Overpopulation or overconsumption? It’s both, and it’s complicated

population-and-demography

Population growth rates by country (personally I think the color scale should be inverted so that red shows higher growth rates). This map is from 2021, but the story is largely the same today. Image via Our World in Data.

Before you start reading, open worldometers.info and take a screenshot (this will give you the world population right now; we’ll come back to it later).

Our world is facing enormous environmental challenges. Climate change is roaring forward at a terrifying rate, we are experiencing the 6th mass extinction, and natural resources like water are becoming increasingly scarce in many parts of the world. Humans are the root cause of these issues, but there is often a debate about whether we are causing them through overpopulation (i.e., too many people using resources) or overconsumption (i.e., too many resources being used per person). The reality is that both factors are occurring.

It is beyond question that we are overconsuming. Humans, especially those of us in heavily industrialized countries like the USA, use a truly extraordinary number of resources. Our society is unconscionably wasteful, and we need to take enormous steps to move away from fossil fuels, reduce food waste, reduce plastic waste, minimize land use, and, in general, move away from our disposable society and towards one that is more sustainable.

So, for the sake of this post, I’m going to largely take the overconsumption side of things for granted and focus, instead, on the overpopulation side, because this is usually where I find contention. In other words, at least in my experience, most people who argue that we are overpopulating also fully acknowledge that we are overconsuming and need to reduce consumption; whereas many others argue that the issue is entirely overconsumption and we shouldn’t be talking about overpopulation.

I am going to argue that overpopulation actually is a real issue, but there is a ton of nuance that has to be included when discussing that topic. So before sharpening your pitch forks, please hear me out. Also, as you read through this, I want you to keep the following central thesis in mind: almost all (possibly all) environmental crises would be easier to solve if there were fewer people on the planet.

Important clarifications

This topic often spawns lots of red herrings about eugenics, China’s one child policy, and other political topics. So let me be clear at the start that I am simply discussing the problem, not the solution (other than some very broad comments and advocation for personal actions). This post is not an argument for eugenics or any government actions to control the population size. Likewise, when I say that we need to rapidly reduce or even reverse the population growth rate, I am talking about slowing the rate at which we add new people to the population (birth) NOT the rate at which people are removed from the population (death). So please spare me your essays on genocide and eugenics; that’s not what I’m talking about here. I am simply describing the problem. The fact that some people have proposed unethical solutions to the problem does not mean that the problem isn’t real.

What the “overconsumption only” argument gets right

Next, I want to acknowledge that those who argue that we shouldn’t be talking about overpopulation do have some good points, but addressing them simply requires nuance, rather than avoiding the topic of overpopulation all together.

First, as I already acknowledged, overconsumption is an enormous problem, and there would be space and resources for a lot more people if we lowered our consumption rate (see section on carrying capacity later). I 100% agree that we need to massively reduce consumption and waste.

Second, a key problem with blanket statements like, “there are too many people on the planet” is that those statements ignore the fact that neither consumption rates nor population growth rates are equal across countries. Indeed, they are inversely correlated, meaning that countries with disproportionately high consumption rates tend to have very low population growth rates (i.e., heavily industrialized countries), whereas populations with very low consumption rates tend to have the highest population growth rates (i.e., impoverished countries). Thus, if you aren’t careful and don’t include appropriate nuance, the overpopulation argument can easily place the blame on the wrong group of people and even become racist.

For example, the USA has a small population growth rate of 0.6% per year (from 2013-2022; worlddata.info) and only roughly 4.2% of the world’s total population (worldometers.info), yet it produces a full 14% of the world’s greenhouse gas emissions (statista.com). India, meanwhile, has an average growth rate of 1.14% per year (2013-2022) and 17.8% of the world’s population (worldometers.info), yet it only produces 7% of the world’s greenhouse gas emissions (statista.com). Put another way, India has twice the population growth rate and over 6 times the population size of the USA, yet it produces half the total greenhouse gas emissions compared to the USA!

Things are even worse when we start looking at the continent of Africa, which has many of the highest growth rate countries, most of which produce minuscule amounts of waste compared to other countries.

To put all of that in its simplest terms, the countries that are contributing the most to the growth of the human population are also generally the ones that are using the fewest resources (especially per capita). So, if you simply say that we have an overpopulation problem, you run into trouble because the countries that are “overpopulating” aren’t actually the ones that are contributing the most to our current environmental catastrophes. This is where we need a lot of nuance, which is what I will try to build throughout the remainder of this post.

Carrying capacity

In this section, I want to explain the fundamental reason why I, as an ecologist, think we have to talk about overconsumption and overpopulation simultaneously. Namely, they are two sides of the same coin that are intrinsically linked.

To understand what I mean by that, we need to understand the concept of carrying capacity. This is the number of organisms of a given species that a given area can sustain. Carrying capacity is determined by both the amount of resources present and the rate of consumption. Thus, overpopulation, in strict ecological terms (though see later section), occurs when the population size exceeds the carrying capacity.

Have you spotted the catch there? Carrying capacity is determined by consumption rate, which means that “overpopulation” is determined by the consumption rate, but also, “overconsumption” is determined by the population size.

Stated another way, if a field of cows exceeds its carrying capacity, you could describe it either as “there are too many cows given their consumption rate” (overpopulation) or “cows consume too much to maintain this population” (overconsumption). Both are accurate descriptors of the situation. To be fair, that analogy is a bit strained because we don’t typically think of cows as overconsuming, but mathematically, those two situations are the same.

Now let’s apply that to humans, and to simplify things, let’s focus on countries like America that have very high consumption rates. I do not think that the per capita consumption rate of America is sustainable given the population size, which is the exact same thing as saying that I do not think the current population size is sustainable given the per capita consumption rate. Those statements are equivalent.

To put that another way, we could sustain this many people if we consumed less, or we could sustain this per capita rate of consumption if the population size was smaller.

“Overpopulation” is determined by consumption rate, and “overconsumption” is determined by population size. You cannot simplify things to one or the other because they are inherently relative to each other.

Understanding this relationship is critical for developing appropriate solutions to our problems. Both factors are at play, and both need to be addressed, rather insisting that only one of them is a problem.

What does “overpopulation” mean for humans?

This is another point at which we need to inject nuance. As described above, ecologically, “overpopulation” means that a population has exceeded that area’s carrying capacity. So in strict terms, “overpopulation” for humans would mean more people than the planet can actually sustain. This is what Malthus was famously concerned with, and proponents of the “overconsumption only” argument often argue that there have been countless estimates of earth’s carrying capacity that have proved to be wrong. That’s not a great argument, in my opinion, because there is a carrying capacity for earth. The fact that we haven’t done a great job estimating it (largely because technology keeps saving our butts) doesn’t mean that one doesn’t exist.

More importantly, I think that this is something of a strawman, because when conservationists like me talk about overpopulation, we usually aren’t strictly referring to the maximum number of people possible. Rather, we are referring to the number of people that can be sustained while still preserving biodiversity. In other words, we could fit a lot more people on this planet if we cleared all the forests, dammed all the rivers, and mined every last resource. Sure, that would cause lots of other issues, but the total number of people we could sustain would go up. However, we would have destroyed all the natural wonder and beauty of this planet, and that is not a situation I want.

I want a sustainable future where we still have massive tracts of rainforest, pristine coral reefs, plains and savannas, untouched deserts full of bizarre lizards, crystal clear rivers, and national parks that stretch to the horizon. I want to conserve all the unique and wonderful plants and animals that call this planet home. I want the splendor of this pale blue dot to persist, and the simple reality is that every additional human makes that goal harder.

Even people who live as sustainably as possible are using resources. Even if you live in a modest house, use entirely renewable energy, and grow your own food, there are still resources that had to be mined to make your solar panels, wind turbines, etc., and you are still using land that would be better for biodiversity if it has been left in its natural state. Further, if you are reading this, then you must have a computer or smart phone which includes components that were shipped from all around the world. Likewise, if you go to the doctor, you will burn through a bunch more resources from medical waste (syringes, medicine bottles, etc.) as well as increasing the burden from manufacturing and shipping those supplies.

Resource usage is inescapable, and it is not inherently a bad thing. All organisms use resources, but the fewer organisms there are, the fewer resources need to be used. This is an unavoidable fact. Even if we all agree to drastically reduce our resource usage, we would still be placing a huge burden on the earth, and that burden would be reduced with fewer people.

How much luxury are we willing to give up?

