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Buffy and Dr. Varnus

Posted by JonKatz on Thu Jun 10, 1999 09:03 AM
from the now-its-the-researchers-turn dept.
Here's a Net riddle: What do fans of "Buffy" and the head of the National Institutes of Health (NIH) have in common? This week, both are using the Net to radically change the rules about information: who controls it and who gets to see and read it. Oh...and both are catching Hell.

Here's an Internet riddle:

What do fans of "Buffy The Vampire Slayer" and Dr. Harold E. Varmus, the director of the National Institutes of Health, have in common?

Both are unlikely social revolutionaries.

Both are, in wildly divergent ways, showing us how almost everything we understand about information -- who makes it, shares it, sees it, owns it - is changing.

Both are hailed as heroes by some and seen by others as impulsive, impatient and irresponsible.

For nearly all of human history, information has been a valuable commodity and a political tool. It has always been controlled by powerful elites who have been willing to fight, even kill for it. Centuries ago, the guardians of information were referred to as The Holy Circle.

Last week, it was the WB's turn to learn what the music industry and Wall Street now know: the Net is changing the rules. Now it's the medical researchers turn.

The worst nightmare of the people who control information is, of course, the Net. Many millions of individuals connected to much of the information in the world. And it turns out that their worst nightmares about the Net are becoming truer by the day. Last week, "Buffy" fans used the Net to distribute tapes and transcripts of the show's season finale, postponed by the show's craven blockhead producers in the post-Littleton hysteria (maybe George Lucas ought to yank "Phantom Menace" - Anikin does plenty of Federation and droid-bashing).

Tuesday, it was a government official, Dr. Varmus, who proposed another radical step towards democratizing information by proposing to Congress that the NIH launch E-biomed, an electronic publishing operation that would be part of the NIH's website and that would permit scientists and researchers to disclose and disseminate the results of biomedical research on the Internet, making the full texts of their reports available for the first time to anyone with a computer anywhere in the world.

Dr. Varmus? proposal touched off a furious debate among medical journalists and researchers. The editor in chief of the New England Journal of Medicine, which has 240,000 paid subscribers, said "E-biomed could have a disastrous effect on clinical journals." He said subscribers would have no reason to subscribe to magazines like his - many of which cost thousands of dollars - if they could get the contents of journals free on the Internet.

But Dr. Varnus gets the Net, it's inevitabile growth and and potential for freeing up previously unavailable information. Journals can find other ways to generate funds, he told The New York Times. Societies, he said, "should not be seen as slowing a revolution in publishing that could make all journals more accessible."

Good for Dr. Varnus. One wonders how he ever got so far up the scientific and governmental food chain. His vision is far more intelligent and power than any advanced by any newspaper editor, music industry executive, TV producer or most government officials over the past few ears.

The E-biomed debate quickly took on a familiar ring. Researchers were bitterly divided about Dr. Varnus? proposal. One University of Wisconsin professor called it "among the very worst ideas I've ever heard," saying all sorts of unsubstantiated junk could be posted on the NIH website without the traditional, sometimes laborious process of peer and editorial review.

But Dr. Varnus said the new website would include some form of scientific screening and review. He said the site would have two components. Articles published in the first compartment would be subject to scientific review by members of the editorial boards of various journals. Another component would permit the immediate posting of medical research on the Net, prior to any formal peer review. Medical and scientific research could be greatly accelerated, he hoped.

Varnus said that for work to be disseminated in this way, researchers would need approval from two individuals with appropriate credentials. These credentials, he said, would be broad enough to include several thousands of scientists, but stringent enough to provide protection of the data base from extraneous or outrageous material. He said E-biomed would be a general repository of medical research where virtually any legitimate work could be posted for anyone in the world to see, from researchers to patients to ordinary citizens - the ones footing the bill for most, if not all, of the NIH's funded research.

