Category Archives: Media – newspapers

Mass medication

Polly Curtis of The Guardian has an interesting news piece in today’s edition. Roger Boyle, who is the British government’s health tsar, wants every man over 50 to take anti-cholesterol drugs on a daily basis.

Us menfolks aren’t the only ones coming in for scrutiny: he says all women over 60 should be given statins too. He says this would save hundreds of thousands of lives from cardiovascular disease.

Professor Boyle, the Department of Health’s well-respected national director for heart disease, said the benefits of the cholesterol-busting drugs were proven and the side-effects were among the mildest of any drug. But he said the current method of identifying those at risk was long-winded and meant some people could be waiting too long to take statins.

However, he points out that the public isn’t ready for this blanket approach and that choice is “still an important thing”.

I don’t know how I’d react if I was told: “You’re a certain age, now start taking your pills.” I’d probably freak and refuse to take them on general principal (nothing breeds defiance like being told what to do). But if it can stave off the risk of heart disease with only the mildest of side-effects it might be a course worth pursuing.

I can see the logic in Prof Boyle’s proposal. It would save lives — many, many lives. As a physician employed to oversee strategies to safeguard his nation’s health, this is Boyle’s priority. But it would override the basis of a free society: choice. Acceptance of this policy would require a revolution in cultural thought.

That said, there are ways to accommodate it without coming off as tyrannical. Merely making the drugs available free of charge for all men over 50 would help encourage use without making people feel as if they had to take them. It won’t save lives on the scale envisaged by Boyle but it would save more than the current medication regime does (about 10,000 according to The Guardian).

Of course, this is Britain. Other nations may feel more accommodating to mass medication with statins.

In fairness to Boyle, he’s thinking big. That’s his job. It’s refreshing to see suggestions that would work on a national scale rather than getting bogged down in regional concerns.

Will his proposal ever come off? Not in its current form. But with a few tweaks and moderations, it may be the way forward for state-backed healthcare. A way forward, at least.

Doctors and extremism

I have issues with Clive Cookson’s article “Value the ‘great Arab doctor’ ” over on the Financial Times website.

His commentary is about the recent terror incidents in the UK, when a group including several doctors — all from outside Britain — attempted to detonate two car bombs in London and drove a Jeep into the terminal at Glasgow Airport.

Cookson makes a few interesting points and gets off to a relatively good start, followed by this in the second paragraph:

(I)t is naive for the world in general to imagine that the medical profession somehow contains “better” people who are less likely to kill for a cause than those in other walks of life.

I’m not sure if the world really does imagine this given the legacy of men such as Josef Mengele, but I agree it would be naive to do so. No profession can claim its members are all on the straight and narrow.

Then the article falls down:

Once one accepts that violent revolutionaries may come from relatively prosperous backgrounds, then doctors are an obvious recruiting ground for extremism – particularly in the Middle East, where medicine has long been one of the largest and most prestigious professions. The great tradition of Islamic medicine, established during the Middle Ages, still resonates today in the Arab world.

WTF? “An obvious recruiting ground for extremism”? That’s a seriously big jump. I have no idea how he is linking a career’s prestige with extremist viewpoints. Surely a more obvious “recruiting ground” would be a university, where young people feeling lonely or lost in the milieu can be swept up with a cause that gives them purpose. I think the real key to this paragraph is “largest”: it’s logical to assume that a large base will throw up a greater number of oddballs. It does not mean the profession itself is attracting or breeding them.

His use of geography to illustrate this point baffles me even further — if such a “prestigious” profession can inspire violence then surely the same is true in most regions, not just the Middle East. (On a historial note I take issue with his use of the term “Middle Ages” in relation to Islam; it’s an imprecise term more suited to European history.)

The article then makes reference to medicine’s “long history of involvement in revolutionary violence”, with reference to Joseph Guillotin (for whom the execution device is named) in the French Revolution and Che Guevara.