Let me state again that overconsumption is a huge problem, but the question becomes, how much are we actually willing to give up? It’s easy for those of us in places like America, Europe, and Australia to look at other countries with very low resource usage and high population growth rates and say, “see, if we just reduced our consumption to match those countries, we wouldn’t have a population problem.” The reality, however, is that very few people actually want that. A large part of why those countries consume so little is because they are impoverished. They don’t have massive food waste because they have so little food that they cannot afford to waste it. They don’t have massive medical waste because they don’t have good access to medicine. They don’t have massive greenhouse gas emissions because they don’t have reliable electricity and/or can’t afford all the cars, electronic appliances, and gizmos that we take for granted.

So how much comfort are we actually willing to give up? Are we willing to give up a car (often multiple) per household? Based on the extraordinary number of unnecessary gas guzzlers I see on the road, I highly doubt it. Are we willing to use the same TV, computer, phone, etc. for decades rather than replacing them semi-annually? I doubt it, and even if we were, they aren’t manufactured in a way that makes that plausible. Likewise, while food waste is serious problem, a large part of the food waste comes from us demanding a high quality in our food, which means that old products get disposed of if they didn’t sell, and only the highest quality produce goes to market. Are we willing to reduce those standards, and what will the cost of that be in terms of human health?

I could go on, but I think the point is clear: while we should do everything we can to reduce resource usage, there is a limit to how much we can reduce it without reducing our standard of living. Again, that is not necessarily a bad thing. There is nothing inherently wrong with wanting a comfortable life that makes use of all our modern technological wonders, but, that standard of living inherently comes with a high environmental burden, and we need to seriously consider how many people we can sustain at that standard while still maintaining biodiversity.

Increasing industrialization

Something of the inverse of what I have just described for heavily industrialized nations (low population growth rates) is happening for less industrialized nations (high population growth rates). Namely, they are becoming more industrialized and, in the process, are using more resources per capita. Here again, that is not inherently a bad thing. That increase in resource usage is largely due to an increased standard of living, and most (I hope all) of us would like everyone to be able to enjoy a high standard of living. I want everyone to have access to modern healthcare, reliable electricity, and modern amenities (assuming they also want that access), but this is something we need to think about as we plan for a sustainable future.

Those rapidly growing populations will, hopefully, have access to a high standard of living in the near future, but even if that is done as sustainably as possible, it will still require a large increase in resource usage. In other words, these large, rapidly growing populations have low per capita resource usage now, but that is almost certain to change in the near future. Not all of that change is bad, but is there room for that expansion (while maintaining biodiversity) given how many of us currently enjoy such a high level of resource usage? Unless something drastically changes, I don’t think so, which is a problem. There are too many of us consuming too much for rapidly growing populations to increase their resource usage without it resulting in environmental catastrophe.

It is a complex problem, and our population size, our consumption rate, their growing population size, and their likely future consumption rate are all a part of it. Again, to be clear, I am not blaming anyone. I am simply describing the reality of the situation.

Land use

An additional problem with the “overconsumption only” argument is that it often focuses on the inverse relationship between population growth rates and things like greenhouse gas emissions, while ignoring other problems such as land use. This is an overly simplistic view. Due to their high growth rates, many countries are becoming extremely densely populated, which inherently necessitates clearing land for development and agriculture. Unfortunately, many of these countries are also biodiversity hotspots, and natural areas inherently have to be sacrificed to accommodate those people. Keep in mind that habitat loss is hands down the leading cause of biodiversity loss.

Let’s keep using India as an example, for a minute. It has truly incredible biodiversity, but due to its historically high population growth rate, it now has a density of nearly 500 people per square kilometer (>1200 per square mile; worldometers.info). The USA, by contrast, has a mere 37 people per square kilometer (96 per square mile; worldometers.info). That high density in countries like India inherently requires clearing a lot of land, and, tragically, that land is some of the most biodiverse in the world.

Likewise, I had the opportunity to visit the Philippines last year, which had an average annual growth rate of 1.78% from 2013-2022 (worlddata.info) and now has a population density of nearly 400 people per square kilometer (>1000 per square mile; indexmundi.com). That’s an order of magnitude higher than the USA. I visited multiple islands while I was there and was consistently astounded by the population density and how much forest had been cleared. My wife and I went on a birding tour, and talking to our guide about the state of bird conservation there was truly alarming. Repeatedly we’d ask about a particular species, and he’d tell us that he used to have a reliable spot for them, but now that location has been cleared and he rarely sees that species anymore.

We are losing biodiversity incredibly fast, and clearing land for expanding human population is a huge part of that. We cannot afford to ignore what is happening for the sake of political correctness. To be clear, I’m not blaming people in countries like the Philippines or India for clearing so much land, what else are they supposed to do when they have that many mouths to feed and people to house and employ? Of course, they have to clear lots of land. Resource use is not inherently a bad thing, and they still use less land per capita than those of us in countries like the USA. My point is simply that even though they use far fewer resources and less land per person, their rapidly growing populations still have an enormous impact on the environment. That’s an issue we have to acknowledge if we are going to plan appropriate conservation measures.

Note: I also want to make it clear that those of us in heavily industrialized countries are also playing a huge role in habitat loss in other countries due to our insatiable lust for things like palm oil.

“But growth rates are slowing down!”

A final argument I often hear levied against the overpopulation argument is that the world’s growth rate is slowing, and even rapidly growing countries are experiencing reduced growth rates.

This is true, but is not the same thing as saying that we won’t overpopulate (or haven’t already). There are currently over 8 BILLION people on this planet. Most projections suggest that our population won’t truly level off until well past 10 billion. Two billion extra people is an enormous change! That’s a 25% increase in population size! Which also means a 25% increase in the minimum number of resources needed. In short, it is not slowing nearly fast enough.

Further, as a conservation biologist and ecologist, I’d argue that we are already grossly overpopulated if we want to maintain biodiversity. The 6th mass extinction isn’t something that is going to start in the future. It is something that is happening right now, and adding another 2 billion people is not going to help. We need to be going the other direction. Conserving this wonderful, beautiful planet and all its natural treasures would be so much easier with a couple billion fewer people.

Further, while the growth rates are highest in impoverished countries, that 0.6% increase in the USA is not a small thing. As I am writing this, the USA population increases by a net of 1 person every 24 seconds (i.e., after accounting for births and deaths). If it took you 20 minutes to read this post, then there are (on average) 50 more people in the USA now than there were at the start. Each day, there are 1728 more people! Now, think about the amount of resources that each person in the USA uses. Think about the cars they will own, houses they will build, clothes they will wear, cell phones they will use, fuel they will consume, food they will eat, etc. Then tell me with a straight face that adding 1728 more people per day isn’t a problem.

I find it really difficult to explain the true scale of environmental devastation that is currently occurring to people who don’t work in conservation. The rate of species loss we are experiencing keeps me awake at night with grief, and saving those species would be so much easier if there were fewer people. Fewer people would mean more land that could be left in its natural state, fewer resources that need to be mined, less food that needs to be grown, fewer buildings that need to be built, fewer flights, less intercontinental shipping, less energy that has to be produced, fewer products to manufacture, less waste going into landfills, fewer animals being harvest from the ocean, and fewer emissions being produced. Essentially every environmental problem is easier to solve with fewer people.

Reopen that link that I posted at the start of the article and compare the world population now with the world population in the screenshot you hopefully took. Unless you are an incredibly fast reader, there are several thousand more people than there were at the start. We are still growing at a truly alarming rate.

What do we do?

As I said earlier, I’m not going to give any specific solutions or governmental options, I’m mostly trying to raise awareness about the problem, but I do want to talk about some general broad strokes for a minute.

First, we need to reduce our consumption and waste. This is really beyond question. There are lots of things we can do to live more sustainably without substantially lowering our standard of living, and it is inexcusable for us not to making those changes. Let’s be 100% clear that those of us in affluent, heavily industrialized countries are responsible for the vast majority of our current environmental crises, and the people in the countries that are the least responsible are bearing the brunt of the negative consequences of our actions.

Second, I think we should help impoverished countries to grow financially and industrially, while trying to help them do so in a sustainable way. Beyond ethical reasons, helping them to gain access to better healthcare and a clean energy grid is actually a good investment in all of our futures, because as countries become more industrialized and gain better access to healthcare, they tend to have fewer children (voluntarily) and the population growth rate levels off. The sooner that growth rate levels off, the fewer people there will be and the more resources will be available.

Third, those of us who are already in industrialized countries should halt, or better yet, invert our growth rates to make room for those growing populations. Again, I’m not talking about any government action (that’s a separate topic). Rather, I am talking about individuals choosing to forgo having children (or at least having fewer children). This is where the nuance is so important. A single child born in a country like America is far more damaging to the environment than a single child born in a country like India or many African nations.

