Justice delayed but a ton of bricks await

From ‘SC declines Ramdev, Patanjali apology; expresses concern over FMCGs taking gullible consumers ‘up and down the garden path’’, The Hindu, April 10, 2024:

The Supreme Court has refused to accept the unconditional apology from Patanjali co-founder Baba Ramdev and managing director Acharya Balkrishna for advertising medical products in violation of giving an undertaking in the apex court in November 2023 prohibiting the self-styled yoga guru. … Justices Hima Kohli and Ahsanuddin Amanullah told senior advocate Mukul Rohatgi that Mr. Ramdev has apologised only after being caught on the back foot. His violations of the undertaking to the court was deliberate and willful, they said. The SC recorded its dissatisfaction with the apology tendered by proposed contemnors Patanjali, Mr. Balkrishna and Mr. Ramdev, and posted the contempt of court case on April 16.

… The Bench also turned its ire on the Uttarakhand State Licensing Authority for “twiddling their thumbs” and doing nothing to prevent the publications and advertisements. “Why should we not come down like a ton of bricks on your officers? They have been fillibustering,” Justice Kohli said. The court said the assurances of the State Licensing Authority and the apology of the proposed contemnors are not worth the paper they are written on.

A very emotionally gratifying turn of events, but perhaps not as gratifying as they might have been had they transpired at the government’s hands when Patanjali was issuing its advertisements of pseudoscience-backed COVID-19 cures during the pandemic. Or if the Supreme Court had proceeded to actually hold the men in contempt instead of making a slew of observations and setting a date for another hearing. Still, something to cheer for and occasion to reserve some hope for the April 16 session.

But in matters involving Ramdev and Patanjali Ayurved, many ministers of the current government ought to be pulled up as well, including former Union health minister Harsh Vardhan, Union micro, small, and medium enterprises minister Nitin Gadkari, and Prime Minister Narendra Modi. Modi’s governance and policies both written and unwritten enabled Patanjali’s charlatanry while messrs Vardhan and Gadkari were present at an event in February 2021 when Patanjali launched a product it claimed could cure COVID-19, with Vardhan – who was health minister then – speaking in favour of people buying and using the unproven thing.

I think the Supreme Court’s inclination to hold Ramdev et al. in contempt should extend to Vardhan as well because his presence at the event conferred a sheen of legitimacy on the product but also because of a specific bit of theatrics he pulled in May the same year involving Ramdev and former Prime Minister Manmohan Singh. Ramdev apologising because that’s more politically convenient rather than because he thinks he screwed up isn’t new. In that May, he’d called evidence-based medicine “stupid” and alleged such medicine had killed more people than the virus itself. After some virulent public backlash, Vardhan wrote a really polite letter to Ramdev asking him to apologise, and Ramdev obliged.

But just the previous month, in April 2021, Manmohan Singh had written a letter to Modi suggesting a few courses of action to improve India’s response to the virus’s spread. Its contents were perfectly reasonable, yet Vardhan responded to it accusing Singh of spreading “vaccine hesitancy” and alleging Congress-ruled states were responsible for fanning India’s deadly second wave of COVID-19 infections (in 2021). These were all ridiculous assertions. But equally importantly, his lashing out stood in stark contrast to his letter to Ramdev: respect for the self-styled godman and businessman whose company was attempting to corner the market for COVID-19 cures with untested, pseudo-Ayurvedic froth versus unhinged rhetoric for a well-regarded economist and statesman.

For this alone, Vardhan deserves the “ton of bricks” the Supreme Court is waiting with.

Cheers for everyone but the bustard

Behold, the legerdemain of spinning bad news into good:

Setting aside the meaningless headline, we have a lede (and the rest of the article, for that matter) that claims the Supreme Court of India “struck” a fine balancing act between the transition to renewable energy and protecting the great Indian bustard by rolling back a complete ban on overhead cables in the birds’ habitat.

Accepting sustained arguments from attorney general R Venkataramani, solicitor general Tushar Mehta and additional SG Aishwarya Bhati, the bench said, “India’s commitment to promoting renewable energy sources, particularly in regions like Gujarat and Rajasthan, aligns with its broader sustainable development objectives.”

Pats on the back for everyone.

Except while the Supreme Court is switching between imposing and revoking a ban on overhead cables and the newspaper declaring this a pro-climate triumph, there is no indication in the report that the petition before the Supreme Court is to move the power cables underground, protecting both the endangered bustards and the region’s power-generation potential.

The apex court has now asked an expert committee to examine the feasibility of underground cables and their costs, which the promoters of solar- and wind-power projects in the region have contended are too high. As such, the court’s order has created a false balance between the birds and the profit margins of these promoters, as if to say they’re equally legitimate and equally valuable.

Such are the perils of government by Supreme Court.

