and reasonable
         | comment being downvoted.
         | 
         | Is there fraud? Sure. Is there a lot of fraud happening in
         | American science? I don't think so. To quote the article:
         | 
         | "Many of the trials came from the same countries (Egypt, China,
         | India, Iran, Japan, South Korea, and Turkey), and when John
         | Ioannidis, a professor at Stanford University, examined
         | individual patient data from trials submitted from those
         | countries to Anaesthesia during a year he found that many were
         | false: 100% (7/7) in Egypt; 75% (3/ 4) in Iran; 54% (7/13) in
         | India; 46% (22/48) in China; 40% (2/5) in Turkey; 25% (5/20) in
         | South Korea; and 18% (2/11) in Japan. Most of the trials were
         | zombies. Ioannidis concluded that there are hundreds of
         | thousands of zombie trials published from those countries
         | alone. "
        
       | swayvil wrote:
       | If lying is the more profitable course then you can trust that
       | it's a lie.
       | 
       | Is that capitalism? Is that what we're looking at here?
        
         | UnFleshedOne wrote:
         | It's humans. You should look at how research was done in
         | communist countries or anywhere with strong ideology. People
         | are built to game systems.
        
       | sharikone wrote:
       | I was terrified approximately 14 months ago when the big pharma
       | companies started to get billions to develop the vaccine. My fear
       | was that their research was fraudulent and they would be exposed
       | and discredit science as a whole. I am very happy that this did
       | not happen.
       | 
       | I guess we are not in a total catastrophe situation but there is
       | significant rot.
        
         | throwawayboise wrote:
         | That would never happen. Too much political capital is invested
         | in the success of the vaccines.
        
       | FL33TW00D wrote:
       | This is why I left academia.
        
       | Ajay-p wrote:
       | Is the incentive for publishing research that is fraudulent
       | primarily money, prestige, or are there just that many professors
       | that graduate students required to publish something?
        
       | ghoward wrote:
       | My thoughts: https://gavinhoward.com/2019/12/replication-and-
       | retraction-c... .
        
       | dleslie wrote:
       | Shouldn't all research be considered _tenuous_ until it is
       | corroborated by a third-party without financial or social
       | connections to the original researchers?
        
         | vadansky wrote:
         | Not even that is enough because you might end up with the
         | filling drawer problem. For example you might end up with 50
         | people trying to replicate it, 49 failing and 1 "succeeding" by
         | chance. The 49 won't publish because they probably got the
         | "wrong" answer by chance, and they don't want to publish
         | negative results, so they will leave it in the filing drawers.
         | 
         | The one that did "replicate" it will publish and then in round
         | 2 there is even more pressure not to publish negative results
         | because "hey, this was replicated before already"
        
       | NoblePublius wrote:
       | "He is now sceptical about all systematic reviews, particularly
       | those that are mostly reviews of multiple small trials."
       | 
       | This describes basically all "meta analyses" of Covid claims,
       | especially the effectiveness of masking and lockdown. This is at
       | the heart of "epidemiology" which is, as far as I can tell, the
       | science of organizing data to meet predetermined political
       | demands.
        
       | aaron695 wrote:
       | Feels like the gun lobby pushing blame to computer games.
       | 
       | Everyone knows explicit fraud has nothing to do with it.
       | 
       | It exists because academia is broken and can't self correct.
        
       | sjwalter wrote:
       | What I want to know is how does this issue impact the notion that
       | we all seem to buy into that we should "follow the science".
       | 
       | Scientists themselves have a hard time "following the science".
       | Add to it the observation that when an issue is getting lots of
       | attention outside of academia, then there are usually some really
       | strong incentives (profit, prestige) associated with doing the
       | science and applying it (e.g., epidemiological science during a
       | global pandemic).
       | 
       | The question seems not to be about how can normal people "follow
       | the science" but rather, why should normal people trust at all
       | that any touted science is anything more than bullshit spouted by
       | highly-motivated sophists?
        
         | version_five wrote:
         | Follow the science is only used as a rhetorical device outside
         | of science to try and convince people of something political.
         | You would never hear an actual researcher say that.
         | 
         | There is a realistic, weaker statement about the best available
         | information we have, that a specialist could use to explain to
         | a non specialist why they are making a recommendation about
         | something emerging or theoretical. But what we are hearing with
         | "follow the science" really means follow the carefully crafted
         | political message that politicians with scientific credentials
         | have put out.
         | 
         | It's easy to see a distinction. Nobody needs to be told to
         | follow the science on antibiotics or birth control or
         | something. I think the blatant anti-intellectualism in the
         | follow the science type statements is why we have so much worry
         | about vaccines e.g. People aren't stupid and they can tell the
         | difference between being manipulated and being presented with
         | something objective. Even if you're right, it's a bad strategy
         | to try and trick people or use religion to get your point
         | across. See "the science is settled". Nothing makes people stop
         | listening faster.
         | 
         | Edit: and ironically, people call those who don't "follow the
         | science" anti-intellectuals, as if intellectuals take things on
         | blind faith. Every time I hear mention of anti-intellectualism,
         | I have to remember that people are referring to those that
         | question official doctrine, as opposed to those who have framed
         | religion as science to try and short circuit debate.
        
         | tshaddox wrote:
         | What is the alternative to following the science? Following
         | people who are not scientists and who are _explicitly_ making
         | things up? This sounds a lot like  "most plane crashes are due
         | to pilot error, so maybe we should give non-pilots control of
         | the planes."
        
         | read_if_gay_ wrote:
         | > why should normal people trust at all that any touted science
         | is anything more than bullshit spouted by highly-motivated
         | sophists?
         | 
         | In the current climate, frankly I think it's absurd that we're
         | putting so much trust in science, or rather what it has become.
         | 
         | The fundamental problem is that science as in the method is
         | absolutely worth putting your trust in, but a lot of what's
         | sold as Science^TM has diverged from it far enough to be
         | worthless. However, it still bears the same name and borrows
         | its credibility. There are countless examples even from the
         | places one would think to be the most trustworthy.
         | 
         | What science as in the method hinges on as opposed to
         | Science^TM is _verifiability_. Disciplines that aren 't easily
         | verified suffer from the replication crisis to the point where
         | it's basically synonymous. I would go as far as arguing that
         | unless something has been verified several times it should be
         | nothing more than a hypothesis. Note how popular science media
         | are basically living off doing the opposite (though I don't
         | think much better can be expected from the media honestly.)
         | 
         | Math and social sciences form the two ends of the verifiability
         | (and reproducibility) scale. CS is close enough to math that
         | it's not a dumpster fire like psychology but I would say we're
         | still suffering a lot of BS research. To fix this we need
         | actual rigor, more openness about the methods, and frankly,
         | motivation to reproduce results.
        
           | version_five wrote:
           | I would just add that science and the scientific method are
           | designed to be used in good faith. Science doesn't really
           | withstand political manipulation. If you're a researcher
           | interested in learning more about the universe, science
           | provides a framework for questioning and testing ideas, and
           | for using established ideas as a jumping off point for
           | further advances. As soon as there are other motivations than
           | learning, the answers that "science" provides basically
           | become unknowable because the whole process, from what to
           | study to how to interpret and report findings, becomes
           | corrupted.
           | 
           | We need good politicians to negotiate a consensus on how we
           | move forward in light of human desires and modern thinking
           | about cause and effect. Pretending that "science" provides us
           | with a way forward is abusing science for something it is not
           | designed to do nor capable of doing.
        
         | aabaker99 wrote:
         | I think this is a very important question. This is something
         | that I struggle with.
         | 
         | I have read a lot of papers. I generally think science can be a
         | force for good. I understand analytic methods developed by or
         | used in papers from my field of interest. I generally believe
         | that those methods are capable of answering important and
         | interesting questions.
         | 
         | In my view, the problem is that you can't know if an article is
         | good or bullshit until you sit with it for, say, at least 2 or
         | 3 hours (some papers even more). And that is for someone with
         | my background. I tried to do this same thing when I had an
         | undergraduate level of education and it (a) took me a lot
         | longer (at least 10x), and (b) I missed a lot of the
         | mistakes/scams/lies that I would not miss now. (I'm sure I am
         | not able to detect some bullshit even still.)
         | 
         | We should follow the good science. We should not follow the
         | bullshit science. This sounds hard because science, being more
         | technical, is harder to vet. But upon further reflection, it
         | seems that society hasn't figured out how to deal with much
         | simpler lies, either.
        
           | bluGill wrote:
           | > But upon further reflection, it seems that society hasn't
           | figured out how to deal with much simpler lies, either.
           | 
           | outside of your field how much of the BS papers can you
           | catch? I know enough about computers that I could probably
           | figure out at least some of it in that field (after spending
           | 10x longer than someone who actually reads papers regularly),
           | but give me a paper in something else and I'm not so sure.
        
         | Consultant32452 wrote:
         | We're indoctrinated from Kindergarten to trust the folks
         | wearing the white lab coats. This is why the young push the
         | "follow the science" stuff and the older generations are much
         | more skeptical. The older people have been through several
         | cycles of bullshit.
         | 
         | The first "big lie" I experienced is the food pyramid. This was
         | a big government push in the schools that told us all to eat
         | carbs like crazy. Turns out it was just pure corruption, paid
         | for by the grains industry. They have killed literally millions
         | of us with this lie alone. And there were no consequences for
         | this. No one went to prison. At some point you have to ask
         | yourself: "How many millions of people does the
         | government/industry have to kill before we stop believing
         | them?" For me, it was the first million who died of diabetes
         | and other obesity related diseases.
        
         | kingkawn wrote:
         | "follow science" is just another way of saying "do as we say
         | not as we do."
        
         | nitwit005 wrote:
         | I would assume the people saying "follow the science" generally
         | don't mean "believe recent research publications".
         | 
         | I still occasionally see things like "hanging a potato to your
         | wall will cure your child's flu" being debated by friends of
         | friends on Facebook. You'd need to take a time machine several
         | hundred years back for it to be within the realm of realm of
         | genuine scientific debate.
        
           | hallway_monitor wrote:
           | You seem to be indicating the preferred time window for which
           | research to trust. Not too new, not too old. Not the worst
           | algorithm you could choose, and I agree. This is why I stay
           | away from drugs, procedures, and any kind of guidance from
           | the medical profession that is less than 20 years old.
        
       | injidup wrote:
       | I recently had the privilege of trying to do the right thing when
       | I identified fraudulent research carried out by an institution in
       | Austria. The initial response of the institution was positive but
       | when I pressed for further details on how such things could
       | happen suddenly nobody anymore would take my call. The research
       | was paid for by a private company to pimp a nonsense product. The
       | research was never published in a research journal but it didn't
       | stop the company using the name of the university alonside
       | exerpts from the paper in marketing material alongside gushing
       | claims of "proved by science".
       | 
       | The company threatened to sue me and the university threatened me
       | as well. Neither has followed through on threats. The company
       | wants to keep selling their rubbish magnetic health ding ding and
       | I assume the university wants nobody to look into how positive
       | results for the product came out of their institution. Allround
       | an education on how the real world works.
        
         | OriginalNebula wrote:
         | Did you contact Arbeiterkammer, VKI or Peter Kolba?
        
           | injidup wrote:
           | I contacted and spoke at length with the Austrian
           | Kosumantenschutz. https://www.arbeiterkammer.at/beratung/kons
           | umentenschutz/ind... The product is clearly and at minimum a
           | case of false advertising as there is nothing approaching a
           | computer chip inside. However and though sympathetic the
           | KS/AK said they couldn't do anything and couldn't refer me to
           | anybody who could. I found this rather surprising.
        
             | OriginalNebula wrote:
             | Try to contact the other two. You can reach Peter Kolba
             | here https://www.verbraucherschutzverein.at/Kontakt/ or on
             | Twitter even https://twitter.com/KolbaPeter. He won the
             | case against Volkswagen so if anyone can help you then him.
             | 
             | The University of Salzburg also has a "Ethikkommission"
             | https://www.plus.ac.at/service/uni-
             | administration/gesamtuniv... and "Kommission zur Sicherung
             | guter wissenschaftlicher Praxis"
             | https://www.plus.ac.at/service/uni-
             | administration/gesamtuniv...
        
               | injidup wrote:
               | Thankyou for the tip. I'Ll look into it tomorrow.
        
               | OriginalNebula wrote:
               | No, thank you!
               | 
               | Austria has a weird thing with pseudoscience scams
               | [0][1][2] and it needs to be dealt with.
               | 
               | [0] https://de.wikipedia.org/wiki/Belebtes_Wasser
               | 
               | [1] The current Minister of Economy was working as an
               | "energizer"
               | https://www.diepresse.com/5395317/wirtschaftsministerin-
               | schr...
               | 
               | [2] During the construction of a hospital in Vienna, an
               | "energetic" ring was built around the construction site
               | for 95000 Euro. https://www.derstandard.at/story/20000761
               | 99184/krankenhaus-w...
               | 
               | among others
        
               | read_if_gay_ wrote:
               | Meanwhile I'm trying to launch a simple health related
               | mobile app and it's an absolutely insurmountable amount
               | of paperwork for a solo dev.
        
               | jahnu wrote:
               | One "hack" to get around that is to change your health
               | app into a "beauty" or "cosmetic" or "wellness" app. It's
               | a very different set of regulations.
        
               | read_if_gay_ wrote:
               | Yep, I'd love to do that, but I'm squarely in the health
               | sector, no getting around that sadly. I might end up
               | cutting some of the main features to qualify as a
               | lifestyle app though. Sad but better than not launching I
               | guess.
        