“Overpopulation” is relative to resource usage. So simply looking at growth rates doesn’t tell the whole story, and a small growth rate in a heavily industrialized country is far worse than a large growth rate in a comparatively unindustrialized country.

As explained earlier, even if you live as sustainably as possible, you will still use resources. So, assuming that your child will have the same resource usage as you, having a child essentially doubles your impact on the earth (or increases it by 50% if you want to lay some of the blame on your partner). The simple reality is that, for most of us, the single best thing we could do for the planet is to forgo having children. Eating locally grown food, using renewable energy, driving a small car, and making fewer transcontinental flights are all good, but they pale in comparison to the lifetime resource usage of a single human being. Lest anyone accuse me of hypocrisy, I will note that my wife and I decided not to have any children, and environmental concerns were a big part of that decision.

The fundamental point I am trying to make is simply that both population growth rates and resource consumption rates are part of the problem, and we need to acknowledge that in order to develop appropriate solutions. For example, yes, we need to reduce our level of food waste, but imagine if, in addition to doing that, we also had fewer mouths to feed (or at least stopped generating as many new mouths). Think how much more land could be set aside for conservation if we did both instead of insisting that only one of them was a problem. The same is true for essentially any environmental topic. Yes, we should switch to renewable energy, but renewable energy still has environmental costs (e.g., highly destructive mining practices and large areas of land for solar farms) and we would have fewer of those costs if there were fewer people who needed that energy. We are in the middle of a sixth mass extinction, and we cannot afford to ignore a huge part of the problem.

Essentially every environmental crisis is easier to solve if there are fewer people, and the fewer people there are, the more biodiversity we can maintain without having to sacrifice our standard of living.

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How well do you understand placebo effects?

“Placebo effect” is a term that almost everyone knows but few seem to understand. Misconceptions about placebo effects are rampant and usually center around the idea that a placebo effect occurs when you feel better because you thought a treatment would work. In reality, there are multiple types of placebo effects, many of which have nothing to do with whether or not you expect a treatment to work.

Understanding this is important, because misconceptions about placebo effects lead to erroneous arguments and poor medical decisions. These misconceptions are commonly manifested in the argument that, “a placebo effect is still an effect.” This argument is used as a justification for the continued use of treatments that have failed scientific testing because, according to it, even if the treatment only produces a placebo effect, that effect is still beneficial. As we will see, however, this argument is oxymoronic and completely falls apart once you understand what placebo effects actually are.

Another common argument asserts that a treatment must actually work because benefits have been seen in young children and/or pets who can’t possibly have expected the treatment to work. Likewise, I often hear people make statements like, “well I didn’t think it would work, but I still got better, so it can’t have been a placebo effect.” Both of these arguments are, again, based on the misconception that placebo effects simply mean getting better because you think you will get better. As we will see, the reality of the situation is far more complicated.

What are placebo effects?

You may have noticed that I keep saying “placebo effects” (plural). I’m doing that because the “placebo effect” is actually a collection of lots of different factors that we shove into a single category for convenience. To borrow a definition from Science-Based Medicine,

“A placebo effect is any health effect measured after an intervention that is something other than a physiological response to a biologically active treatment.”

In other words, “placebo effect” is a broad, catch-all term for any measured change in a patient that is caused by something other than an actual, biological effect of the treatment. This is an inherently wide definition, and there are lots of different types of placebo effects that contribute to that change.

Let me elaborate with an example. Suppose I think that diseases are caused by an electrical imbalance and shocking yourself with an electric current will cure you. So, I get people who are sick or in pain to come to me, I zap them, pronounce them healed, and they go on their way. Within a few days, many notice that they are feeling much better. Some may even find that real doctors run tests and conclude that their condition has improved.

Did my treatment work? Maybe, but we can’t actually conclude anything from those anecdotes because there are other possible explanations for that result. Let’s tally up some of those possibilities:

  • Biased reporting (i.e., people who feel better are more likely to go online and post about their miracle cures)
  • Spontaneous remission that has nothing to do with the treatment
  • People sought treatment when their symptoms were at their worst and, as a result, they would have felt better in a few days regardless (i.e., regression to the mean)
  • They made some other change in lifestyle, diet, work, etc. that caused the improvement
  • There were measurement errors or misdiagnoses by the doctors during the initial visit or the follow up
  • They feel better because they think they are supposed to feel better (the classic placebo effect most people think of)

anecdotal evidence anti-science

This is why anecdotes simply are not valid evidence of causation. If we actually want to know whether electrocuting someone (or any other treatment) works, we have to collect a large group of people, randomly assign half of them to receive the treatment while another half receives a placebo (without either group or, ideally, the doctors knowing who is in which group), and control for factors like age, sex, other health conditions, and other medications. When we do that, we will probably still find that there is a change in our placebo group over time. That change will be caused by some combination of factors like the ones listed above. Some people might feel better simply because they thought they should feel better. Others may have improved because of some other change. Others may have sought treatment when their symptoms were at their worse so they would have felt better over time regardless, etc.

All of those things are types of placebo effects, the sum of which gives the total placebo effect in that experiment. It is the background change in patients that has nothing whatsoever to do with an actual biological response to the treatment being tested. So, for the treatment to be effective, it must, by definition, produce an effect greater than the placebo effect. This why we do placebo controlled trials: to tell us whether the recovery rate from the treatment is greater than the background recovery rate without the treatment.

Do you see why that automatically makes statements like, “a placebo effect is still an effect” utter nonsense? The placebo “effect” is an experimental construct. It’s just a measure of the background noise in the system so that we can tell whether or not a treatment actually works. It is madness to try to claim that the background noise in the system is a legitimate therapy!

Regression to the mean

In case I haven’t made my point entirely clear, I’m going to focus for a minute on one of the most common types of placebo effects: regression to the mean. That is a fancy term that basically just means that things usually return to their normal state over time even without intervention (think of it as “return to the average”).

Chronic pain provides a good example of this (see figure). People with chronic conditions typically have good days and bad days. There are days where they are in lots of pain, and those days eventually give way to days with less pain. If we plot the pain over time, we get a wave-like graph with pain oscillating around an average value. Thus, if you start at any given point on the graph and wait long enough, it will eventually go back to the average value (i.e., it regresses to the mean). Critically, times with the worst pain are, by definition, followed by times with less pain. In other words, anything you do when the pain is at its worst will inherently eventually be followed by days with less pain.

This is where things become important for understanding placebos (and anecdotes). People are much more likely to seek treatment (including trying unconventional treatments or enrolling in a clinical trial) when they are experiencing the worst symptoms, but, as we’ve just established, they would have felt better several days or weeks later regardless of the treatment simply because of regression to the mean!

regression to the mean

Chronic pain provides a good illustration of regression to the mean. People with chronic conditions tend to have some good days and some bad days that oscillate around an average (mean) value. Thus, from any given point on the graph, if you wait long enough, the condition will eventually return (regress) to the average value.

Look at the figure for a second and imagine you are the person on day seven. You’ve had a really rough week of severe pain. You’re now desperate enough to try anything, even an alternative treatment of which you are skeptical. So, you try my electric shock therapy, or acupuncture, or homeopathy, or anything else you can think of to relieve your suffering, and, by the next day, like a miracle, you are already feeling better. A few days later, you’re feeling better than you’ve felt in a long time. You might, naturally, conclude that the treatment actually worked. At a quick glance that seems like a perfectly reasonable conclusion, and it’s totally understandable that so many people fall for it, but as you can see in the graph, the treatment didn’t actually work! The condition simply regressed to the mean, and you would have improved even without it.

Conversely, people who are currently feeling good and are at the low points in the waves are much less likely to seek unconventional treatments. If they did, regression to the mean would often make it appear that the treatments made things worse. This disparity in when people are the most likely to seek treatment creates a strong bias towards treatments “working” in both anecdotes and clinical studies, and it is one of the many reasons why it is so critical to run placebo-controlled trials so that we can measure those background changes and test whether the treatment is producing a real improvement.

The common cold provides another excellent example. Countless times I’ve heard people insist that some quack treatment cures colds because they had a really bad cold, and nothing was helping, then they took this treatment, and in a few days, they felt way better. Well, of course they felt better in a few days; that’s how long colds last! Also, if they’d already been suffering for several days, then they were probably at the tail end of it anyway, so even a fairly rapid recovery after the quack treatment isn’t surprising. It is easily explainable once you understand regression to the mean.

My point here is two-fold. First, notice that regression to the mean has utterly nothing whatsoever to do with either getting better because you think you should get better or with an actual effect of the treatment. It is literally just what would happen if you did nothing. This is why arguing that a treatment is valuable even if it is “just a placebo” is madness. When something is studied and found to be no better than a placebo, things like regression to the mean are a part of that placebo effect being measured, and they are clearly not valid therapies.

