USPSTF recommendations: Demanding manipulation from science

The recent uproar over the new screening mammography recommendations got me thinking about a lot of stuff. One of the lessons cited by some journalists and pundits is on how potentially volatile information should be presented to the public. The USPSTF was excoriated by critics not only for what it said, but how it said it. While the objections over the former can be dismissed as ravings of loud and poorly informed voices deliberately trying to hijack public opinion, the latter criticism is more insidious.

Some intelligent and balanced observers noted that the USPSTF really should have foreseen the fallout and laid the groundwork to make the sting of the recommendation less pronounced. In the corporate world this is called "making the rounds". This means that, when you have an idea, it is not enough just to present it on its merits in a group forum. Indeed, you must go around to those whose opinions matter and get them to sign on to your idea before you make it public. In this way, by furthering your relationships, you manipulate the outcome in your favor. This can take countless hours, but this is how things generally get done in the world of business.

The world of politics is similar, in that many reforms and decisions are dependent on behind-the-scenes deal-making between politicians. These clandestine transactions, the theory goes, assure the appearance of a successful outcome in the light of day. And a victory necessarily begets other victories.

Well, to be sure, science and academia are not immune from such politicking and manipulation. In fact, I have heard some assert that our academic institutions are the most politically charged enterprises, even more so than business and politics. So, in that respect, it is not unreasonable to expect some round-making prior to spilling the mammography beans. But what if we question this premise? What if we insist that science remain the last frontier shielded from political influences? I would argue that this should be our only stance on science, be it climate science or medicine. Science should be judged on its merit only, and not on its political ramifications.

In a society where business and political message machines spend countless dollars on market research surveys to package their manipulations to get us to follow their political and consumerist directions, the public is now angry that the USPSTF, a scientific body, did not take the time to effect an elaborate manipulation scheme to get the loud dissenters, and the rest of us, on board with their recommendations. Is it not outrageous that we, American adults, expect, and even demand, such manipulation instead of the straight unadulterated truth?

This is a sad reality of our time, following decades of indoctrination by marketers, educators and other "experts", to become compliant little consumers that we are today. How easily we are stirred into a rage by callous reporting and special interest demagoguery is telling. We are a mirror-mirror-on-the-wall society: we will not tolerate any truth that does not fit our conveniently preconceived notions of specialness and entitlement. And while this attitude gives us a peaceful soporific feeling one gets following a psychotic rage, it will make it that much more painful when this consumerist fog is replaced by the reality of shortages, as our cheap energy supply dwindles. Unfortunately, by then, it will be too late for the truth to set us free.

There is still time, though! Turn off the television, stop listening to and reading mass-produced messages designed to make you a quiet lemming on its way off the cliff. Focus closer to home, build your local community. And, yes, talk to your doctor about your mammography concerns -- you will surely walk away with a more satisfying conclusion and a feeling of self-determination.

Civic involvement: a communist plot?

Absurd, you say? Not at all!

That paragon of intellectual reasoning, Glenn Beck, has been conjecturing that the new call to volunteerism by the Entertainment Industry Foundation is a giant mind control experiment by Obama aimed at fostering zombie-like agreement from unquestioning public. Really? He is worried that we will soon find ourselves in Mao's China. Hmmm, very interesting.

Coincidentally, a recent study from the University of Massachusetts, Amherst, showed that in a large cohort of baby boomers, what determined happiness and fulfillment was not the relentless pursuit of money, but... you guessed it, giving back to the society through such activities as volunteerism!

So, why does Glenn, being an authority on everything, from politics to science to history, worry about rampant volunteerism promoting a totalitarian system? Well, the answer is he is not. That's right, he is not. These are the same tactics traditionally used to derail healthcare reform. Remember Reagan's ads in the Truman era equating socializing medicine to a descent into the Nazi Germany and Communist Russia? These are blatant lies, but they strike at the core of our national fears. This is exactly what Glenn and his cohorts are doing -- fanning the flames of the cold war left-overs. Why? The answer to this is surprisingly simple: to keep us down.

The message of the UMass study is very clear: single-minded pursuit of money leaves a spiritual void that can be filled only by civic engagement. This thought is subversive: if the population is fulfilled, they are potentially less prone to manipulations of consumerist marketplace, and they may even see through the deception of the wealth myth (work harder to make more has not been the case in the last 30 years for 80% of the American workers). Such mass epiphany would threaten the stranglehold that conglomerates such as Rupert Murdoch's has on our national consciousness. Simply put, Glenn and other minions are terrified by these developments because their message machine will become impotent and unable to sell us the bill of goods that has so successfully kept them in style and the rest of us in painful conflict.

So, be afraid, Glenn, be very afraid! Civic involvement builds communities. Strong communities can in turn guard from yours and other media propaganda. Strong communities create healthy and caring individuals, the best antidote to your cynical attempts to keep us isolated and unhappy and unsuccessfully filling the void with plasma screen TVs, new cars, in need of ever-increasing fixes of these false gods. Strong communities are anathema to anti-healthcare reform rhetoric: if we know and care about our neighbors, the impersonal healthcare disaster stories we hear today gain a very personal dimension. In strong communities your media noise is replaced with family conversations, and children learn to respect others and themselves. This is exactly why your fears are justified, Glenn (and Rupert). In a nation starved for real values and happiness, civic involvement will prevail, and your empire of cards is sure to collapse. Good riddance!