Trust in science by the public: lessons from Theranos and Covid…

I had lunch with a colleague yesterday and we both agreed that science has a serious trust problem with the public and specifically members of Congress. While science has long been regarded as a beacon of knowledge and progress, doubts and skepticism have taken root in the public’s perception. What are the root causes for the problem? To address this concerning issue, I think it’s useful to review the multifaceted factors that contribute to this dilemma and explore the path ahead to rebuild faith in the scientific enterprise, drawing insights from the infamous case of Theranos and our awful three years of pandemic.

One of the primary reasons behind the trust problem in science is the alarming rise of misinformation. In the digital age, information spreads like…well a virus… through social media platforms, often without undergoing rigorous scrutiny. Misleading articles, exaggerated claims, and distorted research findings can easily explode, leading to public confusion and distrust. The Theranos scandal serves as a stark reminder of how charismatic personalities and flashy presentations can deceive the public, perpetuating skepticism towards other scientific endeavors.

The replication crisis has significantly impacted the credibility of scientific research. Numerous studies have failed to replicate previously published findings, raising concerns about the robustness of scientific conclusions. Publication bias, where only positive or statistically significant results are published, exacerbates this issue, skewing our understanding of the true scientific landscape. The Theranos case, which involved fraudulent claims backed by insufficient data, highlights the need for greater scrutiny and verification of scientific claims to rebuild public confidence.

In an era where research funding often relies on private sources, conflicts of interest have become a pervasive issue. Scientists may face pressure to produce results that align with the interests of their funders, compromising the objectivity of their work. Similarly, the influence of industries on research outcomes can raise doubts about the independence of scientific findings. The Theranos scandal demonstrates the potential dangers of unchecked C-suite influence, underscoring the urgency for transparency and accountability in scientific research. The same is often true in academia where the leadership is looking for breakthroughs to impress alums and raise money.

Scientists often struggle to effectively communicate their work to the general public. Complex jargon and technical language can alienate the public and create a disconnect between scientific advancements and their real-world implications. Bridging this gap requires investing in science communication training for researchers, encouraging them to engage with the public through accessible language and relatable examples. In the case of Theranos, miscommunication and overhyped promises conned a pretty distinguished board.

Science is not immune to political polarization, and ideological biases can influence the interpretation and dissemination of scientific research. When scientific findings clash with deeply held beliefs, individuals may reject or distort the evidence, further undermining trust in science. Our collective recent experience with COVID and the mRNA vaccine technology crystallizes this problem.

The erosion of trust in science is a multifaceted issue that demands a collective effort from scientists, institutions, and the public. Drawing lessons from the Theranos scandal and what happened with the pandemic, we are reminded of the importance of combating misinformation, addressing replication challenges, promoting transparency, enhancing science communication, and fostering evidence-based reasoning. Rebuilding trust in the scientific enterprise requires persistent dedication and a willingness to learn from past failures. By acknowledging the uphill battle ahead and implementing measures to restore credibility, I’m hopeful we can reignite faith in science and its potential to shape a better future.

Another COVID lesson: don’t forget to invest in Bioinformatics…

I read the other day that the US excess deaths rate is back down to where it was before the pandemic. We’ve really turned the corner and that’s why it’s critical to begin pinpointing the lessons from the past three years that will help us manage the next pandemic better. One of them has been floating under the radar: bioinformatics. To my mind, investing in bioinformatics research and infrastructure could help strengthen defenses against future threats.

So what might we invest in? For one, advanced DNA sequencing and computational epidemiology allow earlier identification of outbreaks before widespread escalation. Bioinformatics enables tracking of pathogen spread and evolution in near real-time to inform containment plans. Simulation models can evaluate intervention scenarios and quantify outcomes.

For another, bioinformatics can accelerate development of medical countermeasures needed to combat novel pathogens. For vaccines, computational genomics and immunoinformatics enable rapid design of candidates based on the genomic profile and evolution of the pathogen. Researchers can construct customized mRNA and DNA vaccines within days once the genetic code is available. High-throughput in silico screening also allows existing drug libraries to be scanned for molecules with potential antiviral properties that could be repurposed. Promising hits can undergo rapid in vitro confirmation. Beyond repurposing existing drugs, bioinformatics can identify molecular targets for designing new broad-spectrum antiviral drugs. As the pandemic spread, researchers leveraged bioinformatics to adjust RT-PCR diagnostic assays to detect the emerging SARS-CoV-2 virus. Going forward, integrative analytics of disparate datasets along with artificial intelligence modeling may provide critical epidemiological insights for contingency planning against future threats. Overall, bioinformatics provides a valuable toolkit for developing tailored diagnostics, treatments, and vaccines in response to novel pathogens.