Varnus hopes E-biomed will not only give the public access to medical information previously available only to medical professions, but that it will also accelerate its dissemination to the world. Many elites, from media to medicine to lawyers, have always argued the public is too wanton or dumb to handle so much information. They needed interpreters - like them. But the Net is proving them wrong. All sorts of information is available online that wasn't available at all a few years ago, and society seems to be holding together.

E-biomed would, Varnus said, offer instant, free access the latest reports on biology and medicine, saving money for individual scientists, libraries, labs, and Government agencies.

Physicists and mathematicians already can instantly post many of their findings, prior to publication in a journal, on a Web site operated by the Los Alamos National Laboratory in New Mexico (http://www.xxx.lanl.gov). But some doctors opposed to E-biomed say biomedical research, especially clinical research, is different because it can influence care of patients.

As with the rest of society, it's striking to see just how divided professionals are about this encroachment of the Net and the Web into the turf of powerful enclaves like medicine.

While many American doctors and medical journalists said they were unhappy about E-biomed, an Australian researcher drew an analogy to the spread of literacy and printing in medieval Europe centuries ago. "Were all books going to be authoritative and accurate? Were some dangerous to society? We can imagine priests saying, "Mass printing and wide dissemination of books is O.K. so long as we insure that every book is approved by a priest review process."

If he lived in America, he wouldn't have to imagine that. That's more or less the idea most members of Congress have about how the Net and Web ought to work. That's why they passed not one, but two Communications Decency Acts.

Information visionaries like Dr. Varnus - people who can see beyond the understandable anxiety but sometimes outrageous mis-information and rhetoric - have been few and far between, especially in powerful, mainstream institutions.

It's hard to get your head around an information revolution in which the fans of "Buffy The Vampire Slayer" and the head of the National Institutes of Health are making a seminal point much of society still doesn't really want to hear. That would be this: the Holy Circle of interests and institutions that has controlled information for most, if not all, of human history, is going to have to share.

