Darwin
BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7530.1479 (Published 15 December 2005) Cite this as: BMJ 2005;331:1479
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>>>It was stated by Dr Hayes that mutations are only
deleterious: if he had any practical experience with molecular genetics I
am sure that he would have been aware that it is remarkably easy to create
new phenotypes with a simple mutation to a single base pair of a gene, and
often the new proteins produced can be more effective than their natural
counterparts. <<
With respect Dr Dickinson, that’s not quite what I wrote, which as
you can see above was
>>>…mutations are either small enough to make little or no
difference to the phenotype, or they are deleterious, as in for example
Down's syndrome.<<<
Intelligent designer DNA alteration can get, for example, E. coli to
produce hepatitis B antigen for vaccines or other useful proteins. But
only random, chance mutations are available to evolutionary theory, so
what a team of skilled genetic engineers working purposefully in a
laboratory can create has little or no relevance to the random DNA changes
which supposedly produced the human brain etc. from volcano soot, water
and methane, by accident. While it may be possible to ‘create’ new
phenotypes (1) this is done (a) by intelligent design on the part of very
clever people, and (b) using previously existing living organisms which
are able to supply enzymes and other biological material.
Like most of my medical colleagues, I have no direct experience of
molecular genetics, but do have experience of patients with diseases
caused by mutations. At a regional dermatology meeting I recently attended
I was impressed (and saddened) by the wide range of skin diseases caused
by random genetic mutations. And we know that cancers are examples of
mutations in which information and order (control of mitosis) are lost,
with a bad, often fatal, result for the organism. Examples of genetic
disease can be multiplied. Where are the examples of naturally occurring
beneficial mutations to set against them?
Sickle cell anaemic is a poor example as I’m sure any sufferer would
say (2), and antibiotic resistant bacteria as already stated can be
explained by natural selection for previously resistant types, plasmid
exchange and loss of information leading to enzyme systems which are less
specific so break down a wider range of alien molecules. No new
information is created and the bacterium remains a bacterium of the same
species. This is frequently cited as evolution in action, but is merely
another example of natural selection with no new information being added,
and is no more relevant to the origin of species than fluctuations in
populations of different coloured peppered moths.
As to the legitimacy of appealing to Behe (3) or other authority, of
course a fact or argument stands or falls on its merit, regardless of
personalities. If someone has made a point particularly well, why not cite
them? I unashamedly cite Behe as he has set out the theory of irreducible
complexity (IC) in a very readable paperback using his knowledge and
authority as a biochemistry professor to explain the many precise steps
required to, for example, make human blood clot correctly, and has set out
what this and similar examples mean for IC/ID versus evolution. Clotting
is a useful example to explain irreducible complexity to physicians (or
even medical students) because of familiarity with warfarinisation (too
much or too little and the patient may die) and the many disorders of
clotting which are caused by random alteration to DNA (mutations).
It is not Behe or Darwin who require to be answered, but their
arguments. Darwin wrote (4) ‘If it could be demonstrated that any complex
organ existed which could not possibly have been formed by numerous,
slight, successive modifications, my theory would absolutely break down.
But I can find out no such case’. Behe has handsomely obliged with many
cases, in detail due to advanced biochemical knowledge which
understandably may well have been beyond Darwin’s imaginings, after all he
did write ‘The laws governing inheritance are quite unknown.’ In 1859 (5)
As to testability/falsifiability of Intelligent Design (ID) versus
Darwinism, IC/ID predicts that if we interfere randomly with or subtract
from a well ordered and functioning system comprising numerous
interconnected parts all of which are necessary for the whole to work, it
will most likely work less well or stop working altogether. IC/ID also
predicts that if we take some potential components for a system and jumble
them up randomly, they won’t make themselves into a working system, since
this requires design and engineering. Reduced to its genetic fundamentals,
stripped of bald/bold assertions and axioms, artist’s impressions and
dogmas, Darwinism predicts the reverse- that order will arise from chaos
by chance. Pretty testable I would have thought, just try giving some
chimps a typewriter and see if they will come up with Hamlet, or ask a
blindfolded drunk to make a perfect house of cards on the deck of a
rolling ship in a hurricane. Better still, have him make the pack of cards
by hand from wood pulp, even better-don’t tell him that’s what you want
him to do, the watchmaker is blind, right? Or, more prosaically, why not
shoot some gamma rays through fruit fly gametes to increase the mutation
rate and study what happens? The assertion that IC/ID cannot be tested
while Darwinism can (by implication, successfully) is itself testable-and
fails the test.
