Brownstone Institute
The Illusion of Consensus
From the Brownstone Institute
Science is the process by which we learn about the workings of material reality. Though modern innovations – built on the fruits of science – would look like magic to people living only decades ago, they result from the time-tested scientific method.
Contrary perhaps to media portrayals of science, the scientific method depends not on the existence of a mythical consensus but rather on structured scientific debates. If there is a consensus, science challenges it with new hypotheses, experiments, logic, and critical thinking. Ironically, science advances because it believes it has never arrived; consensus is the hallmark of dead science.
One of us is a college student with an unpremeditated career in alternative indie journalism. The other is a professor of health policy at Stanford University School of Medicine with an MD, a Ph.D. in economics, and decades of experience writing on infectious disease epidemiology. Despite the wealth of differences in our backgrounds and experiences, we converge on foundational scientific and ethical principles that public health authorities abandoned during the Covid pandemic. Principles like evidence-based medicine, informed consent, and the necessity of scientific debate serve as the bedrock on which the public can have confidence that science and public health work for the benefit of the people rather than regardless of it.
The illusion of scientific consensus throughout the COVID-19 pandemic led to disastrous policies, with lockdowns the primary example. It was clear even on the eve of the lockdowns in 2020 that the economic dislocation caused by them would throw tens of millions worldwide into food insecurity and deep poverty, which has indeed come to pass.
It was clear that school closures – in some places lasting two years or longer – would devastate children’s life opportunities and future health and well-being wherever they were implemented. The emerging picture of catastrophic learning loss, especially among poor and minority children (with fewer resources available to replace lost schooling), means that lockdowns will fuel generational poverty and inequality in the coming decades.
And the empirical evidence from places like Sweden, which did not impose draconian lockdowns or close schools and which have among the lowest rate of all-cause excess death in Europe, suggests that lockdowns failed even narrowly to protect population health during the pandemic.
The illusion of consensus around the proper use of the Covid vaccines was another major public health disaster. Public health officials everywhere touted the randomized trials on the Covid vaccines as providing complete protection against getting and spreading Covid. However, the trials themselves did not have the prevention of infection or transmission as a measured endpoint.
Rather, the trials measured protection against symptomatic disease for two months after a two-dose vaccination sequence. Prevention of symptomatic infection is obviously a distinct clinical endpoint from prevention of infection or transmission for a virus that can spread asymptomatically. In the fall of 2020, Moderna chief medical officer Tal Zaks told the BMJ, “Our trial will not demonstrate prevention of transmission…because in order to do that, you have to swab people twice a week for very long periods, and that becomes operationally untenable.”
Despite these facts, public health officials botched the public health messaging surrounding the Covid vaccines. Based on an illusion of scientific consensus, public health authorities, politicians, and the media pushed vaccine mandates, vaccine passports, and vaccine discrimination.
Prominent officials, including Anthony Fauci and CDC Director Rochelle Walensky, told the public that science had established that covid vaccines stop transmission. CNN anchor Don Lemon advocated for “shaming” and “leaving behind” unvaccinated citizens from society. Countries such as Italy, Greece, and Austria sought to punish their unvaccinated citizens with heavy financial penalties of up to $4,108. In Canada, the government stripped unvaccinated citizens of their rights to travel anywhere via plane or train and their ability to work at banks, law firms, hospitals, and all federally regulated industries.
The premise was that only the unvaccinated are at risk of spreading covid. An illusion of consensus emerged that getting the shots was a required civic duty. Phrases such as “It’s not about you, it’s to protect my grandparents” became widely popularized. Ultimately, as people observed many vaccinated people around them contract and spread Covid, the public trust in these authorities collapsed.
Early last month, the Biden administration extended its foreign traveler mRNA vaccine requirement to May 11th (which is now coming to an end) after the restriction was set to expire on April 11th. None of these policies ever had any scientific or public health rationale or epidemiological “consensus” to support them— and they certainly do not in 2023.
Related errors are overstating the necessity of the Covid vaccine for the young and healthy and downplaying the possibility of severe side effects, such as myocarditis which has been found mainly in young men taking the vaccine. The primary benefit of the Covid vaccine is to reduce the risk of hospitalization or death upon covid infection. There is more than a thousand-fold difference in the mortality risk from covid infection, with children and young and healthy people facing an extremely low risk relative to other risks in their lives.
