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Smooth Pebbles

David Dobbs writes on science, medicine, nature, and culture.

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ddsunnysb.jpg Author and journalist David Dobbs writes on science, medicine, and culture for the New York Times Magazine, Slate, Scientific American Mind, and other publications; "Buried Answers," one of his features for the Times Magazine, will appear in Houghton Mifflin's esteemed 2006 Best American Science and Nature Writing. The author of three books (see below), he is currently working on a book about the experience and neurobiology of fear. You can find more of his work at his website.

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BOOKS by David Dobbs



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Reef Madness: Charles Darwin, Alexander Agassiz, and the Meaning of Coral.
Oliver Sacks calls it "brilliantly written, almost unbearably poignant... The coral reef story becomes a microcosm of the conflicts -- between idealism and empiricism, God and evolution -- which were to split science and culture in the nineteenth century, and which still split them today.”

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The Great Gulf
An epistemological argument disguised as fish fight.

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The Northern Forest (with Richard Ober)
An environmental debate misses the most essential relationships in the ecosystem at hand.

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Medical & Science Policy:

Big Pharma, the play -- I'm not making this up

From the Never Thought You'd See This Department comes the one-person play Big Pharma, in which writer-director-actor Jennifer Berry apparently skewers said industry. How many plays get reviewed by both the LA Weekly and PLOS Biology? At least one. As the PLOS Biology review notes, Anyone who has experienced the assault of the pharmaceutical industry's marketing campaigns would appreciate Jennifer Berry's one-person play Big Pharma: The Rise of the Anti-Depressant Drug Industry and the Loss of a Generation. Since the mid-1990s, spending on drug promotion has grown steadily, reaching $21 billion in 2002. Berry explores the fallout of this expanded...

Tallying the Cost of War

Mind Matters, the "blog seminar" I edit at sciam.com, this week hosts a debate (which readers can join) about a) how best to estimate the prevalence of post-traumatic stress syndrome (PTSD) in Vietnam veterans and b) ultimately, how to calculate the cost-benefit ratio of war. ... Check it out at Mind Matters. And feel free to chime in with comments or questions via the usual link at the bottom of the column there.

Zyprexa, Act III - In which Big Pharma assaults the foundation stones

There's more news -- unflattering to the company -- about Eli Lilly's, um, selective release of data about its antipsychotic drug: Lilly is trying to squash the full release (aka "the leak" or "unauthorized publication") of some internal memos that allegedly document its attempt to cover up Zyprexa's. dangerous side effects. But as Jake at Pure Pedantry outlines, the attempt -- which itself hardly looks good -- will likely fail, partly because many of of the documents have already been posted on web servers outside the U.S. and thus out of reach of U.S. courts. This is the latest of several horrifically damning scandals in the drug industry, and it seems to embody and dramatize almost every flaw, foible, folly, and fuck-up that is costing the drug industry its credibility, and quite a few patients their lives.

Eli Lilly Pushes the Envelope

Even among the other scandals the drug industry has produced lately, the behavior described in the latest New England Journal of Medicine stands out as particularly stunning.

Single-payer and the cost game

My previous post drew notice to Malcolm Gladwell's recent article and blog posts about the competitive disadvantage our employer-based health-insurance system (and retirement system) inflicts on many American industries. Only hours passed before a commenter offered the (well-worn) argument that providing the obvious solution to this problem -- a national single-payer system providing universal health care -- "would be disastrous ...[if done] before tackling the cost issue." This "but what about the costs?" argument against single-payer is a canard, and ignores that our system is already a disaster when it comes to costs

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