               | jahnu wrote:
               | Not to mention almost all pharmacies selling homeopathic
               | rubbish. I find this particularly irritating given the
               | ridiculously regulations and control around things like
               | buying paracetamol or ibuprofen.
        
               | injidup wrote:
               | @OriginalNebula There is also this
               | 
               | https://www.air-innovation.fr/en/produit/vague-de-bien-
               | etre-...
               | 
               | and were installed into hospitals in austria at great
               | cost
               | 
               | https://www.salzburg24.at/news/salzburg/wo-in-salzburg-
               | noch-...
               | 
               | Unsurprisingly the owner of powerinsole a Mr Martin
               | Masching is also involved in this enterprise via
               | 
               | https://geowave-
               | shop.at/epages/c0f45b90-03b3-4b2d-8e1d-55912...
        
               | OriginalNebula wrote:
               | I think its time you contact some investigative
               | journalists with this Powerinsole/Geowave connection.
               | 
               | https://twitter.com/florianklenk klenk@falter.at
               | 
               | https://twitter.com/ThomasWalach redaktion@zackzack.at
               | 
               | https://twitter.com/mnikbakhsh
               | nikbakhsh.michael@profil.at
               | 
               | https://twitter.com/ukschmid
        
               | biztos wrote:
               | Wow, that water looks amazing! Is anybody using it to
               | brew bulletproof coffee[0]?
               | 
               | [0]: https://www.nytimes.com/2014/12/14/style/the-cult-
               | of-the-bul...
        
               | [deleted]
        
               | injidup wrote:
               | tweet sent
               | https://twitter.com/sltyhkr/status/1417213194540625925
        
               | exact_string wrote:
               | I don't understand what the problem is: The data in the
               | double-blind study clearly shows no statistically
               | significant effects (just look at N and the standard
               | deviation bars) and the company doesn't claim that there
               | would be such effects.
               | 
               | The company only says there is a "positive trend" which
               | there indeed is.
        
               | dingidong wrote:
               | Doesn't matter if the SD bars make it obvious. No layman
               | can read such a chart. The text 110% makes it sound like
               | the study PROVES without any doubt that the product had
               | an effect.
               | 
               | "the lactate measurement shows a difference" "The lower
               | lactate value with Powerinsole means longer performance
               | and a later onset of muscle fatigue." and finally "Even
               | with the first application of the power insole, a lower
               | skin conductance is evident compared to the placebo. This
               | means that the power insole can help reduce stress
               | levels."
               | 
               | Nowhere are they talking about statistical significance.
        
         | menzoic wrote:
         | It seems well intentioned, but I'm not surprised at all about
         | the outcome. I don't think you can expect the institution to
         | implicate themselves like that. You have to realize that
         | preventing legal and financial liabilities is the #1 priority
         | for institutions. Unfortunately this includes when they are
         | wrong. Even if the employees are "good" their lawyers will
         | advise them against providing any details like that and most
         | are afraid of retaliation. Anyone asking questions like that is
         | the enemy to them. This type of behavior is bad for society but
         | fully expected giving the incentives and consequnces of telling
         | the truth.
        
           | nixpulvis wrote:
           | So what should be done? Hire your own lawyers to go after
           | them pro bono?
           | 
           | Write an article and send it to the papers?
           | 
           | This kind of thing needs to be shamed and punished. While I
           | agree that the institutions can be expected to cover there
           | ass, there _must_ be a course of action.
        
         | MeinBlutIstBlau wrote:
         | I have a personal philosophy on most health oriented fads: if
         | someone is actively trying to sell something, it's snake oil.
         | Too many people are looking for everlasting life that they're
         | okay with being swindled in the pursuit of it. Naive enough to
         | believe that people are honest when promoting products they're
         | were paid to promote.
        
           | bserge wrote:
           | You can pair it with: if it works, it's controlled. Meaning
           | you can't get it without prescription and have to go through
           | the tortures of a health "care" system.
        
             | hellbannedguy wrote:
             | This needs to end.
             | 
             | I would take a pharmaceutical/drug related test
             | (administered through the state), and it could be
             | comprehensive; If I could renew my long term prescriptions.
             | 
             | The pharmacist wants to see a blood panel before refilling,
             | fine, I should be able to order one.
             | 
             | (Only on long term medications (Blood pressure, diabetes,
             | and most psychiatric drugs within reason) , and never
             | antibiotics)
        
               | bluGill wrote:
               | While I agree with the sentiment, anyone on long term
               | medication needs regular monitors by a doctor anyway. If
               | you are only 25 this won't make sense, but by the time
               | you get to 50 you need regular checkups for lots of
               | things that are best caught early. I've lost enough
               | family to colon cancer (spouse of a second cousin - can I
               | even claim him as family?), and several others are only
               | alive now because their cancer was caught in time. Then
               | there is heart problems which again are best treated
               | before the heart attack (if possible) - I just named the
               | two most common killers of old people that you can be
               | sure is in your family and coming to get you in the
               | future (I know of exceptions - genetic disorders that
               | will kill at 50 or so), but regular doctors visit can
               | hold off.
        
             | heavyset_go wrote:
             | I mean, L-Dopa works and it's also available as a
             | supplement, and there are plenty of OTC medicines with
             | active ingredients.
        
             | TeMPOraL wrote:
             | That's too harsh, IMO: not everything that works is gated
             | behind a prescription.
             | 
             | What I'd look into instead is how it's legally classified.
             | My heuristic is: if it works in any meaningful way, it's
             | classified as drug or medical equipment. Might be OTC, but
             | it's clear about its status. Stuff that's _not_ classified
             | like that can at best correct some nutritional
             | deficiencies, but typically does nothing at recommended
             | doses (but sometimes can still hurt you if you severely
             | overdose).
             | 
             | There are substances gated behind a prescription that I
             | wish people would have easier access to - but I understand
             | the need for regulatory control. If people selling all
             | these fraudulent cures can dupe so many regular folks,
             | imagine what would be happening if they were allowed to put
             | medically relevant quantities of an active compound in
             | them.
        
             | robotresearcher wrote:
             | What fraction of your drug store purchases involve
             | prescriptions? For me it's <10%.
             | 
             | Aspirin and fluoride toothpaste are each pretty darn
             | effective.
        
         | birdyrooster wrote:
         | I guess if you don't even feel comfortable sharing the identity
         | of any of the parties, we really have no chance to identify bad
         | actors from good as a community.
        
           | injidup wrote:
           | https://shop.powerinsole.com/en/blogs/news/doppelblindstudie.
           | ..
           | 
           | I actually bought one of the devices and took it apart on
           | video. There is nothing inside except 4 magnets and a plastic
           | printed card. No active circuits and no power source and no
           | components such as resistors or capacitors and certainly
           | there is no microchip inside.
           | 
           |  _edit below are links to pictures of the device and
           | accompanying text as originally on facebook posted_
           | 
           | =======================================
           | 
           | Hi Powerinsole I ordered one of your power chip devices and
           | took a detailed look at it. My analyses is as follows. 1.
           | There is no battery and no system for harvesting energy. All
           | electronic circuits require an energy source and a lack of an
           | obvious system for powering the device is a problem. 2. There
           | are no components such as integrated circuits, transistors,
           | capacitors, diodes or inductive devices that would be
           | required to create a "circuit" or "chip". A "chip" is not
           | just a random configuration of tracks. The tracks are there
           | to transfer electricity between components that shape and
           | switch the electric current according to purpose but given
           | that there are no components what are the tracks for? 3.
           | There are 4 magnets. Probably neodymium. They produce a
           | constant magnetic field. They do not generate "frequencies".
           | The device sticks to a metal wall like a fridge magnet and
           | doesn't vibrate. 5. The tracks are configured in such a way
           | that even if components were attached at the "solder points"
           | nothing would happen because the tracks are all shorted
           | together. Electricity always takes the easiest path. If all
           | the tracks are are shorted then the components will receive
           | no energy input. 6. After testing with a multimeter I found
           | that the tracks on the "circuit board" do not conduct
           | electricity. If the tracks do not conduct electricity there
           | is no possibility of transferring energy to components. (
           | there are no components ) 7. The magnets are isolated from
           | the "tracks" and each other by a plastic layer and glue. It
           | is not clear what the relationship the position of the
           | magnets to the tracks might be. 8. There is no NVRAM,
           | magnetic storage, optical storage, ROMs or other known
           | systems for storing information. So claims from PowerInsole
           | that they load information onto the device is difficult to
           | comprehend. 9. There is no crystal or LC circuit to drive an
           | oscillator. Even if there was there is no battery to drive it
           | and the tracks are all shorted and the tracks do not conduct
           | electricity. Given the above observations I find it difficult
           | to believe that the device can function as advertised. What
           | you essentially have is 4 small magnets on a printed card in
           | a gel cushion for 69 euros. If I am wrong about any of the
           | above I would be happy to have a respectful and open
           | discussion about your technology.
           | 
           | https://scontent-
           | vie1-1.xx.fbcdn.net/v/t1.6435-9/163585013_1...
           | 
           | https://scontent-
           | vie1-1.xx.fbcdn.net/v/t1.6435-9/163740448_1...
           | 
           | https://scontent-
           | vie1-1.xx.fbcdn.net/v/t1.6435-9/164072709_1...
           | 
           | https://scontent-
           | vie1-1.xx.fbcdn.net/v/t1.6435-9/164005668_1...
           | 
           | https://scontent-
           | vie1-1.xx.fbcdn.net/v/t1.6435-9/164045289_1...
        
             | uhhyeahdude wrote:
             | Thank you. What a load of infomercial buzzword nonsense.
             | The last part about some "further research and experience"
             | showing even _better_ results if the product is worn all
             | the time is especially galling.
        
               | injidup wrote:
               | But one should look into Darsch Scientific if you want to
               | get deeper into how this is all organised.
               | https://www.dartsch-scientific.com/en/ they have produced
               | papers for powerinsole and are used by other companies in
               | the magnetic magic industry to provide a veneer of
               | scientific credibility. For example
               | https://waveguard.com/en/studies/
        
               | janekm wrote:
               | Kind of hilarious how they submitted what looks like a
               | passive coil for FCC certification ;)
        
             | inasio wrote:
             | I love how the error bars on the plots go only on one
             | direction, and conveniently the opposing ones between the
             | two curves, definitely not scammy...
        
             | ineedasername wrote:
             | They had me at the work "power insole". Though I guess not
             | in a good way. I expect a fairly meticulous definition of
             | terms. If a piece of research sets off my marketing-BS
             | sensors this early, it's usually all downhill from there.
        
             | yarcob wrote:
             | Somehow I'm not surprised the University of Salzburg is
             | involved. I remember a "less than stellar" experience with
             | them that I was tangentially involved with.
             | 
             | It involved a research project that they stopped funding,
             | but didn't want to let go. The only researcher who
             | continued to work on the project wanted to take the project
             | to a different institution where the project could get
             | funding, but Uni Salzburg refused and said it's their
             | project. They would rather have the project be abandoned
             | than let it thrive somewhere else. If their name wasn't on
             | the project anymore, they would rather have it die.
             | 
             | And not to forget, Uni Salzburg was also home to our most
             | famous case of scientific misconduct where Robert
             | Schwarzenbacher fabricated measurements using simulation
             | software. The handling of that case was also interesting
             | (they terminated his employment after verifying the
             | accusations of fraud, but one guy from the union tried to
             | convince someone from HR to delay some paperwork so they
             | could later challenge the termination... crazy stuff)
        
             | bserge wrote:
             | You probably just created a winning class action suit.
             | Hell, the founders could go to jail for this level of
             | fraud. Or at least, I hope so.
        
           | javajosh wrote:
           | "Naming and shaming" comes with risk - probably a lot more
           | risk than upside. The risk is that the parties get something
           | actionable, kind of like "probable cause" in criminal cases.
           | The upside is _maybe_ a small effect on a few HN minds that
           | _might_ remember this when considering this Uni 's
           | reputation.
           | 
           | The other risk is that it's an act that can easily be abused.
           | It is very easy to level charges against someone without
           | proof; somehow we tend to believe the first salvo (myself
           | included). In this case it sounds relatively straight-
           | forward, but it really is irresponsible to take a stranger's
           | word for it.
           | 
           | So, if you really care, you might reach out to the OP and get
           | the details. That eliminates the downside risk to the OP and
           | acts as a shibboleth that ensure only people that actually
           | care enough to look into it know the details.
        
             | birdyrooster wrote:
             | Yes, that is why you would expect their claim to be
             | corroborated with (even circumstantial) evidence when
             | dropping names.
        
             | [deleted]
        
         | robomartin wrote:
         | This is one of the problems I have with the absolute freak show
         | that climate science/global-warming/saving-the-planet has
         | become. It is, at a minimum, a triangle of bad actors with one
         | corner being politicians --fear-based vote harvesting--, the
         | second being business --jump on the bandwagon and print
         | money...facilitated by politicians who want votes in exchange
         | for fear mongering-- and, finally, religious-based detractors
         | --using the best ignorance can offer in order to advanced
         | humanity.
         | 
         | You combine these three factors (and likely a few more) and the
         | entire thing is a rotten stinking mess that exists on a binary
         | state between religious deniers and religious zealots.
         | 
         | What's a researcher to do? Tell the truth? Ha! Only if you want
         | your career completely destroyed as well as never seeing even a
         | hint of a grant. Going against these forces is a sure path to
         | having more PhD's driving taxis.
         | 
         | I have to say, I have become very cynical about what we call
         | "science" these days. It seems you have to be very guarded
         | about accepting anything you are told, because the forces at
         | play could be beyond anyone's imagination in scale, breath and
         | reach. The problem is that the general voting public is ill-
         | equipped to take an intellectual stab at what they are being
         | told, which means they are easily duped and herded like cattle
         | in and direction that might be of benefit to the puppet masters
         | in politics.
        