Darwinism’s greatest sin against science is, to my mind, to set out
the reasonable and demonstrable facts about variation and natural
selection within species (dog, carp, chicken, human etc.) and then seek to
extrapolate from this to atoms-to-us-by-accidental origin of living things
via chance mutations. The first concept works when tested, the second does
not. The two things are confused in the public mind and people are shown
in-species variation with natural selection, and then told this seamlessly
leads on to atoms-to-us-by-accident. It does not.
We heretics are not to be put off by unsupported accusations of being
‘anti-science’, and we are not going away until we hear satisfactory
answers to the questions of abiogenesis, absence of intermediate kinds
(living or fossil), deleterious nature of observed natural mutations,
irreducible complexity and much else.
One more thing about the Darwin exhibition-I hope it will include
some appreciation of the influence of Darwin’s ideas about race, struggle
and the inevitability of ‘Progress’’ on 20th century political
philosophies. This is in my view a woefully neglected area of study.
(1) (within limits: - E. coli with a few different proteins whether
introduced accidentally or deliberately may be a different phenotype but
is still E. coli),
(2) and incidentally, perhaps if the energy and cash spent on the
fruitless search for extra terrestrial life (SETI, Voyager, Beagle 2 etc)
the finding of which would allegedly ‘prove’ evolution had been spent on
research into a malaria vaccine, perhaps sickle cell disease would by now
be an even less effective example of a ‘beneficial mutation’, and millions
of lives would have been saved.
(3) Darwin’s black box-the biochemical challenge to evolution.
Professor Michael J Behe, Touchstone, 1996. ISBN 0-684-83493-6
(4) Charles Darwin, ‘On the Origin of Species by Means of Natural
Selection, or The Preservation of Favoured Races in the Struggle for Life’
page 146, paragraph 1 Wordsworth classics, ISBN 1-85326-780-5
(5) Darwin, ‘Origin’ (as above) page 13 paragraph 2
PS Mr Ravichandran, I don't choose to respond to each of your points
particularly as others have ably done so, and I thank you for helpfully
demonstrating the particular quality of rhetoric which is found whenever
one questions Darwinian orthodoxy. But if you wish to attack my arguments
by asserting that I do not read science journals, would you care to
explain what I am doing reading the BMJ, to which I have subscribed, if
you are of a normal age for a medical student, possibly since before your
birth?
Competing interests:
None declared
Competing interests: No competing interests
Vij Sodera writes-: "Countless examples could be cited to show that
there is no evidence that any creature ever did evolve, or could have,
evolved into a completely different creature. Period. However, a single
example is sufficient to show that the only fact about evolution is that
it is a myth. The fossil and biological evidence shows unequivocally that
the bird lung cannot have and did not evolve from amphibian or reptilian
formats. If it did not evolve then it must have been as it is from the
beginning."
I think that Vij Sodera displays a non-scientific attitude when he
states that no creature ever evolved, or could have evolved into a
completely different creature. The correct scientific attitude is to state
that the present-day theory of evolution has many weak/incomplete points
and that it cannot presently explain many biological phenomena eg. how the
bird lung evolved from amphibian lung forms. However, it is totally
unscientific to fixedly claim that a scientific theory of evolution cannot
ever possibly explain these phenomena. The beauty of a scientific theory
is that it is constantly modifiable as new evidence and new understandings
come into being. That is the fundamental nature of science!
Vij Sodera concludes that if the bird lung did not evolve, then it must
have been as it is from the beginning. This statement represents flawed
scientific reasoning for two reasons. First of all, an "absence of
evidence" of evolution is not the same thing as "evidence of absence of
evidence". The truth is that we do not presently know whether the bird
lung could have evolved from another primitive lung form, but it is still
theoretically possible that it could have occurred. Secondly, the
statement that "it must have been as it is from the beginning" is not a
scientific statement, but merely a personal opinion. Many people belief
that an "intelligent designer" created all forms of life and that all
those forms have existed unchanged from the beginning. That particular
belief is not scientific because it cannot be tested. Whether an
individual person decides to adopt that particular belief is
individualistic, and people are free to adopt any belief. However, one
cannot claim that a non-testable belief (non-modifiable theory) is a
scientific belief.