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  • Slow journals by Anonymous Coward (Score:1) Thursday June 10 1999, @06:42AM
  • There are at least three separate issues by Anonymous Coward (Score:1) Thursday June 10 1999, @10:25AM
  • Science Journals a sham... by Anonymous Coward (Score:1) Thursday June 10 1999, @08:56PM
  • Re:Information - Free is ok, but save the Quality! by Anonymous Coward (Score:1) Thursday June 10 1999, @07:13AM
  • XXX.lanl.gov by Brett Viren (Score:1) Thursday June 10 1999, @03:39PM
  • Dr. Varmus by gavinhall (Score:1) Thursday June 10 1999, @07:00AM
  • Re:Information - Free is ok, but save the Quality! by Danse (Score:1) Thursday June 10 1999, @08:11AM
  • Re:Get real how hard is it to press a CD including by Danse (Score:1) Thursday June 10 1999, @08:17AM
  • Re:Just nuke the journals? Maybe not. by sjames (Score:1) Friday June 11 1999, @06:31AM
  • Re:Public education. by sjames (Score:1) Friday June 11 1999, @10:02AM
  • Re:Wow! No longer need CLUELESS Journalists by dalke (Score:1) Thursday June 10 1999, @05:20PM
  • Re:To hell wit' Buffy... by unity (Score:1) Friday June 11 1999, @03:38AM
  • Katz does good by Outlyer (Score:1) Thursday June 10 1999, @06:15AM
  • It's harder than you imply... by Max Hyre (Score:1) Thursday June 10 1999, @08:16AM
  • Re:Just nuke the journals? Maybe not. -- follow-up by Bjorn Christianson (Score:1) Thursday June 10 1999, @08:28AM
  • Re:Just nuke the journals? Maybe not. by Bjorn Christianson (Score:1) Thursday June 10 1999, @07:37AM
  • Should be available. by suprax (Score:1) Thursday June 10 1999, @10:57AM
  • Re:Whom do you trust? by NoWhereMan (Score:1) Friday June 11 1999, @05:25AM
  • Re:Just nuke the journals? Maybe not. by Eric Smith (Score:1) Thursday June 10 1999, @08:16AM
  • Re:Just nuke the journals? Maybe not. by Eric Smith (Score:1) Thursday June 10 1999, @08:21AM
  • Re:Just nuke the journals? Maybe not. by Eric Smith (Score:1) Thursday June 10 1999, @10:14AM
  • Re:What Is It With TV? by Bilbo (Score:1) Thursday June 10 1999, @09:16AM
  • Peer Review with Trust Ratings == PGP Signatures by Douglas (Score:1) Thursday June 10 1999, @10:49AM
  • Re: Dr. Baltimore? by cyberwench (Score:1) Thursday June 10 1999, @10:20AM
  • Re:How about a little QC here, Katz? by mtm (Score:1) Friday June 11 1999, @12:09AM
  • Re:Just nuke the journals? Maybe not. -- follow-up by daviddennis (Score:1) Thursday June 10 1999, @09:30AM
  • Better... by Athos (Score:1) Thursday June 10 1999, @07:22AM
  • Re:Just nuke the journals? Maybe not. by rillian (Score:1) Thursday June 10 1999, @08:44AM
  • Re:Why Did This Have To Be Another Katz Soapbox? by Parity (Score:1) Thursday June 10 1999, @08:34AM
  • Re:Slow journals by Compuser (Score:1) Thursday June 10 1999, @08:09AM
  • Re:To hell wit' Buffy... by sammy baby (Score:1) Thursday June 10 1999, @08:33AM
  • Re: firm grasp on the obvious by freq (Score:1) Thursday June 10 1999, @11:15AM
  • firm grasp on the obvious by freq (Score:1) Thursday June 10 1999, @07:34AM
  • Re:Katz does good, almost by plural (Score:1) Thursday June 10 1999, @01:48PM
  • To hell wit' Buffy... by Pope (Score:1) Thursday June 10 1999, @08:08AM
  • Australia does have censorship by Rewd (Score:1) Thursday June 10 1999, @04:58PM
  • Re:Get real how hard is it to press a CD including by Biff Cool (Score:1) Thursday June 10 1999, @09:43AM
  • Re:Just nuke the journals? Maybe not. by Biff Cool (Score:1) Thursday June 10 1999, @09:56AM
  • Re:Just nuke the journals? Maybe not. by Biff Cool (Score:1) Thursday June 10 1999, @10:00AM
