Yes, scientific journals should publish political rebuttals

(The headline is partly click-bait, as I admit below, because some context is required.) From ‘Should scientific journals publish political debunkings?’Science Fictions by Stuart Ritchie, August 27, 2022:

Earlier this week, the “news and analysis” section of the journal Science … published … a point-by-point rebuttal of a monologue a few days earlier from the Fox News show Tucker Carlson Tonight, where the eponymous host excoriated Dr. Anthony Fauci, of “seen everywhere during the pandemic” fame. … The Science piece noted that “[a]lmost everything Tucker Carlson said… was misleading or false”. That’s completely correct – so why did I have misgivings about the Science piece? It’s the kind of thing you see all the time on dedicated political fact-checking sites – but I’d never before seen it in a scientific journal. … I feel very conflicted on whether this is a sensible idea. And, instead of actually taking some time to think it through and work out a solid position, in true hand-wringing style I’m going to write down both sides of the argument in the form of a dialogue – with myself.

There’s one particular exchange between Ritchie and himself in his piece that threw me off the entire point of the article:

[Ritchie-in-favour-of-Science-doing-this]: Just a second. This wasn’t published in the peer-reviewed section of Science! This isn’t a refereed paper – it’s in the “News and Analysis” section. Wouldn’t you expect an “Analysis” article to, like, analyse things? Including statements made on Fox News?

[Ritchie-opposed-to-Science-doing-this]: To be honest, sometimes I wonder why scientific journals have a “News and Analysis” section at all – or, I wonder if it’s healthy in the long run. In any case, clearly there’s a big “halo” effect from the peer-reviewed part: people take the News and Analysis more seriously because it’s attached to the very esteemed journal. People are sharing it on social media because it’s “the journal Science debunking Tucker Carlson” – way fewer people would care if it was just published on some random news site. I don’t think you can have it both ways by saying it’s actually nothing to do with Science the peer-reviewed journal.

[Ritchie-in-favour]: I was just saying they were separate, rather than entirely unrelated, but fair enough.

Excuse me but not at all fair enough! The essential problem is the tie-ins between what a journal does, why it does them and what impressions they uphold in society.

First, Science‘s ‘news and analysis’ section isn’t distinguished by its association with the peer-reviewed portion of the journal but by its own reportage and analyses, intended for scientists and non-scientists alike. (Mea culpa: the headline of this post answers the question in the headline of Ritchie’s post, while being clear in the body that there’s a clear distinction between the journal and its ‘news and analysis’ section.) A very recent example was Charles Piller’s investigative report that uncovered evidence of image manipulation in a paper that had an outsized influence on the direction of Alzheimer’s research since it was published in 2006. When Ritchie writes that the peer-reviewed journal and the ‘news and analysis’ section are separate, he’s right – but when he suggests that the former’s prestige is responsible for the latter’s popularity, he’s couldn’t be more wrong.

Ritchie is a scientist and his position may reflect that of many other scientists. I recommend that he and others who agree with him consider the section from the PoV of a science journalist, when they will immediately see as we do that it has broken many agenda-setting stories as well as has published several accomplished journalists and scientists (Derek Lowe’s column being a good example). Another impression that could change with the change of perspective is the relevance of peer-review itself, and the deceptively deleterious nature of an associated concept he repeatedly invokes, which could as well be the pseudo-problem at the heart of Ritchie’s dilemma: prestige. To quote from a blog post in which University of Regensburg neurogeneticist Björn Brembs analysed the novelty of results published by so-called ‘prestigious’ journals, and published in February this year:

Taken together, despite the best efforts of the professional editors and best reviewers the planet has to offer, the input material that prestigious journals have to deal with appears to be the dominant factor for any ‘novelty’ signal in the stream of publications coming from these journals. Looking at all articles, the effect of all this expensive editorial and reviewer work amounts to probably not much more than a slightly biased random selection, dominated largely by the input and to probably only a very small degree by the filter properties. In this perspective, editors and reviewers appear helplessly overtaxed, being tasked with a job that is humanly impossible to perform correctly in the antiquated way it is organized now.

In sum:

Evidence suggests that the prestige signal in our current journals is noisy, expensive and flags unreliable science. There is a lack of evidence that the supposed filter function of prestigious journals is not just a biased random selection of already self-selected input material. As such, massive improvement along several variables can be expected from a more modern implementation of the prestige signal.

