Skeptophilia (skep-to-fil-i-a) (n.) - the love of logical thought, skepticism, and thinking critically. Being an exploration of the applications of skeptical thinking to the world at large, with periodic excursions into linguistics, music, politics, cryptozoology, and why people keep seeing the face of Jesus on grilled cheese sandwiches.
Showing posts with label National Institute for Health. Show all posts
Showing posts with label National Institute for Health. Show all posts

Monday, February 2, 2026

Quetelet's legacy

There's an old quip that there are lies, damned lies, and then there's statistics.

I'm not saying it doesn't have its uses, but the misuse of statistics is a significant problem.  Even how numbers are presented can make a huge difference in how they're perceived -- something that is routinely done to shape public opinion.  Considering the following:
There are three medicines -- A, B, and C -- that are being considered to treat an aggressive form of cancer.  Upon large clinical trials, it is found that over five years following treatment, drug A reduces the risk of recurrence from 94% to 88%, B increases the chances of remaining cancer-free by six percent, and C doubles your chance of staying healthy during that time.

Which one do you choose to take?
It turns out, of course, that the statistics of all three are identical.  Your chance of being cancer-free after taking A is 12%, as compared to 6% without the drug.  That's the same as B -- an increase of 6% in the chance of remaining healthy.  But it's also the same as C, because going from a 6% to a 12% remission rate represents an increase by a factor of two.

But to a lot of people, they all sound different.  Don't fool yourself by thinking this kind of thing isn't being used, deliberately, to mislead.  Especially, any time you see statistics such as, "Doing ____ doubles your risk!", the first thing you should ask is, "What is my risk of the same bad outcome if I don't do _____?"  

After all, twice a very small number is still a very small number.

Things get even more muddled when you throw averages into the mix.  Oh, they have their uses; looking at the average score on a well-constructed test, for example, can tell a teacher if, as a whole, (s)he is teaching the students effectively.  The problem occurs when you start trying to apply averages in situations where they don't belong, such as the statement that the average human has slightly less than one testicle.

As I used to tell my Critical Thinking students, significant > true.

In large part, we owe our incessant focus on turning everything into numbers to two men -- Adolphe Quetelet and Francis GaltonQuetelet, a Belgian polymath, at least started out with good intentions; he'd noticed how a lot of physical characteristics, from human heights to repeated position measurements of astronomical objects, followed a normal distribution (colloquially called a "bell curve"), where there are a few extreme outliers and a great many values in the middle.  That the ubiquity of this pattern could be due to more than one thing -- in my two examples, that the first was because of the effects of genetics, diet, and body mechanics, and the second due to random measurement error -- he conveniently glossed over.

Adolphe Quetelet (ca. 1870) [Image is in the Public Domain]

Quetelet then took a dangerous leap.  Because this pattern was common, he decided it must be good.  He started measuring everything he could, and found the same pattern showing up in assessments of intelligence, body/mass index, individual wealth, size and position of facial features, and skull shape.  He began an obsessive quest for l'homme moyen -- the "average man," whose characteristics showed the least possible deviation from the norm.

Which Quetelet decided also had to be the "best possible man."

Then Francis Galton took hold of this idea, and ran right off the cliff with it.  Galton was an English statistician and psychologist (and, incidentally, Charles Darwin's cousin), and also a raging racist, who decided to use Quetelet's methods to prove his thesis that other races, especially Black Africans, were inherently inferior to White Europeans.  He wasn't subtle about it.  "The average intellectual standard of the Negro race is some two grades below our own," Galton wrote.  "It is mere heredity.... [Black Africans] are lazy, palavering savages...  It would be for the best if some means could be contrived for the coast of Africa be given to Chinese colonists so that they might supplant the inferior Negro race."

You would think that some thought might have been given to asking why Black Africans scored lower on Galton's intellectual assessments than White Europeans did, and that someone would suggest such obvious answers as opportunity for education, cultural biases in the assessment tool, and socioeconomic level.  Surprisingly, few did.  The outcome for the Western European elites -- "we're inherently better than the people we're colonizing" -- was so convenient to their goals that it was easier not even to ask the question.

Of course, it bears mention that Galton didn't just hate Black Africans.  He kind of hated everyone who wasn't a member of the English aristocracy.  One of his more astonishing "studies" was a "beauty map" of the United Kingdom, which purported to measure the average beauty of women across the UK, ranking places from the most beautiful to the ugliest.  (The low point, if you're curious, was Aberdeen, Scotland.  Being partly of Scottish descent, I'd like to send a personal memo to Galton to kiss my Celtic ass.)