  • Re:Just nuke the journals? Maybe not. by Biff Cool (Score:1) Thursday June 10 1999, @10:03AM
  • Re:Information/Open Source Biomed by zagmar (Score:1) Thursday June 10 1999, @10:08AM
  • Re:Just nuke the journals? Maybe not. by djl (Score:1) Thursday June 10 1999, @07:33AM
  • Re:Just nuke the journals? Maybe not. by gothwalk (Score:1) Thursday June 10 1999, @09:24AM
  • Re:People will always be subject to ignorance. by CryptdotX (Score:1) Thursday June 10 1999, @11:06PM
  • How about a little QC here, Katz? by dublin (Score:1) Thursday June 10 1999, @10:24AM
  • Re:What Is It With Buffy? by SergeGrenier (Score:1) Thursday June 10 1999, @07:48AM
  • Re:Jon, did you notice... by PapaZit (Score:1) Thursday June 10 1999, @08:03AM
  • Why replace the screen? by cynicthe (Score:1) Thursday June 10 1999, @05:50PM
  • Get real how hard is it to press a CD including... by cynicthe (Score:1) Thursday June 10 1999, @07:32AM
  • Re:Whom do you trust? by Absynthe (Score:1) Thursday June 10 1999, @08:53AM
  • Re:firm grasp on the obvious by Eric Berg (Score:1) Thursday June 10 1999, @07:58AM
  • Re:Public education. by Slimbob (Score:1) Thursday June 10 1999, @09:14AM
  • Re:Katz = Dvorak by jamesbrown1000 (Score:1) Thursday June 10 1999, @10:54AM
  • Re:Information/Open Source Biomed by cr0sh (Score:1) Thursday June 10 1999, @11:02AM
  • I have to wonder.... by MercTech (Score:1) Thursday June 10 1999, @05:24PM
  • Re:What Is It With Buffy? by Monte (Score:1) Thursday June 10 1999, @09:22AM
  • Re:Why replace the screen? by Uller78 (Score:1) Friday June 11 1999, @10:15AM
  • Minor correction by commbat (Score:1) Thursday June 10 1999, @07:28PM
  • Re:What Is It With TV? by xmedar (Score:1) Friday June 11 1999, @04:00AM
  • Sounds like slashdot by jart fishicken (Score:1) Thursday June 10 1999, @05:38PM
  • Re:What Is It With Buffy? by Laner (Score:1) Thursday June 10 1999, @08:21AM
  • Re:Why Did This Have To Be Another Katz Soapbox? by Fleet Admiral Ackbar (Score:1) Thursday June 10 1999, @09:33AM
  • Re:Katz = Dvorak -- Good Riddance by Fleet Admiral Ackbar (Score:1) Thursday June 10 1999, @09:45AM
  • Value of Peer Review by The Electric Snark (Score:1) Thursday June 10 1999, @08:51AM
  • Re: Dr. Baltimore? by The Electric Snark (Score:1) Thursday June 10 1999, @01:03PM
  • Does the audience at large read threads? by lcheng (Score:1) Monday June 21 1999, @06:52PM
  • Rosalind Franklin was her name by lcheng (Score:1) Monday June 21 1999, @07:15PM
  • Shaking up the medical research community by weishaupt23 (Score:1) Thursday June 10 1999, @08:17AM
  • Everything in the world needs to be FREE! by Kadamose (Score:1) Thursday June 10 1999, @12:53PM
  • First you need an appropriate screen by hawk (Score:2) Thursday June 10 1999, @08:54AM
  • Re:Why replace the screen? by hawk (Score:2) Friday June 11 1999, @06:07AM
  • Give your eyes a few years by hawk (Score:2) Friday June 11 1999, @01:44PM
  • Re:Just nuke the journals? Maybe not. by adam (Score:2) Thursday June 10 1999, @10:38AM
  • Jon, did you notice... by marcus (Score:2) Thursday June 10 1999, @07:22AM
  • Another libertarian heard from. by roystgnr (Score:2) Thursday June 10 1999, @09:26AM
  • Unfortunate parallel? by Yosemite Sue (Score:2) Thursday June 10 1999, @06:35AM
  • Re:What Is It With Buffy? by Spatch (Score:2) Thursday June 10 1999, @08:54AM
  • E-biomed is a great idea by cweber (Score:2) Thursday June 10 1999, @12:52PM
  • Re:Information/Open Source Biomed by plopez (Score:2) Thursday June 10 1999, @08:01AM
  • Whom do you trust? (Score:3)

