Such a breadth of important topics / opinions
Perhaps we can agree that much of public debate about health, food, and medicine suffers from a misunderstanding of risk. The appeal to nature fallacy, for example, assumes that what is natural must be safe, yet the death cap mushroom Amanita phalloides and its toxin α-amanitin remind us otherwise. The same misunderstanding underlies calls for the precautionary principle, which too often becomes a paralysis principle—an excuse for inaction even when inaction causes preventable harm. “First, do no harm” is a noble maxim, but harm can arise from doing nothing at all.
Food offers fertile ground for such distortions. Raw milk is still romanticized despite its history of food-borne illness. Debates about GMO crops, pesticide residues, and organic labels are likewise shaped more by emotion than evidence. The Dietary Risk Index and similar tools show that pesticide residues on conventional foods are already well below safety thresholds, yet advocacy groups such as Consumer Reports and the Environmental Working Group continue to frame the issue in alarmist terms. Calls to “buy organic” often overlook the fact that there is no scientific consensus about what constitutes a “safe” level of residue? Bruce Ames might point out, plants make substantial energetic investments to produce natural chemicals that defend them from insects, fungi, and other predators and our daily dietary intake of these naturally occurring pesticidal compounds is estimated to be about 10,000 times greater than our exposure to residues added pesticides (and for those we know, we may not have much data).
Medicine faces its own tensions. Every intervention carries an iatrogenic risk, and decisions must balance benefits against potential harms. In my own experience with appendicitis complicated by phlegmon, delay may have proved far riskier than surgical action (antibiotics required regardless). Preventive medicine and risk management rely on probabilities, not certainties, yet both patients and policymakers tend to expect guarantees (there is no zero risk). Can’t even start on direct-to-consumer advertising, legal discourse filled with legal, medical and scientific jargon that blurs the line between evidence and rhetoric this over a background of poor literacy.
The erosion of trust in legitimate research has become one of the most insidious side effects of our information age. Junk science and predatory journals feed litigation, while rigorous studies are cherry-picked, distorted, or miscast in the pseudo-democratization of misinformation that passes for open discourse. The result is a dense fog where truth and falsehood mingle until even chicken soup for the common cold becomes a case study in how anecdote masquerades as evidence.
The real danger, perhaps, isn’t in the risks we take—but in our growing reluctance to take any at all.
And yes, I’ll admit my own ‘spin’ in all this (adding others): somewhere between Mill’s harm principle, medical freedom, the duty to warn, and a glass of something fermented? Throw in Ames’ writings on how 99.99% of the chemicals we ingest are “all natural,” or his comparisons of synthetic and natural toxicants in rodent bioassays, and you have what I can only call a trifecta of trifectas—scratching the surface - with convergence of science, skepticism, and irony. - I’ll just turn back to α-amanitin and the beauty of toxicological mechanisms - just amazing is nature here.