Government by Supreme Court

On February 27, a bench of the Supreme Court upbraided Patanjali Ayurved and its chairman Acharya Balkrishna for continuing to disparage systems of medicine other than Ayurveda (technically, what it calls Ayurveda) and claiming its products offer “permanent relief” from “blood pressure, diabetes, arthritis, asthma and obesity” in its advertisements, despite having assured the court in November 2023 that it won’t do so. The Indian Medical Association had filed the case in August 2022 alleging that Patanjali Ayurved had flouted the Drugs and Magic Remedies (Objectionable Advertisements) Act 1954 and its Rules.

It’s a straightforward case with an understandable outcome, but it isn’t unsurprising. That Patanjali Ayurved so openly violated the Act and the Rules – but also good sense, as Pushpa Mitra Bhargava pointed out in an excoriating essay in 2016 – forced the IMA to approach the court, and for some time now the courts have been the last democratic institutions in India interested in upholding the law (and even then it’s iffy). The ‘backstop’ the courts have offered against advertisements in particular running away with bullshit has been particularly useful because the laws are not so much outdated as unable to respond to the new ways in which advertisers are twisting words, taking advantage of grey areas, and, generally, “telling a lie in a way that it appears to be the truth,” in Bhargava’s words.

More importantly, advertisement regulation in India is weak. As Kaushik Moitra and Shreya Sircar wrote in 2022 (emphasis added):

Advertisers must address complaints regarding deviations from the ASCI Code. If such complaints are not remedied, ASCI may take coercive steps to regulate the (allegedly) offending advertisement. Illustratively, ASCI may recommend that broadcasters not air the offending advertisement and may also publish instances of non-compliance by advertisers on its website. ASCI may also report infractions to the Ministry of Information and Broadcasting.

Additionally, – and uniquely for a self-regulatory organisation in India – ASCI has been recognised as a self-regulator under the Cable Television Networks (Amendment) Rules, 2021. ASCI promulgations are advisory and can neither supplant nor supersede the law. Moreover, ASCI cannot compel compliance. However, any action brought against an advertiser for breach of ASCI promulgations will proceed on the basis that ASCIs position has statutory endorsement.

It’s ultimately up to some government agency to take action and to advertisers to check themselves. In 2010, ASCI had flagged more than “50 campaigns by ayurvedic and homeopathic drug makers offering a cure for COVID-19 in April alone” to the government. The charge was grounded not in the 1954 Act but in a Ministry of AYUSH order earlier that month prohibiting the advertisement of AYUSH-related claims about curing COVID-19.

In fact, between April 2014 and July 2024, a portal of the Department of Consumer Affairs said it had logged more than 1,400 misleading advertisements pertaining to AYUSH products and services. Similarly, the Pharmacovigilance Centres for Ayurveda, Siddha, Unani and Homeopathy Drugs reported 18,812 “objectionable advertisements” between 2018 and 2021. In 2022, the ASCI also reported 1,229 misleading AYUSH-related advertisements between 2017 and 2019. Yet the same ministry is unconcerned when Patanjali Ayurved offers unsubstantiated (possibly intentionally ambiguous) “permanent relief” from a variety of conditions. In fact, “unconcerned” is inaccurate. On February 19, 2021, the then Union health minister Harsh Vardhan endorsed a ‘drug’ developed by Patanjali Ayurved, called Coronil, and which the minister, Balkrishna (the chairman), and Baba Ramdev claimed was the “first evidence-based medicine for coronavirus”. It wasn’t; it was an untested quack-remedy backed by spurious claims that the WHO had certified it.

Such circumstances force those who are concerned about the effects of these advertisements to approach the courts for relief, and it is heartening that the courts among all institutions retain some sense. Yet this is also a tragedy: if the regulations that the government has put in place are followed and enforced properly by regulatory agencies, people wouldn’t have to approach courts for every remedy. Courts are already burdened with a large number of cases; equally, judges – while being equipped to examine the propriety of processes and adherence to the law and Constitutional principles – are not subject experts.

In the Patanjali Ayurved case, of course, the company was advancing clearly pseudoscientific claims backed by non-existent data, and its defence was easy to dismiss. What would happen when, say, the government approves a poorly tested vaccine with a known risk of injury in the event of a self-determined emergency; a civil society group files a petition asking for the approval to be rolled back; and the government contends that the group is spreading vaccine hesitancy? The court shouldn’t be expected to be able to examine the results of clinical trials, yet it may have to. In fact, contemporary environmental governance offers a real example of such a problem in action.

Unlike a specialised expert tribunal, Constitutional courts don’t possess the necessary skill and expertise to examine the technical and scientific correctness of any project. Judges are trained to examine and adjudicate on the legality and propriety of the decision-making process.