In 1904, Galton founded the Eugenics Record Office, and along with another person of similar mindset -- his student Karl Pearson -- launched a journal called the Annals of Eugenics (which is still around, but has been rebranded as the Annals of Human Genetics).  Pearson made a huge contribution to the statistical study of genetics, developing methods still in use today.  But he was also responsible for scary stuff like this:
History shows me one way, and one way only, in which a high state of civilization has been produced, namely, the struggle of race with race, and the survival of the physically and mentally fitter race.  If you want to know whether the lower races of man can evolve a higher type, I fear the only course is to leave them to fight it out among themselves, and even then the struggle for existence between individual and individual, between tribe and tribe, may not be supported by that physical selection due to a particular climate on which probably so much of the Aryan's success depended...  No degenerate and feeble stock will ever be converted into healthy and sound stock by the accumulated effects of education, good laws, and sanitary surroundings.  Such means may render the individual members of a stock passable if not strong members of society, but the same process will have to be gone through again and again with their offspring, and this in ever-widening circles, if the stock, owing to the conditions in which society has placed it, is able to increase its numbers.

I'd like to be able to give you the comforting message that the racism, bigotry, and flawed use of statistics Galton and Pearson excelled at have disappeared, but it's still with us.  The 1994 book by Richard Herrnstein and Charles Murray, The Bell Curve, was little more than a modern reworking of Galton and Pearson.  Despite it receiving enormous amounts of criticism from researchers in cognitive psychology, it's widely credited with influencing our current generation of white supremacists, such as Steve Bannon, Stephen Miller, and Elon Musk.

If you still don't believe me, consider a story that just broke last week, which is the reason the whole topic comes up -- that National Institute of Health genetic data on twenty thousand children have been given to a "group of fringe researchers" who turned around and used it to produce sixteen spurious papers claiming to show a genetic (and racial) basis for intelligence.  It's a breach of both privacy and scientific ethics -- not that this is uncommon given the current regime here in the United States -- and shows that although Francis Galton died over a hundred years ago, his twisted spirit lives on.

Even Quetelet, though, should raise some eyebrows.  What, exactly, does it mean to be average?  I remember having that discussion with my principal during my teaching years.  Suppose a particular kid gets a 75% on a test, and that's the average for the class.  I've seen kids score like that when they were very good at regurgitation of facts (so they got all the questions requiring rote memory correct, but few of the deeper ones) and conversely, from kids who were great at understanding the bigger picture in depth, but had issues with recalling terminology.  How can we justifiably throw those two, very different, groups of students into the same bin, stamped with the same all-important number?

As someone on the neurodivergent end of things, I can vouch for the fact that grades don't really mean much.  I'm definitely not Quetelet's homme moyen, and kind of never have been.  I've got a decent brain, but my grades -- especially in high school and the first two years of college -- weren't all that great.  There were a lot of reasons for that -- perhaps a story for another time -- but my point here is the numbers supposedly characterizing me didn't, perhaps, say everything there was to be said about me intellectually.

Our desire to turn everything into numbers has a long and sketchy history, because so few people stop and ask why the numbers are what they are.  Quetelet's legacy misleads us most, I think, in believing that reality can be captured in data alone.  The world is a complex place, and converting it into a handful of statistics may make it seem simpler. 

But at the same time, it also falls far short.  As Ursula LeGuin put it, "I never knew anyone who found life simple.  I think a life or a time looks simple only if you leave out the details."

****************************************


Saturday, March 18, 2017

The budget from hell

I know many of us are reaching outrage saturation with the horrorshow that is the current presidential administration, but the recently-released budget is so awful that even the pessimists have been taken a little aback.

Entitled "America First: A Budget Blueprint to Make America Great Again," this document accomplishes nothing but punishing groups that pissed off Trump in one way or another, repaying corporate interests for their support, eliminating protections for minorities, the elderly, the poor, and the environment, and slashing medical and scientific research programs to the bone.  Put more simply -- in the words of Washington Post writer Eugene Robinson -- this budget makes America "dumber, dirtier, hungrier, and sicker."

Think I'm exaggerating?  Here is a (very much abridged) list of programs the budget would eliminate entirely:
  • "Energy Star" home appliance energy efficiency program
  • Low Income Home Energy Assistance Program
  • Advanced Technology Vehicles Manufacturing Program
  • National Endowment for the Arts
  • National Endowment for the Humanities
  • Corporation for Public Broadcasting
  • Great Lakes Restoration Initiative
  • Community Development Block Grant Fund
  • NASA Office of Education
  • Appalachian Regional Commission
  • Institute of Museum and Library Services
  • Economic Development Administration
  • Global Climate Change Initiative
  • McGovern-Dole Food for Education Program
  • Minority Business Development Agency
If you doubt that this is anything more than a symbolic flip of the middle finger at Trump's enemies -- mostly what Robinson calls "fancy-dancy elites who define and consume high culture" -- consider that the budgets of three of his top-priority cuts, the National Endowment for the Arts, the National Endowment for the Humanities, and the Corporation for Public Broadcasting, total a little less than $750 million annually.  To put that into perspective, that's a little less than four times the amount that Betsy DeVos contributed to the Republican Party in her successful attempt to purchase the position of Secretary of Education.  It's right around the same amount that Trump himself holds in personal and corporate loans, and is half what his son-in-law, Jared Kurshner, paid for 666 Fifth Avenue back in 2006.