           | SubiculumCode wrote:
           | Are you a scientist?
        
             | robomartin wrote:
             | > Are you a scientist?
             | 
             | How is that relevant to my comment?
        
               | SubiculumCode wrote:
               | You suggest how scientists can act, their motivations,
               | their freedom to disagree with the status quo, or those
               | higher up the ladder in their field etc. You suggest how
               | scientists will lose grants if they produce inconvenient
               | science, etc etc. So I ask again. Are you a scientist?
               | Have you written a grant application? Have you been
               | punished? I AM a scientist, and I have never seen this
               | hypothetical world.
        
           | naasking wrote:
           | Not sure I'm following your point. If you weigh the bad
           | actors and financial incentives of climate change proponents
           | against the bad actors and financial incentives on the fossil
           | fuel side, do you think the scale tips in favour of more
           | honesty for the fossil fuel side or climate change side?
           | 
           | There's no doubt groupthink happens in academia on many
           | issues, but the need to displace fossil fuels really is very
           | important. Not just for climate change reasons, but overall
           | human health. For instance, air pollution from fossil fuels
           | kills tens of thousands of people every year.
        
             | robomartin wrote:
             | No. There is no honesty anywhere, that is my point.
             | 
             | > the need to displace fossil fuels really is very
             | important.
             | 
             | Why? I don't necessarily disagree. But reality isn't a
             | problem managed through a single variable. The things you
             | list are not singularly caused by fossil fuels.
             | 
             | In fact, a very solid argument could be put forth about
             | just how much uglier things might be without fossil fuels.
             | 
             | Here's the basic math someone would have to do before
             | making the assertion that the elimination of fossil fuels
             | --as a single causally-connected variable-- would make
             | things better:
             | 
             | The simplest (well, not so simple) calculation is that,
             | while we might eliminate fossil fuels we do not eliminate
             | the need for the energy they provide. In other words, in
             | rough terms, you still have to explain how we would
             | generate, harness, create, transport and distribute a
             | certain amount of energy per unit time (hour, day, week,
             | month, year, whatever).
             | 
             | In fact, I think we can, in historical terms, state that
             | energy requirements increase over time, they do not
             | decrease.
             | 
             | The next element of the story is how we are going to
             | replace the massive number of byproducts of fossil fuels
             | that modern life pretty much depends on. We know that
             | making complex hydrocarbons any other way is in a range
             | between highly inefficient (which would increase the
             | aforementioned energy requirement) and impossible.
             | 
             | My point --in stressing that reality is a rather complex
             | multivariate problem-- is that, while it would be nice to
             | think of a desirable reality without fossil fuels, in the
             | real reality (just go with it) this is much more of an
             | aspirational thing than an attainable objective.
             | 
             | The same is the case with electric vehicles. I have yet to
             | see someone do the math on the total daily energy
             | requirement of the installed fossil-fuel based vehicle
             | fleet and explain how on earth (literally) we are going to
             | generate that much energy without causing even more
             | problems. Our current electrical grid is designed for
             | current energy requirements (and power requirement, which
             | is equally important). The current system, in any country I
             | know of, doesn't magically have an extra 100% in
             | power/energy generation capacity to support every vehicle
             | going electric.
             | 
             | Reality: A multivariate problem. You push here and it pulls
             | there. Not so simple.
             | 
             | > For instance, air pollution from fossil fuels kills tens
             | of thousands of people every year.
             | 
             | Fair enough. Containerships, as a simple example, burn
             | bunker fuel, one of the nastiest things you can burn. They
             | are singularly responsible for more pollution along certain
             | vectors than the entirety of the ground transportation
             | industry. And yet we do nothing about it.
             | 
             | Why?
             | 
             | I can only guess. Part of it has got to be a case of "well,
             | what we have works". The other issue --which I think is
             | very real-- is that bunker fuel is, quite literally, the
             | bottom of the barrel. It is what is left after you extract
             | everything else from petroleum.
             | 
             | So, next Monday we stop using bunker fuel everywhere in the
             | world. No problem. Right?
             | 
             | Wrong.
             | 
             | You see, all the other oil byproducts are still needed.
             | Which means that the bottom of the barrel...the bunker
             | fuel...would still be produced in absolutely massive
             | quantities. Except now we are not using it, because we want
             | to clean-up the planet.
             | 
             | Wait a minute. What do we do with it?
             | 
             | Well, we likely have to bury the stuff, dump it somewhere,
             | make huge mountain-sized piles out of it. We would now use
             | massive amounts of fuel (yes, everything is "massive") to
             | run the machines that have to haul and manipulate this
             | stuff. We also have to devote massive (sorry) resources,
             | land and ecosystems to burying what we are not using. Where
             | it goes from there I cannot even guess.
             | 
             | Once again, reality isn't a single variable problem. Bunker
             | fuel == bad? Yes, no, maybe, hard to say. Because the
             | alternative could be worse, far worse.
             | 
             | This is precisely what I don't see treated fairly these
             | days. Imagine a politician taking the time and making the
             | effort to fully analyze and understand the bunker fuel
             | ecosystem and also taking the time to present this analysis
             | to the voting public. Good luck. It is far easier to say
             | "bunker fuel == bad", get votes, stay in office and move
             | on. It's easy to show how horrible the stuff is (and it
             | is!). It is impossible to show how much worse things could
             | be if we don't fully understand what reality looks without
             | it.
             | 
             | I'll overstay my welcome and give another example from real
             | life.
             | 
             | A number of years ago a well-intentioned yet
             | mathematically-challenged "science" teacher at my kid's
             | school showed the kids this gut wrenching video animation
             | that pretty much says humans are a pile of shit destroying
             | the planet. The thing is a close as you can get to an
             | ignorant politically-motivated pile of lies.
             | 
             | She was receptive to having a conversation. I asked if we
             | could go through a simple exercise where we would try to
             | understand what our small town would look like if we did
             | not use the products of evil industrialized society.
             | Petroleum is a favorite, of course.
             | 
             | I won't bore you with the details. Before we got done we
             | had destroyed every forest in sight, had piles of human
             | excrement the size of mountains, all possible fields where
             | you could grow something in the region were dead, sources
             | of water were polluted (human waste and other by products
             | of inefficient source for everything) and more. At the
             | extreme we were using horses to get around, etc. A town of
             | a few tens of thousands of people relying on horses has a
             | serious manure problem. We would burn trees for heat and
             | cooking, etc.
             | 
             | As we extrapolated this from a town of tens of thousands to
             | cities with millions and regions with tens to hundreds of
             | millions of people, it became very obvious that modern life
             | (or more accurately, modern population levels) would
             | quickly become unsustainable if we demanded that humanity
             | abandon how we got here and embrace everything "natural" an
             | "sustainable". She was certainly surprised to understand
             | the scale of the problem.
             | 
             | Once you start thinking at scale --planetary scale--
             | "natural" and "sustainable" quickly end-up with razed
             | forests, depleted marine life, polluted water sources and a
             | sky blackened with thick pollution.
             | 
             | Not to end on a depressing note. Yes, we are doing better,
             | have been so for decades. We just have to be careful that
             | we don't reduce reality to single variable problems,
             | because that isn't reality, it's a fantasy, and a dangerous
             | one at that.
             | 
             | Climate change is one of those. It is hard to find truth
             | that is being discussed with honesty in the mainstream.
        
               | naasking wrote:
               | > In fact, I think we can, in historical terms, state
               | that energy requirements increase over time, they do not
               | decrease.
               | 
               | They do, and all energy needs can be met with solar, wind
               | and grid energy storage. Or nuclear if you don't want to
               | invest in energy storage for whatever reason.
               | 
               | > The next element of the story is how we are going to
               | replace the massive number of byproducts of fossil fuels
               | that modern life pretty much depends on. We know that
               | making complex hydrocarbons any other way is in a range
               | between highly inefficient (which would increase the
               | aforementioned energy requirement) and impossible.
               | 
               | Burning fossil fuels are the biggest immediate problem.
               | Other fossil fuel products may or may not be a problem.
               | But you don't ignore the heart attack because you just
               | noticed a rash that may be flesh eating bacteria. Triage
               | is key.
               | 
               | > You see, all the other oil byproducts are still needed.
               | 
               | "All" is overselling. Some are arguably useful, but for
               | example, most product packaging is likely superfluous and
               | a product of our current economic incentives. For
               | instance, why do we have disposable containers for each
               | unit of cleaning product we buy rather than reusing
               | containers that you get refilled at the store? These
               | choices are driven by market incentives that prioritize
               | convenience over sustainability.
               | 
               | Some products may never get rid of their plastic
               | packaging, perhaps something like sterilized vacuum
               | packed needles that hospitals use. Those would be the
               | exceptions but not the rule.
               | 
               | > We just have to be careful that we don't reduce reality
               | to single variable problems, because that isn't reality,
               | it's a fantasy, and a dangerous one at that. Climate
               | change is one of those.
               | 
               | Climate change isn't a single variable problem, and I
               | don't think anyone serious is pushing it as such. If you
               | look into the IPCC report on climate change, you'll see
               | all sorts of factors being accounted for including cloud
               | cover, contrails, methane, water vapour, CO2 and more.
               | 
               | We only have so much influence over some of these
               | factors, but the biggest and most obvious factor _for
               | which we have alternatives_ , is CO2 emissions. Do you
               | deny that?
               | 
               | > Once you start thinking at scale --planetary scale--
               | "natural" and "sustainable" quickly end-up with razed
               | forests, depleted marine life, polluted water sources and
               | a sky blackened with thick pollution.
               | 
               | You and I clearly have different understanding of what
               | "sustainable" means.
        
             | goatlover wrote:
             | Too bad everyone has been convinced nuclear is way worse
             | because of a couple of accidents. That was a legitimate
             | alternative that didn't need to wait for the 2010s to
             | become an economically viable 15-20% of energy production.
        
           | lumost wrote:
           | You know, I've seen an increasing trend towards mediocrity
           | and outright fraud across multiple public and private
           | institutions that reward individuals based on some power law.
           | 
           | If the author of the most cited paper in a field is going to
           | get all the grants, and a standard "useful" paper is going to
           | get no continued funding - then researchers will push to make
           | their work sensational. Eventually the professors and
           | everyone left in the field is fighting sensational with
           | either outright fraud or alternate funding sources.
           | 
           | Same goes for VC funding of startups, employees at companies,
           | and government programs. The baseline "useful" work is
           | rotting away in favor of aiming to be the top ~5-10%.
        
             | btilly wrote:
             | https://www.sciencealert.com/non-replicable-studies-make-
             | the... may interest you. Papers that can't replicate get
             | cited more than papers that can.
             | 
             | In other words if your goal is to craft a paper that draws
             | attention, that's harder if you're being meticulous about
             | limiting yourself to saying to what evidence shows is
             | clearly true.
        
               | lumost wrote:
               | Unfortunately this will be a baseline that keeps moving.
               | scientists compete on publications so they will make more
               | sensationalist headlines, There will then be more
               | sensationalist headlines to compete with forcing fraud/or
               | irrational exuberance.
        
         | dqpb wrote:
         | Can you be sued for asking questions?
        
           | Ajay-p wrote:
           | IANAL but my gut tells me no, unless you're in a place like
           | Russia, North Korea, China, most of the Middle East, parts of
           | Africa and Latin America, and some parts of the former Soviet
           | Bloc. In western nations, you might get arrested for asking
           | questions if it upsets the powers that be and they deem you a
           | nuisance.
        
             | White_Wolf wrote:
             | In UK you have a chance to end up with a "hate crime" if
             | you don't follow the official line of (no)thinking(with a
             | low change of being arrested). Pretty crazy stuff going on
             | lately(past few years).
        
               | peteretep wrote:
               | Are you confused that a "question" can be a hate crime?
               | Seems pretty straight-forward to me?
        
               | ghoward wrote:
               | Asking "What's your birth sex?" might end up being a
               | "hate crime" with the way things are going.
        
               | AlexMoffat wrote:
               | For what possible reason are you asking that question of
               | anyone?
        
               | kxkdkkf wrote:
               | Well, maybe you own a waxing salon that does Brazilian
               | waxes and you're Muslim and don't believe you should see
               | or be in contact with male genitalia besides that of your
               | husband.
               | 
               | https://en.m.wikipedia.org/wiki/Jessica_Yaniv
               | 
               | > In 2018, Yaniv filed discrimination complaints with the
               | British Columbia Human Rights Tribunal against multiple
               | waxing salons alleging that they refused to provide
               | genital waxing to her because she is transgender.[15][16]
               | Yaniv's case was the first major case of alleged
               | transgender discrimination in retail in Canada.[17] Yaniv
               | was seeking as much as $15,000 in damages from each
               | beautician.[18] In their defence, estheticians said they
               | lacked training on waxing male genitalia and they were
               | not comfortable doing so for personal or religious
               | reasons.[19] They further argued that being transgender
               | was not the issue for them, rather having male genitalia
               | was.[20] Yaniv rejected the claim that special training
               | in waxing male genitalia was necessary,[21] and during
               | the hearings equated the denial of the service to neo-
               | Nazism.[22][16] Respondents were typically working from
               | home, were non-white,[23] and were immigrants[24] who did
               | not speak English. Two of the businesses were forced to
               | shut down due to the complaints.[25]
               | 
               | Just one example..
        