I think that it scientifically useful for critics, like Vij Sodera,
to criticise the theory of evolution. Sound criticism will force
proponents of any particular scientific theory of evolution to modify
their theory in order to decrease its falsifiability factor and thereby
strengthen its believability factor. Scientific hypotheses can
theoretically become more solid (more believable) as new evidence and new
understandings are incorporated as "evidence". By contrast, non-scientific
statements, like a fixed belief "that the bird lung must have existed
unchanged from the beginning" or "human beings cannot have evolved from
apes", have no scientific validity, and provide no scientific insights.
Jeff Mann.
Competing interests:
None declared
Competing interests: No competing interests
It would seem that the anti-evoloutionists posting responses on this
topic have not just been left behind by 2000 years of scientific advances,
but by recent news events too (1).
What is very interesting are the comments made by the judge in this
case on the arguments put forward by ID proponents, including Michael
Behe. Some of these can be accessed here (2).
Although it has attracted criticism for some of its articles, the
Wikipedia has an excellent debunking of the intelligent design argument
(3).
Finally, any proponent of the ID "theory" must accept the possibility
of the existence of the great creator, his Noodly Goodness, the Flying
Spaghetti Monster (4).
(1) US judge bans intelligent design from science lessons
http://education.guardian.co.uk/schools/story/0,,1671683,00.html
(2)Thank you Michael Behe
http://pharyngula.org/index/weblog/comments/thank_you_michael_behe/#cont...
(3) http://en.wikipedia.org/wiki/Intelligent_design
(4) Church of the Flying Spaghetti Monster
http://www.venganza.org/index.htm
Competing interests:
None declared
Competing interests: No competing interests
The attempts at reconciling reality with a single religion's texts is, well, farcical. The only means of obtaining a record vaguely similar to the biblical account is by putting on very strong blinders and a filter that disallows independant thought.
The purpose of science is not to come in with a preconcieved agenda ready to prove. It is to openly propose an idea, that is then subjected to refutation. Now, let's keep that in mind, okay?
We've come a long way since Darwin, and I hope people will bear with me as I offer a quick synopsis of the elements that evolutionary theory did predict, and why those predictions are validations of the theory.
Heritable traits originally were debated because a child does not come out looking exactly like mother or father, but a mix of both. What constitutes something that is passed on, and why do some show up and not others? Lamarckian inheritence was quickly disproved (the "effort makes it so" version of heritable characteristics) by showing that a one-armed blacksmith has two-armed children before and after his accident. Nature is also not perfectly uniform: some creatures are smaller than the group, some larger, and these variable characteristics of individuality argue against a perfect creation.
Now, the general idea is that characteristics were passed from one generation to the next, with some variation. Gregor Mendel showed through cross-breeding experiments that the first impressions, that a child is a mix of parents and not an either-or copy, were apparently correct. Moreso, they could be predicted in their outcome. Now a general theory of "genetics" had been included: rules for the passing of variable traits and how they are expressed: the idea that information could be in an organism, but not shown.
Remember all of these were novel ideas that are now taken for granted.
The source of this information, which appeared to be in every cell of a plant and half-contained in the germ cells of other organisms, was only isolated and figured out as the primary material after plasmids were introduced between unicellular organisms. DNA. Otherwise an acid contained in every cell.
Why cells? Why on earth have an organism grow from a single cell, why have it spread out in individual compartments capable of individual suffocation when a solid organism without dispersed nutrient needs would be more "perfect?"
Because, in some sense, embryology does recapitulate phylogeny. We all, at some point, came from a single cell.
The idea that "new" information cannot be created is also a fallacy: the primary trait of adaptability in life is repetition. Once repetition is present, variablility in repetition can be introduced without killing the organism. Redundant DNA sequences can be altered ofen without mortality, so the failsafe of making an extra copy of a gene (we have two) in addition for sequence repetition (like double-posting on a board on accident) allows "new" information to be encoded in a genome. A segmented worm is a simple organism with repeating body segments; as these change, single sections can become divergent in function without killing the organism.
The key to the absence of absolute mortality in the face of mutation is that life is not perfect. Redundancy and backups, the mantra of software architecture folks, is applicable in any circumstance of information. This imperfection puts the lie to a divine creation and to the idea that mutations are all deleterious. It is the imperfection in the replication process that keeps an individual from dying, and the species from passing quietly due to a minor change in the environment.