    by Max Hyre (1974) <mh-slash AT hyre DOT net> on Thursday June 10 1999, @08:06AM (#1857243)

    The E-biomed flap is highlighting a lack in U.S. (at least) society's educational/social system. We try to teach our children all manner of facts and algorithms, but I've never seen (short of college) an explicit attempt to teach the need to evaluate information, and more importantly the methods for such evaluation. As the state of the nation demonstrates, we desperately need such.

    The rise of the Internet has only exacerbated a pre-existing problem, as the existance of sleazy politicians, Ponzi schemes, and homeopathic medicine amply demonstrate. Until we get up off our arses and start looking into the information we receive and the biases of those supplying it, we will be putty in the hands of scum.

    But, we can't check everything ourselves, we must delegate some of the examination to others, and the question we're missing is: ``How do we evaluate the trustworthiness of an informant?''

    Such an evaluation is a case of diminishing recursion: Those we already trust can point us to informants they trust, but if we're wise we invest less trust the further the chain extends. But whom do we trust de novo? I claim that the only way to develop trust is through memory of previous information that has been checked afterward.

    Did ``trickle-down'' economics work? Ask yourself how your situation changed during the Reagan-Bush years, then apply what you've learned to the trustworthiness rating of those supporting it. Does /. supply unerring information? Check up on the items you're interested in and adjust your trust accordingly. Without the effort to remember and evaluate, we're no better than animated bags of prejudice.

    Now, down to cases: Why do I trust the New York Times reporting more than that of the National Enquirer? Because they've been proven to be full of malarkey less often. (Too frequently, but still less often.) Why do I trust the Merck Manual more than the local herbalist's gazette? Because the Merck tries to base itself on replicable data instead of anecdote. Does that mean one's gospel and the other's fish-wrapping? No---trust is not a binary value. It runs the gamut from nearly zero (but, if a fool says the Sun rises in the East, it's no less true) to almost complete (but even I'm fallible).

    We need to start teaching trust evaluation. One of the major problems in this day and age is the value placed on quick information. Evaluation and verification takes time, and information immediately available is inherently less trustworthy---something many on /. ignore. For most information, speed is not of the essence, accuracy is. The only way we can trust speedy information is if we trust the informant, and in e-info, the informant is all too often someone we've never heard of. If Alan Cox reports a kernel bug that can wipe my hard drive, I'll act on it a lot faster than if it comes from a /. AC.

    But, trust also has subject limits. I'll listen respectfully to Mr. Cox on the kernel, programming, etc., but when it comes to investment information or medical treatments he's just another tyro until I've evaluated his abilities in those fields.

    [This is one reason I'm happy that we have accounts available on /.---I certainly don't know who really signed up for the LTorvalds account (if such exists), but if an account holder is reasonably careful with the password, I can trust that the DonkPunch I heard from last week is the one posting today, and can apply the trust rating I previously developed for that poster to the current post.]

    Thus, information evaluation is based on how long the info's been available for evaluation, and the track record of those who've evaluated it (if I'm unable to do so personally). Teach that to society, and we'll all live better (except for the scoundrels out there).

    As for Dr. Varmus, it indeed sounds as if he's got his head screwed on straight. He's setting up a system where information is explicitly separated by speed of availability and depth of examination---take whichever you like, but remember to apply the appropriate assessment based on where you got it.

    As people begin to pay more attention to reliability of information, we'll see more such web sites develop---they may not have the rumors that came through in the last 30 seconds, but they'll be the places you go when it really matters.

  • by Bjorn Christianson (2269) on Thursday June 10 1999, @07:01AM (#1857244) Homepage
    I can't speak for clinical researchers, but I haven't talked to anyone doing basic research who isn't in favour of having everything possible available online. The problem is archiving. Ten, twenty, one hundred years down the line, we still need to be able to get at the document. Computers aren't good at that.

    Leaving aside the difficulty of keeping exabytes of data accessible, computers are always in a state of flux, up to and including file formats. Opening a document that was created even two years ago can be an adventure -- imagine what that will be like in a century. We have options, of course: we could take documents over a certain age off-line, and resign ourselves to dealing with a certain format for decades to come. The latter is a lousy choice (from experience); and the former negates all the benefits that Katz is praising.

    Printing them on paper solves a lot of these problems. (For most people, journals are freely accessible, if not convenient: it's just a matter of finding the closest university library.) The ideal case would be that E-biomed also published its articles in journal form, or that everything that went to E-biomed was also published elsewhere. The problem is that journals are very, very expensive to publish. They're not high profile enough to attract good advertising budgets, and the subscription charges are already too high. Most bio journals already charge the author a massive per page cost to have the article published. If subscriptions to these journals end, then I don't know where they could make up the revenue.