               | dragonwriter wrote:
               | > Well, maybe you own a waxing salon that does Brazilian
               | waxes and you're Muslim and don't believe you should see
               | or be in contact with male genitalia besides that of your
               | husband.
               | 
               | Then you'd probably want to ask "What kind of genitalia
               | do you currently possess". Sex assigned at birth is not a
               | reliable indicator of that, for reasons very similar to
               | why current gender identity isn't.
        
               | chc wrote:
               | More like "just the one example." This same case is
               | trotted out every time somebody wants to make this point
               | because it does not actually seem to be a trend.
               | 
               | But besides that, it doesn't answer the question you were
               | responding to. Asking someone's birth sex does not tell
               | you what genitalia they have. It doesn't even really tell
               | you what genitalia they had at birth. Since those salon
               | owners say they specifically objected to the woman's
               | current genitalia rather than the woman's status as
               | transgender, birth sex is the wrong question to ask.
        
           | MikeTheGreat wrote:
           | I would kinda hope that phrasing stuff as a question wouldn't
           | affect the viability of a lawsuit one way or the other.
           | 
           | Otherwise I'd expect people to leak trade secrets as a series
           | of questions, leak top secret info as a series of questions,
           | etc.
           | 
           | I kinda hope it's the underlying substance, not how you
           | phrase it, that determines this sort of thing :)
        
           | dpifke wrote:
           | You can be sued by anyone, for anything, at any time.
           | 
           | Whether or not that lawsuit has any merit is irrelevant.
           | 
           | With certain exceptions based on subject matter (e.g. SLAPP)
           | or jurisdiction, it still costs money to hire a lawyer to
           | defend against the suit.
        
             | joshspankit wrote:
             | American law does not apply in Canada either
        
             | bmn__ wrote:
             | American law does not apply in Austria
        
               | pessimizer wrote:
               | Find a reason to sue them in the US. That's how people
               | use the UK's horrible libel laws.
        
               | 0x6A75616E wrote:
               | Why not? What state is that in?
               | 
               | /s
        
               | bluGill wrote:
               | True, but while I don't know Austria's laws, I know that
               | in any country that isn't fully corrupt (and even in many
               | of them) anyone can take anyone to court for anything.
               | There are different rules around loser pays (there is no
               | good answer here - only bad compromises) and how fast the
               | judge will dismiss fraudulent claims, but if there is
               | anyone who can't get a day in court over a legitimize
               | issues the country is corrupt. Austria isn't perfect (no
               | country is), but there international reputation isn't
               | nearly bad enough that I would expect someone to be
               | unable to get your in court for anything they want.
        
             | beebeepka wrote:
             | I don't think that's how things work in most European
             | countries. Yes, there are costs but they will be covered by
             | the loser. No way this person loses against these
             | particular fraudsters
        
               | ekianjo wrote:
               | still costs money upfront
        
               | askonomm wrote:
               | Also, a lot of the cases these lawsuits in EU countries
               | are thrown out because of how absurd they are.
        
               | menzoic wrote:
               | It still cost time and money to get to that point
        
               | Archelaos wrote:
               | The situation in the EU in general is all but
               | satisfactory, especially for investigative journalism.
               | There exists a term for it: SLAPP - Strategic Lawsuit
               | Against Public Participation. There is currently an
               | initiative of a group of European MEPs underway for
               | better anti-SLAPP legislation in the EU member states.
               | You may read more about the SLAPP problem in this
               | article, published by the European Centre for Press and
               | Media Freedom: https://www.ecpmf.eu/slapp-the-background-
               | of-strategic-lawsu...
        
               | remram wrote:
               | Some countries are also sensible to abuse of the legal
               | system to this end, e.g. Lenovo had to pay 20,000 EUR in
               | damages after they decided to drag the case of a consumer
               | who wanted his 42 EUR Windows license refunded:
               | https://fsfe.org/news/2021/news-20210302-01.en.html
        
           | injidup wrote:
           | I have an amusing letter from the lawyers working for
           | powerinsole threatening legal action for asking questions and
           | that I should remove all my comments from social media. It
           | was also demanded that I pay approx 350 euro that the letter
           | cost to write. My response was to invest in the cost of the
           | device, tear it down on video and post the analysis to
           | facebook. That was more than 6 months ago. I have not heard
           | from the lawyer since. I'll happily go to court with a
           | printed t-shirt with the text "where is the battery?" but it
           | won't come to that I guess.
        
             | 1MachineElf wrote:
             | Is that a public post? Would love to read it.
        
             | mnw21cam wrote:
             | Sounds like something BigClive would be interested in.
        
         | [deleted]
        
       | fasteddie31003 wrote:
       | I've had a thought on how to solve this issue by using basically
       | a research paper futures market. You could implement this with
       | Ethereum Smart Contracts. You have a market around the validity
       | of research papers. You would need some authority that would act
       | as the oracle of the paper's validity. If the paper is found
       | invalid before some time period the people who bet on the paper's
       | truth would lose their money to the people skeptical of a paper.
       | This would also act as a mechanism to signal which papers people
       | don't trust by the amount of people betting against a paper's
       | validity.
        
         | mrits wrote:
         | This could actually make it worse. Companies could pump their
         | own research anonymously
        
       | ta988 wrote:
       | When you want to do a proper work, your grants and papers get
       | rejected because they are not innovatove enough or don't go far
       | enough. So it is not a surprise that people that lied in their
       | applications about what they can realistically do also lie when
       | it comes to reporting results. Unfortunately there is no way out.
       | I stopped counting how many reviewers of my grants disagreed on
       | what was proposed, one saying that it was not innovative, the
       | other saying that is was too risky to use this approach. We have
       | a big problem in science, peer-review is broken and everything
       | relies on it. And many reviewers are way out of touch about what
       | happens in their field, I see reviews that clearly show the
       | reviewer was sleeping for the last 10 years.
        
         | nextos wrote:
         | You are absolutely right.
         | 
         | Furthermore, universities tend to require tons of publications
         | to promote you. Things are spinning out of control. I know a
         | few EU countries where the written norm is to need > 100
         | publications to qualify for a full professorship, with equally
         | ridiculous requirements for associate and assistant positions.
         | 
         | Obviously, this encourages and rewards completely broken
         | practices. Many associate and full professors in my area only
         | care about stamping their names into as many journal articles
         | as humanly possible. Some of them are already beyond 500, with
         | many of these in top tier journals (Nature, Science, Cell,
         | NEJM). Obviously, they hardly ever contribute anything. Their
         | serfs do all the work. Their job is basically to plot in order
         | to stay on top of their neofeudal shire.
         | 
         | In addition to this, funding bodies do nothing after fraud has
         | been proven. ERC only terminates grants on rare occasions.
         | https://forbetterscience.com/ discusses many cases of serial
         | fraudsters who keep getting funded despite having retracted 10
         | or 15 articles in major journals.
        
           | tasogare wrote:
           | > Many associate and full professors in my area only care
           | about stamping their names into as many journal articles as
           | humanly possible. [...] Obviously, they hardly ever
           | contribute anything. Their serfs do all the work.
           | 
           | This describe my lab's head perfectly. At first I found
           | strange he was so angry about a side project paper I wrote
           | alone quickly on my free time and asked to publish at a
           | conference. Then I understood why: in his view, every minute
           | I spend on my projects is one I don't spend on _his_
           | projects. The guy approved my first journal paper submission,
           | which had his name on it without even reading it. It was
           | obvious by the lack of comments and when he asked a few days
           | later during a lab meeting to change half the content of the
           | paper...
           | 
           | I'm not against putting name of people contributing to the
           | research, even slightly and informally, but at this point
           | this is pure leeching and exploitation. Then he wonders why
           | my thesis isn't progressing (hint: because when I chose
           | nothing about the topic, method and experiment setting I'm
           | not really motivated to work on that).
        
           | derbOac wrote:
           | One of the clearest examples of the publishing problem to me
           | was the shift in meaning of last authors on papers over the
           | course of my career. When I first started, last author meant
           | the person who had contributed the least to the paper (in
           | cases where ordering of effort can actually be determined --
           | often there's genuinely equal contributions). Often this was
           | the senior faculty member, as they did little but sort of
           | read over a paper or maybe supervise someone independently
           | functioning.
           | 
           | Over time though the last author came to mean "the more
           | senior person" and then "the person whose idea it really is".
           | So being last went from this thing that no one wanted, to
           | this thing that people would kind of argue over. In the
           | process the more manipulative cases, people would kind of
           | casually say "oh I can be last author" realizing the gains
           | from that position.
           | 
           | It seems when a more junior person is doing all the work and
           | is first author, an unscrupulous senior researcher will claim
           | that "it's the idea that counts"; when that senior researcher
           | is first author, it's "ideas are a dime a dozen, it's getting
           | it done that matters."
        
         | BurningFrog wrote:
         | I keep getting more convinced that Science needs to be
         | rebooted.
         | 
         | How do we start over in some sane way?
        
         | heisenbit wrote:
         | The problem is not that people lie on their application but
         | that these people are now being judged by people who lied on
         | their applications some time back. The lying has been
         | institutionalized and leaves little resources for small but
         | meaningful progress.
        
         | WalterBright wrote:
         | I'm sadly amused by all this. The complaint I hear about
         | privately done research is it's all tainted by the profit
         | motive, and so research should be funded by the government, as
         | then it'll be pure and untainted by selfish motives.
         | 
         | Of course, government funded motives are just as tainted by
         | selfish motives, if not more. Even worse, the people who make
         | the funding decisions aren't spending their own money, so they
         | have little reason to care.
         | 
         | At least with privately funded research, the people providing
         | the money aren't going to fund bullshit fake research. This is
         | why market systems work better than government systems.
        
           | LadyCailin wrote:
           | > At least with privately funded research, the people
           | providing the money aren't going to fund bullshit fake
           | research.
           | 
           | Citation needed, first of all, but governments are at minimum
           | accountable to voters. Private money is in no way
           | accountable.
        
             | WalterBright wrote:
             | Another way to look at it is voting is not the same as
             | choice.
             | 
             | If you wanted a mcburger but 51% voted for mcnuggets, you
             | got mcnuggets.
             | 
             | If you knew in advance that 75% were going to vote for
             | mcnuggets, you likely wouldn't even bother to vote. You
             | knew you had _no choice_ at all.
        
             | dragonwriter wrote:
             | > but governments are at minimum accountable to voters.
             | 
             | Governments are at a _minimum_ accountable to the people
             | willing to use force against the government if they are
             | sufficiently displeased. They may also be accountable to
             | voters _qua_ voters, depending on whether they have voting
             | at all, and, if they do, what options are presented to
             | voters and how fairly voted are counted, all of which are
             | axes on which governments vary considerably, with many
             | falling into ranges resulting in little or now
             | accountability to voters.
        
             | WalterBright wrote:
             | > governments are at minimum accountable to voters
             | 
             | Voting on how government spends money is in no conceivable
             | way like you deciding how to spend _your_ money.
             | 
             | > Private money is in no way accountable
             | 
             | It's accountable to the people who are providing the funds
             | out of their _own_ pockets. People do not like wasting
             | their _own_ money.
             | 
             | I bet you look at your own budget. You have to, otherwise
             | you'll be in jail for bouncing checks and tax evasion. I
             | also bet you've never looked at your city, county, state or
             | federal budget. It's other peoples' money, so who cares!
        
               | bluGill wrote:
               | > I also bet you've never looked at your city, county,
               | state or federal budget.
               | 
               | I have. Not in great detail though. The problem is I
               | can't really do anything about it. Even if I find
               | something bad and by lucky chance get people to care
               | (there are plenty of slow news nights) - there is far
               | more bad things in the budget than I can expose before
               | people get tired of the corruption and give up listening.
               | I try to elect politicians who will do something about it
               | - I have low success: people who benefit from any
               | specific spending are more powerful than people who are
               | just against waste in general. That is assuming I can get
               | my person on the ballot in the first place (low odds),
               | and they don't realize once elected that reelection (read
               | power) comes from handing out pork to those who want some
               | specific waste. There are more things that make it hard -
               | I just scratched the surface.
               | 
               | Pork is hard to figure out. Is spending money not to
               | repair something that isn't broken good money or bad?
               | I've seen perfectly good buildings get needless remodels
               | and I've seen perfectly good buildings suffer because
               | they never got maintained. I've seen towns put in sewer
               | systems they don't need, and other towns fail to put in a
               | sewer system until it was an expensive emergency. Flint
               | had 40 years to replace the lead pipes in their water
               | system - or they could have investing in water treatment
               | chemicals that makes lead not leach from the pipes for
               | much less money even over 40 years (you can pick anything
               | from 60 to 30 years ago as the date when lead is bad
               | became known - 40 was my somewhat arbitrary pick).
        
           | buitreVirtual wrote:
           | Actually, companies pay universities to conduct fake research
           | that "shows" that their products work.
        
             | native_samples wrote:
             | That's the same problem in disguise. The reason they don't
             | do the "our product is great" research themselves is
             | because if they did people would switch their brains on and
             | properly evaluate it. They pay universities (i.e.
             | government funded organizations) because of the false
             | belief in our society that government funding means
             | universities are neutral, trustworthy, competent research
             | institutions, when in fact they are really quite corrupt
             | and filled with easily bribed researchers who will publish
             | basically anything if it means they get another paper or
             | grant out of it.
             | 
             | If/when the perception of government funded researchers
             | finally aligns with the reality, businesses would stop
             | doing that because there'd be no reputational misalignment
             | to exploit.
        
             | WalterBright wrote:
             | That's a good point. But if the companies are paying for
             | research in how to build better products, they aren't going
             | to pay for bullshit research.
        
               | mhh__ wrote:
               | It has happened before i.e. Hendrik Schon, however these
               | incidents are more to do with humanity as a species than
               | their employers.
        