Behe and his fellows attempt to use information theory to demonstrate that information is fragile and to therefore conclude that new information cannot be added. How do many here create a report that is very similar to a previous one? One pulls up a copy, alters it, and saves it as a new copy. Information is added, the original is untouched. DNA sequences are not all-or-nothings, they can and do repeat, often.
My admonishment would be to be like Gregor Mendel: hold your faith while not attempting to reconcile what you see with what you think you should see based on an anectdotal account passed down orally for thousands of years. The Bible is an inspired work; it is not a science textbook.
Competing interests:
None declared
Competing interests: No competing interests
The "debate" about ID concerns me deeply. On one hand it illustrates
how badly we have failed in the United States in educating at least two
generations as to what science is and how it is distinguished from
religion. The very fact that ID can be considered a "Theory" bespeaks a
very profound ignorance of what a theory in science is.
The second area of concern, in my mind, is the inherent acceptance of
ignorance as an option in human intellectual inquiry, and the fact that
this option has attraction to those who have, one would have hoped,
replaced superstition with rational thought.
ID, after all, defines areas where "design" is the only option for
the existence of certain things. What is really being said is that one or
more people have not been able to intellectually deal with certain classes
of complexity and therefore they, and by extension we, must fall back on a
supernatural explanation. Aside from the elementary logical error implied
by this approach, it raises ignorance to an equal level with rational
exploration of nature.
It is sad, medieval, and harkens back to the time when humans found
magic in much of their natural world and, because of their ignorance,
propitiated various deities who provided "explanations” for what they
could not understand.
A slippery slope indeed.
Competing interests:
None declared
Competing interests: No competing interests
Frankly I am amazed at the lack of serious thought being given to
this whole matter. To suggest that design has no scientific basis and that
the debate is about "religion versus science" as is so often touted by the
media is a
complete misunderstanding of the issues involved. Shall we rebuke Newton,
Boyle, Hooke and Faraday because they believed that the science pointed to
Design? All these gentlemen were part of the Royal Society and Einstein,
no friend of the Christian position, spoke of the harmony of natural law
and acknowledged design in the Universe.
It is not science which is in the dock when a growing group of
scientists in the US and Europe challenge Evolution, it is in fact a
religion masquerading as science which is at stake - that is materialistic
humanism which worships the goddess of matter and proposes that matter can
produce life - what Pasteur dismissed as idle nonsense 150 years ago. No
experimental fact across all the sciences denies the straightforward
principle that machines and order imply a prior intelligence. Furthermore
the Creationist position has never denied natural selection, but that is
only like its cousin artificial selection which brings out the latent
information already there in the rich ancestory of each kind, whether it
be dogs, cats or whatever.
Fundamentally information is selected out by natural selection, not
inserted in, so that the evidence of loss of information and in some
instances whole species by extinction ( not gain ) is strong evidence
against the
evolutionary model of origins. The laws of information science strongly
favour the Creationist position.
The motto of the Royal Society is 'nothing by mere authority' - so
pertinent to this matter. I suggest that it is high time that the
underlying religious ideas of evolution are exposed by serious scientific
debate in all our Universities. The old dogmas are ripe for challenge.
Professor Andy C. McIntosh,
Professor of Thermodynamics,
University of Leeds, UK
Competing interests:
None declared
Competing interests: No competing interests
A few points need to be made clear:
Firstly, the discussion about origins is not about religion versus
science, but
it is about the true interpretation of the data we have.
Secondly, those who have not properly (and that includes being open-
minded) studied the problems with evolution theory are, by definition, in
no
position to make pronouncements on those who have studied the problems
and have concluded by disagreeing with evolution.
Thirdly, evolution is not a fact at all and those who start their thesis
with that
view are being neither logical nor scientific.
Countless examples could be cited to show that there is no evidence
that any
creature ever did evolve, or could have, evolved into a completely
different
creature. Period. However, a single example is sufficient to show that the
only
fact about evolution is that it is a myth.
The fossil and biological evidence shows unequivocally that the bird lung
cannot have and did not evolve from amphibian or reptilian formats. If it
did
not evolve then it must have been as it is from the beginning.
It is understandable that anyone with deep-rooted beliefs will be
seriously
troubled by evidence that completely undermines their cherished ideas.
However, those who object to unequivocal evidence out of dislike of the
conclusion are not scientists. They not only delude themselves but also
risk
leading astray from the truth countless innocents who do not have the
ability
to check out the evidence base for themselves.