    E-biomed is good, but we can't simply let the journals vanish. They do fill a role. If freely accessible information is good, then information freely accessible for centuries is better. For a change, let's try to plan this move all the way through.
  • Public education. (Score:3)

    by Tricot (12160) on Thursday June 10 1999, @07:18AM (#1857245)
    I agree that in general wider public dissemination of research results is a good thing, but I have some grave concerns about the publication of preliminary medical research.

    There is a broad public perception that newer == better. And that if it's the latest research, it must be the best. I worry that people in desperate (or not so desperate) medical need will read preliminary results, or mis-interpret the conclusions, and immediately act on that (mis)information as if it were the best treatment. So far the general public has shown an alarming lack of understanding of even the basic conceptual framework on which most of this research is based.

    Does anybody remember the run on shark cartilage capsules and additives after preliminary info showed that sharks seldom got cancer. (Even though there was no evidence that ingesting the stuff was at all helpful, and there was lots of reason to believe it wasn't.) There are also plenty of cases of patients demanding antibiotics of their physicians when they're suffering from viral infections, thereby not treating the real illness while at the same time providing a perfect breeding ground for drug resistant bacterial strains like the drug resistant TB strains croping up all over.

    Maybe the long term answer is to educate the public in research practices and critical thinking, as well as improve science education in general, but I fear that the short term result will be bad decisions, and litigation arising from those bad decisions which will hamper research rather than help.

    -- Mitch
  • Information (Score:3)

    by ^Gargoyle^ (58695) on Thursday June 10 1999, @06:38AM (#1857246)
    I find it humorous that the medical research community is so against this. Wasn't Arpanet converted into a public internet to more or less circulate research material to scientists and educational institutions? This is one area I didn't ever think the net would get any flak from, but evidently the medical community is made up of political types. It is true thoough, those that control the information, control the world...
  • by Anonymous Coward on Thursday June 10 1999, @07:17AM (#1857247)
    First, the taking of copyright material and distributing it isn't really a blow for freedom. Rather, it is a blow for crime. Or is it?

    After all, the Buffy episode in question was to be the second part of a two part program IIRC. Yanking it could be construed as fraud.

    That aside, as a libertarian I believe that the producers generally DO have the right to restrict distribution of what they produce and defend against those that would "steal" same to distribute under their terms. But, they have to bear the costs of such defense. When they pull a bonehead move, and anger enough people, the fact that some will no longer respect their property rights and attempt to steal from them should come as no surprise.

    Bottom line: do something stupid and your defense costs go up. With the net, they can go WAAAY UP, to the point of not making it economical to mount a defense.

    Governments are supposed to restrain such "mob rule", of course, but all too often the cure is worse than the risk of disease. Ultimately, the founding fathers of the U.S. believed that a focused "mob" was safer than an all-powerful government, hence the right to bear arms so as to facilitate the overthrow of same, in extremis.

    Because I'm a libertarian, I have to deal with issues such as "What if someone got to own most of the water, or air? Should we respect their property rights, lay down, and die?" Morally, yes, if they didn't lie and steal to get all of such an important resource -- we're to blame for not collecting our own as well. Of course, many wouldn't see it that way, and mount an attack, which the "air-owner" couldn't resist. Again, the cost of defense when you tick people off limits just how much you can tick them off to make it worthwhile.

    The net has lowered the bar where it becomes impractical to get others annoyed. I see this as a good thing.

    Second: whenever change is afoot, there will be those, who, benefiting from the status quo, will seek to oppose it (Machiavelli, "The Prince").

    Some profit from hoarding what they know. Others wish to share. Those others now have a relatively cheap distribution channel. They WILL be opposed by the former, lest their knowledge be diluted in value. Look for greater attempts to control, and license, this distribution channel (the internet) all in the name of the "public interest", of course. Let's strive to keep it as diversified as possible, shall we?

    In Liberty,

    Rene S. Hollan



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