On the other hand, the mortality risk for older people from infection is considerably higher. So the maximum theoretical benefit of the vaccine is meager for young, healthy people and children, while it is potentially higher for elderly people with multiple comorbid conditions.
Institutional public health and medicine ignored these facts in the push to vaccinate the entire population, regardless of the balance of benefits and harms from the vaccine. Public health should have cautioned young and/or healthy people regarding the uncertainty regarding vaccine safety for a novel vaccine.
For the young and healthy, the small potential benefit does not outweigh the risk, which – with the early myocarditis signals – turned out not to be theoretical in nature. A rigorous independent analysis of Pfizer and Moderna’s safety data shows that mRNA covid vaccines are associated with a 1 in 800 adverse event rate — substantially higher than other vaccines on the market (typically in the ballpark of 1 in a million adverse event rates).
To maintain an illusion of consensus, public health authorities and media thought it necessary to suppress these facts. In June 2021, for instance, Joe Rogan stated healthy 21-year-olds do not need the vaccine. Despite his correct medical judgment which has indisputably stood the test of time, all sectors of the corporate media and social media platforms unanimously pilloried him for spreading “dangerous misinformation.”
Worse, many people who suffered from legitimate vaccine injuries were gaslighted by the media and medical personnel about the cause of their condition. One of us has devoted the past several months interviewing victims of the illusory scientific consensus that covid vaccines are on net beneficial for every group. For example, there is a 38-year-old law enforcement officer in British Columbia who was coerced into vaccination against his conscience to keep his job.
Nearly two years later, he remains disabled from vaccine-induced myocarditis and has been unable to serve his community. National data from countries in France, Sweden, Germany, Israel, and the United States shows a substantial rise in cardiac conditions among younger populations after the distribution of the Covid vaccine.
The illusion of consensus surrounding Covid vaccination — wrongly viewed in the same light as hand-washing, driving within speed limits, or staying hydrated — has led to greater political divisions and discriminatory rhetoric. The failure of the traditionally well-regarded public health agencies like the FDA and CDC – with perverse influences from pharmaceutical companies in tandem with the powerful forces of censorship on social media — has destroyed trust in public health institutions. Disillusioned with the “illusion” of consensus, a growing number of Americans and Canadians are distrustful of scientific consensus and are beginning to question all things.
The project of science calls for rigor, humility, and open discussion. The pandemic has revealed the stunning magnitude of the political and institutional capture of science. For this reason, both of us — Rav and Jay — are launching a podcast devoted to investigating the concoction of pseudo-consensus in science and its ramifications for our society.
You can subscribe to the authors’ new Substack and Podcast
Authors
From the Brownstone Institute
Many news outlets reported the announcement of the Nobel Peace Prize on Friday by saying President Donald Trump had missed out (Washington Post, Yahoo, Hindustan Times, Huffington Post), not won (USA Today), fallen short (AP News), lost (Time), etc. There is even a meme doing the rounds about ‘Trump Wine.’ ‘Made from sour grapes,’ the label explains, ‘This is a full bodied and bitter vintage guaranteed to leave a nasty taste in your mouth for years.’
For the record, the prize was awarded to María Corina Machado for her courageous and sustained opposition to Venezuela’s ruling regime. Trump called to congratulate her. Given his own attacks on the Venezuelan president, his anger will be partly mollified, and he could even back her with practical support. He nonetheless attacked the prize committee, and the White House assailed it for putting politics before peace.
He could be in serious contention next year. If his Gaza peace plan is implemented and holds until next October, he should get it. That he is unlikely to do so is more a reflection on the award and less on Trump.
So He Won the Nobel Peace Prize. Meh!
Alfred Nobel’s will stipulates the prize should be awarded to the person who has contributed the most to promote ‘fraternity between nations…abolition or reduction of standing armies and…holding and promotion of peace congresses.’ Over the decades, this has expanded progressively to embrace human rights, political dissent, environmentalism, race, gender, and other social justice causes.
On these grounds, I would have thought the Covid resistance should have been a winner. The emphasis has shifted from outcomes and actual work to advocacy. In honouring President Barack Obama in 2009, the Nobel committee embarrassed itself, patronised him, and demeaned the prize. His biggest accomplishment was the choice of his predecessor as president: the prize was a one-finger send-off to President George W. Bush.
There have been other strange laureates, including those prone to wage war (Henry Kissinger, 1973), tainted through association with terrorism (Yasser Arafat, 1994), and contributions to fields beyond peace, such as planting millions of trees. Some laureates were subsequently discovered to have embellished their record, and others proved to be flawed champions of human rights who had won them the treasured accolade.
