A Few Billionaires Are Turning Medical Philanthropy on Its Head
bloomberg.com
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No single person did more damage to the progress of Medical Science than Ancel Keys [1]. Dr. Keys hypothesized that heart disease was caused by the consumption of saturated fats, and recommended that people avoid the consumption of animal fat, in favor of deodorized polyunsaturated vegetable oil.
We now know that partially-hydrogenated oils (such as were used in Crisco, before it was reformulated in the early 2000's) are the real villains. But the grocery store shelves are still lined with 'healthy' Safflower, Soybean, Corn, and Cottonseed oils.
[1] https://en.wikipedia.org/wiki/Ancel_Keys#Seven_Countries_Stu...
The drug industry has done a lot of damage too. For example, Doctors have spent decades suppressing cholesterol levels, instead of trying to figure out the meaning of high cholesterol levels. Dissidents against the cholesterol hypothesis have been gaining traction in recent years, even among the professional class.
In Anatomy of an Epidemic, [2] Robert Whitaker covers how the pharmaceutical industry conquered the psychiatric profession in the 1980's.
[2] http://robertwhitaker.org/robertwhitaker.org/Anatomy%20of%20...
Teamwork is different than collaboration. In teamwork intellectual pursuits can achieve great success, but collaboration needs to be tempered, because many times collaboration means just talking and sharing with weaker members, but teamwork is an ability to effectively communicate, form and dissolve efficiently collaborative groups to optimize for results... That's how I've always separated the two words, might not be for everyone that definition.
Also the other great provider of innovation is pressure towards a definable goal, which most organizations lack looking at them as an external, which doesn't mean I'm accurate, but does cause me to question whether this could be an issue that'll need to be addressed. The singular approach had this goal oriented approach build in by its very nature and the collaboration leads to security and it can be difficult to inspire the same degree of engenuity.
Wrote from my mobile, so please consider that before you play wack a mole with my comment.
Would you say "so says the cryptographer" to circumscribe something that `tptacek says about cryptography?
> One theory as to why statins have a small degree of influence is that they actually have an anti-inflammatory action. When my father talks with his patients, he finds many of them couldn't tolerate statins' side effects.
Given the predictable effects of LDL-cholesterol lowering on MACE and death, invoking beneficial mechanisms of statins beyond LDL-cholesterol lowering (e.g., by anti-inflammatory effects) is not that well supported (or necessary to explain the benefits), but it's not out of the realm of possibility.
If there were differing opinions and results on some computer science subjects by different specialties (cryptography, data science, language design, algorithms, etc), then yes.
The American Heart Association still promotes Ancel Keys' dietary philosophy, so everything they touch is tainted. An appology for The Mistake (promoting vegetable oil) is necessary to begin the process of rebuilding trust.
I subscribe to a medical news email - one of the recent editorials was about needing to re-examine the profession's obsession with cholesterol. When I find the link I'll post again. But basically the gist is that the CETP agents are good at lowering cholesterol levels, but not so good at lowering mortality, so maybe the hypothesis needs to be reconsidered.
Unusual for cholesterol modification agents, some of the CETP drugs (which were designed around their HDL-C raising properties but do lower LDL-C) increased MACE, while others had neutral effect, so there is something about CETP that we have yet to understand.
"Should cardiologists evaluate their obsession with LDLs and HDLs?" - http://www.kevinmd.com/blog/2016/04/should-cardiologists-eva... (April 2016)
Saw this link on the sidebar:
"Slow Medicine: Pressing Pause on Statins For Primary Prevention" - http://www.medpagetoday.com/Blogs/SlowMedicine/61836 (December 4 2016)
I would estimate that the cholesterol fetish has about 2 more years before it begins to slide into irrelevance, and the field begins to refocus on the causes behind the symptom.
A classic fun movie clip: https://www.youtube.com/watch?v=02Or-Hx3yqc
> So says the cardiology fellow…
For the record, I was traveling when I wrote this and my later comments. If I'd had a keyboard, and had spent more time drafting, I might've said things differently.
