Wednesday, February 24, 2010

Chapter 18. Sarbanes-Oxley for Science A Dozen Ways to Improve Our Regulatory System

In the last chapter of the book, the author seems looking for the solution for his doubts in the public health issues he raised in the prior chapters. For the regulatory system in the United States, “the anarchic and overlapping division of responsibilities between the agencies” is considered the source of the chaos. He make the analogy between the 90’s Arthur Andersen scandal and the current science world; promote that there should be a Sarbanes-Oxley for Science to reform the federal legislation system in public health issues. To strength his opinion, he provides twelve recommendations. I would like to review all of his recommendations and raise some questions to these recommendations as following:

1. “Require Full Disclosure of Any and All Sponsor Involvement in Scientific Studies”
Considering the tendency of science link to the commerce, the author realize the situation that corporations block the publication of research and sponsors control the results of studies should be regulated. This recommendation has the similar purpose of Sarbanes-Oxley that provides a more transparent science world and independent research to increase the reliability of science research and publication.

Question:
a. As the author’s consideration, corporate money and grant are great parts of most scientific research funding, although some published journals have already promoted the ideas, if all the sponsors evacuate due to no interest and benefit from those research, is it a way to restrict the development of our science?

2. “Manufacturers Must Test Chemicals before Exposing Workers and the Public”
As the cases of environmental hazard reported before, most of them are found from the mode of “body in the morgue” method. However, the high risk expose environment is not that difficult to found. To improve the work-place environment, it might increase the cost of manufacturers, that might be the reasons most industries and manufacturers would rather they don’t know. The author consider EPA should have the right to require manufacturers conduct basic toxicity testing before the environment expose to workers and public.

Question:
a. As the description of the book, after the disclosure of high risk or toxic effect to workers and public, the manufacturers tend to solve problems by complain, ask for support from senators, and etc., when everything does not work, manufacturers still need to change after all. The money they spend on the others support which will not improve the actual situation will be great, why they do not consider maintain the environmental health at the first beginning?

3. “Manufacturers Must Disclose What They Know about the Toxicity of Their Products”
Even TSCA legislation has the requirement that all companies need to inform the EPA every adverse effect they found in the chemical exposure, the executive which conducted by some agencies cannot run this rule strictly. The “confidential business information” (CBI) becomes an umbrella for hiding adverse research result. The author suggests enabling legislation to regulate the report policies.

Question:
a. As the doubt to Sarbanes-Oxley Act, limiting the accounting and business confidential make the trade market more transparent, however, the complain about the Act restrict competition among companies never stop. How can we get the balance to maintain the confidential and competition when we promote the new Act?

b. I think most of manufacturers will tend to pursue benefit without bring harm to public. In the standpoint of the manufacturers, if they have the adverse result in the new product which they invest a great fund, who can afford the risk of fail?

4. “Put an End to Rigged Data Reanalysis”
As this recommendation, the private data reanalysis which is conducted by stakeholders or corporation related to the hazards should stop. Since the variability of epidemiology data analysis, any slight change of the indicator or methodology will change the analysis result dramatically, it is important for some quality data reanalysis in science, however, if the reanalysis is conducted by benefit related corporation, it might cause the confusion for public agencies and legislator’s judge.

Question:
a. Every manufactures will try their best to protect their benefit, when they raise a doubt about the public research result, how can the public agencies comfort this complain and doubt if only restrict the private data reanalysis?

5. “Hold Real People Accountable”
Providing a similar standard as the Sarbanes-Oxley Act, the author consider require the full disclosure of all administration board members and defined their specific responsibility in science research and legislator process can put an end to the intent ignorance of adverse results of science.

6. “Require Equal Treatment for Public and Private Science”
The unequal treatment between public and private studies is considered as the source of rigged data reanalysis and paralyzing the legislation process. For the public research, the laws require the agencies to consider the responsibility of making any comment and questions. However, the private studies which can get more resources will receive less restriction. The author suggests this model should be opposite advocate.

Question:
a. The public research face to more restriction and less funding sources, as the example of Marie and Pierre Curie and Wilhelm Roentgen (who discovered the x-rays), I feel great respect to their selfless contribution to human-being. However if science is only maintained by moral and consciousness, how can it survival for a long run?

7. “Protect the Independence of Federal Scientists and the Science Advisory Committees”
The financial ties to the scientists influence their judgments to those cord decision related to the benefit of manufacturers. Interest conflict also decrease the motivation of those top scientists involved into the independence and public research. The author suggested the federal agencies should reform that scientists who have financial conflict can only contribute ideas to conflict issues but no right to vote for the decision.

Question:
a. As I heard from the other respond, scientists who work in universities will tend to have a lower salary compare to the ones work in corporation or companies, I think this unequal treatment will cause more and more excellent experts leave the pure academic research and get involve into the sponsors’ conducted research. What do you think the further impact of this situation?

8. “Increase Public Disclosure of Hazards”
Shaming is a great regulation, as the term given by Mary Graham from Harvard’s Kennedy School of Government. The less public disclosure of hazards, the less manufactures would have motivation to change. The author suggests increasing public disclosure of hazards will be benefit for our society to inspect some corporations’ behavior.

Question:
a. As we all known, media which is a business will surely receive a great sponsor from different corporations, what can be the motivation for those media to disclosure a hazard related to their sponsors?