               | WalterBright wrote:
               | Nothing is 100%.
               | 
               | I'm talking about _incentives_ here, and people do things
               | almost entirely on selfish impulses. Money is a powerful
               | motivator, and people are strongly motivated to not spend
               | their own money on bullshit. That motivation is absent
               | when government funds things - but other motivations
               | remain.
        
               | mhh__ wrote:
               | Sure, I just think its an interesting story considering
               | he might have been nominated for the Nobel Prize in
               | physics for totally fraudulent work
        
               | WalterBright wrote:
               | Pulitzer Prizes have been awarded for work later shown to
               | be complete frauds. Those severely damaged the value of
               | getting one. I know I don't attach any respect for
               | Pulitzer Prizes.
        
               | _jal wrote:
               | They pay for bullshit research all the time. It comes
               | from the advertising budget instead of the development
               | budget.
        
           | version_five wrote:
           | I think there are two separate versions of "private research"
           | that people below are responding to. In one, a company has a
           | problem and they pay researchers to work on it. The key
           | metric is solving the problem or making progress on in
           | depending on the time scale- good orgs have different scales
           | (usually from 3 months to 5 years at most) that they are
           | investing in. In this case, there is little room for fraud or
           | deception, but it goes up with time scale because of how you
           | frame early results. (I work doing applied research for
           | companies, and they want and will only pay for something they
           | can use to improve their business. Actually a lot of my time
           | is spent helping make a clear connection between how research
           | findings will move the needle on business objectives). I
           | think it is this kind of research you, the parent, are
           | referring to.
           | 
           | There is also "sponsored" research as others have pointed
           | out, that is more of a bought study that a business hopes
           | they can use for marketing. These have a big conflict.
           | 
           | I agree that government is probably the worst system in most
           | cases. It's the same kind of "picking winners" that doesnt
           | work in corporate funding. I'm from Canada where our tech
           | industry basically runs on subsidies, and very little escapes
           | the bubble of trying to get more government funding and
           | actually becomes self sustaining.
           | 
           | Personally, I have seen there is a legit appetite for
           | corporate funded research that advances the company's goals.
           | As an academic, I would rather seek out companies for
           | funding, knowing that I'm working in something that someone
           | wants, and not trying to optimize for government priorities.
           | I'm coming at this from a hard science perspective. I imagine
           | the dynamics are very different for drug trials or other
           | efficacy type studies, which are maybe more relevant to this
           | discussion.
        
             | WalterBright wrote:
             | Good points, but there's another wrinkle. If a company pays
             | a research institution to do a fraudulent study, the
             | research institution risks losing their status as a
             | reputable research outfit, and thereby loses a multiple of
             | that as other companies avoid funding them.
             | 
             | A prestigious reputation is like glass - easy to break,
             | very hard to put back together.
             | 
             | You'd think this would work with government funding, too.
             | But it appears it does not. It could be because one's
             | "reputation" is based on how many papers are published and
             | how many cites. This is like rating a programmer on how
             | many lines of code written.
             | 
             | It is not a measure of quality at all.
        
           | pjc50 wrote:
           | > At least with privately funded research, the people
           | providing the money aren't going to fund bullshit fake
           | research
           | 
           | They absolutely are if it helps them promote something.
           | Cigarettes and asbestos industries helped produce plenty of
           | fake safety studies.
           | 
           | The problem is that research has been marketized; you have to
           | "sell" your proposal to get funding, so naturally you big it
           | up as much as possible. And thus the incentive to fake
           | results.
        
             | WalterBright wrote:
             | If you are _personally_ funding Professor X to do some
             | research say, on making a better LCD display, and Professor
             | X comes up with nothing but personal aggrandizement passed
             | off as  "research", are you _personally_ likely to fund him
             | some more?
             | 
             | I seriously doubt it. Any more than you'd continue taking
             | your car to an auto shop that took your money but didn't
             | fix it.
        
           | [deleted]
        
         | jerf wrote:
         | Worse yet, it compounds. The people approving grants, seeing
         | all these amazing results promised, will then raise the bar for
         | what kind of results you're promising. Which means the next
         | batch of promises will need to be that much more extreme to get
         | approved. It's a race to the top... or the bottom, depending on
         | your point of view.
        
         | ethanbond wrote:
         | Yep. The incentives in science are all wrong. To maximize your
         | chances of publication (i.e. keeping your job), you have to
         | make the most outlandish claims you can possibly _maybe_
         | defend. Additionally, the complexity of data /analysis is
         | increasing every day while also the esoteric domain knowledge
         | required to make any progress is deeper and more specialized.
        
           | BitwiseFool wrote:
           | Not enough people realize that science and academia are just
           | as prone to organizational politics and corruption as
           | everything else. Peer reviewed studies are great, _but_ ,
           | just because it was published doesn't mean it represents "The
           | Truth". And sadly, being skeptical of studies makes you
           | appear less credible in arguments.
        
           | diognesofsinope wrote:
           | Not only this, academia is a really cushy job.
           | 
           | When I was an economics RA literally half of the econ
           | professors didn't work Fridays and barely worked summers. It
           | was incredible you get paid 150k with that kind of schedule.
        
             | IX-103 wrote:
             | Interesting. In my experience professors might not be _on
             | campus teaching_ one or two days a week or in summer, but
             | that 's only because they are working their ass off from
             | home, writing grant proposals, reviewing papers, doing
             | basically anything to get funding, and trying to find time
             | to manage their own research.
             | 
             | I used to think it was a great gig too, since most
             | professors had one or more small businesses on the side.
             | Then I realized they have those businesses and consulting
             | companies because that means they can also apply for small
             | business grants (which they use to subcontract the research
             | out to the university) in addition to the normal academic
             | research grants. If you also count teaching, then that
             | means those professors are working three jobs for one
             | salary.
             | 
             | I made the decision that I'd rather make 50% more working
             | in industry doing easier (if boring) work.
        
               | caddemon wrote:
               | I'd guess that's pretty field dependent. What you're
               | saying matches my experience with biology profs -
               | technically once they get tenure they could chill out,
               | but then they wouldn't have any funding for research
               | anymore, so they wouldn't be able to do much of anything
               | in their field.
               | 
               | In CS I saw more of a mix though. It's feasible to fund a
               | small research group without busting your ass, and it
               | also seemed to me that putting time into coursework,
               | writing books, etc. was culturally a more acceptable use
               | of time in that department than it was in biology.
               | 
               | I knew a few CS PIs that actually purposely scaled back
               | their research once they got tenure because they were
               | more excited about teaching and some of the educational
               | initiatives the school was working on. That's not the
               | norm of course, but I literally can't imagine that ever
               | happening in a bio department lol.
        
           | giantrobot wrote:
           | > To maximize your chances of publication (i.e. keeping your
           | job), you have to make the most outlandish claims you can
           | possibly maybe defend.
           | 
           | This is compounded by publishing negative/null results being
           | disincentivized. Knowing what doesn't work can be as
           | important as knowing what works.
        
         | eloff wrote:
         | Peer review is shit. It's elitist, it's actively anti
         | innovation and enforces the status quo.
         | 
         | Peer review should happen out in the open and not just be
         | limited to academics.
        
           | pm_me_your_quan wrote:
           | academics are largely the only people who will be able to
           | understand the work, but sure.
           | 
           | The fact that it's not out in the open is somewhat
           | complicated. You're perhaps right that it would lead to
           | better outcomes, but it's also important that researchers
           | feel free to speak openly.
        
             | eloff wrote:
             | I understand the concern about being free to speak
             | candidly, but I think it's trumped by the need for
             | transparency to ensure that if improper gatekeeping or
             | other unethical behavior is happening, their reputation is
             | also on the line. Basically if you can't say it to your
             | peers in public, don't say it at all.
             | 
             | This also fixes the problem of incompetent peer review,
             | because it will be called out as such and the reviewer's
             | reputation will suffer.
        
         | ModernMech wrote:
         | > When you want to do a proper work, your grants and papers get
         | rejected because they are not innovatove enough or don't go far
         | enough.
         | 
         | Not being innovative enough isn't the _root_ cause though. The
         | real issue is there isn 't enough funding to go around, and so
         | the bar is higher than it needs to be. Available research
         | funding in the US is a paltry sum considering the aggregate ROI
         | of discoveries and technologies that originate in universities.
         | Funding rates can be as low as 10-20%, with thousands of
         | researchers competing for the same grants. They need to all
         | paint a tortured story of how their idea will be the next big
         | invention.
         | 
         | The problem with our system is that we put public money into
         | research, which is then commercialized by corporations and sold
         | to consumers, and corporations/universities end up capturing
         | the profits. Those profits are then invested in ways that yield
         | short-term returns instead of being reinvested in research.
         | 
         | Some of those profits are supposed to come back to the
         | government and reinvested in research, but more and more
         | corporations (and I consider universities to be a kind of
         | corporation with the way they act like hedge funds that do
         | education as a side hustle) are figuring out how to keep as
         | much of those profits as possible, despite those profits only
         | being made possible in the first place due to publicly funded
         | research.
         | 
         | What if we increase funding into research? VCs are willing to
         | pour millions into ridiculous or tenuous ideas because they
         | know a single success will more than make up for the duds.
         | Lower the stakes, make funding more available to researchers,
         | and then maybe we won't need to squeeze every bit of
         | "innovation" out of every research dollar. Make room for
         | research that fails or yields a negative result. This is
         | important work that is valuable and needs to be done, but
         | there's no funding for it. We could double the amount of
         | funding for e.g. the NSF and it would still be a drop in the
         | federal government's proverbial bucket.
        
           | derbOac wrote:
           | I get the sense from colleagues and visiting different
           | universities that this varies across the US, Canada, the UK,
           | and the EU, but grants are now the bread and butter at most
           | US universities. It's not really enough to publish 100s of
           | articles, or have a high h index, it's to bring in money even
           | if it's not strictly necessary for your research.
           | 
           | Part of the reason we have the problem you're mentioning is
           | not that there isn't enough money to go around, it's that
           | universities (at least in the US) now depend on inflated
           | costs to function. The costs of research are kicked down the
           | road to the federal government, and the research itself is
           | seen in terms of profits rather than discovery. So if you
           | have all these universities essentially telling researchers
           | their jobs are on the line if they don't bring in profits,
           | you're going to have everyone scrambling to bring in as much
           | money as they can. It's not just postdocs or untenured
           | research professor lines, it's tenured professors as well,
           | whose income can be brought down below some necessary
           | standard of living, or who can have salaries frozen or
           | resources cut.
           | 
           | I was thinking about this the other morning. I had a grant
           | proposal that the program officer was really excited about.
           | This program of research could probably be conducted for
           | almost nothing because it involved archival data analysis.
           | _However_ if you put a dollar amount on the time, it _might_
           | realistically actually cost around 250k USD, maybe 500k max,
           | pretty generously in terms of staff effort. However, the
           | university managed to inflate the budget ask to around 2
           | million for the sole purpose of indirect funds.
           | 
           | When you have that kind of monetary incentive (carrot or
           | stick), of course you're going to have thousands of persons
           | applying for each opportunity. It's what led to the graduate
           | student ponzi scheme, inflated numbers of surplus graduates,
           | etc and so forth.
           | 
           | It all trickles down too, in terms of research claims,
           | p-hacking, etc and so forth.
           | 
           | There's a place for profit, but there's also some realms
           | where it does nothing but corrupt.
        
             | native_samples wrote:
             | The problem here is not profit but the reverse, the
             | corruption comes from the absence of profit.
             | 
             | Universities and grants are this firehose of tax money
             | being sprayed everywhere without even the slightest bit of
             | accountability in how it's used. The government effectively
             | "loses" all of it in accounting terms, but because it's tax
             | it doesn't matter. The buyer is blind and doesn't even
             | bother looking at the papers they've paid for, let alone
             | caring about the quality.
             | 
             | Now go look at the results coming out of corporate labs
             | when the corporates actually want to use the tech. You get
             | amazing labs that are consistently re-defining the state of
             | the art: Bell Labs, DeepMind, Google Research, FAIR, Intel,
             | ARM, TSMC etc. The first thing that happens when the
             | corporate labs get interested in an area is that
             | universities are immediately emptied out because they
             | refuse to pay competitive wages - partly because being non-
             | profit driven entities they have no way to judge what any
             | piece of research is actually worth.
        
               | ModernMech wrote:
               | > Universities and grants are this firehose of tax money
               | being sprayed everywhere without even the slightest bit
               | of accountability in how it's used.
               | 
               | This is definitely not true, recipients of grants are
               | heavily restricted on what kind of things they can spend
               | that money on. I can't even fly a non-domestic carrier
               | using grant money without proving no other alternatives
               | exist.
               | 
               | Do research projects sometimes fail to deliver? Yeah. But
               | that's just the reality of doing research. The problem I
               | see is people expect research to be closer to
               | development, with specific ROIs and known deliverables
               | years ahead of time. Sometimes in the course of research
               | you realize what you said you were going to do is
               | impossible, and that's a good result we need to embrace,
               | instead of attaching an expected profit to everything.
               | 
               | > Bell Labs, DeepMind, Google Research
               | 
               | I don't know so much about all the labs you listed, but
               | just taking these three, they certainly don't have a good
               | feeling for what their research is worth either. Do you
               | think Bell Labs fully comprehended the worth of the
               | transistor? For all the research Google does, ad money
               | still accounts for 80% of their revenue. DeepMind is a
               | pretty ironic choice because Google has dropped billions
               | into them and it's still not clear where the profit is
               | going to come from. So it's not clear anyone, even those
               | with a profit motive, have any way to judge what any
               | piece of research is actually worth.
               | 
               | But that's not to say there's anything wrong with that...
               | that's just how research works. You don't know how things
               | are going to turn out, and sometimes it takes a very long
               | time to figure that out, and it. This is why massive
               | corporations like AT&T, Intel, Google, Xerox, MS etc. are
               | able to run such labs.
               | 
               | > The first thing that happens when the corporate labs
               | get interested in an area is that universities are
               | immediately emptied out because they refuse to pay
               | competitive wages
               | 
               | I've seen this happen first hand. In my experience these
               | researchers usually go on to spend their time figuring
               | our how to get us to click on more ads or to engage with
               | a platform more. In one instance, I remember one of my
               | lab mates being hired out of his PhD to use his research
               | to figure out which relative ordering and styling of ads
               | on a front page optimized ad revenue for Google. They
               | paid him quite a lot of money to do that, and I guess it
               | made Google some profit. But is the world better off?
        