Conversely, Mahatma Gandhi did not get the prize, not for his contributions to the theory and practice of non-violence, nor for his role in toppling the British Raj as the curtain raiser to worldwide decolonisation. The sad reality is how little practical difference the prize has made to the causes it espoused. They bring baubles and honour to the laureates, but the prize has lost much of its lustre as far as results go.
Trump Was Not a Serious Contender
The nomination processes start in September and nominations close on 31 January. The five-member Norwegian Nobel committee scrutinises the list of candidates and whittles it down between February and October. The prize is announced on or close to 10 October, the date Alfred Nobel died, and the award ceremony is held in Oslo in early December.
The calendar rules out a newly elected president in his first year, with the risible exception of Obama. The period under review was 2024. Trump’s claims to have ended seven wars and boasts of ‘nobody’s ever done that’ are not taken seriously beyond the narrow circle of fervent devotees, sycophantic courtiers, and supplicant foreign leaders eager to ingratiate themselves with over-the-top flattery.
Trump Could Be in Serious Contention Next Year
Trump’s 20-point Gaza peace plan falls into three conceptual-cum-chronological parts: today, tomorrow, and the day after. At the time of writing, in a hinge moment in the two-year war, Israel has implemented a ceasefire in Gaza, Hamas has agreed to release Israeli hostages on 13-14 October, and Israel will release around 2,000 Palestinian prisoners (today’s agenda). So why are the ‘Ceasefire Now!’ mobs not out on the streets celebrating joyously instead of looking morose and discombobulated? Perhaps they’ve been robbed of the meaning of life?
The second part (tomorrow) requires Hamas demilitarisation, surrender, amnesty, no role in Gaza’s future governance, resumption of aid deliveries, Israeli military pullbacks, a temporary international stabilisation force, and a technocratic transitional administration. The third part, the agenda for the day after, calls for the deradicalisation of Gaza, its reconstruction and development, an international Peace Board to oversee implementation of the plan, governance reforms of the Palestinian Authority, and, over the horizon, Palestinian statehood.
There are too many potential pitfalls to rest easy on the prospects for success. Will Hamas commit military and political suicide? How can the call for democracy in Gaza and the West Bank be reconciled with Hamas as the most popular group among Palestinians? Can Israel’s fractious governing coalition survive?
Both Hamas and Israel have a long record of agreeing to demands under pressure but sabotaging their implementation at points of vulnerability. The broad Arab support could weaken as difficulties arise. The presence of the internationally toxic Tony Blair on the Peace Board could derail the project. Hamas has reportedly called on all factions to reject Blair’s involvement. Hamas official Basem Naim, while thanking Trump for his positive role in the peace deal, explained that ‘Palestinians, Arabs and Muslims and maybe a lot [of] people around the world still remember his [Blair’s] role in causing the killing of thousands or millions of innocent civilians in Afghanistan and Iraq.’
It would be a stupendous achievement for all the complicated moving parts to come together in stable equilibrium. What cannot and should not be denied is the breathtaking diplomatic coup already achieved. Only Trump could have pulled this off.
The very traits that are so offputting in one context helped him to get here: narcissism; bullying and impatience; bull in a china shop style of diplomacy; indifference to what others think; dislike of wars and love of real estate development; bottomless faith in his own vision, negotiating skills, and ability to read others; personal relationships with key players in the region; and credibility as both the ultimate guarantor of Israel’s security and preparedness to use force if obstructed. Israelis trust him; Hamas and Iran fear him.
The combined Israeli-US attacks to degrade Iran’s nuclear capability underlined the credibility of threats of force against recalcitrant opponents. Unilateral Israeli strikes on Hamas leaders in Qatar highlighted to uninvolved Arabs the very real dangers of continued escalation amidst the grim Israeli determination to rid themselves of Hamas once and for all.
Trump Is Likely to Be Overlooked
Russia has sometimes been the object of the Nobel Peace Prize. The mischievous President Vladimir Putin has suggested Trump may be too good for the prize. Trump’s disdain for and hostility to international institutions and assaults on the pillars of the liberal international order would have rubbed Norwegians, among the world’s strongest supporters of rules-based international governance, net zero, and foreign aid, the wrong way.