Take the ‘prestige’ away and one part of Ritchie’s dilemma – the journal Science‘s claim to being an “impartial authority” that stands at risk of being diluted by its ‘news and analysis’ section’s engagement with “grubby political debates” – evaporates. Journals, especially glamour journals like Science, haven’t historically been authorities on ‘good’ science, such as it is, but have served to obfuscate the fact that only scientists can be. But more broadly, the ‘news and analysis’ business has its own expensive economics, and publishers of scientific journals that can afford to set up such platforms should consider doing so, in my view, with a degree and type of separation between these businesses according to their mileage. The simple reasons are:

1. Reject the false balance: there’s no sensible way publishing a pro-democracy article (calling out cynical and potentially life-threatening untruths) could affect the journal’s ‘prestige’, however it may be defined. But if it does, would the journal be wary of a pro-Republican (and effectively anti-democratic) scientist refusing to publish on its pages? If so, why? The two-part answer is straightforward: because many other scientists as well as journal editors are still concerned with the titles that publish papers instead of the papers themselves, and because of the fundamental incentives of academic publishing – to publish the work of prestigious scientists and sensational work, as opposed to good work per se. In this sense, the knock-back is entirely acceptable in the hopes that it could dismantle the fixation on which journal publishes which paper.

2. Scientific journals already have access to expertise in various fields of study, as well as an incentive to participate in the creation of a sensible culture of science appreciation and criticism.

Featured image: Tucker Carlson at an event in West Palm Beach, Florida, December 19, 2020. Credit: Gage Skidmore/Wikimedia Commons, CC BY-SA 2.0.

The matter of a journal’s reputation

Apparently (and surprisingly) The Telegraph didn’t allow Dinesh Thakur to respond to an article by Biocon employee Sundar Ramanan, in which Ramanan deems Thakur’s article about the claims to efficacy of the Biocon drug Itolizumab not being backed by enough data to have received the DCGI’s approval to be inaccurate. Even notwithstanding The Telegraph‘s policy on how rebuttals are handled (I have no idea what it is), Ramanan – as a proxy for his employer – has everything to gain by defending Itolizumab’s approval and Thakur, nothing. This fact alone means Thakur should have been allowed to respond. As it stands, the issue has been reduced to a he-said-she-said event and I doubt that in reality it is. Thakur has since published his response at Newslaundry.

I’m no expert but there are many signs of whataboutery in Ramanan’s article. As Thakur writes, there’s also the matter of the DCGI waiving phase III clinical trials for Itolizumab, which can only be done if phase II trials were great – and this they’re unlikely to have been because of the ludicrous cohort size of 30 people. Kiran Mazumdar-Shaw and Seema Ahuja, the former the MD of and the latter a PR person affiliated with Biocon, have also resorted to ad hominem arguments on Twitter against Itolizumab’s critics, on more than one occasion have construed complaints about the drug approval process as expressions of anti-India sentiments, and have more recently begun to advance company-sponsored ‘expert opinions’ as “peer-reviewed” evidence of Itolizumab’s efficacy.

Even without presuming to know who’s ultimately right here, Mazumdar-Shaw and Ahuja don’t sound like the good guys, especially since their fiercest critics I’ve spotted thus far on Twitter are a bunch of highly qualified public health experts and medical researchers. Accusing them of ‘besmirching India’ inspires anything but confidence in Itolizumab’s phase II trial results.

It’s in this context that I want to draw attention to one particular word in Ramanan’s article in The Telegraph that I believe signals the ‘you scratch my back, I scratch yours’ relationship between many scientific journals and the accumulation of knowledge as a means to power – and in my view is a further sign that something’s rotten in the state of Denmark. Ramanan writes (underline added):

Itolizumab was first approved by the Drugs Controller General of India for the treatment of patients with active moderate to severe chronic plaque Psoriasis in 2013 based on “double-blind, randomized, placebo-controlled, Phase III study”. The safety and efficacy of the drug was published in globally reputed, peer-reviewed journals and in proceedings (Journal of the American Academy of Dermatology, and the 6th annual European Antibody Congress, respectively).

What does a journal’s reputation have to do with anything? The reason I keep repeating this point is not because you don’t get it – I’m sure you do; I do it to remind myself, and everyone else who may need to be reminded, of the different contexts in which the same issue repeatedly manifests. Invoking reputation, in this instance, smells of an argument grounded in authority instead of in evidence. Then again, this is a tautological statement considering Biocon issued a press release before the published results – preprint or post-print – were available (they still aren’t), but let’s bear on in an attempt to make sense of reputation itself.

The matter of a journal’s reputation, whether local or global, is grating because the journals for whom this attribute is germane have acquired it by publishing certain kinds of papers over others – papers that tend to describe positive results, sensational results, and by virtue of their reader-pays business model, results that are of greater interest to those likely to want to pay to access them. These details are important because it’s important to ask what ‘reputation’ means, and based on that we can then understand some of the choices of people for whom this ‘reputation’ matters.

Reputation is the outcome of gatekeeping, of deeming some papers as being worthy of publication according to metrics that have less to do with the contents of the paper* and more with the journal’s desirability and profitability. As Björn Brembs wrote in 2010:

It doesn’t matter where something is published – what matters is what is being published. Given the obscene subscription rates some of these journals charge, if anything, they should be held to a higher standard and their ‘reputation’ (i.e., their justification for charging these outrageous subscription fees!) being constantly questioned, rather than this unquestioning dogma that anything published there must be relevant, because it was published there.