Second, regression to the mean is responsible for a lot of anecdotes. People frequently tell me with great conviction about how they had suffered for a long time and nothing had worked until they tried X. They often say that they didn’t think X would work, but they became so desperate that they tried it anyway, and afterwards they felt better! As you can hopefully now see, that sort of situation is to be expected from regression to the mean. If people seek treatment when things are at their worse, there is no place to go but better.

To be clear, this doesn’t automatically mean that those treatments don’t work. Rather my point is simply that the anecdotes are not valid evidence that they do work. Science is all about eliminating possibilities so that you can be confident in the conclusion. We have to conduct properly controlled trials to actually test the treatments, and if the treatments fail those tests, we can then be confident that the anecdotes are from factors like regression to the mean, rather than from the treatment actually working.

Pets, children, and unbelievers

At this point, I want to directly address the arguments that, “it can’t have been a placebo effect because it worked on animals/children/someone who didn’t think it would work.”

I’ve described several types of placebo effects throughout this that have nothing to do with belief or a conscious awareness of what is going on (e.g., regression to the mean), and those are already sufficient to deal with these arguments, but for thoroughness, I want to bring up a few additional points.

The first is something known as placebo by proxy. Children and many animals (e.g., cats and dogs) are perceptive. The mood of people around them affects them, and those effects can go on to affect the outcomes of their treatment. So, if you take your dog or child to receive acupuncture (which is just a placebo btw), your dog or toddler might not expect it to work, but you do, and, as a result, your mood is likely to improve because you think your pet/child is receiving a valuable treatment. The fact that you seem more at ease and less worried makes your pet/child more at ease, which improves their symptoms. Again, to be clear, the acupuncture (or whatever treatment it was) did nothing. It was entirely your response that caused the apparent improvement.

A related problem arises because improvements in pets and children are often self-reported by the owners/parents. So, if you think the treatment works, you’re more likely to see an improvement that isn’t really there. That is human nature. If you think acupuncture works (for example), you are pretty likely to think your dog is limping less after receiving it simply because that is the result you expected to see. Our brains are pattern recognition machines, and while that serves us very well in some cases, it also makes us very prone to biases. This sort of bias in the reporting of outcomes is yet another type of placebo effect, and, again, it has utterly nothing to do with an actual improvement in the patient.

The point is simply that placebo effects absolutely can be at play for children, pets, and skeptics; so the fact that an anecdote relates to them does not make the anecdote reliable evidence of causation, nor does it mean that the observed result wasn’t a placebo effect.

It’s not “mind over matter,” and it’s not effective

As I bring this post to a close, I want to stress that none of these placebo effects are situations of “mind over matter.” They are not situations where people are actually getting better because of the placebo. I’ve been largely focusing on placebo effects that aren’t related to the patient expecting to get better, but I should explicitly state that those effects do exist as well. A patient that thinks they are receiving a useful treatment is more likely to report a reduction in some subjective symptoms, such as pain, but even in that subset of placebo effects, emphasis has to be placed on the word “symptoms.” They are not actually getting better; their brain is simply playing a trick on them to make them feel better. So no underlying condition has actually been treated (which is pretty ironic given how often the same people who tout placebo effects like to erroneously claim that “modern medicine doesn’t treat the underlying causes of illness”).

All of this makes it absurd to argue that a treatment is still beneficial even if it is “just a placebo.” As you can hopefully now see, that is a hollow argument. Placebo effects are not actual improvements. They are the background changes that are not caused by a biologically active treatment. They are, by definition, a lack of effect of the thing being tested. Indeed, for some types of placebo effects (such as regression to the mean) they are literally what would happen if you did nothing! So, passing off quack treatments as actual therapies in order to “elicit” a placebo effect is dangerous and unethical.

Further, even if you want to narrowly focus on the subset of effects that result in patients feeling better because they think they should feel better, it should be noted that real treatments can also generate that transient perception of an improvement. So why on earth should we recommend a quack treatment when we can recommend a real one?

Also, on that note, there are certainly things that can and should be done to increase the efficacy of real medicine. We know that things like good patient-doctor relationships improve how patients feel. So absolutely we should work on things like that in tandem with science-based medicine (indeed that is part of science-based medicine), but it absolutely does not mean that we should use discredited treatments and chase magic and wishful thinking in the vain hopes of evoking a placebo effect.

Note: Please read this post and the systematic reviews and analyses discussed therein before claiming that acupuncture actually works.

Related posts

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No, those photos don’t disprove sea level rise/climate change

plymouth rock meme sea level cliamte change hoax

A popular example of the type of meme I’m talking about.

It is an indisputable scientific fact that the average global sea level is increasing. Nevertheless, numerous memes and posts on the internet claim to have photographic proof that sea level rise (and by extension, global climate change) is a hoax. These posts generally contain an old photograph of a shoreline next to a recent photo of the same shoreline, with similar water levels in both photos. Therefore, according to the purveyors of this misinformation, the sea level has not changed and global warming is not real. Checkmate, science nerds, right? Not so much.

There are many versions of this argument (particularly popular ones include the Plymouth Stone, Palm Beach Florida, and various bridges), but they all suffer the same fundamental problem, so there is no need to harp on specifics (with one exception discussed later).

The core problem here is that the photos don’t take into account several critical factors, such as tides. The sea level is not static. It goes up and down twice every day, in some places quite dramatically. Further, the timing of peak high and peak low tides shifts from one day to the next, and the magnitude of the tides changes throughout the year. This means that the sea level at any one location is constantly changing. As a result, two photos of the same spot at two different time points are completely meaningless. If, for example, the old photo was at high tide and the recent photo was at low tide, it is going to look like there was no change in sea level, but that’s clearly a bad comparison because the tides were different! You can’t just ignore the existence of tides.

meme climate change sea level sydney harbour old photo

Another example of the type of meme I’m talking about. Once again, tides were ignored.

Beyond tides, there are factors like storm surges and the ground itself raising or subsiding. Further, because of a wide range of factors, sea level rise is happening faster in some places than in others. All of these things have to be taken into account to actually measure long-term patterns in sea level change. So, just like for temperature, scientists use a massive array of recording stations and satellites and carefully factor in tides, storms, etc. so that they can see the long-term trends.

When scientists account for these factors, they find that on average, the global sea level is rising, and that rise is caused by anthropogenic climate change. Indeed, the most recent IPCC report (IPCC 2022) made the following conclusion (their emphasis):

“Global mean sea level (GMSL) rose faster in the 20th century than in any prior century over the last three millennia (high confidence), with a 0.20 [0.15 to 0.25] m rise over the period 1901–2018 (high confidence). GMSL rise has accelerated since the late 1960s, with an average rate of 2.3 [1.6 to 3.1] mm yr –1 over the period 1971–2018 increasing to 3.7 [3.2 to 4.2] mm yr –1 over the period 2006–2018 (high confidence).”

There are four important things to note from that:

  1. Scientists are highly confident. Scientists are a cautious bunch, and we reserve that terminology for cases where the evidence is extremely clear and compelling.
  2. Over the past 100 years, the sea level rose faster than at any comparable period in the past three millennia. So, to those who try to attribute all of this to natural cycles, no, this isn’t normal. We’ve looked at the natural cycles and they don’t explain what we are seeing now (details here).
  3. The change so far has been relatively small, about 20 cm (7.9 inches). That’s small enough that you might not notice it on an occasional trip to the beach (or when looking at old photos of shorelines and structures), but it is enough that it is already having impacts on coastal properties (McAlpine and Porter 2018; Moftakhari et al. 2015).
  4. The rate of rise is increasing. This is the really concerning part. Things are going to get really bad if we don’t act immediately and drastically, and old photos don’t change that fact.

“but the predictions have all been wrong!”

sea level rise skeptical science

IPCC predictions compared to our actual observations. Figure from the Copenhagen Diagnosis 2009See Skeptical Science for more information.

At this point, I can hear the people shouting, “but the models have all been wrong! What about all those doomsday predictions!? I thought New York was supposed to be under water by now?” This misinformation comes from a range of sources, none of which are the actual scientific studies. The actual predictions made in the peer-reviewed literature have been very accurate (more details here). Studies have compared the IPCC model predictions with subsequent observations and, guess what, the predictions were correct (Wang et al. 2021; The Copenhagen Diagnosis 2009).

You don’t even need to understand complex modelling or scientific jargon to see that the actual predictions by scientists do not match climate change deniers’ caricatures but do match our observations. Just read the executive summary (written in plain English) from the first IPCC report (the report was in 1990 and the summary was released in 1992).