Brash and public lobbying for the prize, like calling the Norwegian prime minister, is counterproductive. The committee is fiercely independent. Nominees are advised against making the nomination public, let alone orchestrating an advocacy campaign. Yet, one laureate is believed to have mobilised his entire government for quiet lobbying behind the scenes, and another to have bad-mouthed a leading rival to friendly journalists.
Most crucially, given that Scandinavian character traits tip towards the opposite end of the scale, it’s hard to see the committee overlooking Trump’s loud flaws, vanity, braggadocio, and lack of grace and humility. Trump supporters discount his character traits and take his policies and results seriously. Haters cannot get over the flaws to seriously evaluate policies and outcomes. No prizes for guessing which group the Nobel committee is likely to belong to. As is currently fashionable to say when cancelling someone, Trump’s values do not align with those of the committee and the ideals of the prize.
Author
From the Brownstone Institute
Trump made sweeping claims that would have ended political careers in any other era. His health officials tried to narrow the edges, but the President ensured that the headlines would be his.
Autism has long been the untouchable subject in American politics. For decades, federal agencies tiptoed around it, steering research toward genetics while carefully avoiding controversial environmental or pharmaceutical questions.
That ended at the White House this week, when President Donald Trump tore through the taboo with a blunt and sometimes incendiary performance that left even his own health chiefs scrambling to keep pace.
Flanked by Health Secretary Robert F. Kennedy, Jr., NIH Director Jay Bhattacharya, FDA Commissioner Marty Makary, CMS Adminstrator Dr Mehmet Oz, and other senior officials, Trump declared autism a “horrible, horrible crisis” and recounted its rise in startling terms.
“Just a few decades ago, one in 10,000 children had autism…now it’s one in 31, but in some areas, it’s much worse than that, if you can believe it, one in 31 and…for boys, it’s one in 12 in California,” Trump said.
The President insisted the trend was “artificially induced,” adding: “You don’t go from one in 20,000 to one in 10,000 and then you go to 12, you know, there’s something artificial. They’re taking something.”
Trump’s Blunt Tylenol Warning
The headline moment came when Trump zeroed in on acetaminophen, the common painkiller sold as Tylenol — known as paracetamol in Australia.
While Kennedy and Makary described a cautious process of label changes and physician advisories, Trump dispensed with nuance.
“Don’t take Tylenol,” Trump said flatly. “Don’t take it unless it’s absolutely necessary…fight like hell not to take it.”
Kennedy laid out the evidence base, citing “clinical and laboratory studies that suggest a potential association between acetaminophen used during pregnancy and adverse neurodevelopmental outcomes, including later diagnosis for ADHD and autism.”
Makary reinforced the point with references to the Boston Birth Cohort, the Nurses’ Health Study, and a recent Harvard review, before adding: “To quote the dean of the Harvard School of Public Health, there is a causal relationship between prenatal acetaminophen use and neurodevelopmental disorders of ADHD and autism spectrum disorder. We cannot wait any longer.”
But where the officials spoke of “lowest effective dose” and “shortest possible duration,” Trump thundered over the top: “I just want to say it like it is, don’t take Tylenol. Don’t take it if you just can’t. I mean, it says, fight like hell not to take it.”
Vaccines Back on Center Stage
The President then pivoted to vaccines, reviving arguments that the medical establishment has long sought to bury. He blasted the practice of giving infants multiple injections at a single visit.
“They pump so much stuff into those beautiful little babies, it’s a disgrace…you get a vat of 80 different vaccines, I guess, 80 different blends, and they pump it in,” Trump said.
His solution was simple: “Go to the doctor four times instead of once, or five times instead of once…it can only help.”
On the measles, mumps, and rubella shot, Trump insisted: “The MMR, I think should be taken separately…when you mix them, there could be a problem. So there’s no downside in taking them separately.”
The moment was astonishing — echoing arguments that had once seen doctors like Andrew Wakefield excommunicated from medical circles.
It was the kind of line of questioning the establishment had spent decades trying to banish from mainstream debate.
Hep B Vaccine under Attack
Trump dismissed the rationale for giving the hepatitis B vaccine at birth.
“Hepatitis B is sexually transmitted. There’s no reason to give a baby that’s just born hepatitis B [vaccine]. So I would say, wait till the baby is 12 years old,” he said.
He made clear that he was “not a doctor,” stressing that he was simply offering his personal opinion. But the move could also be interpreted as Trump choosing to take the heat himself, to shield Kennedy’s HHS from what was sure to be an onslaught of criticism.