But as the infomercials used to say, "Just wait... there's more!"  Trump's "Make America Great Again" agenda also apparently includes hacking away at medical and scientific research.  The National Institute of Health will have their budget cut by 19%, jeopardizing grants supporting university research into new medications, diagnostics, and treatments.  The Department of Energy would see an 18% cut in every program they oversee -- except the maintenance, development, and production of nuclear weapons.

[image courtesy of the Wikimedia Commons]

Then there's the elimination of programs like Meals on Wheels and Head Start.  Office of Management and Budget Director Mick Mulvaney was asked by CNN's Jim Acosta how he can justify cutting funding for programs that help children and the elderly.  Acosta said, "Just to follow up on that, you were talking about the steel worker in Ohio, coal worker in Pennsylvania, but they may have an elderly mother who depends on the Meals on Wheels program or who may have kids in Head Start.  Yesterday, or the day before, you described this as a hard-power budget.  Is it also a hard-hearted budget?"

Mulvaney responded, “No, I don’t think so.  I think it’s probably one of the most compassionate things we can do.”

Acosta, understandably, was aghast.  "To cut programs that help the elderly and kids?" he asked.

Mulvaney shot back, "You’re only focusing on half of the equation, right?  You’re focusing on the recipients of the money.  We’re trying to focus on both the recipients of the money and the folks who give us the money in the first place.  And I think it’s fairly compassionate to go to them and say, 'Look, we’re not gonna ask you for your hard-earned money, anymore, single mother of two in Detroit … unless we can guarantee to you that that money is actually being used in a proper function.'"

Yes, you read that right: the Director of the Office of Management and Budget just said that providing education to preschoolers and meals to infirm elderly persons is "not a proper function" of taxpayer dollars, and to cut such programs is "compassionate."

What is most appalling about all of this is that most of the programs on the chopping block are hardly big-ticket items.  And even if all of these cuts are maintained, it's not going to reduce spending, or the burden on the American taxpayer, because you still have to factor in Trump's call for a 9% increase in the funding for the military -- already by far the biggest recipient of federal funds -- a total amount of $54 billion.

Oh, and I haven't even told you about the coupling of a huge increase in military spending with a proposed cut to the State Department -- an amount totaling 28% of their budget.  The approach seems to be "fuck diplomacy, we need firepower."

Appalled yet?  Maybe you'll reach the tipping point if I tell you about Trump's three weekend getaways at his own Mar-a-Lago resort in Florida, costing taxpayers $10 million, and the projected $183 million a year we're paying to put Melania Trump up in Trump Tower because she doesn't want to live in the White House.

So the whole thing isn't about money, waste, or smaller government; it's about ideology, revenge, greed, and saber-rattling.  As Washington Post writer Alyssa Rosenberg put it: "Maybe [Republicans] don’t care about the arts personally, or the tourism revenue that can flow from a museum that has federal support, or the opportunity for kids in their district to get a glimpse of something that allows them to see the world in a new way.  Maybe it’s just too much fun to tweak liberals or too painful to target corporate subsidies in a way that might make big donors cranky.  But if we’re going to have this idiotic conversation every time Congress takes a crack a passing a budget, I wish we could just admit that cutting federal support for the arts and humanities is a way to fight the culture war, not to tackle the federal debt."

So the whole thing is a disaster, unless you are (1) a military contractor, (2) the CEO of a fossil fuel company, or (3) independently wealthy.  For most of the rest of us, the "Blueprint for Making America Great Again" simply adds to a military budget that already is higher than the next eight countries put together, and kills programs that foster health, research, a clean environment, the arts, and protections for children, minorities, and the elderly.

All of this puts me in mind of the quote from President Dwight D. Eisenhower, which is as pertinent now as when he said it, sixty years ago: "Every gun that is made, every warship launched, every rocket fired signifies in the final sense, a theft from those who hunger and are not fed, those who are cold and are not clothed.  This world in arms is not spending money alone.  It is spending the sweat of its laborers, the genius of its scientists, the hopes of its children.  This is not a way of life at all in any true sense.  Under the clouds of war, it is humanity hanging on a cross of iron."