“Under the IPCC Business-as-Usual emissions scenario, an average rate of global mean sea-level rise of about 6 cm per decade over the next century (with an uncertainty range of 3—10 cm per decade), mainly due to thermal expansion of the oceans and the melting of some land ice. The predicted rise is about 20 cm in global-mean sea level by 2030, and 65 cm by the end of the next century.”

Notice that they did not predict that all of Florida would be under water by now, nor did they forecast meters of sea level rise by 2020. They predicted 20 cm of rise by 2030 with 3–6 mm per year, which, you’ll notice, matches the observations I reported earlier, and before you baselessly accuse the IPCC of trickery, you can look at their work and read the studies they cited. The data are unequivocal. It is a simple fact that sea levels are rising and coastal flooding risk is increasing (Church and White 2011; Sweet et al. 2019).

So if scientists weren’t the ones making those inaccurate doomsday predictions, where did they come from? In some cases, the media is to blame, and honestly, I’m surprised that I have to say this because if there was one thing that I thought climate change deniers and I could agree on, it was that the media is often sensational and doesn’t report things accurately. News outlets are notoriously bad at getting the science right and love to latch onto unlikely worst-case scenarios and present them as if they are what most scientists are claiming is likely. This then provides fodder for ideologues who deliberately misrepresent the science for personal gain, and before you know it, the misinformation has been repeated so many times that people take it for granted that scientists predicted the complete demise of Florida by 2020 even though they actually predicted nothing of the kind.

An additional factor is that people simply fail to grasp the timescale of the predictions (and this can again get distorted). There certainly are models that predict that large parts of New York, Florida, etc. will be submerged by 2100 (if we don’t change our actions), but you can’t take a prediction for 80 years from now and say, “well it hasn’t happened yet, so the scientists are wrong.”

Likewise, I’m sure that if you dig around you can find one off statements made by various scientists, that turned out to be wrong. but don’t confuse those off the cuff remarks or the predictions of a few outliers for the actual predictions being made by the actual models in the scientific literature. Again, the actual IPCC predictions have been accurate (in some cases erring on the side of caution).

Please read this post before claiming that scientists predicted an ice age in the 70s (they didn’t)

“but when floating ice melts, the water level doesn’t increase”

It is usually around this point that I encounter a particularly comical counterargument. This one is generally stated as a simple experiment that you can do yourself to prove that climate change isn’t causing the sea level to rise. All you have to do is take a cup of water, put some ice cubes in it, mark the water level, then wait for them to melt. Once they have melted you will find that, lo and behold, the water level is unchanged. Therefore, according to those with degrees from Google University, climate change is a myth and the sea level isn’t rising.

It is true that as floating ice melts the water level is unchanged (but see note), but it is also a straw man fallacy.  Melting icebergs (floating ice) are not the cause of sea level rise. Rather, sea level rise is being caused by the thermal expansion of water as it heats up (i.e., warm water expands and takes up more space compared to cold water) and the melting of land-based ice (Frederkikse et al. 2020).

Note: Although the melting of floating ice does not change the water levels in freshwater, it can have an effect in salt water because of the difference in the density of salt and freshwater (sea ice is predominantly fresh). So melting sea ice does technically have an impact on sea levels, but that impact is quite small compared to the impact of melting glaciers on land and thermal expansion (Noerdlinger and Brower 2007).

Scientists aren’t stupid

As I’ve explained before, if you think that you have found something extremely obvious and simple that every scientist in the world has missed, you are almost certainly wrong and, honestly, are being extremely arrogant. I don’t say that to attack or belittle anyone. Rather, I am trying to get you to think rationally and engage in some basic plausibility checks.

Which one of the following actually seems more likely to you?

  1. Despite years of training and a lifetime spent doing research and studying the factors that affect sea level, all of the world’s scientists (tens of thousands of people from hundreds of universities, government institutions, etc. from all over the world) completely missed an extremely basic fact of physics, and you have completely overthrown decades of research with an elementary school science experiment involving nothing more than a cup, water, and ice cubes, or
  2. Your understanding of the topic is incomplete and scientists know more about their areas of expertise than you do

Believing option A is the very epitome of hubris. If you are intellectually honest, you have to acknowledge that option A is wildly implausible, and that should, at the very least, make you spend a few seconds googling the causes of sea level rise rather than going around pretending that all scientists are absolute idiots. It should make you ask questions like, “if the problem with climate change is this obvious, why aren’t scientists aware of it?”

Likewise, it is absurd to completely ignore a mountain of data collected by thousands of scientists from all over the world using cutting edge technology and sophisticated statistical methods simply because you found a black and white photo online. Really think about this. Does it honestly seem rational that all of that research is so hopelessly wrong that a simple photo will discredit it? Do you seriously think that all of the world’s scientists are that utterly incompetent? Do you really think that none of them bothered to go down to the shore and check? Really ask yourself, which is more likely, that essentially all of the world’s experts are hopelessly wrong, or the situation is more complicated than you realize?

Again, the answer to that question should be obvious, and it should make you do some basic fact checking. As I’ve said repeatedly on this blog, I’m not advocating for blind faith in authority (fact check everything), but you need to have some extremely good evidence before claiming that all of the world’s experts are wrong, and in cases like this, mere minutes on Google would be sufficient to explain why the experts are right and the memes of old photos are wrong.

Indeed, in a particularly laughable display of wilful ignorance, the Plymouth Rock photo has been among the more popular memes I’ve seen floating around, but that rock has, in fact, been moved multiple times! You don’t even need to know anything about tides to know that the claim being made in the meme is bogus, and that fact is easily discoverable to anyone who checks.

This is, in many ways, the most frustrating thing about the anti-science movement, in my experience. The arguments used against science are generally so laughably naive and childish that anyone could easily find and comprehend information explaining why they are wrong if they would only bother to look, but most people don’t bother to look. They see something that conforms to their preconceptions, so they blindly believe and repeated it without ever testing its veracity, thus forcing people like me to spend our days explaining that tides exist and that scientists are in fact aware of how ice melts.

Don’t go through life blindly believing things you agree with and dismissing things you disagree with. Be curious. Be intellectually honest and rigorous. Take the time to check the facts and look at the evidence before you decide what to accept and reject.

Recommended reading:

Related posts

Literature cited

  • Church and White 2011. Sea-Level Rise from the Late 19th to the Early 21st Century. Surveys in Geophysics 32:585–602
  • Frederkikse et al. 2020. The causes of sea-level rise since 1900. Nature 584: 393–397
  • IPCC 1992. First Assessment Report Overview and Policymaker Summaries and 1992 IPCC Supplement.
  • IPCC 2022. Fox-Kemper et al. Ocean, Cryosphere and Sea Level Change. In Climate Change 2021: The Physical Science Basis. Contribution of Working Group I to the Sixth Assessment Report of the Intergovernmental Panel on Climate
  • McAlpine and Porter 2018. Estimating Recent Local Impacts of Sea-Level Rise on Current Real-Estate Losses: A Housing Market Case Study in Miami-Dade, Florida. Population Research and Policy Review 37: 871-895
  • Moftakhari et al. 2015. Increased nuisance flooding along the coasts of the United States due to sea level rise: Past and future. Geophysical Research Letters 9846-9852
  • Noerdlinger and Brower 2007. The melting of floating ice raises the ocean level. Geophysical Journal International 170:145–150
  • Sweet et al. 2019. 2019 State of U.S. High Tide Flooding with a 2020 Outlook. NOAA Technical Report NOS CO-OPS 092
  • The Copenhagen Diagnosis 2009. Updating the world on the Latest Climate Science. Allison, et al. The University of New South Wales Climate Change Research Centre (CCRC), Sydney, Australia, 60pp.
  • Wang et al. 2021. Reconciling global mean and regional sea level change in projections and observations. Nature Communications 12
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Debunking 30 bad arguments about COVID/vaccines

The COVID era has been a golden age of misinformation. It has seen the development of innumerable false claims and shoddy arguments, and it has breathed new life into ancient anti-vaccine tropes. Indeed, I find it impossible to make any posts about this topic on social media without the comments immediately becoming a raging dumpster fire of falsehoods. The arguments are so innumerable that trying to debate them with someone quickly becomes an exercise in futility that feels like fighting the mighty hydra. As soon as one argument is debunked, several more pop up to take its place.