The timing was remarkable.
Only last week, the CDC’s Advisory Committee on Immunisation Practices (ACIP) had been preparing to vote on whether to delay the hepatitis B shot until “one month” of age — a modest proposal that mainstream outlets derided as “anti-vax extremism.”
By contrast, Trump told the nation to push the jab back 12 years. His sweeping denunciations made the supposedly radical ACIP vote look almost tame.
The irony was inescapable — the same media voices who had painted Kennedy’s reshaped ACIP as reckless now faced a President willing to say far more than the panel itself dared.
A New Treatment and Big Research Push
The administration also unveiled what it deemed a breakthrough: FDA recognition of prescription leucovorin, a folate-based therapy, as a treatment for some autistic children.
Makary explained: “It may also be due to an autoimmune reaction to a folate receptor on the brain not allowing that important vitamin to get into the brain cells…one study found that with kids with autism and chronic folate deficiency, two-thirds of kids with autism symptoms had improvement and some marked improvement.”
Dr Oz confirmed Medicaid and CHIP (the Children’s Health Insurance Program, which provides low-cost health coverage to children in families that earn too much to qualify for Medicaid) would cover the treatment.
“Over half of American children are covered by Medicaid and CHIP…upon this label change…state Medicaid programs will cover prescription leucovorin around the country, it’s yours,” said Oz.
Bhattacharya announced $50 million in new NIH grants under the “Autism Data Science Initiative.”
He explained that 13 projects would be funded using “exposomics” — the study of how environmental exposures like diet, chemicals, and infections interact with our biology — alongside advanced causal inference methods.
“For too long, it’s been taboo to ask some questions for fear the scientific work might reveal a politically incorrect answer,” Bhattacharya said. “Because of this restricted focus in scientific investigations, the answers for families have been similarly restricted.”
Mothers’ Voices
The press conference also featured raw testimony from parents.
Amanda, mother of a profoundly autistic five-year-old, told Trump: “Unless you’ve lived with profound autism, you have no idea…it’s a very hopeless feeling. It’s very isolating. Being a parent with a profound autistic child, even just taking them over to your friend’s house is something we just don’t do.”
Jackie, mother of 11-year-old Eddie, said: “I’ve been praying for this day for nine years, and I’m so thankful to God for bringing the administration into our lives…I never thought we would have an administration that was courageous enough to look into things that no prior administration had.”
Their stories underscored what Kennedy said at the announcement about “believing women.” Here were mothers speaking directly about their lived reality, demanding that uncomfortable conversations could no longer be avoided.
Clashes with the Press Corps
Reporters pressed Trump on the backlash from medical groups.
Asked about the American College of Obstetricians and Gynecologists (ACOG) declaring acetaminophen safe in pregnancy, Trump shot back, “That’s the establishment. They’re funded by lots of different groups. And you know what? Maybe they’re right. I don’t think they are, because I don’t think the facts bear it out at all.”
When one journalist raised the argument that rising diagnoses reflected better recognition, Kennedy bristled,
“That’s one of the canards that has been promoted by the industry for many years,” he said. “It’s just common sense, because you’re only seeing this in people who are under 50 years of age. If it were better recognition or diagnosis, you’d see it in the seventy-year-old men. I’ve never seen this happening in people my age.”
Another reporter then asked Trump, “Should the establishment media show at least some openness to trying to figure out what the causes are?”
“I wish they would. Yeah, why are they so close-minded?” Trump replied. “It’s not only the media, in all fairness, it’s some people, when you talk about vaccines, it’s crazy…I don’t care about being attacked.”
Breaking the Spell
For years, autism policy has been shaped by caution, consensus, and deference to orthodox positions. That spell was broken at today’s press conference.
The dynamic was striking. Kennedy, Makary, Bhattacharya, and Oz leaned on scientific papers, review processes, and cautious advisories. Trump, by contrast, brushed it all aside, hammering his message home through repetition and personal anecdotes.
Trump made sweeping claims that would have ended political careers in any other era. His health officials tried to narrow the edges, but the President ensured that the headlines would be his.
“This will be as important as any single thing I’ve done,” Trump declared. “We’re going to save a lot of children from a tough life, really tough life. We’re going to save a lot of parents from a tough life.”
Whatever the science ultimately shows, the politics of autism in America will never be the same.
Republished from the author’s Substack
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