Even more relevant to the events of the past week is the leadership provided by physicians in the Arab world’s revolutionary movements of the late 20th century. George Habash, a paediatrician from a Christian Palestinian background, founded the Popular Front for the Liberation of Palestine, which became notorious for hijacking aircraft in the early 1970s. Several senior figures in Hamas and Islamic Jihad, including Mahmoud Zahar, Abdel Aziz Rantisi and Mohammed al-Hindi, trained in medicine.

There’s trained in, and then there’s practicing. Habash was not working as a doctor (unlike most of the men in the British incidents) when he became involved with extremism, although I can’t speak about the others referred to above.

I’m not sure if “leadership” by physicians is relevant; Michael Collins was a civil servant and adept bookkeeper, Castro studied law and Mao was an assistant librarian at one point. Are we to think of these professions as being potential hotbeds of revolution? If a civil servant leads a coup d’etat somewhere in the world, are we immediately going to point to Michael Collins as his antecedent?

With hindsight, what is more surprising than the involvement of doctors in a terrorist plot is their incompetence in carrying it out. Doctors are practical people, with a scientific training, who might have been expected to explode a car bomb successfully

Not necessarily. As French anti-terror expert Dominique Thomas has said: “You can find videos on the Internet from Iraq on how to booby-trap a car. But carrying it out is not as simple as people might think.” (And if you want to know about incompetence in carrying out terror activities, read Ed Moloney’s A Secret History of the IRA — and those people were supposedly serious terrorists.)

The young men from humble backgrounds who carried out the July 7 attacks in 2005 were more effective suicide bombers than the two professionals who drove a vehicle laden with petrol and gas cylinders into the Glasgow airport terminal.

Since when does professionalism equate to “superior terrorist”? I refer you to the above quote from Thomas. I also refer you to this AFP article, where various analysts make it clear that these doctors were unlikely to have been trained in terror activities.

It’s unfortunate that the point of Cookson’s commentary is left to the very end. After referring to anecdotal evidence of patients “cancelling medical appointments with doctors who have Arab or Islamic-sounding names”, he writes:

Any loss of public confidence in Arab or Muslim doctors – and discriminatory measures that would make it harder for physicians to come to work in Britain from the Middle East than from other parts of the world – would be a tragedy for the NHS. There are still “great Arab doctors” working in Britain today and, if we encourage them, there will be more in future generations.

Which is a very, very good point. The wrongs of a few tearaways should not be visited upon their countrymen. Unfortunately humans are fucked up in this regard and tend to tar everyone with the same brush. Will we ever learn?

Am I making valid critiques of an otherwise very good journalist, or has he just caught me on a bad day? I invite your comments.

Words fail me

A friend of mine described this as one of the cheekiest covers in the history of news reports… and I have to agree. From the Polish weekly Wprost:

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That’s German chancellor Angela Merkel with Polish president and prime minister Lech and Jaroslaw Kaczynski, by the way. The headline translates as “Europe’s stepmother”. Read how the magazine (predictably) got in trouble with the German press here.

Dow Jones independece

Writes Sarah Ellison of The Wall Street Journal:

Dow Jones & Co delivered a proposal to safeguard its editorial independence to News Corp on Friday, the first step in a negotiation between the two companies about a possible takeover by News Corp.

News Corp officials reacted coolly to the document, which outlines broad protections for The Wall Street Journal and other Dow Jones properties.

It apparently “calls for a Special Committee on Editorial and Journalistic Independence and Integrity” and “would limit News Corp’s ability to control the use of The Wall Street Journal brand”.

Good luck Dow Jones. Given Rupert Murdoch’s reputation for interfering with his publications’ content, I’m fairly sure this is a non-starter. Expect a watered down version to emerge at the 11th hour as News Corp bids to clinch a deal.

Read the rest of the (extremely short) story here.

When news goes wrong

Newseum has a short, interesting article up on how many newspapers made fairly hefty mistakes covering the Titanic‘s sinking. The Los Angeles Express rang with the heading “All passengers are safe”, while The New York Herald had “The Titanic Sinks With 1,800 on Board; Only 675, Mostly Women and Children, Saved”.

There were 2,200 people on the Titanic, of whom 1,500 died.