SCI MAG Editorial: An Epidemic of Politics

From: Brett Paatsch (paatschb@ocean.com.au)
Date: Tue Feb 18 2003 - 23:47:20 MST

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    Interesting the stuff that the editors of the leading science journals
    deem worthy of discussion sometimes.

    I caught this one in the Jan 31 edition of Science.

    http://www.sciencemag.org/cgi/content/summary/299/5607/625

    An Epidemic of Politics
    Donald Kennedy

    "Americans have come to accept the role of politics in the
    appointment of certain kinds of public officials. Few of us
    are surprised, though some may be disappointed, when a
    federal judgeship is awarded because the candidate passes
    a litmus test of loyalty to some principle important to the
    president's party. Scientific appointments, however, should
    rest on more objective criteria of training, ability, and
    performance--at least, that's what this community has always
    believed. Thus we can view with relative calm the interrogation
    of a future secretary of Health and Human Services (HHS)
    about his views on abortion. But it seems out of place when
    appointees to scientific advisory committees are subjected
    to tests of political loyalty. And study section membership,
    which involves peer review of scientific proposals, surely
    ought to be free of such barriers to entry.

    During the past fall, Science published several news stories
    related to this practice. One involved the wholesale
    replacement of members of the advisory committee to the
    Centers for Disease Control and Prevention's (CDC's)
    National Center for Environmental Health, without
    consultation with the center's director. Another involved
    CDC's Advisory Committee on Lead Poisoning and
    Prevention. Still another covered the National Human
    Research Protections Advisory Committee and the Advisory
    Committee on Genetic Testing. Perhaps most telling was
    the revamping of the membership of the study section that
    evaluates grants for the study of workplace injuries for the
    National Institute of Occupational Safety and Health.
    Advisory committees might have been vulnerable to
    occasional stacking of this kind in the past, though it is
     a bad idea. But study sections?

    The present epidemic, in which advisory committees are
    shut down and reassembled with new members, and
    candidates are subjected to loyalty tests, seems old hat
    to some observers. "After all, that's fairly standard practice,"
     we have been told by officials in HHS. Well, it isn't--or
     at least it wasn't. What's unusual about the current
    epidemic is not that the Bush administration examines
    candidates for compatibility with its "values." It's how
    deep the practice cuts; in particular, the way it now
    invades areas once immune to this kind of manipulation.

    In this space in the 25 October 2002 issue, Science
    published an editorial by David Michaels and a group
    of colleagues. Several were distinguished former public
    servants who had been involved with some of the
    committees in question, and they brought a useful
    personal-experience perspective to the matter. Their piece
    was a story in itself, but what followed was even more
    interesting. It loosed a volley of letters to us in which
    scientists told of similar experiences. Here are two examples:

    A nominee for the National Institutes of Health Muscular
    Dystrophy Research Coordinating Committee is vetted
    by a staffer from the Office of White House Liaison,
    Health and Human Services. After being asked about her
    views on various Bush administration policies, none of them
    related to the work of the committee, she is asked whether
    she supports the president's embryonic stem cell policy.

    A distinguished professor of psychiatry and psychology
    receives a call from the White House about his nomination
    to serve on the National Council on Drug Abuse. His
    interviewer declares that he must vet him to "determine
    whether he held any views that might be embarrassing to
    the president." A series of questions follows, into which
    the interviewer interpolates a running score, viz.: "You're
    two for three; the president opposes needle exchange on
    moral grounds regardless of the outcome." He then asks
    whether the candidate had voted for Bush, and on being
    informed that he had not, asked: "Why didn't you support
    the president?"

    This stuff would be prime material for a Robin Williams
    comedy shtick, but it really isn't funny. The purpose of
    advisory committees is to provide balanced, thoughtful
    advice to the policy process; it is better not to put the
    policy up front. As for study sections, deciding which
    research projects to support has always been a matter
    for objective peer review. Political preferences are for
    the pork barrel, and the Congress is already doing too
    much of that. Indeed, the applicable statute for all this--
    the Federal Advisory Committee Act--specifically requires
    that committees be balanced and "not inappropriately
    influenced by the appointing authority." It would be a
    good idea for HHS Secretary Tommy Thompson and the
    White House Personnel Office to read the law, and then
    follow it."



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