This article is my attempt to ameliorate that situation by compiling most of the common arguments I encounter into a single location where they can all be debunked in one fell swoop. Because there are so many of them, I will address each one only briefly and provide citations to the relevant studies as well as links to articles that go into more detail. To those fighting the good fight against misinformation, rock on, and I hope this article will make a useful addition to your arsenal. To those who arrived on this page because someone directed you here when you made one of these bad arguments, please actually look at the evidence. Please stop listening to your favorite politician, commentator, youtuber, fringe doctor, etc. and look at the actual evidence.

Many of these arguments are interrelated and somewhat redundant, but they are often presented as separate arguments, so I wanted to deal with each explicitly here. They are ordered roughly into the following categories:

  • 1–8 = Arguments about COVID risk/mortality rates
  • 9–13 = Arguments based on the novelty of the vaccines
  • 14–20 = Arguments about vaccine effectiveness
  • 21–23 = Arguments about the reliability of science
  • 24–30 = Miscellaneous: conspiracy theories, VAERS, anecdotes, etc.

With that out of the way, let’s do this.

and here we go

Bad argument #1: COVID isn’t dangerous

Reality: Yes it is; millions are dead

Over 5.5 million people have already died, including over 850,000 in the USA alone. Something that has killed millions of people in only two years is, by definition, dangerous. Indeed, COVID was the 3rd highest cause of death in the USA in 2020 (Murphy et al. 2021) and 2021 (only cancer and heart disease were higher), and during outbreaks, it spiked to the #1 slot (see graph here). So unless you are going to tell me that accidents, stroke, diabetes, Alzheimer’s, and every other cause of death that COVID beat aren’t dangerous, please stop making the insane claim that COVID isn’t dangerous. Finally, death is not the only possible negative outcome, and hospitalization, long-term effects, time off work, etc. should all be considered (Mitrani et al. 2020; Fraser 2020).

 Bad argument #2: 99.9% survive

Reality: That still means millions of deaths 

  1. The survival rate varies greatly among ages, populations, strains, etc. So a blanket number like this isn’t accurate or useful.
  2. That is still a high death rate, and it has resulted in millions of deaths (see #1).
  3. Diseases can be very dangerous to a population either by having a high mortality rate or by having a high infection rate (or both), and COVID has a very high infection rate. If you have two diseases, one of which has a 10% mortality rate but only infects 100,000 people, and the other of which only has a 0.1% mortality rate but infects 10,000,000 people, you end up with 10,000 deaths either way.

More details here 

Bad argument #3: People only die because of comorbidities, so the actual COVID death rate is very low/COVID death rates are inflated by comorbidities.

Reality: Comorbidities don’t change the fact that these people died as a result of COVID

Comorbidities are simply additional factors that contributed to a death, and their existence does not negate the critical role of COVID in those deaths. If someone with a blood clotting disorder is stabbed and bleeds to death, the clotting disorder will be listed as a comorbidity because it was a contributing factor, but it would be insane to argue that this death is “inflating stabbing mortality rates” or that “stabbing wasn’t really the cause of death, because they had a clotting disorder.” The fact remains that they would not have died at that point in time if it had not been for the stabbing, and something that would have prevented the stabbing would also have prevented their death. The same is true with COVID comorbidities. In most cases, these people would not have died at this particular point in time if it wasn’t for COVID. Further, a huge portion of people have conditions that predispose them to severe COVID and would count as comorbidities if they die (CDC: People with Certain Medical Conditions).

More details here. 

Bad argument #4: It’s no worse than the flu

Reality: Yes it is

In the United States of America, influenza kills between 12,000 and 52,000 people annually, with a total of 342,000 flu deaths from the 2010–2020 seasons (CDC flu data). In sharp contrast, COVID has already killed >850,000 Americans, and in 2020 alone, the USA suffered 377,883 COVID deaths (Ahmad et al. 2021), with an even higher number of deaths in 2021. In other words, COVID kills more people in a single year than the flu kills in a decade. So please stop with this nonsense that it is no worse than the flu. 

Bad argument #5: I’m young and healthy, so I don’t need a vaccine

Reality: You can still become seriously ill and/or spread it to others

Being young and healthy lowers your risk, but it does not eliminate it. There are thousands of previously young healthy people who have died of COVID, and thousands more who became seriously ill (see CDC data). Further, young healthy people can still spread it to those who aren’t young and healthy (see #).

Also see #25

Bad argument #6: I trust my immune system, so I don’t need vaccines

Reality: Your immune system is only as good as its training

Even a healthy immune system has to learn how to fight a novel disease before it can do so effectively. Vaccines simply train your immune system so that it knows how to fight a disease like COVID when it encounters the real thing. This argument is about like saying, “I trust the military, so I don’t think they need intelligence reports on the enemy.”

Details here

Bad argument #7: Humans have survived for thousands of years without vaccines

Reality: The species has lived, but millions of individuals have died.

Homo sapiens as a species has survived, but countless individuals died, and since their invention, vaccines have saved untold millions of lives. No one is saying that COVID is going to wipe us our as a species. Rather, we are saying that millions of individuals could be saved with the vaccines.

More details here

Bad argument #8: Maybe previous strains were dangerous, but Omicron isn’t

Reality: Omicron is less dangerous, but still dangerous

Early evidence does suggest that Omicron is less deadly than other strains, but that does not mean it isn’t dangerous. Further, the current data also suggest that it is more easily transmitted, which means that your total risk may still be high, because risk is determined by the combination of the probability of catching the disease and probability of serious injury or death if you catch the disease (see #2). Further, even a less-deadly strain can still have substantial impacts by flooding hospitals with thousands of infected patients, which is exactly what is happening. Indeed, the USA just set a new record for hospitalized COVID patients, and remember that deaths always lag behind infections and hospitalizations.

Bad argument #9: The vaccines alter your DNA

Reality: mRNA cannot alter your DNA, and this is not genetic engineering.

that's not how this works memeDNA is the master copy of your genetic material and is stored in your cells’ nuclei. Think of DNA like the original architectural plans for a building. To make proteins, that double-stranded DNA gets transcribed in single-stranded RNA, and the RNA is then transported to ribosomes which use it as the plans for making proteins. Think of RNA like the blueprints used at a worksite that have been copied from the master plans. Thus, mRNA does not alter your DNA, because that’s simply not what RNA does. Further, you get exposed to substantially more COVID mRNA during an actual COVID infection, and your body is already teaming with RNA from the millions of micro-organisms that live in and on you.

More details here

Bad argument #10: The vaccines are too new/rushed

Reality: No, they aren’t/weren’t 

  1. We have been studying mRNA vaccines for many years (e.g., this study [Fleeton et al. 2001] from over two decades ago, also see this review: Pardi et al. 2018). These studies include human trials, some of which followed patients for over a year (Craenenbroeck et al. 2015, Bahl 2017, Alberer et al. 2017, Feldman et al. 2019).
  2. These vaccines were developed quickly by using that existing knowledge, investing heavily in the vaccines, and streamlining the process by running different stages in parallel. All normal checks and criteria for approval were still met (i.e., they weren’t rushed).
  3. The key to determining safety and efficiency is sample size, not time, and because COVID is so prevalent, scientists were able to generate massive sample sizes extremely quickly (Polack et al. 2020, Mahase 2020, Qianhui et al. 2021, Barda et al. 2021b just to list a few). These are some of the largest studies in medical history, and the evidence they present is so comprehensive and compelling that we are well beyond the stage of reasonable doubt. Anyone who says that we don’t know enough about these vaccines is either ignorant of the evidence or is choosing to blindly ignore it.

More details here and here 

Bad argument #11: We don’t know the long-term effects

Reality: Yes, we do

No vaccine has ever caused a serious, unpredicted adverse event that only showed years down the road. That is simply not how vaccines work. Because vaccines train the immune system before being quickly eliminated, their effects happen quickly (within minutes or days, not years later). We now have way more than enough data to be highly confident in the safety of these vaccines (see #10). This concern is completely unjustified and has no scientific basis. Further, if we are going to play the game of fearing the unknown, it is far more likely that COVID itself will have long-term adverse effects than it is that the vaccines will.

 More details here and here 

Bad argument #12: My children and I aren’t lab rats and won’t take an experimental vaccine

Reality: The vaccines have already passed experimental testing

Again, these vaccines have been thoroughly studied using massive sample sizes (see # 10). They are no longer experimental. They have passed the experimental stage. So this argument is nonsense. It blindly ignores all of those studies.

Bad argument #13: Children and pregnant women shouldn’t be vaccinated

Reality: They are safer with vaccines

Hospitalization and death from COVID are less common in children, but they still happen, which is both tragic and preventable. The vaccines have been tested in children, and are safe and effective, resulting in 10x lower risk of hospitalization (Delahoy et al. 2021, Olson et al. 2022, Principi and Esposito 2022, Stein et al. 2022).