Competing interests:
Author of:
'One small Speck to Man - the
evolution myth'
www.onesmallspeck.com
Competing interests: No competing interests
So, it seems every evidence in fact points 'against' evolution! I'm
no expert on evolution; after all, I'm just a second year medical student.
Nonetheless, I can counter most of the arguments provided by the
creationists here, with the basic prerequisites of a scientist, as
elegantly suggested by Vij Sodera.
Firstly, let me respond to the arguments put forth by Dr. Sodera. You
say "any anatomist will testify to the mind-blowing complexity of every
part of the human body, not least the brain – the most complex structure
in the known universe. Yet evolutionists continue to promote non sequiturs
such as human consciousness arising from simple chemistry in 1017 seconds
by only the blind process of natural selection". Of course, the every part
of the human body is complex, including the brain. But, are you suggesting
that the anatomical parts of primates, or even other vertebrates are any
less complex? By the way, we don't know how consciousness arises in the
brain. But, that is no licence to stab the 'theory' of evolution, even
according to your own definition of science. And nobody has yet proved
that primates do not have a subjective consciousness. We do not possess
the technologies required to probe consciousness deep enough... at least,
not yet. For further information, I suggest Michael Gazzaniga's 'The
Cognitive Neurosciences III'.
Then, Dr. Sodera goes on to say "In addition, the astronomical number
of folding permutations available to such a protein will not allow it to
achieve its correct 3-D shape in the finite time available without other
proteins being already in place to guide the process." This argument is
demonstrative of his basic lack of understanding of protein chemistry.
Does he suggest that a proprotein polypeptide upon sythesis, immediately
works out all the possible permutations and combinations before it assumes
a tertiary or quaternary conformation? Of course, not. Ever heard of the
concept called 'energy funnel'? Besides that, the 3-D protein structure is
not merely determined by amino acids, but also the way the chemical
structures interact with themselves... Hydrophobic interactions, van der
Waal forces, hydrogen bonds, anyone? Ever heard of proteins called
'chaperones' that help in protein folding? Concept called 'protein
targeting and trafficking'?
He then argues, "While chimps may share up to 99% of their genes with
humans, the fact is that so do mice. Furthemore, details of ape, mice and
human chromosomes show that we are not modified chimpanzees. And without
studying the complete genomes of the other 2000-odd mammals, it is non-
science to declare that chimps are our closest cousins. It is also well
documented that amongst many other features, the chromosome size and
number of vertebrates from fish to mammals do not show an evolutionary
pattern." Yet another scientific murder! Complexity of an organism is not
reflected in its genetic structure, nor the number of chromosomes, nor
their size. Chromosomes are structures important primarily for
segregation, linkage, and recombination during meiosis, and are species
specific, only in the sense that genomes are large part of the genomes are
species-specific. They do not carry genetic information. The base-pair
sequences do. There is this simple concept which says the protein coding
regions of genomes (exons) are broken by non-coding regions called
introns. Human beings have the most complex intron-exon pattern, giving
rise to immense possibities of alternative splicing, at least partly
explaining the fact that organismal complexity is not reflected merely in
the genome size and chromosome number. And mice do not share 99%
similarity with us... But, comparative analyses published in journals like
Nature only argue strongly towards evolution and NOT against it! I suggest
consultation of any good genetic textbook to further explore this point...
Eg. Stryer, Lehninger and Watson.
"Mutations in bacteria are not examples of one organism turning into
another." Is that so? Perhaps he should study the genetic similarities
between Streptococci and Enterococci, or if he wants to go above the intra
-species differences, should perhaps compare Mycoplasma, Chlamydiae and
Rickettsiae.
Finally, he is right to say, " To question is the foundation stone of
science." But the question must be rational, at least in the sense that
one must have the least bit of up-to-date knowledge in the field one
assumes proficiency. I do not see how the fact that essential sequences
vital for the survival of organisms being conserved argues against
evolution. Are we saying this is science? Perhaps, if I had known enough
archaeology, I'd happily respond to Dr. Sodera's arguments therein.
Secondly, to Dr. Innis, who designed the 'designer'? Where is your
'designer'? Any scientific proof of your 'designer' other than gaps in
evolution and the Bible? Again, to Dr. Mackereth, neuroscientists, in the
past decade have been questioning the existence of what we often take for
granted - free will, and also our exclusivity in possessing cognition and
self-knowledge. In fact, recently evidence has been obtained to the
contrary. These are, unfortunately, not known to most people around the
world.