I wanted to point out that the carbocation has a vested interest in promoting statins. I note that carbocation never responded to the substance of my comments: that an old science-mistake that has never been officially corrected contributes to many people's health problems. That inflammation -- caused by the consumption of partially hydrogenated oils and Omega-6 PUFA oils -- is a primary consideration for heart problems, moreso even than cholesterol lab #'s.
In summary, I apologize for being short and less-than-courteous yesterday. It was a combination of not having a keyboard for my followup posts, and responding to someone whose initial post was entirely dismissive of the 'dissidents' complaints about the drugs that [s]he apparently thinks highly of.
Your views on inflammation aren't right or wrong; they're speculative. Some evidence can be interpreted as supporting the inflammation hypothesis (JUPITER trial), other evidence suggests that much of what we measure as a sign of inflammation has no direct impact on CAD (see the CRP Mendelian randomization). So, this is still an active area of research.
I'm probably in the category of people they might be prescribed to - 52, year male, bit overweight, otherwise healthy, but I'm kind of a believer in if it ain't broken don't fix it and so will risk it.
The "cholesterol hypothesis" is kind of a different thing.
In higher-risk groups in the same timeline (this time, 5 years)[1][2], or in other analyses such as the Cochrane analysis [3], statin use for LDL-cholesterol lowering is demonstrated to be effective even on those same short timescales for reduction in mortality. Whether it's cost-effective to do this at scale is not clear.
1 = https://www.ncbi.nlm.nih.gov/pubmed/16214597
I've been talking to a colleague this week, who casually observed to me that I will be dinged in my annual reviews if I'm not perceived to be "a team player". People don't understand that only the most trivial jobs are done "collaboratively". When you're digging a ditch, you need a team. When you're making an intellectual effort, you need to encourage individual effort or you'll just get a herd of researchers rehashing known results. That's the major problem with "team science", and Parker is doubling down on this.
Teams really help immensely. The original definition of corporation was "a group of people that joins together to do something", like making a bridge, or sailing half of the world when those activities were risky, dangerous and hard.
There was a time in which sailing meant 2 of each 3 ships were sink by storms, or pirates. Romans will kill you if the bridge you build was weak.
But the team members must be great individually and complement each other. For example the group that invented the transistor, aerospacial rockets or the integrated circuit, or the microprocessor were a heck of a team.
In the US individualism means the individual mindset is favored over anything else. In the rest of the world it is the other way. For example in Japan going alone is suicidal, "The nail that sticks out shall be hammered down".
I would say the best system is some of both systems.
When Steve Jobs was ousted of Apple his number one priority with Next was having success so he could maintain the best people of his team. And it was not a secret, he will tell you.
If you're making an intellectual effort and none of your colleagues have relevant input on (intermediate) results, then either your colleagues are extremely mediocre or you are blind to their contributions. In either case: you could probably produce better results with input from others.
E.g. a surgery team with a surgeon, an anesthesiologist, a few nurses who are specialized for surgery, etc. Such a team would never work if every member had the same say in the decisions.
Ditto with airplanes and ships where you always have one person with the final say.
Sometimes, we're actually within striking zone of these targeted diseases and funding more translational research is good. Other times, we still don't understand the underlying diseases well enough, and so we still need to do an enormous amount of basic science before trying to cure these diseases in the clinic. A team of good scientific advisors who are at the cutting edge of their respective fields can provide the insight and decision-making that this needs, to extract the maximum value from the money provided.
There are many example of very wealthy individuals of the 19th and 20th century who gave a lot and it still lives to that day.
Hacking research, and medical research in particular, is beneficial to everyone. It would be helpful to figure out a way for more people to contribute rather than throwing out your political feelings.
Though they don't use the terminology, most people have a beef with modern corporatism more than capitalism itself. Things like individual property rights and fairly enforced contract law are certainly humane.