Environmental lawyer Ritwick Dutta wrote this in The Hindu following the Joshimath disaster, when the Union government halted work on the Helang-Marwari bypass. This work had received a green signal from the Supreme Court in 2022 to proceed, raising “questions about the validity of the apex court’s decision” (not that the Union government was opposed to the project).

The separation of powers is a division of labour, rendered more critical than other such divisions by the need to keep the greatest powers of the land in check. Yet it has often been flouted, such as the Supreme Court’s decision to set up the Central Empowered Committee, which stands in between the Standing Committee of the National Board for Wildlife and the Union Cabinet when approvals for non-forest use of sanctuaries and national parks are at stake. If this committee disagrees with a decision of the Standing Committee, the committee can forward it to the Supreme Court with its own opinion for the apex court to take the final call – a clear violation of the separation of powers.

However, not everyone would have thought so at the time many such measures were instituted. The environment ministry created the committee in 2002 following a Supreme Court direction in T.N. Godavarman, “for the purposes of monitoring and ensuring compliance of the orders of the … Supreme Court covering the subject matter of environment, forest and wildlife, and related issues arising out of the said orders and to suggest measures and recommendations generally to the State, as well as Central Government, for more effective implementation of the [Environment (Protection)] Act and other orders of the Court” (source).

Since then, however, and in keeping with Dutta’s assessment, the Supreme Court has adjudicated on the “technical and scientific correct” of various projects. That the environment ministry has parallelly and persistently weakened safeguards to protect the country’s natural resources to favour ‘ease of business’ has only allowed the court to intervene further. But at the same time, because the politically instituted mechanisms to protect the lives and livelihoods of people and the well-being of flora and fauna living near sites of resource extraction exist more and more only in theory, researchers, activists, and others have also welcomed the court’s interventions to nix deleterious project proposals. (In September 2023, in fact, the environment minister replaced the Supreme Court’s committee with a new one of the same name, populated fully with members that report to the ministry.)

Simplistically, those in charge are making bad decisions and those not supposed to be in charge are making good decisions.

Courts and COVID

India’s courts have played a prominent in helping (or not) the country manage its COVID-19 epidemic, especially during the second wave this year – from asking the government to explain which proofs of identity will be accepted at vaccination centres to recommending lockdowns. Two high courts, Madras and Allahabad, have also expressed sentiments that had until then been confined to Twitter – that the Election Commission should assume responsibility for the deaths of thousands of people and that state failures to supply oxygen amount to “genocide”. Here are some of the more notable search results from Bar & Bench, plus one from The Wire.

Death of COVID patients due to Oxygen shortage nothing less than genocide: Allahabad High Court orders inquiry

“Election Commission should be put up on murder charges:” Madras High Court on ECI’s failure to stop “abuse” of COVID norms in election rallies

Delhi High Court seeks report from Delhi Police in plea alleging hoarding of COVID-19 medicines by political leaders

Pained that orders are being completely ignored: Gujarat High Court asks why real-time updates on hospital beds are not available

Karnataka High Court suggests judicial inquiry into death of 24 patients in Chamarajanagar COVID-19 facility due to lack of oxygen

Overcrowding at COVID vaccination centres could become a “super spreader:” Kerala High Court registers suo motu case

Structured response required to give adequate relief to voiceless and the marginalised sections: Delhi High Court

News of death not negative: Delhi High Court dismisses PIL to regulate “negativity” due to reporting on COVID-19

“Current COVID vaccine policy will create disparity; Bahujans, marginalised groups may not have ability to pay:” Supreme Court

Is Aadhaar necessary for COVID-19 vaccination? Bombay High Court asks Central, Maharashtra government to clarify

“All you are showing is that things will be hunky-dory in June, did Central govt consult experts?” Madras High Court

SC Stays Delhi HC Order on Contempt Proceedings Against Centre Over Oxygen Supply

I’m not yet sure if one variety of proclamation will be more effectual than the other (social-media outrage versus outbursts from the courts) in terms of causing real change.

In addition, while the courts’ expertise is less questionable on matters related to the people’s rights and governments’ responsibilities, they do trip up when they recommend lockdowns or the supply of unproven drugs the same way the Supreme Court has tripped up asking for smog towers in Delhi. Have the courts assessed the trial data? Have they consulted doctors? If so, which ones were consulted? Do the courts also intend to ensure migrant and daily-wage workers don’t get fucked over this time?

It’s good that the judiciary is cracking the whip when almost no one else is, but knowing how the judicial system works, I’m not sure if we should rejoice already… “This is what things have come to, and the courts can help ensure the only way we go from here is up” is not a bad argument in their favour. But you may also notice a distinction between the high courts and the apex court: the latter seems reluctant to admit the idea that the government is responsible for the mess that almost everyone else (on this side of the aisle) believe it created. Is recovery sans accountability a good bargain?