Dr. Mackereth also says, "I understand that in each case of drug
resistance acquired by bacteria, this is due to a loss of genetic
information, not due to new information being created . The cell wall
loses certain markers, so the antibiotic is no longer able to bind. This
therefore is not an example of evolution of a new species in action." I'm
sorry to disappoint you again. But, you are wrong. Random mutations in
bacteria can result in gain-of-function mutations too, which is how
penicillin resistance and resistance to other beta-lactam antibiotics
first evolved, by the 'evolution' of organisms which produce beta-
lactamase enzymes. Of course, processes like conjugation plays a role in
spreading resistance within and across species. But, several cases of gain
-of-function mutations have been recorded. I would suggest consulting
Topley and Wilson's Microbiology and Microbial Infections for further
information and references.
You go on to say, "The similarity between creature DNA is not proof
of evolution. It might just as well be proof of an all wise designer using
similar means for similar purposes." Why did your designer preserve the
sequences in the active sites of enzymes from E. coli to H. sapiens?
Couldn't he have just created us with different enzyme systems and
functionalities altogether? Why go through the trouble of conserving vital
structures from the molecules levels of DNA, RNA and proteins, to the
levels of complex organs?
And then, Dr. Au-Yeung, "If I were a designer, why should I re-invent
the wheel, particularly if it works well in the first place?" Then, your
designer is not so powerful after all. Seems he had to create the
invertebrates and early vertebrates with limited anatomical and
physiological complexities, and then had to improve successfully learning
from his mistakes. Perhaps, certain mistakes proved fatal, resulting in
loss/extinction of intermediate forms, and infirm species... Hang on, am I
talking Intelligent Design or Natural Selection?
Competing interests:
None declared
Competing interests: No competing interests
It is not surprising to see so many contrary opinions expressed by
different bmj rapid response correspondents regarding the controversial
topic of "evolution" versus "intelligent design/creationism".
Unfortunately, the opinions merely reflect the biases of the different
correspondents, who apparently do not understand the issue of "what is
science". I think that correspondents, like David Mackereth and Stephen
Hayes, should read Judge Jones' 139-page analysis of the case of Tammy
Kitzmiller et al (plaintiffs) versus Dover Area School District (
defendants) -- which is available at
http://news.findlaw.com/hdocs/docs/educate/ktzmllrdvr122005opn.pdf.
Judge Jones has a much clearer idea of "what is science" than many
clinical scientists and physicians, who would probably learn a great deal
about "what is science" if they read his complete analysis. He clearly
understands that "evolution" is a scientific theory because it is testable
(modifiable in the face of 'new' evidence and better understanding) in
contrast to Behe's "intelligent design" arguments which are simply non-
scientific personal opinions. The question as to whether Darwin's theory
regarding evolution has weak points is irrelevant, because any incomplete
scientific theory can always be modified as new evidence is accumulated.
Science is an ongoing process whereby a scientific hypothesis has to be
modified to accomodate new evidence and new understandings. By contrast,
on cross-examination, Professor Behe admitted that: "There are no peer
reviewed articles by anyone advocating for intelligent design supported by
pertinent experiments or calculations which provide detailed rigorous
accounts of how intelligent design of any biological system occurred." The
theory of "intelligent design" is a non-scientific theory, because it
cannot be tested, and the theory of "intelligent design" must be accepted
(or not accepted) at face value. It is irrelevant whether an individual
has personal sympathy for the theory of "intelligent design" because of
underlying religious beliefs. What is important is that the theory of
"intelligent design" is not a scientific theory, and it should not be
taught in a high school science class where students primarily have to
learn to understand "what is science".
Jeff Mann.
Competing interests:
None declared
Competing interests: No competing interests
This correspondence is now closed
Recent responses in this debate haven't taken things forwards, and we
risk ending up with the same inconclusive skirmishing that characterised
the debate over whether HIV infection causes AIDS, which ran on this site
for several years. See:
http://bmj.bmjjournals.com/cgi/content/full/330/7503/1284
No doubt some readers will want to draw attention to weaknesses in
responses already posted; other respondents will want to defend themselves
against what they regard as unfair/misguided criticisms of their previous
postings. But if we respect these arguments the debate on this website
will never end.
As in the HIV/AIDS debate -we're all in favour of the debate
continuing somewhere, just not here, in perpetuity.
Competing interests:
employee, BMJ Publishing Group
Competing interests: No competing interests