               | bluGill wrote:
               | > This is definitely not true, recipients of grants are
               | heavily restricted on what kind of things they can spend
               | that money on. I can't even fly a non-domestic carrier
               | using grant money without proving no other alternatives
               | exist.
               | 
               | That is pure corruption: the grant is funneling money
               | from you to a domestic ariline. If it was about
               | accountability you would have to prove the flight was
               | really needed in the first place, and then that you found
               | the best price. (though the grant should allow you to
               | ignore the "skip maintenance and pilot training to give
               | you a lower price" airline, but if that best happens to
               | be foreign it shouldn't matter to the grant unless there
               | is corruption involved)
        
               | pm_me_your_quan wrote:
               | > If it was about accountability you would have to prove
               | the flight was really needed in the first place,
               | 
               | Friend, at a certain point the overhead to administrate
               | these kinds of checks is more costly than just letting
               | people buy tickets to go to conferences. And at this
               | point it isn't corruption in the university, it's in the
               | form of handouts to large corporations.
        
               | native_samples wrote:
               | _recipients of grants are heavily restricted_
               | 
               | They are restricted in trivial ways that are easy for a
               | bureaucracy to mechanically enforce, as is true of
               | employees at every institution.
               | 
               | What I meant by accountability is deeper: people are not
               | accountable for the quality or utility of their work,
               | hence the endless tidal wave of corrupt and deceptive
               | research that pours out of government funded 'science'
               | every day. These researchers probably filled out their
               | expenses paperwork correctly but the final resulting
               | paper was an exercise in circular reasoning, or the data
               | tables were made up, or it was P-hacked or whatever. And
               | nobody in government cares or even notices, because
               | nobody is held accountable for the quality of the
               | outputs.
               | 
               | Whilst DeepMind is not especially interested in profit
               | it's true, and is just doing basic research, Google
               | itself is an excellent example of how to seamlessly
               | integrate fundamental research with actual application of
               | that research. That's what profit motivated research
               | looks like: just this endless stream of innovative tech
               | being deployed into real products that are used by lots
               | of people, without much drama.
               | 
               | We have come to take this feat so much for granted that
               | you're actually asking if someone working on ads is
               | leaving the world better off. Yes, it does. Google ads
               | are clicked on all the time because they are useful to
               | people who are in the market to buy something. Those ads
               | are at the center of an enormous and very high tech
               | economic engine that powers staggering levels of wealth
               | creation. If I understand correctly, a lot of academic
               | papers are actually never cited by anyone - a researcher
               | who optimises search ads by just 1% will have a positive
               | impact on the world orders of magnitude greater than
               | that.
        
       | ChrisMarshallNY wrote:
       | I'm actually kind of flabbergasted that people -no matter who
       | they are- are automatically given the benefit of the doubt,
       | without question.
       | 
       | I'll bet that a lot of folks just assume that anything they do
       | will be taken at face value, without question or inspection. I
       | also suspect that many "brought and paid for studies" are done
       | this way.
       | 
       | For my own work, I generally assume that most of these studies
       | are pretty much worthless, and tend to do some of my own homework
       | before accepting them. Since most don't concern me at all; it's
       | not a big deal.
       | 
       | Health is just one place this kind of thing happens. Software
       | Development is absolutely _rife_ with bad implementations. I am
       | not in AI, but I have heard from a number of people that AI has a
       | big problem with irreproducible results.
       | 
       | https://web.archive.org/web/20190926055757/http://www.jir.co...
        
         | version_five wrote:
         | I work in ML research and I used to do experimental physics.
         | I'd agree that specific results in papers can be hard or
         | impossible to reproduce, but that never really bothers me
         | because at least in my work, the specific experimental result
         | is rarely material to why I'm interested in the paper. It's
         | more of a demo, and like a demo, you know its orchestrated to
         | look good. What I'm interested in is what is the mechanism
         | behind the advance and do I think its applicable or relevant to
         | what I'm doing. If the paper is really just a random
         | observation of something that worked better, without a causal
         | explanation, it's not very interesting, but I don't see those
         | often.
         | 
         | Maybe health research is very different, and people are
         | latchjng on to surprising results they find in papers, but I
         | doubt it's a big problem in academia, much more likely in the
         | media. If I was a doctor and saw an out of the blue study
         | claiming a surprising result, I'd discount it accordingly. If I
         | saw a causal explanation with evidence, I'd give it closer
         | scrutiny and follow up if it seemed relevant to me. That is how
         | research works in my experience.
        
       | AlexCoventry wrote:
       | The video is worth watching. It goes into much more detail about
       | just how extensive, brazen and destructive the fraud has been.
       | https://www.youtube.com/watch?v=3BXEOey62O4
        
       | xyzzy21 wrote:
       | Sadly true.
       | 
       | And especially government agencies and non-profits related to
       | health.
        
       | sjwalter wrote:
       | "The case against science is straightforward: much of the
       | scientific literature, perhaps half, may simply be untrue.
       | Afflicted by studies with small sample sizes, tiny effects,
       | invalid exploratory analyses, and flagrant conflicts of interest,
       | together with an obsession for pursuing fashionable trends of
       | dubious importance, science has taken a turn towards darkness."
       | 
       | Richard Horton, current editor of The Lancet:
       | https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
        
         | sjwalter wrote:
         | This is also especially ironic considering The Lancet published
         | a totally fabricated study that supposedly demonstrated how
         | dangerous a Trump-touted Covid treatment was.
         | 
         | https://www.the-scientist.com/features/the-surgisphere-scand...
        
       | [deleted]
        
       | cheaprentalyeti wrote:
       | Well, while you're at it, can you tell me which side is telling
       | the truth about Remdesivir, the US health care bureaucracy or the
       | WHO?
        
       | wolverine876 wrote:
       | The headline is more than a bit sensationalist. I never know what
       | to make of BMJ, which sometimes seems sensationalist: Can anyone
       | in the industry or profession characterize who they are, what
       | they do, and what their reputation is?
        
       | dpatru wrote:
       | As shown both in the article and in the comments, scientific
       | establishment seems content to tolerate fraud. But when research
       | goes against big money interests, suddenly standards become very
       | strict. See how Andrew Wakefield was treated.
       | https://www.bmj.com/content/342/bmj.c7452
        
         | arcticfox wrote:
         | > See how Andrew Wakefield was treated.
         | 
         | Are you implying that he was let off easy? Should have gone to
         | jail, IMO: "The panel found he had subjected 11 children to
         | invasive tests such as lumbar punctures and colonoscopies that
         | they did not need, without ethical approval."
         | 
         | Performing unfounded experiments on children while committing
         | fraud should be treated as criminal, not simply reputation-
         | destroying, IMO.
         | 
         | https://www.theguardian.com/society/2010/jan/28/andrew-wakef...
         | 
         | (I understand we need to protect researchers from some
         | liabilities in the ethical pursuit of progress, but he was so
         | far over the line that the "slippery slope" argument is kind of
         | silly. Should medical researchers be immune to _all_
         | prosecution no matter what they do or what lies they tell?)
        
         | Animats wrote:
         | There's the famous story of the doctor who figured out, in the
         | 1980s, how to cure stomach ulcers.[1] Stomach ulcers are
         | usually a bacterial disease, and antibiotics work.
         | 
         |  _The microbiologists in Brussels loved it, and by March of
         | 1983 I was incredibly confident. During that year Robin and I
         | wrote the full paper. But everything was rejected. Whenever we
         | presented our stuff to gastroenterologists, we got the same
         | campaign of negativism. I had this discovery that could
         | undermine a $3 billion industry, not just the drugs but the
         | entire field of endoscopy. Every gastroenterologist was doing
         | 20 or 30 patients a week who might have ulcers, and 25 percent
         | of them would. Because it was a recurring disease that you
         | could never cure, the patients kept coming back. And here I was
         | handing it on a platter to the infectious-disease guys._
         | 
         | In 2005, he got a Nobel Prize.
         | 
         | [1] https://www.discovermagazine.com/health/the-doctor-who-
         | drank...
        
           | rubatuga wrote:
           | Sounds like ivermectin is going through something similar.
           | This off-patent, cheap, and safe drug is able to
           | significantly reduce COVID-19 symptoms [0], and is
           | _extremely_ likely to be a potent prophylactic and treatment
           | for COVID-19 [1], to the extent that the third wave in North
           | America wouldn 't have happened if it was used. The inventor,
           | Satoshi Omura, won a Nobel Prize for inventing the drug in
           | 2015, and tried to convince Merck (the original manufacturer)
           | for many months to conduct an ivermectin trial for COVID-19,
           | to no avail. On July 1st, he finally found a Japanese company
           | called Kowa to charitably conduct a clinical trial for
           | ivermectin, without Merck's help. Amazing right? But what
           | response does Omura get from Western media? Quickly, his
           | announcement video was deleted from YouTube [2]. You cannot
           | find any English news about the Kowa trial being conducted. A
           | few days ago, Omura was interviewed about ivermectin for the
           | first time, on Yahoo Japan News [3]. Quoting him (using non-
           | ideal Google Translate)
           | 
           | > "My impression of WHO is that I feel sorry for being caught
           | in a dilemma. Until now, I have only seen bright light in my
           | life as a researcher. But this time, I learned for the first
           | time after reading this article that shadows also exist in
           | the world... Ivermectin is no longer a scientific issue, but
           | a political issue." --Satoshi Omura
           | 
           | It seems like big tech's misinformation crusade is biting us
           | and science in the ass.
           | 
           | [0]: https://pubmed.ncbi.nlm.nih.gov/33495752/
           | 
           | [1]: https://academic.oup.com/ofid/advance-
           | article/doi/10.1093/of...
           | 
           | [2]: https://twitter.com/michaelcapuzzo/status/14106267691667
           | 3331...
           | 
           | [3]: https://news.yahoo.co.jp/articles/92c85ad9476f56a6fc51da
           | ec56...
        
             | Animats wrote:
             | Here's a list of ivermectin trials on COVID-19.[1] It does
             | seem to have some effect, cutting recovery time in mild
             | cases by 20% or so. But that's not anything close to "would
             | eliminate the third wave".
             | 
             | This study [2] from the early days of the epidemic
             | indicated that the patients receiving ivermectin needed
             | invasive ventilation much earlier. Which is not a good
             | result.
             | 
             | [1] https://www.covid19treatmentguidelines.nih.gov/therapie
             | s/ant...
             | 
             | [2] https://pubmed.ncbi.nlm.nih.gov/34215210/
        
             | kobieyc wrote:
             | Honestly I was surprised not to see any mention of IVM in
             | the original post. Many of the points in the original
             | article apply to what's going on with systemic reviews of
             | IVM - see for example allegations of misconduct/fraud by
             | theguardian to Elgazzar's big IVM study
             | https://www.theguardian.com/science/2021/jul/16/huge-
             | study-s...
             | 
             | It does also bring into question the validity of Tess
             | Lowrie's systematic review of ivermectin efficacy.
             | 
             | Also, your systematic review [1] includes the Elgazzar as
             | "low risk" of bias... when in fact Elgazzar had GLARING
             | errors.
             | 
             | It also makes me question the competence of everyone
             | involved in this systematic review that they can't find
             | these glaring errors but some random med student can.
        
               | rubatuga wrote:
               | I agree, some of the trials have issues. But if you would
               | like to cherry pick one trial and use that as evidence to
               | the contrary, I will direct the reader to a firehose of
               | ivermectin studies, which the reader can evaluate on
               | their own:
               | 
               | https://ivmmeta.com
               | 
               | You really _cannot_ trust the raw risk estimates that
               | they give on this site. But it 's the most comprehensive
               | list of trials for ivermectin there is, and a place for
               | you to form your own opinion. Elgazzar has already been
               | removed as a data point.
        
               | closewith wrote:
               | > I agree, some of the trials have issues. But if you
               | would like to cherry pick one trial and use that as
               | evidence to the contrary, I will direct the reader to a
               | firehose of ivermectin studies, which the reader can
               | evaluate on their own:
               | 
               | Surely the point of the OP's post is that the reader _can
               | 't_ evaluate these studies on their own. At least not
               | without undertaking the kind of review and background
               | research that is not reasonable for even the expert
               | reader.
               | 
               | Not to mention the irony of accusing the GP of cherry-
               | picking when the site you linked is a cherry-picked list
               | of trials curated by anonymous alleged HCWs.
        
         | pjc50 wrote:
         | Wakefield was treated far too leniently? He's lucky that he
         | only got struck off, and far too late. He managed to get a lot
         | of media complicity, too.
        