In contrast to children, pregnant women are actually at an increased risk of serious adverse events from COVID, but like children, the vaccines have been well-studied, and a large study (>40,000 participants) found that COVID19 vaccination is safe during pregnancy (Lipkind et al. 2022). 

Bad argument #14: The vaccines aren’t 100% effective

Reality: Nothing is 100% effective, but they are still very useful

This one is an anti-vaccer classic that has been around for ages. The reality is that almost nothing is 100% effective. Helmets, parachutes, seat belts, air bags, birth control, etc. are all less than 100% effective, yet clearly the are very useful. Risk is inherently about probabilities, not absolutes. So, when we talk about how well vaccines work, we are always talking about risk reduction, not risk elimination, and the vaccines do greatly reduce risk (see #10, 15, 16).

More details here and here. 

Bad argument #15: The vaccines don’t prevent you from getting COVID (breakthrough cases)

Reality: They reduce risk and severity

Again, almost nothing is 100% effective (see #14), but the vaccines reduce your risk. This has been borne out by study (Polack et al. 2020) after study (Mahase 2020) after study (Fowlkes et al. 2021) after study (Martínez-Baz et al. 2021). Further, even if you become infected, the vaccines dramatically reduce your risk of getting a serious infection, and the rates of hospitalizations and deaths are substantially lower among the vaccinated than among the unvaccinated (Martínez-Baz et al. 2021, Self et al. 2021, Tenforde et al. 2021). Indeed, the CDC data (COVID tracker) for October (the most recent complete month at the time I’m writing this; see update below) showed that, compared to vaccinated individuals, unvaccinated individuals were 5 times more likely to test positive for COVID and 14 times more likely to die from COVID (also see Yek et al. 2022)!

This argument is like saying, “car safety features like ABS brakes, seat belts, and air bags don’t prevent you from getting into a car accident.” Sure, they don’t completely prevent it, but some of them (e.g., brakes), make it less likely, and even if you are in an accident, they greatly reduce the risk that you will be seriously injured by the accident.

If you’ve ever had to do a risk assessment for a job, you know that risk involves both the likelihood of an event and severity if the event occurs.

Update 30-1-2022: The updated CDC data (going through December 25 2021) show that the unvaccinated are 13X more likely to test positive for COVID and 68X more likely to die from COVID, compared to people with three doses of the vaccine.

Bad argument #16: The vaccines don’t prevent you from spreading (transmitting) COVID

Reality: They reduce risk of transmission

Vaccinated individuals can spread the virus, but you have to be infected with COVID before you can spread COVID, and the vaccines greatly reduce your risk of becoming infected (see #15). Further, multiple studies (some of them quite large) have compared the COVID infection rates among family members of people who did or did not receive the vaccine, and exactly as you’d expect from herd immunity, infection rates were lower for the people with a vaccinated family member (Anoop et al. 2021, Geir et al. 2021a, Geir et al. 2021b, Singanayagam et al. 2021). So yes, breakthrough cases do happen (see #15) because nothing is 100% effective (see#14), but again, the risk is greatly reduced by the vaccines, and the data are unequivocal: vaccinating protects those around you. 

drunk driving analogy, vaccines, anti-vaccers

An example of inconsistent reasoning among anti-vaccers. Image via Refutations to Anti-Vaccine Memes

Bad argument #17: Most people who catch COVID are vaccinated

Reality: You have to look at ratios, not raw numbers

This claim is often untrue, but even when it is true, that is only because most people are vaccinated. We have to look at the rates not the raw numbers. By way of analogy, most car accidents involve sober drivers, but that doesn’t mean it is safer to drive drunk; it’s simply that most people drive sober, and we can see this when we look at the rates. Even so, when it comes to vaccines, the rates (infections per person) clearly show that the vaccines work and reduce risk (Polack et al. 2020, Mahase 2020, Fowlkes et al. 2021, Martínez-Baz et al. 2021, see #10 and 15).

More details here and here  

Bad argument #18: The vaccines are less effective against Omicron

Reality: They still help, and boosters largely restore effectiveness

Omicron is still too new for us to have a completely clear picture of this. Current evidence does suggest that the vaccines are less effective against omicron than they were against delta (particularly when it comes to completely preventing asymptomatic infection, but see #20 regarding boosters), but they current evidence also suggests that they still greatly reduce your risk of getting a serious infection that would require hospitalization. Indeed, a report that was just released by the UK Health Security Agency (2021) found that 3 doses of the vaccine were 88% effective at preventing hospitalization from omicron. Similarly, data from South Africa showed that even just two doses of the Pfizer vaccine resulted in 70% effectiveness at preventing hospitalization from omicron (Collie et al. 2021).

See #20 on boosters  

Bad argument #19: If vaccines work, why do you care if I am vaccinated?

Reality: Because I care about others 

  1. Vaccines greatly reduce risk, but they aren’t 100% effective (see #14–16).
  2. Many people can’t be vaccinated due to medical issues, but when everyone else is vaccinated, they are protected by herd immunity.
  3. Outbreaks can overwhelm the medical system and prevent others from getting the treatments they need (multiple uninfected people have died because of this; Sabbatini, et al. 2021).
  4. When most people are vaccinated, the risk of new strains emerging is reduced because it is harder for the virus to replicate (which is where new mutations come from) and spread.
  5. Outbreaks hurt everyone by harming the economy, causing lockdowns and restrictions, interfering with travel, etc.

Bad argument #20: They said we’d only need two doses, but now it’s three

Reality: So what? Why is that a problem?

  1. Many routine vaccines require boosters, and we’ve always known that was a possibility with COVID.
  2. Boosters really aren’t a big deal (they are safe [Hause et al. 2021]), and they greatly increase vaccine effectiveness (e.g., Barda et al. 2021a which had a sample size of over 1 million).
  3. The primary reason they are being pushed so hard now is because the situation has changed (i.e., a new variant [omicron] emerged, which is something scientists have warned about all along). Data are still limited and being reviewed, but early results suggests that the effectiveness of 2 doses is greatly reduced, but a 3rd dose (booster) helps to restore effectiveness (Gardner and Kilpatrick 2021*, Garcia-Beltran et al. 2022, Muik et al. 2022 [* this is a preprint and has not been peer-reviewed]).

reductioBad argument #21: But science has been wrong before

Reality: This is a misunderstanding of how science works

Science is inherently the process of discrediting previous ideas, but in the modern era, previous ideas generally turn out to be incomplete more than entirely wrong, particularly for topics like vaccines where the evidence for their safety and effectiveness of vaccinees is overwhelming (see #10, 13–16). Further, the fact that scientific conclusions have been wrong before absolutely does not mean that you can blindly assume that the current evidence is wrong. If it did, you could reject any scientific result you like on the basis that science has been wrong before. You have to present actual evidence that the current conclusions are wrong, and there is simply no evidence that we are wrong about these vaccines.

 Details here and here.

Also, see posts here, here, and here regarding the nature of a scientific consensus.

See this post regarding the claim that most scientific studies are wrong. 

Bad argument #22: They laughed at Galileo and Columbus

Reality: This is a misconception and doesn’t mean you’re right

Galileo was mostly criticized by the church (i.e., people who were ignoring evidence because of ideology) not his fellow scientists. Also, critically, he had actual evidence, not conjecture, conspiracy theories, or a blind denial of evidence. Columbus, on the other hand was painfully wrong about the size of the earth (everyone already knew it was round) and just got lucky that there was another continent that Europeans didn’t know about. Finally, again, you must have actual evidence that current conclusions are wrong (see #21).

Details here and here and here.

Bad argument #23: There used to be a consensus that smoking was safe

Reality: No there wasn’t

This is a complete myth. Scientists have known since WWII that smoking was dangerous (Proctor 2012). Tobacco companies never managed to buy off more than a handful of doctors and scientists. What they had was a good PR team, not a scientific consensus (also see #21 and 22).

See posts here, here, and here regarding the nature of a scientific consensus.

See this post regarding the claim that most scientific studies are wrong. 

vaccine scheduleBad argument #24: I just don’t trust pharmaceutical companies/It’s all about money

Reality: It’s about trusting science, not “big pharma”

I don’t trust “big pharma” either, and I’m all for tight regulations and oversight, removing lobbyist, making drugs affordable, etc. I do, however, trust the science, a very large portion of which has been conducted by independent scientists who are not funded by pharmaceutical companies. The thing about science is that it is self-correcting. If pharmaceutical companies faked their data, other scientists would find out and report it. Keep in mind also that there are multiple competing pharmaceutical companies who would love to discredit each other

See posts here and here for more on the “follow the money” argument.

