{"id":50,"date":"2009-01-06T16:41:42","date_gmt":"2009-01-06T15:41:42","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=50"},"modified":"2009-01-07T11:17:10","modified_gmt":"2009-01-07T10:17:10","slug":"a-bad-day-to-detox-and-a-diversion-to-mill","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2009\/01\/06\/a-bad-day-to-detox-and-a-diversion-to-mill\/","title":{"rendered":"A Bad Day to Detox&#8230; and a Diversion to Mill"},"content":{"rendered":"<p>Sense about Science are truly wonderful people, but, I fear, are engaged in a somewhat futile attempt to rid the world of gobbledygook.\u00a0 Nevertheless, with Stakhanovite determination, they&#8217;re <a href=\"http:\/\/www.senseaboutscience.org.uk\/index.php\/site\/about\/282\">putting the boot into the detox industry<\/a>.\u00a0 Again.\u00a0 On a similar theme, <a href=\"http:\/\/www.badscience.net\/2009\/01\/the-barefaced-cheek-of-these-characters-will-never-cease-to-amaze-and-delight-me\/\">Ben Goldacre showed his mettle on <em>Today<\/em> and elsewhere<\/a>.<\/p>\n<p>I wish them luck, but I don&#8217;t think that that&#8217;ll make any difference in the long run.\u00a0 Noone&#8217;s going to stop selling detox kits any time soon, because it&#8217;s very easy to sell them and thereby to make a great deal of money very easily.\u00a0 Fair play: I wish I&#8217;d had the idea.<\/p>\n<p>And why do people keep buying this stuff?\u00a0<\/p>\n<p>Undoubtedly, part of the reason why what Goldacre calls &#8220;nutriwoo&#8221; wins out over the claims of proper science is that\u00a0<a href=\"http:\/\/en.wikipedia.org\/wiki\/Gillian_McKeith\">Gillian McKeith<\/a> is a better communicator.\u00a0 Real science is complicated to the uninitiated, and crushingly dull most of the time.\u00a0 But I suspect that that&#8217;s not the whole deal.<!--more--><\/p>\n<p>Here&#8217;s my hunch: detoxing fits very easily with the mythology that there are good and bad foods.\u00a0 (You can\u00a0identify &#8220;bad cholesterol&#8221; easily &#8211; it&#8217;s the stuff wearing a top hat and cape and twiddling its moustache while chucking in a maniacal yet fatty way.)\u00a0 Now, it might be necessary to simplify advice about diet and lifestyle to some degree &#8211; but the danger is that talking about good and bad and super foods distorts one important fact: that, with the possible exception of copper sulphate sandwiches, there is no such thing as bad food.\u00a0 There is bad diet, and poor lifestyle.\u00a0 (I heard someone on the radio a couple of weeks ago talking about an expedition to the pole.\u00a0 She was thrilled about the fact that she <em>had to<\/em> put on weight over Christmas.)\u00a0 The food is good or bad depended on why it&#8217;s needed.<\/p>\n<p>Yet the &#8220;bad foods&#8221; myth is attractive.\u00a0 It&#8217;s attractive to policymakers, whose job is partly to give advice to the many who simply don&#8217;t know where to start: if you want the public at large to eat more healthily, then you have to make it easier &#8211; and this means <span style=\"text-decoration: line-through\">dumbing<\/span> paring things right down.\u00a0 As long as it makes a difference to the health of the population, that&#8217;s not a problem.<\/p>\n<p>And it&#8217;s also attractive to the public, because they can blame their problems (and pin their hopes) on the food that they eat.\u00a0 In other words, there&#8217;s an absolution of responsibility.\u00a0 It&#8217;s not the consumer&#8217;s fault that he&#8217;s so fat that he has his own moon &#8211; it&#8217;s the fault of the bad food.\u00a0 Pernicious cholesterol!\u00a0 And, given the choice, who wouldn&#8217;t believe that?\u00a0 And, given the choice, who wouldn&#8217;t prefer to believe that, by detoxing, they can shift all the badness and clear their poor benighted system for more lovely, lovely chips next week?<\/p>\n<p>(I don&#8217;t want to sound all right-wing about responsibility here.\u00a0 Often people simply don&#8217;t have the education or background attitudes to make more sensible choices, and that&#8217;s a social failure at root.)<\/p>\n<p>But what has this to do with Mill?\u00a0 Well, it illustrates one of the worries I have about Millian defences of intellectual freedom in <em>On Liberty<\/em>.\u00a0 Remember that Mill wants to say that, in a marketplace of ideas, the true stuff will survive scrutiny and the false claims will be exposed as such and cast aside.\u00a0 This is a lovely idea &#8211; but the detox stuff strikes me as being a threat to it.\u00a0 For here&#8217;s a lovely example of the true accounts being available should people want to access them &#8211; that detox is a crock is hardly news &#8211; and the false accounts being debunked again and again, but surviving anyway.\u00a0 What the Millian account doesn&#8217;t notice is that people don&#8217;t always <em>want<\/em> truth &#8211; they want reassurance.\u00a0 Detox programmes provide that.<\/p>\n<p>I&#8217;ll fully admit that this thesis is probably as full of holes as the Jarlsberg I&#8217;m currently purging through my system.\u00a0 Comments would be welcome.\u00a0 When it comes to McKeith, though, remember that she probably has feelings too.<\/p>\n<p>And lawyers.<\/p>\n<p>Mainly lawyers.<\/p>\n<p>So save your bile &#8211; we can analyse it later and televise the results.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sense about Science are truly wonderful people, but, I fear, are engaged in a somewhat futile attempt to rid the world of gobbledygook.\u00a0 Nevertheless, with Stakhanovite determination, they&#8217;re putting the boot into the detox industry.\u00a0 Again.\u00a0 On a similar theme, Ben Goldacre showed his mettle on Today and elsewhere. I wish them luck, but I [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2009\/01\/06\/a-bad-day-to-detox-and-a-diversion-to-mill\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[511,563,472],"tags":[],"class_list":["post-50","post","type-post","status-publish","format-standard","hentry","category-in-the-news","category-language","category-thinking-aloud"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A Bad Day to Detox... and a Diversion to Mill - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2009\/01\/06\/a-bad-day-to-detox-and-a-diversion-to-mill\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Bad Day to Detox... and a Diversion to Mill - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"Sense about Science are truly wonderful people, but, I fear, are engaged in a somewhat futile attempt to rid the world of gobbledygook.\u00a0 Nevertheless, with Stakhanovite determination, they&#8217;re putting the boot into the detox industry.\u00a0 Again.\u00a0 On a similar theme, Ben Goldacre showed his mettle on Today and elsewhere. I wish them luck, but I [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-ethics\/2009\/01\/06\/a-bad-day-to-detox-and-a-diversion-to-mill\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Medical Ethics blog\" \/>\n<meta property=\"article:published_time\" content=\"2009-01-06T15:41:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2009-01-07T10:17:10+00:00\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2009\\\/01\\\/06\\\/a-bad-day-to-detox-and-a-diversion-to-mill\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2009\\\/01\\\/06\\\/a-bad-day-to-detox-and-a-diversion-to-mill\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"A Bad Day to Detox&#8230; 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