On cancers, false balance and the judiciary

Climate change has for long been my go-to example to illustrate how absolute objectivity can sometimes be detrimental to the reliability of a news report. Stating that A said “Climate change is real” and that B replied “No, it isn’t” isn’t helping anyone even though it has voices from both sides of the issue. Now, I have a new example: cancer due to radiation from cellphone towers. (And yes, there seems to be a pattern here: false balance becomes a bigger problem when a popular opinion is on the verge of becoming unpopular thanks new scientific discoveries.)

This post was prompted by a New York Times article published January 5, 2018. Excerpt:

From 1991 to 2015, the cancer death rate dropped about 1.5 percent a year, resulting in a total decrease of 26 percent — 2,378,600 fewer deaths than would have occurred had the rate remained at its peak. The American Cancer Society predicts that in 2018, there will be 1,735,350 new cases of cancer and 609,640 deaths. The latest report on cancer statistics appears in CA: A Cancer Journal for Clinicians. The most common cancers — in men, tumours of the prostate; in women, breast — are not the most common causes of cancer death. Although prostate cancer accounts for 19 percent of cancers in men and breast cancer for 30 percent of cancers in women, the most common cause of cancer death in both sexes is lung cancer, which accounts for one-quarter of cancer deaths in both sexes.

This is a trend I’d alluded to in an earlier post: that age-adjusted cancer death rates in the US, among both men and women, have been on a steady downward decline since at least 1990 whereas, in the same period, the number of cellphone towers has been on the rise. More generally, scientific studies continue to fail to find a link between radio-frequency emissions originating from smartphones and cancers of the human body. Source: this study and this second study.

The simplest explanation remains that these emissions are non-ionising – i.e. when they pass through matter, they can excite electrons to higher energy levels but they can’t remove them entirely. In other words, they can cause temporary disturbances in matter but they can’t change its chemical composition. Some have also argued that cellphone radiation can heat up tissues in the body enough to damage them. This is ridiculous: apart from the fact that the human body is a champion at regulating internal heat, imagine what’s happening the next time you get a fever or if you go to Delhi in May.

Those who continue to believe cellphone towers can damage our genes do so for a variety of reasons – including poor outreach and awareness efforts (although I’m told TRAI has done a lot of work on this front) and, more troublingly, the judiciary. By not ensuring that the evidence presented before them is held to higher scientific standards, Indian courts have on many occasions admitted strange arguments and thus pronounced counterproductive verdicts.

For example, in April 2017, the Supreme Court (of India) directed a BSNL cellphone tower in Gwalior be taken down after one petitioner claimed radiation from the structure had given him Hodgkin’s lymphoma. If the court was trying to err on the side of caution: what about the thousands of people now left with poorer connectivity in the area (and who are not blaming their ailments on cellphone tower radiation)?

This isn’t confined to India. In early 2017, Joel Moskowitz, a professor at the Berkeley School of Public Health, filed a suit asking for the state of California to release a clutch of documents describing cellphone safety measures. Moskowitz believes that cellphone radiation causes cancer, and that Big Telecom has allegedly been colluding with Big Government to keep this secret away from the public.

In December 2017, a state judge ruled in Moskowitz’s favour and directed the California Department of Public Health (CDPH) to release a “Guidance on How to Reduce Exposure to Radiofrequency Energy from Cell Phones” – a completely unnecessary set of precautions that, by the virtue of its existence, reinforces a gratuitous panic. By all means, let those who believe in this drivel consume this drivel, but it shouldn’t have been at the expense of making a mockery of the court nor should it have been effected by pressing the CDPH’s reputation to endorse the persistence of pseudoscience. What a waste of time and money when we have bigger and more legitimate problems on our hands.

… which brings us to climate change and the perniciousness of false balance. On December 20, 2017, Times of India published an article titled ‘Can mobile phones REALLY increase the risk of brain cancer? Or is it too far-fetched?’. It quotes studies saying ‘yes’ as well as those saying ‘no’ but it doesn’t contain any attributions, citations or hyperlinks. Sample this:

Lab studies where animals are exposed to radio frequency waves suggest that as the waves are not that strong and cannot break the DNA, they cannot cause cancer. But some other studies claim that that they can damage the cells up to some level and this can support a tumour to grow.

It also contains ill-conceived language, for example by asking how radio-frequency waves become harmful before it goes on to ‘discuss’ whether they are harmful at all, or by saying the waves are “absorbed” in the human body. But most of all, it’s the intent to remain equivocal – instead of assuming a rational position based on the information and/or knowledge available on the subject – that’s really frustrating. This is no different from what the Californian judge did or what the SC of India did: not consider evidence of better quality while trying to please everyone.

Featured image credit: Free-Photos/pixabay.