Bad argument #25: [insert personal anecdotes]

Reality: Anecdotes are pretty meaningless in science

The fact that event A happened before event B does not indicate (or even suggest) that event A caused event B (that’s known as a post hoc ergo propter hoc fallacy). At best, anecdotes can suggest things to be studied, but to actually determine causation, safety, or efficacy we need large properly controlled studies, and those have shown that these vaccines are safe and effective (see #10, 13–16). Anecdotes simply are not reliable evidence of causation.

Additionally, one specific anecdote I’d like to deal with is the argument that, “I got COVID and was fine; therefore, it’s not dangerous.” This is known as a survivorship bias: i.e., those who died are inherently not here to share their stories. The fact that you were fine does not alter the fact that millions weren’t. Similarly, if you are unvaccinated, before you go around boasting that you have an incredible immune system because you haven’t caught COVID, consider the fact that every single person who has caught COVID could have bragged about not catching COVID until the moment they caught it. In other words, contemplate the possibility that you simply haven’t caught it yet.

More details here and here and here.

Bad argument #26: There are tens of thousands of vaccine injuries and deaths on VAERS

Reality: Being reported in VAERS does not mean that the vaccine caused the problem

VAERS is a self-reported database that often contains all manner of absurdities. It is meant as an early warning system, and you have to be very, very careful when using it. The fact that something was reported in VAERS absolutely does not mean that the vaccine caused it. VAERS itself is explicit about that (see screenshot below [bold was in the original]; also see #25).

 More details here

vaers

Bad argument #27: But there are real risks from the vaccines

Reality: Yes, but they are rare, and the benefits outweigh the risks

Adverse events exist for all real medications. For vaccines, however, serious side effects are very rare, and the benefits from the vaccines far outweigh the risks from the disease. Risk assessment is an exercise in probabilities, and for almost any medicine, there will be some small subset who end up worse off because of it, but that doesn’t change the fact that your risk (i.e., your probability of injury) is lower with the vaccines than without them. As a result, vaccines save millions of lives, with COVID vaccines already having saved hundreds of thousands of lives (Mesle et al. 2021).

See studies cited in #10, 13–16

does not meanBad argument #28: Various conspiracy theories/FDA corruption

Reality: Science is about evidence, not conjecture and conspiracy theories

Conspiracy theories are endless, but they all suffer the same fundamental problems of not having any credible evidence and stating assumptions as if they are facts. No actual evidence has been presented to show that data were faked, FDA officials were bought off to push the vaccines, etc. Further, this argument ignores the facts that there are countries other than the USA and health/regulatory agencies from around the world are in widespread agreement about the safety and effectiveness of these vaccines. The research is being conducted by tens of thousands of researchers from hundreds of universities, companies, and agencies from around the world. Faking these data would require a truly insane conspiracy in which virtually all of the world’s scientists, health agencies, governments, and major pharmaceutical companies agreed to work together to lie and endanger the public. If that level of agreement among rival nations and countries sounds absurd, that’s because it is absurd.

Bad argument #29: It’s my choice/freedom. We shouldn’t have vaccine mandates

Reality: You don’t have the right to endanger others or ignore public health

This is a political argument, not a scientific argument, but I will briefly make three points. First, a large portion of the people I see making this argument also use the other arguments in this post, suggesting that they are letting political views override facts. Second, personal freedoms always end as soon as they endanger someone else, and refusing to vaccinate does endanger others (see #16, 19). This is why you have the freedom to drive a car, but not the freedom to drive recklessly or while drunk. Third, at least in most countries, the mandates simply place restrictions on the unvaccinated (e.g., requiring vaccination for a workplace), which is not the same thing as “forcing” someone (e.g., the government doesn’t “force” you to be sober, it simply restricts your right to drive unless you are sober; even so, you aren’t being “forced” to vaccinate, your ability to work certain jobs is simply being restricted to protect your coworkers).

Bad argument #:30 But I heard on Youtube, Facebook, Joe Rogan, Fox, OAN, some random guy with cool sunglasses sitting in a pickup truck, etc…

Reality: Those are not good sources

Please just stop. Stop with the deluded belief that you know more than the experts. Stop listening to unqualified people. Stop cherry-picking your experts.  Multiple massive studies have clearly showed that COVID is dangerous and the vaccines are safe, effective, and help protect you and those around you. Either you accept that evidence or you deny it.

 More on fact checking

 Related posts

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Joe Rogan and the problem of false balance

joe roganThis is going to be a relatively short post because I only have one simple point that I want to make. Namely, “balance” does not mean presenting conspiracy theories and nonsense alongside facts as if they are equivalent. This is a problem that pervades media coverage of scientific topics and seriously damages the public’s perception of scientific results.

To illustrate this, I want to talk briefly about Joe Rogan, because a Facebook post about him is what inspired this article. Full disclosure, I am, to say the least, not a fan of Rogan. In my opinion he is (to quote a friend of mine), “a dumb person’s idea of a smart person” (which to be clear, does not automatically mean that anyone who likes him is dumb). He frequently makes claims that are nonsense, and he uses his podcast to give a voice to all manner of quacks and conspiracy theorists. At this point, you may be expecting one of my lengthy debunks, but that’s not what I’m going to do here. Rather, I want to focus on the way people perceive his podcast, and why it is a problem.

The post that inspired this article (which unfortunately I did not save) pointed out the false claims that he spouts and the fact that he profits from popularizing these “controversial” positions. What interested me, however, was not the post itself, but rather the comments under it. Tons of people jumped to his defense, and the prevailing argument was (paraphrasing),

“Yes, he sometimes has ridiculous guests, but he also has lots of real scientists and experts on his podcast. It’s called balance, and it’s good to hear both sides.”

NO! That is not balance. We have this idea of “two sides” so deeply ingrained into us that we feel like we have to give credence to opposing views, even if one of them is utter nonsense, but that is an absurd and dangerous position to take. On many topics (particularly scientific topics), there aren’t two sides, and the fact that two people disagree doesn’t mean that there are two valid positions that both have to be treated as if they have merit.

Now, I can already hear people objecting that Rogan often doesn’t endorse the views of his guests. He’s just discussing the topics, asking questions, and letting people voice their views. That may sound innocuous or even good, but when those “views” are demonstrably false and, in the case of medical topics, dangerous, it becomes extremely irresponsible for someone with Rogan’s viewership to give a voice to those positions. Again, letting people talk about utter nonsense as if it is scientifically valid is not being balanced. Factually incorrect positions deserve only ridicule, and they should not be discussed as if they have merit.

If, for example, I am running a podcast and I invite a geologist on to discuss why the earth bulges in the middle and is a spheroid rather than a true sphere, it would be insane for me to “balance” that interview by inviting a flat earther to be a guest. That’s not balance or presenting both sides. One of those people is factually correct, and the other is factually wrong to a laughable degree, and it would be irresponsible for me to give the latter a platform from which to spread their half-baked, factually incorrect ideas.

So, no, when people like Joe Rogan treat conspiracy theorists as if they are making rational arguments, they are not displaying “balance” or presenting “both sides.” They are spreading demonstrable nonsense, plain and simple, and you should stop listening to them. Journalistic integrity does not mean giving everyone a voice regardless of the factual accuracy of what they are saying. In fact, good journalism should figure out what is factually correct before reporting it.

This problem is, of course, much broader than Joe Rogan, with the media presentation of climate change probably being the most obvious example. The evidence for anthropogenic climate change is utterly overwhelming. Scientific studies to the contrary are almost non-existent, and the handful that do exist are riddled with problems. There is no serious debate among climatologists on this topic. Anthropogenic climate change is a fact that has been verified by numerous different lines of evidence and the media needs to stop pretending that this is an issue with “two sides.” Balance does not mean giving equal weight to climate change deniers. That would be just as absurd as giving equal weight to a flat earther (see note 2).

This post has become a bit more of an unhinged, rambling rant than I had intended, so let me close with a simple request. Please stop supporting people like Joe Rogan and do not delude yourself into thinking that they are giving you “both sides” of a story or presenting you with “balanced” information. They aren’t, and it is dangerous to pretend that they are. We are living in a golden age of misinformation, and listening to people like Rogan only helps to perpetuate the spread of falsehoods.

Note 1: Obviously any scientific result can, in concept, be overturned with future evidence, but that does not automatically mean that two sides exist. If scientists uncover and publish new, valid evidence that the earth is flat or we aren’t causing climate change, then and only then should we treat those as serious propositions.

Note 2: Please read this article before you bring up the fraudulent Oregon Petition or any other standard climate change denier nonsense.

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