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  •  That's why (parts of) this diary are bunk (4.00 / 6)

    I don't mean to belittle the whole thing; there are certainly good points raised, especially about how too much of science is becoming commercial (leading to a lack of new concepts that might not be "profitable").  But I think that John Horgan needs to take a trip to a hospital sometime.  
    Take the UW-Madison hospital&clinics, where my brother was treated for cancer, for example.  There bone marrow transplants are fairly commonplace--basically, sending someone to the brink of death itself, then bringing them back.  If the diarist's theoretical '50s couple came to a hospital of today, they wouldn't believe that such a thing could ever exist (bone marrow transplants were first tried in the '70s).  If the couple's son had the type of cancer my brother had, he almost certainly would have died.  At best, he would have had a decent portion of his face (including his right eye) surgically removed, with only a small chance that that would have cured him.  Chemotherapy would have been right out of the question.  One scientist was ridiculed in 1948 for suggesting that leukemia (one of the most common childhood cancers) could be treated by any means.  It was not until 1958 that a single solid tumor (like the one my brother had) was cured by chemical means.  A government program to help develop drugs was not set up until 1955, and it was not until 1965 that more reliable treatments using combinations of drugs were suggested.  (It is also important when looking at these dates to remember that these drugs didn't gain widespread use until years after they were tested.)  For my brother, the cancer was intensely scary, and his survival wasn't assured, but it was over after one hellish year, and the side effects weren't debilitating.  For the '50s couple's son, it would have been a death sentence.  
    Today new technologies are in the works.  It's fine for the diarist to say that looking at ever smaller pieces of the universe is futile, but consider the world of genetics.  One of my brother's main doctors is working on a drug that will attack specific genes inside cells to keep them from creating more cancer cells (caveat: this is only my cursory understanding; what he's doing is infinitely beyond my layman's comprehension).  
    In 1843, Commisioner of Patents Henry Ellsworth testified to Congress that the flood of inventions at the time "taxes our credulity and seems to presage the arrival of that period when human improvement must end."  Needless to say, that time had not yet come.  Sure, maybe technologies in the home aren't changing much, and maybe humanity needs to get its research priorities in order.  But when I hear a doctor say that cancer in the future may be reduced to a "chronic  illness," more along the lines of diabetes or epilepsy (something that is "managed" over a long time, rather than in a short and brutal battle to the death), that icky feeling down in my stomach goes away.  

    "Ah, this is obviously some strange usage of the word 'safe' that I wasn't previously aware of." ~Arthur Dent, "The Hitchhiker's Guide to the Galaxy"

    by Entheate on Sun Aug 21, 2005 at 06:56:47 PM PDT

    [ Parent ]

    •  great points (none / 1)

      ...I forget who said it, but where the big ideas of the 20th century were in physical sciences, the 21st is already, and will continue to be, the century of Biology.

      In my field (evolutionary biology) there are questions that can only begin to be answered emprically now that were untenable computationally five years ago due to processor speeds and growth of parallel computing.  

      It doesn't matter what the commercial applications might be for a project when you can put together a few dozen CPU's for a few thousand dollars to answer huge basic-science questions-- they're gonna get answered, and the answers are going to move basic science along.

      Make your free throws at the end of regulation, and you'll be ok.

      by El Sobrante on Sun Aug 21, 2005 at 07:24:17 PM PDT

      [ Parent ]

      •  I disagree. (none / 1)

        The twentieth century saw some amazing medical advances.  These advances lurch forward out of nowhere, and they progress together.  Much more money is being dedicated to medical advancement right now, but this may not necessarily be the case as more people realize our problems with energy and the environment.  This will not only be an amazing century for medical/biological advancement but for other physical sciences as well.  

        For instance, behold: http://tinyurl.com/7tcpy

        Call me a flip-flopper again, and I'll kick your ass.

        by NambyPambyPinkoCommie on Sun Aug 21, 2005 at 07:57:45 PM PDT

        [ Parent ]

    •  the state of research (none / 0)

      i don't know what "HUMIRA was created using phage display technology resulting in an antibody with human-derived heavy and light chain variable regions and human lgG1:k constant regions. This means, it resembles antibodies normally found in the body" means. but i do know two things:

      1) humira didn't exist four years ago.

      2) without it i would've killed myself by now.  

      biology. is where it's at.

      biological and medical research is wildly inefficient right now; instead of pushing the envelope (and the envelope <i> can </i> be pushed) the companies of big pharma are rushing 'me too' drugs to market - after changing the color of the pill from blue to purple - under new patents in order to protect their monopolies - instead of investing money in r&d, they drop a fraction of the money on marketing. and because of pharma's drug reps and CME (continuing medical education, put on and paid for by big pharma) and direct to consumer advertising the doctors and the public fall for it - and some physicians script the brand new drug for 100x the cost of the drug that just went off patent, even though they are both just as safe and just as effective - or worse, sometimes the older drug is safer and / or more effective.

      our government? complicit. we taxpayers fund research through grants to university scientists. the university transfers the patent to a drug company and then the public ends up paying drastically inflated prices - consider the taxpayers assumed much of the risk of intial research.

      two books, 'the truth about drug companies' and 'university inc.' - when read together present a pretty damning indictment of our research system - but they also give me hope, 'cus all of the problems presented are fixable. and if this system is still turning out the occasional new molecular entity, or two, that do nifty stuff like effectively control crohn's? well, we ain't running out of ideas.

      •  Agreed (none / 0)

        The government -- this administration in particular -- is complicit.  They are not acting on behalf of the American public or global citizens, but on behalf of corporatists like themselves.

        The "purple pill" is but one example of excessive and unethical marketing of a product that should only serve a small, single digit percentage of the population.  Vioxx, Celebrex, Baychol, Crestor, so on, all of them pushed to market with inadequate controls or testing or warnings to citizens about risks, all of them approved by a government agency that was more concerned about helping Big Pharma than about helping the public.  All of these same drugs marketed to excess as well, at the expense of the patients buying these drugs misled to believe that these drugs were wonders they must have that were low to nil in risk.

        I hate to think that valuable research ends up dying in the pipeline simply because the costs to compete in the same market space against cash cows like Viagra and Celebrex make it impossible for a better, safer drug to succeed.

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