However, by breaking into an élite club by publishing a paper in a particular journal, the reputation starts to matter to the scientist as well, and becomes synonymous with the scientist’s own aspirations of quality, rigour and academic power (look out for proclamations like “I have published 25 papers in journal X, which has an impact factor of 43″). This way, over time, the scientific literature becomes increasingly skewed in favour of some kinds of papers over others – especially of the positive, sensational variety – and leads to a vicious cycle.

The pressure in academia to ‘publish or perish’ also forces scientists to shoehorn themselves tighter into the journals’ definition of what a ‘good’ paper is, more so if publishing in some journals has seemingly become associated with increasing one’s likelihood of winning ‘reputed’ awards. As such, reputation is neither accidental nor innocent. From the point of view of the science that fills scientific journals, reputation is an arbitrary gatekeeper designed to disqualify an observer from calling the journal’s contents into question – which I’m sure you’ll understand is essentially antiscientific.

Ramanan’s appeal to the reputation of the journal that published the results of the tests of Itolizumab’s efficacy against cytokine release syndrome (CRS) in psoriasis patients is, in similar vein, an appeal to an entity that has nothing to do either with the study itself or the matter at hand. As Dr Jammi Nagaraj Rao wrote for The Wire Science, there’s no reason for us to believe knowing how Itolizumab works against CRS will help us understand how it will work against CRS in COVID-19 patients considering we’re not entirely sure how CRS plays out in COVID-19 patients – or if Itolizumab’s molecular mechanism of action can be directly translated to a statement of efficacy against a new disease.

In effect, the invitation to defer to a journal’s reputation is akin to an invitation to hide behind a cloak of superiority that would render scrutiny irrelevant. But that Ramanan used this word in this particular context is secondary**; the primary issue is that journals that pride such arbitrarily defined attributes as ‘reputation’ and ‘prestige’ also offer them as a defence against demands for transparency and access. Instead, why not let the contents of the paper speak up for themselves? Biocon should publish the paper pertaining to its controversial phase II trial of Itolizumab in COVID-19 patients and the DCGI should publicise the inner workings of its approval process asap. As they say: show us (the results), don’t tell us (the statement).

Beyond determining if the paper is legitimate, has sound science and is free of mistakes, malpractice or fraud.

** There are also other words Ramanan uses to subtly delegitimise Thakur’s article – calling it an “opinion article” and presuming to “correct” Thakur’s arguments that constitute a “disservice to the public”.

To see faces where there are none

This week in “neither university press offices nor prestigious journals know what they’re doing”: a professor emeritus at Ohio University who claimed he had evidence of life on Mars, and whose institution’s media office crafted a press release without thinking twice to publicise his ‘findings’, and the paper that Nature Medicine published in 2002, cited 900+ times since, that has been found to contain multiple instances of image manipulation.

I’d thought the professor’s case would remain obscure because it’s evidently crackpot but this morning, articles from Space.com and Universe Today showed up on my Twitter setting the record straight: that the insects the OU entomologist had found in pictures of Mars taken by the Curiosity rover were just artefacts of his (insectile) pareidolia. Some people have called this science journalism in action but I’d say it’s somewhat offensive to check if science journalism still works by gauging its ability, and initiative, to countering conspiracy theories, the lowest of low-hanging fruit.

The press release, which has since been taken down. Credit: EurekAlert and Wayback Machine

The juicier item on our plate is the Nature Medicine paper, the problems in which research integrity super-sleuth Elisabeth Bik publicised on November 21, and which has a science journalism connection as well.

Remember the anti-preprints article Nature News published in July 2018? Its author, Tom Sheldon, a senior press manager at the Science Media Centre, London, argued that preprints “promoted confusion” and that journalists who couldn’t bank on peer-reviewed work ended up “misleading millions”. In other words, it would be better if we got rid of preprints and journalists deferred only to the authority of peer-reviewed papers curated and published by journals, like Nature. Yet here we are today, with a peer-reviewed manuscript published in Nature Medicine whose checking process couldn’t pick up on repetitive imagery. Is this just another form of pareidolia, to see a sensational result – knowing prestigious journals’ fondness for such results – where there was actually none?

(And before you say this is just one paper, read this analysis: “… data from several lines of evidence suggest that the methodological quality of scientific experiments does not increase with increasing rank of the journal. On the contrary, an accumulating body of evidence suggests the inverse: methodological quality and, consequently, reliability of published research works in several fields may be decreasing with increasing journal rank.” Or this extended critique of peer-review on Vox.)

This isn’t an argument against the usefulness, or even need for, peer-review, which remains both useful and necessary. It’s an argument against ludicrous claims that peer-review is infallible, advanced in support of the even more ludicrous argument that preprints should be eliminated to enable good journalism.