         | Woberto wrote:
         | It took 12 years for the paper to be retracted, so I wouldn't
         | necessarily say "suddenly".
         | 
         | Also, I think fraud is easier to miss (which may seem as it
         | being tolerated) if it's something people expect or is not such
         | a big change from the norm. For example, I don't remember the
         | specifics but there's a story of some constant that was
         | estimated a long time ago, and as people tried to measure it
         | more accurately, those who calculated a value too different
         | from the previous estimate were rejected.
         | 
         | I bring that up because in this case, Wakefield's claim may
         | have been so outlandish as to provoke intense scrutiny, which,
         | as the paper you linked to says, led to findings of fraud.
        
       | giantg2 wrote:
       | I think just as importantly is reining in the misapplication of
       | studies. Too often I see some news/blog/politician/other say some
       | _policy or fact_ is _proven_ by a study only to find that the
       | study doesn 't mean what they are claiming.
       | 
       | This can be stuff like using animal studies not supported by
       | further human studies and claiming the effect is true for humans.
       | Or confusing correlation for causation. Or viewing the
       | _speculated_ application of the study found in the conclusion to
       | be absolute truth when many times the authors themselves claim
       | additional studies would be needed to evaluate other aspects or
       | confirm their findings.
       | 
       | A classic example was gender wage gap misrepresentation about 6-8
       | years ago. Many news groups and even the president were
       | misinterpreting (and spreading that misinformation about) the BLS
       | study to mean that a man and a woman in the same job with all
       | else equal, the woman would only make $.80 on the dollar, when in
       | fact the issue is an aggregate level issue mostly due to
       | structural issues (and require different remedies than proposed).
       | At least it seems many places have since realized their mistake,
       | yet the misinformation persists in the general public.
        
       | ineedasername wrote:
       | _he set about investigating the trials and confirmed that they
       | hadn't ever happened. They all had a lead author who purported to
       | come from an institution that didn't exist_
       | 
       | To me, this doesn't mean that simple distrust is the answer.
       | These are basic issues that should be revealed with even minimal
       | due diligence during the editorial & peer review process.
       | 
       |  _Peer reviewers_ and _Journal Editors_ should brink a skeptical
       | mindset to article submissions from the outset before they 're
       | ever accepted for publication.
       | 
       | After that? Well, whenever research is on an emerging topic there
       | is a certain amount of _scientific_ skepticism you should use.
       | Same if results go against an established consensus on a topic.
       | However this is where the  "replication problem" enters the
       | picture because replicating research has a lower status.
       | 
       | When it comes to media reporting, things get even more
       | complicated. New science is messy. You only have to look at COVID
       | research for the past 1.5 years, and when it's an issue of such
       | public urgency, _EVERY_ development hits the public eye, pulling
       | back the curtain on the sausage factor. Because new science is
       | rarely  "Hey look what I discovered!" followed by "Yay we all
       | agree!" It's more of a conversation or dialectic, with ever more
       | research revealing the picture a bit more until there's enough to
       | be confidence in a given interpretation. And even there, work
       | proceeds on alternatives.
       | 
       | The above is very much _NOT_ how science is taught to the public
       | in schools. You learn  "Darwin Discovered Evolution!", not the
       | significant years-long process of researchers arguing it out,
       | sometimes even with heated vitriol. You learn "Newton Discovered
       | Gravity!", not all of the complexities and disagreements that
       | continue even to today.
       | 
       | Out education systems have failed society when it comes to truly
       | understanding the scientific process. This is why distrust of
       | science increased. Because in past decades awareness of
       | scientific advances often only reached the public after at least
       | part of the sausage was made, meaning now it looks like it's
       | descended into total disarray.
        
       | enriquto wrote:
       | why just health research? all science is already based on that
       | very principle. In fact, a stronger one: you cannot ever prove
       | that some research is "true", only that no inconsistency has yet
       | been observed.
        
         | throwawayboise wrote:
         | Replicating the results would be evidence that the original
         | research was "true."
         | 
         | Unfortunately nobody wants to fund research that only attempts
         | to replicate an already published result, when they could spend
         | the same money on novel research.
        
       | hirundo wrote:
       | I doubt most people understand the intensity of the incentive to
       | mess with the data. In college I was a lab assistant for a
       | professor who taught courses on research integrity and how to
       | evaluate the quality of scientific papers. After thousands of
       | hours of work on a study with routine 20 hour days collecting
       | data, he wasn't getting what he needed to publish. At the tail
       | end of one of those days I caught him with the equivalent of his
       | thumb on the scale. He gave an excuse that he would have failed
       | as an answer on one of his own tests. I argued a bit but then
       | shut up. I kept shut up while that data was not excluded from the
       | analysis that was eventually published. It wasn't enough to
       | change the result, but still bothered me.
       | 
       | So yeah, trust maybe but verify definitely. The rewards for
       | faking it are just too great for an honor system to be reliable.
        
         | diob wrote:
         | I think it's more that the punishment for not faking it is too
         | great. We need to be okay with following the scientific method
         | and rewarding folks regardless of the outcome. Otherwise we're
         | bound to see everything "succeed".
        
       | marsven_422 wrote:
       | This just in : Scientists are just as human as everyone else.
        
       | miga wrote:
       | No, just a statistical reality of multiple hypothesis testing.
       | 
       | Just like you wait a few blocks for a confirmation on a
       | blockchain, you have more and more confidence with confirmation
       | of health research by independent papers.
       | 
       | See statistical analysis in Ioannidis' "Why most research
       | findings are false":
       | https://journals.plos.org/plosmedicine/article?id=10.1371/jo...
        
       | 0xcde4c3db wrote:
       | I knew there were issues with various kinds of research. Things
       | like p-hacking, "touching up" data, and so on. But the lead
       | example is pretty wild:
       | 
       | > As he described in a webinar last week, Ian Roberts, professor
       | of epidemiology at the London School of Hygiene & Tropical
       | Medicine, began to have doubts about the honest reporting of
       | trials after a colleague asked if he knew that his systematic
       | review showing the mannitol halved death from head injury was
       | based on trials that had never happened. He didn't, but he set
       | about investigating the trials and confirmed that they hadn't
       | ever happened. They all had a lead author who purported to come
       | from an institution that didn't exist and who killed himself a
       | few years later. The trials were all published in prestigious
       | neurosurgery journals and had multiple co-authors. None of the
       | co-authors had contributed patients to the trials, and some
       | didn't know that they were co-authors until after the trials were
       | published.
        
         | wolverine876 wrote:
         | It's one example, chosen and presented by someone with
         | something to prove, and which fails to provide any evidence
         | (such as the names of the studies or lead author).
        
           | sjwalter wrote:
           | There are plenty of other good examples.
           | 
           | Try this one: https://www.the-scientist.com/features/the-
           | surgisphere-scand...
           | 
           | "It sounds absurd that an obscure US company with a hastily
           | constructed website could have driven international health
           | policy and brought major clinical trials to a halt within the
           | span of a few weeks. Yet that's what happened earlier this
           | year, when Illinois-based Surgisphere Corporation began a
           | publishing spree that would trigger one of the largest
           | scientific scandals of the COVID-19 pandemic to date.
           | 
           | "At the heart of the deception was a paper published in The
           | Lancet on May 22 that suggested hydroxychloroquine, an
           | antimalarial drug promoted by US President Donald Trump and
           | others as a therapy for COVID-19, was associated with an
           | increased risk of death in patients hospitalized with the
           | disease."
           | 
           | They completely fabricated the data.
           | 
           | To hurt Trump.
        
       | mcguire wrote:
       | " _...Ian Roberts, professor of epidemiology at the London School
       | of Hygiene & Tropical Medicine, began to have doubts about the
       | honest reporting of trials after a colleague asked if he knew
       | that his systematic review showing the mannitol halved death from
       | head injury was based on trials that had never happened. He
       | didn't, but he set about investigating the trials and confirmed
       | that they hadn't ever happened. They all had a lead author who
       | purported to come from an institution that didn't exist and who
       | killed himself a few years later. The trials were all published
       | in prestigious neurosurgery journals and had multiple co-authors.
       | None of the co-authors had contributed patients to the trials,
       | and some didn't know that they were co-authors until after the
       | trials were published. When Roberts contacted one of the journals
       | the editor responded that "I wouldn't trust the data." Why,
       | Roberts wondered, did he publish the trial? None of the trials
       | have been retracted._"
       | 
       | I realize that meta-analysis is regarded as a valid research
       | method, if not one of the best, but honestly, I don't know why.
       | If the original studies are garbage, no amount of statistical
       | manipulation is going to make them not-garbage.
        
         | metalliqaz wrote:
         | well if the original studies are inadequate simply because N is
         | too low, then grouping many of them can resolve that problem.
        
           | mahogany wrote:
           | Is that really true from a statistical standpoint? It seems
           | to me that running ten 20-person studies is different and
           | less valuable than running a single 200 person study, because
           | each of the 20-person studies has a much larger error range
           | that you have to account for. But I'm also not good with
           | stats.
        
             | mcguire wrote:
             | That's ideally what the meta-analysis is supposed to
             | correct for.
             | 
             | But if two of the studies are just completely made up and
             | another couple have errors in their design that aren't
             | mentioned in the write-up....
        
         | FeteCommuniste wrote:
         | Meta-analysis normally tries to exclude "low-quality" studies
         | but if the standard of honesty in a field or sub-field is truly
         | abysmal, I guess it's GIGO.
        
       | rohanphadte wrote:
       | Some highlights to show how health research is published:
       | 
       | > Mol, like Roberts, has conducted systematic reviews only to
       | realise that most of the trials included either were zombie
       | trials that were fatally flawed or were untrustworthy.
       | 
       | > But the anaesthetist John Carlisle analysed 526 trials
       | submitted to Anaesthesia and found that 73 (14%) had false data,
       | and 43 (8%) he categorised as zombie. When he was able to examine
       | individual patient data in 153 studies, 67 (44%) had
       | untrustworthy data and 40 (26%) were zombie trials.
       | 
       | > Others have found similar results, and Mol's best guess is that
       | about 20% of trials are false. Very few of these papers are
       | retracted.
        
         | mcguire wrote:
         | You missed a sentence.
         | 
         | " _Many of the trials came from the same countries (Egypt,
         | China, India, Iran, Japan, South Korea, and Turkey), and when
         | John Ioannidis, a professor at Stanford University, examined
         | individual patient data from trials submitted from those
         | countries to Anaesthesia during a year he found that many were
         | false: 100% (7 /7) in Egypt; 75% (3/ 4) in Iran; 54% (7/13) in
         | India; 46% (22/48) in China; 40% (2/5) in Turkey; 25% (5/20) in
         | South Korea; and 18% (2/11) in Japan._"
         | 
         | I find it particularly sad, since actively promoting academic
         | integrity would do more for those countries than anything else,
         | bang-for-your-buck-wise. Instead, many seem to be seeking the
         | appearance of academic success.
         | 
         | (OTOH, I suppose Japan and South Korea may be on that list due
         | to some kind intense pressure to succeed.)
        
       | peytn wrote:
       | No, but you need to be able to ask people who're "in the know,"
       | e.g.
       | 
       | > When Roberts contacted one of the journals the editor responded
       | that "I wouldn't trust the data."
       | 
       | People already know what the bullshit results are.
        
         | diognesofsinope wrote:
         | Similar to how in psychology replication studies when they
         | asked professors to predict which studies would and wouldn't
         | replicate I think they were ~75% correct.
         | 
         | Replication was ~50%.
         | 
         | They have an idea of what is bullshit, but there's a very
         | strong culture of 'don't call others out on bad research'
        
         | caseysoftware wrote:
         | If the editor didn't trust the data, why did they publish?
         | 
         | The people who keep informed on their field (aka "in the know")
         | would then be tainted because they would likely believe a
         | journal would vet the data, process, and researchers before
         | publication.
         | 
         | Unless you mean "in the know" in that they know the entire
         | publishing system is a scam... and the ripples from that are
         | huge.
        
           | topspin wrote:
           | "If the editor didn't trust the data, why did they publish?"
           | 
           | They're in on it. Without material the journals have nothing
           | to publish. So their inclination is to accept and publish
           | with as little friction as possible.
           | 
           | Publish or Die. Remember? That applies to the whole supply
           | chain, not just poor put upon individual researchers.
        
         | KittenInABox wrote:
         | How do you know if any individual person is "in the know"?
        
           | earleybird wrote:
           | With an appeal to authority :-)
        
           | wrycoder wrote:
           | You evaluate their background, publications, and associates,
           | and then you use your best judgement.
        
       | codingwageslave wrote:
       | Non elite stem academia is essentially a back door immigration
       | program. The research is basically useless, and incremental at
       | best
        
       | alanbernstein wrote:
       | The "time to assume" this was at least 15 years ago:
       | https://en.wikipedia.org/wiki/Why_Most_Published_Research_Fi...
        
       | gotoeleven wrote:
       | The war on standards is creating a low trust society.
        
         | onlyrealcuzzo wrote:
         | I don't know. The amount of people that take one poorly
         | measured data point and use that as a north star seems more
         | troubling to me - than a society with low trust.
         | 
         | I'm not convinced a low-trust society is inherently bad. I am
         | convinced that a society that has high trust in garbage data is
         | bad.
        
           | patrec wrote:
           | I know this is a forum for nerds, but I struggle to
           | understand how anyone could seriously believe that being
           | surrounded by people who are either psychopathic or paranoid
           | is probably A-OK, as long as they are all competent
           | statisticians.
        
             | onlyrealcuzzo wrote:
             | You're a psychopath or paranoid if you don't blindly trust
             | data - without putting some effort into seeing what the
             | quality of the data is and how much evidence supports it???
        
