Book

You've Been Had!: How the Media and Environmentalists Turned America into a Nation of Hypochondriacs

BMJ 2002; 325 doi: https://doi.org/10.1136/bmj.325.7359.343 (Published 10 August 2002) Cite this as: BMJ 2002;325:343
  1. Michael Fitzpatrick (fitz{at}easynet.co.uk), general practitioner
  1. Hackney, London

    Melvin A Benarde

    Rutgers University Press, $28/£23.50, pp 304


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    ISBN 0 8135 3050 4

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    As his title suggests, epidemiologist Melvin Benarde is not one to mince words. For him, television, radio, and newspapers are “the scoundrels at whose doorsteps must be placed our current pandemic of mediagenic diseases.” He cites recent scares over “an extraordinary range of potential causes of cancer,” including “asbestos, dioxin, hot dogs, breast implants, pesticides, coffee, liquor, hair dryers, mouthwash, dietary fat, magnetic fields and cellular phones.” He blames the media for creating “an epidemic of anxiety, year after persistent year of alarm.”

    Benarde presents an impressive body of evidence in support of his indictment of the media. He accurately identifies the dangers arising from the trend for the mainstream media to report directly from specialist medical and scientific journals. Preliminary and provisional findings are presented, sometimes before peer review and without appropriate caveats, as proof of links between lethal diseases and familiar products or activities. Premature reporting of dramatic breakthroughs may also have a demoralising effect on the public; as Benarde puts it, “purveying false hope is not virtuous.”

    Yet a closer examination reveals that the media often play a secondary role to prominent medical and political figures in the promotion of public concerns about health. For example, Benarde discusses the “five-a-day for better health” campaign launched in the United States in 1991, recommending more fruit and vegetables to prevent colorectal cancer. He reports major studies published in 1999 and 2000 confirming no evidence of benefit; claims that such dietary changes prevent heart disease and stroke also remain unsubstantiated. (This lack of evidence did not deter the launch of The National School Fruit Scheme in Britain in 2000.) The media can scarcely be blamed for this and many similarly dubious health promotion campaigns that are sponsored by doctors and health ministries.

    The other main target of You've Been Had! is the environmental movement (and the allied world of alternative health). Benarde presents a damning critique of the way in which green campaigners have grossly inflated public fears of toxic wastes and pesticides, nuclear power and genetically modified foods, to the general detriment of public health and welfare. He also condemns the multibillion dollar trade in dietary supplements, vitamins, minerals, and herbals, whose products are scandalously “unregulated, untested, unstandardised and have unknown effects.” It is true, in Britain as in the United States, that “at the moment, crankiness is ascendant” as the media collude with environmentalist pseudoscience and serious scientists too often remain aloof.

    To combat the irresponsible manipulation of popular anxieties about health, Benarde proposes “SL: scientific literacy,” a national campaign to provide basic scientific education for all. I think that this is a good idea, but suggest that rather than beginning with the schools, it should start where most health scares originate, in the medical establishment and the government.

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