And…Large Language Models married to bioinformatics and in-silico modeling of molecular dynamics may have the potential to accelerate progress. Already, we are hearing of such transformer models trained on genes instead of words.

Bioinformatics is clearly only a piece of the pie. Robust traditional public health systems remain essential. However, bioinformatics infrastructure offers complementary capabilities to help monitor, model, and respond to outbreaks. Supporting bioinformatics R&D and next-generation sequencing infrastructure could provide valuable capabilities. As policy is developed, the potential of bioinformatics could be considered as part of a comprehensive biopreparedness strategy.

Lessons Learned from the US Covid Response

I went to a Chatham House Rules lunch today at AEI and joined with fellow DC Swampians to talk about what we’ve learned from the whole of government response to COVID here in the US. It’s a worthy topic and I think the collective experience was sufficient to provide some decent consensus on what might have been done better. At the center of the conversation was the issue of trust in science. Surrounding that donut-hole (perfect metaphor) was a human capital problem–we don’t train folks to manage crises of this scale.

Another reason for Mason grad students to register for my Fall course on managing large-scale US government crises (self-recommending as Tyler would say).

Research Impact Bonds Idea: Hokum

Michael Hill is head of grants management at the Swiss National Science Foundation. His idea for research impact bonds as a novel funding mechanism is in Nature, here. The idea is to take on a challenge/prize set out by the funding agency and have investors take on the risk by holding a ‘bond’ that pays out their principal plus interest if the project succeeds. I think it’s bunk. The most important scientific advances are not based on ‘moonshot’ frameworks. They are quite often the results of a benchtop ‘accident’ that reveals something entirely unanticipated.

And, in the case of something like LIGO and gravitational waves, what kind of investor would take on that risk in the first place (rigorously determining a movement in space-time less than the diameter of a proton)? You’re right: only the NSF–which essentially went double or nothing on $500M to achieve success. Not the kind of stuff that can be financialized.

To his credit, Hill acknowledges a lot of my critique. But I’d go further: if science can be financialized with a bond-like framework, then let the private sector have at–as in Bell Labs. We call that applied science.

The Three Body Problem in Nuclear Arms Control

From this morning’s NYT, here. A nice quote from my former boss:

France A. Córdova, an astrophysicist and past director of the National Science Foundation, said the study of three-body phenomena in the natural sciences could nonetheless help reveal the military risks. “Things are changing very rapidly,” she said. “Anything that helps in understanding that is great.”

William J Broad New York Times, June 27, 2023

One of President Obama’s favorite science fiction novels was “The Three Body Problem” by Liu Cixin. So of course, I read it, and that’s how I learned about the complexity science side of three newtonian bodies interacting with one another (in the case of the novel it’s triple-star system). But I hadn’t thought about the issue in terms of nuclear arms control (China, Russia and the US). Broad’s idea here is that while things were relatively simple with the diad of the Cold War, nuclear deterrence will become less manageable as China builds out its ICBM force. To my mind, the whole premise is kind of moot, because we haven’t had a diad for some time. France, India, Pakistan, Israel and North Korea come to mind right away. The point is: (which the article notes correctly) it isn’t the size of the missile force. Rather it’s the existence of the force itself. Nuclear weapons geopolitics has been multipolar for some time.

However, the idea that complexity science may have something profound to tell us about geopolitics *is* quite interesting. Within that framing, should we think of the relevant agents as Westphalian nation states (as in the game Diplomacy)? Or going along with Thomas Carlyle, are the agents the human leaders of those states?

Christof and David’s bet…

My old friend, Christof Koch had to pay off his bet to David Chalmers with a case of wine because we haven’t yet figured out the neurobiological substrate of human consciousness (the hard problem variety), but I think there’s something bigger going on with the field right now–namely the question of whether ChatGTP’42’ will be deemed sentient (no more fired employees Google) and it will be revealed that consciousness is an emergent or even an epiphenomenon of complexity. Meaning, we still won’t understand it as a reductionist would want to. That’ll be a big problem for Popperian science.

RIP Donnie McKethan

Donnie McKethan passed away on June 19, 2023. His Sunday afternoon radio show on WPFW, The American Songbook was beloved in the DMV for over 20 years. With the advent of the Internet, he had listeners all around the world. Donnie got a lot of us through the pandemic with his musical programming and his knowledge of the canon was encyclopedic. And … he loved hot and humid weather, so it’s appropriate that he was from Washington DC. WPFW will be honoring him with a special musical tribute all day on Tuesday July 4. RIP.