               | patrec wrote:
               | > I'm not convinced a low-trust society is inherently
               | bad.
               | 
               | The term "low-trust society" is generally not used to
               | distinguish societies where people put enough emphasis
               | into seeing what the quality of the data is and how much
               | evidence supports it. Maybe because no one ever heard of
               | such a thing. I do share your lack of conviction that
               | such a society would inherently be a bad thing.
               | 
               | Maybe we in fact agree that a low trust society in the
               | conventional sense -- one characterized by low
               | interpersonal trust -- is less appealing?
        
           | long_time_gone wrote:
           | ==I'm not convinced a low-trust society is inherently bad. I
           | am convinced that a society that has high trust in garbage
           | data is bad. ==
           | 
           | It feels like we currently have both at the same time. There
           | is "low trust" in any data that doesn't confirm an existing
           | bias, but "high trust" in the data we want to be true.
           | 
           | I see it all the time in HN comments. Any study that
           | contradicts the consensus is met with comments about
           | "correlation =/= causation", while anything that supports the
           | census is supported and correlation/causation isn't
           | mentioned.
        
             | UnFleshedOne wrote:
             | I think a better term for that is "brain damage". So what
             | if all our brains are built damaged. Saying people are not
             | reasoning machines, but social maneuvering machines doesn't
             | change the fact they are kinda broken...
        
           | gotoeleven wrote:
           | I meant more that society's attitude toward standards of any
           | kind--honesty, proper behavior, civility--has become
           | increasingly suspicious. These standards are, some argue,
           | simply power structures to promulgate the various -isms that
           | plague society.
           | 
           | If you've got scientists that believe that the standard of
           | honesty is an artificially constructed power structure then
           | obviously you can't trust them.
        
       | vixen99 wrote:
       | I wonder if this will apply to research published by
       | pharmaceutical companies with a proven history of illegal
       | activity in support of the products they release.
        
       | RandomLensman wrote:
       | I think the first important question to ask is: is the research I
       | am looking at directly applicable and relevant to other people?
       | 
       | If stuff is highly applicable and relevant, then the chance to
       | get away with made up rubbish starts to drop quite a bit, because
       | people will want to try for themselves - and fail. It gets more
       | problematic when the application takes a long time to show
       | effects, i.e. long observation periods - there more can be faked.
       | 
       | Most published research is largely inconsequential and not
       | interesting to but a tiny few, so "fraud" can easily hide in
       | there. Yes, it increases the sum total of knowledge, but that
       | might be about it. I am not saying most research isn't done well,
       | just that there isn't a way to assess correctness at scale and
       | only high-profile results might get a fast check (and even
       | there...)
        
       | kazinator wrote:
       | Betteridge's Law of headlines says: no!
       | 
       | We can be skeptical of researchers' results without the hostility
       | of assuming that they are guilty of fraud until proven innocent.
        
       | i_left_work wrote:
       | From my experience, most of it is. I just left a high paying
       | position working in the healthcare space as a data scientist,
       | because it became clear this was known and there was no intention
       | to improve the situation. Instead, the focus was on selling and
       | making a quick exit.
        
       | tarere wrote:
       | I will address the elephant in the room on this one.
       | 
       | 168 comments so far, I did a research for word "vaccine" in the
       | page, not a single result. So I assume this has not been
       | discussed despite the current situation we are living right now.
       | 
       | I've just read 2 articles about Moderna in general and Bancel in
       | particular :
       | https://www.bloomberg.com/news/features/2021-07-14/moderna-m...
       | And Vanity Fair, unfortunatly in french
       | https://www.vanityfair.fr/pouvoir/business/story/stephane-ba...
       | 
       | This is a frightenning read as we people in France are being
       | literraly forced by our gouvernement to be vaccinated (Moderna,
       | Pfizer) or be socially terminated.
       | 
       | I did not know, I'm pretty sure 99,99% of people also don't, that
       | Moderna did not release a single product before 2020 and it "all
       | in" bet in the Covid Vaccine with up to 1 billion funding from
       | operation warp speed. Moderna was sometimes refered as the next
       | Theranos. His leader fits clearly in the sociopath territory of
       | Silicon Valley tranhsumanist billionnaires. "risk very big, win
       | very big" is his mantra, this man wants to vaccinate billions of
       | people annualy (read article please).
       | 
       | More, if you read those two articles, you could change Vaccine by
       | any software product and you would have a typical business
       | article about a Silicon Valley startup. This is frightening to
       | death to think that this technology "software vaccine" is to be
       | used on the whole population with only a few month of study and,
       | worse, with "forced consentment" on populations.
       | 
       | Guess what happens when money conflict with health.
        
         | nabla9 wrote:
         | No results because vaccines are not accepted based on
         | publications and peer review on scientific papers.
         | 
         | They go trough completely different and extremely rigorous
         | testing process where everything is documented carefully,
         | documents are examined and double checked.
         | 
         | It's great to see 168 comments before first anti-vaxxer
         | comment.
        
           | tarere wrote:
           | I was speaking of the HN page discussion, but it seems my
           | search on Firefox is completely broken, so I withdraw my
           | mention of no vaccine reference, but I stand to be commented
           | on the subject.
        
       | kobieyc wrote:
       | Fraud vs incompetence is an important dimension here. I think a
       | lot of the time people are just incompetent. In fact I assume
       | that > 80% of scientific papers in fields with high levels of
       | environmental noise (social science, environment science,
       | medical, etc) are bad science.
       | 
       | So TL;DR I just assume incompetence instead of fraud.
        
       | 0xbadc0de5 wrote:
       | Wouldn't this be the default scientific position? Or to take some
       | of the hyperbole out of the statement, rephrase as: "is it time
       | to assume that health research hypotheses are incorrect until a
       | preponderance of data and reproducible studies prove otherwise?"
        
         | A4ET8a8uTh0 wrote:
         | Scientific.. yes. But the studies are intended and/or used for
         | a specific business purpose. The moment you recognize this
         | simple reality, it becomes extremely difficult to take anything
         | at face value. My wife is on the other side of the spectrum.
         | She explicitly believes that companies/researchers/people
         | generally want to do the right thing. It is infuriating,
         | because my personal approach is my approach to games: 'shit,
         | until proven otherwise'.
        
         | ChuckMcM wrote:
         | Exactly, that's the thing about science, nobody believes it
         | until everything that has been tried to show it is wrong fails.
         | I wish this were taught more in schools.
        
           | hanniabu wrote:
           | Yeah but you also can't go test 100 previous studies that the
           | work you want to do is based on before you can even start
           | yours. That's extremely inefficient, wasteful, and will
           | tremendously slow progress.
        
             | guscost wrote:
             | > That's extremely inefficient, wasteful, and will
             | tremendously slow progress.
             | 
             | Democracy is also "extremely inefficient, wasteful, and
             | slow to progress". A process with those deficiencies can
             | still be the best available approach (although your example
             | is perhaps too far in that direction).
        
         | Dylan16807 wrote:
         | "preponderance" is doing a lot of work in that statement. I
         | would argue that this is mostly about reevaluating our
         | standards for preponderance.
         | 
         | And it's really hard to know if a study is reproducible. We
         | could assume everything is incorrect until it has already been
         | reproduced by an unrelated party, and I think that _would_ be a
         | major change in thought.
        
         | aqme28 wrote:
         | There's a pretty big difference between an "incorrect"
         | hypothesis and "fraud."
        
           | FeteCommuniste wrote:
           | Exactly. It's one thing to, say, do a study that arrives at
           | wrong conclusions because of insufficient controls or subtle
           | mistakes in statistics. Quite another to simply invent
           | patients or make up numbers.
        
       | satchlj wrote:
       | This should be the default scientific position, however because
       | people (including scientists) care greatly about their health and
       | the health of their loved ones, they are very likely to latch on
       | to things that they would like to be true
       | 
       | science is almost never practiced in its ideal form; maybe it's
       | _Time to assume that results from our scientific institutions are
       | flawed_ which is my assumption
        
       | jgeada wrote:
       | It is about time to focus on the right problem: management
       | standards that cause this crap to be pushed, and the effective
       | immunity from consequences companies have when they lie.
       | 
       | Why blame scientists when power is actually with management?
       | 
       | And why let management and investors get away with this? It is
       | about time "limited" liability had a pass through liability for
       | this type of stuff: if you lie, knowingly or not, there are
       | consequences and the consequences bypass limited liability. I bet
       | if that happens this type of crap would immediately cease!
        
         | nathanaldensr wrote:
         | Unfortunately, you yourself are assuming that the actors in
         | charge of holding people are accountable are _themselves_
         | trustworthy.
         | 
         | I feel we are approaching a singularity of low trust between
         | people. It's only getting worse. You can't trust the watchers
         | (journals) and you can trust the watchers' watchers
         | (governments and the law). You can only trust yourself at the
         | end of the day.
        
       | east2west wrote:
       | Already reached the conclusion when I saw a genetic researcher
       | presenting his p-value < 10^-40 as better than < 10^-10. I kept
       | my mouth shut because I didn't want to ruin the poor guy's moment
       | in the sun, but I knew it was time to get out.
        
         | function_seven wrote:
         | My naive understanding is that "smaller p-value" == "more
         | likely result is true".
         | 
         | I know there's always more nuance in statistical reasoning, but
         | the first number _is_ vastly smaller than the second one,
         | right? Is it just that both are hilariously tiny and not
         | credible? Or is there no additional value after you get into
         | the one-in-billions territory?
        
           | timy2shoes wrote:
           | > My naive understanding is that "smaller p-value" == "more
           | likely result is true".
           | 
           | I think you're making the classic Prosecutor's fallacy:
           | https://en.wikipedia.org/wiki/Prosecutor%27s_fallacy. In my
           | experience, smaller p-value tends to be more of a measure of
           | sample size than anything else, or an overly restrictive null
           | distribution that is almost certain to be rejected.
        
           | east2west wrote:
           | Exactly, numerical errors could easily have accounted for the
           | difference between already tiny p-values. The point isn't
           | that the smaller p-value isn't better than the bigger one, it
           | is, but that small significance should have been attached to
           | the difference.
           | 
           | This example is a gnome-wide genetic association study. Every
           | genetic variations are tested, so at least 500K or more
           | linear regressions were performed. This many statistical
           | tests could lead to many false positives just by chance, so
           | one must do multiple-testing corrections. The end result of
           | multiple-testing correction is much bigger and therefore
           | worse p-values. Hence the drive toward ridiculously tiny
           | p-values.
        
           | native_samples wrote:
           | Yeah I'm also mystified by that comment. You are correct that
           | smaller P is better. Those near physics level P-values are
           | not totally unheard of for genetics either, because they have
           | very large databanks with hundreds of thousands of data
           | points in them and the ability to do large analyses over
           | them, so they can obtain a lot of statistical power.
        
             | CrazyStat wrote:
             | Precision in p-values that small is more or less
             | meaningless in almost all cases, because any violation of
             | model assumptions will result in p-value imprecision far
             | greater than 10^-10. p-values are (almost always)
             | approximations based on an approximate model, and the
             | variation between the model and reality is probably more
             | than 10^-10.
             | 
             | Some tiny aspect of the real process that your model falls
             | to capture might mean that that 10^-10 is actually 0.001,
             | and 10^-40 is also 0.001. In complex biological fields it's
             | fair to assume that there are always such tiny aspects.
        
           | brilee wrote:
           | I estimate the risk of human error (chose the wrong modeling
           | assumptions, bug in data processing code, etc.) at least ~1%,
           | so there really isn't any point in claiming any statistic
           | that is smaller than that.
        
             | native_samples wrote:
             | P values in particle physics are much, much lower than the
             | base human error rate though. Unless you think those are
             | wrong?
        
           | rich_sasha wrote:
           | It would be, but such an imbalance of p-values is
           | unrealistic. 10^-10 probability? If your probabilistic model
           | includes even a one in a billion chance of messing up
           | (10^-9), a p-value of 10^-10 is already too small. That's
           | before you look at 10^-40... so they are probably both wrong.
           | 
           | A nice demo of this effect is DNA matching in criminology.
           | Although DNA matching of suspects to DNA samples can be
           | insanely accurate, in practice it is limited by the incidence
           | of monozygotic (identical) twins, which is about 3 in 1,000.
           | You cannot be more certain than this that you got a match,
           | essentially.
        
       | ajsnigrutin wrote:
       | Another problem with studies is, that negative results are rarely
       | published unless it's something really really "interesting".
       | 
       | "we tried treating X with Y, and it didn't help (even though in
       | theory it should have some effect)" is harder to get published
       | than "we treated X with Z in vitro and it killed all the cancer
       | cells (and noncancer ones too, whoops)".
        
       | briantakita wrote:
       | A major investor & leader in healthcare that shall remain unnamed
       | had a book "How to Lie with Statistics" in a public reading list.
       | It's a good book & a quick read. Highly recommended.
       | 
       | It's interesting that it takes an editorial to make people
       | suspicious of statistics, how statistics can be abused, & the
       | conflicts of interests that many people who utilize statistics
       | have. Sample bias needs to be treated as deliberate dishonesty
       | rather than a simple mistake. These people who make these
       | mistakes are professionals and should know better. Their code of
       | conduct should penalize them harshly for making these sort of
       | mistakes.
       | 
       | A strict code of conduct with harsh professional penalties are
       | necessary to remove bad actors who hide behind subtle lies that
       | have a major impact on public policy & public opinion. A slap on
       | the wrist means it's always worthwhile to lie with statistics. A
       | removal of license & banishment from the profession on the 1st or
       | 2nd offense would quickly remove the bad actors. This code of
       | conduct should also extend to the peer review process. If the
       | peers pass bad statistics, the peers need to be held accountable
       | as well.
        
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       (page generated 2021-07-19 23:00 UTC)