9. “Require Corporations to Make a Plan and Stick to It”
The author suggests each business should public their own plan to all employees and community to accept the inspection from public. It can decrease the diversity standard in timely agencies and the companies. At the same time, it can decrease the inspection process and make it more effective.

Question:
a. Who should be responsible to make this plan? If the employees and public haven’t realized a new hazards, how can we ensure the plan will work based on the benefit of workers and community?

10. “ALARA (As Low as Reasonably Achievable)”
Since the diversity of risk exposure level in different chemical material, so many chemical material do not have a standard for safe exposure level, the author suggests we should promote the “ALARA” which has already provide to radiation experts in all the other substances.

Question:
a. I think the vaguer of the standard, the more difficult for the public health agencies to provide inspection in our world. “ALARA” have a great purpose when it is founded, however, how can we provide it to all the other substances and maintain a well control of low risk exposure in work-place?

11. “Integrate the Control of Environmental and Workplace Toxic Exposures”
Although there are several different public health agencies tend to facilitate the inspection process and environmental health control, lack of consistent philosophy and repeat procedures will decrease the efficacy of the executive system. “Take Down the Stovepipes” might be a fast way to improve this situation.

Question:
a. I haven’t fully understand the administration and executive system in the United States, I think to decide which agency should be survival after the author’s proposal might be the next issue here. I wondering if there is somewhat centralization administration providing to this arrangement, was it more helpful for the system reform?

12. “Make the States Public Health Protection ‘Laboratories’”

16 comments:

  1. Great summary Jing, boy this was a long chapter. But then again it involved many recommendations. Anyone can make recommendations to solve some of the problems, which were covered in the book. I do have to ask myself what this is going to cost us, and when I say cost I don't just mean money. do we think that solutions to such issues presented in the text may be fixed in our lifetime or our children's lifetimes. When I look at recommendations I would like to see positive and negative effects and what timeline are we going to be looking at. Michael's did provide some positive and negative aspects to a various number of recommendations. Overall this nation is filled with an enormous amount of agency, companies, and, etc. what should be mandated is, do these 3 have the resources to perform their duties, are they running their workers into the ground so that they maybe the top produce, various things come into play. My vote is for stricter regulations, stricter plans on following outlined agendas, and reduce over consumption, meaning don't attempt to fill your plate if you know you can't eat all of it.

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  2. "The model of the disinterested scientist searching for truth with no financial interest in the outcome, proposed by Robert Merton a half-century ago, is no longer held up as an ideal, not even by scientists."
    I think this is a shocking look in the mirror of what our society values. The shift that has occured since Marie and Pierre Curie and Wilhelm Roentgen refused to patent the X-ray, to the valued scientist whose work contributes most to the bottom line has not happened over night. This is a reflection of our changing values as Americans. Is it surprising that scientists today are interested in making large amounts of money with their discoveries? It's not surprising that most people will do anything for 15 minutes of fame (ahem, ballon boy parents, the White House crashers, Jersey Shore, and Real Housewives of WHEREVER!) or do ridiculous things to make a buck (Fear Factor, Survivor, etc. etc.) Why and HOW could we possibly be surprised this value system has translated to our scientific community as well? Our generation and especially the next generation has grown up under the auspices that in order to be successful you have to be dirty, filthy rich. (Cribs, and the Robin Leach VH1 show...) It is a struggle that even I deal with, and I'm sure most of you do as well. The balance between when enough money is enough and how far and how much will you do in order to become "successful."
    Interestingly, this ties in very nicely with economics and our new book on neoliberalism. More of those details will come to light as we move on to the next unit; however I can't help but comment that our societal values, our economical policies, and our government have irrevocably shaped the situation we are in today with our scientists and industry.
    So here we are... how will YOU shape the next generation so that they don't grow up thinking the things our generation has grown up to think? How will you shape the next generation so that there isn't a born sense of entitlement to everything they do and have. How can we change our own generation in that thinking? Is it too late?

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  3. Our author, on p 243, equated science, with accounting in that it is linked to commerce and leads in to the discussion related to the quote Mandy began her comment with. Is this the future of science, and if so what can stand in the way of it happening?
    Additionally, as I read through the variety of suggestions the author has, which I appreciate, as some authors can bring up subjects then leave the reader with no sense of 'what next', but I can't help but wonder where to begin? Is there a sense of order that these suggestions would best be accepted and followed by our society not to mention the regulatory federal bodies and corporate scientists?

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  4. G’s concerns are noted and cause me to ask, what role does culture play in the conduct of innovation, health protection, and research? What cultural values will sustain us in the long run? Mandy notes the importance of values...but ends using irrevocably...is any of this irrevocable? While science must compete with commercial processes, the role of science in society is too young to say we have given it our best shot—what do you think? Like us, drug companies and others like to run free and prosper. And like children, when we are tired and need a place to eat and sleep, we want a welcoming home to return to at the end of the day. The phrase “regulated capitalism” is popular today and in part it means using profit to motivate innovation and entrepreneurial applications of knowledge. The “regulated” means mediating the profit motive so it does not lead toward destruction and death. While profit is a clear goal, what are the goals of regulation? Health? Environment? Injuries? Fairness of competition? All of these or some other mix of objectives.

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  5. One of my questions is in regard to your 2nd point, and it ties to my section also. What do you think is a more valid argument the money and economy (due to potential job loss and company shut down if they were to regulate every chemical) or the fact that lives are being affected and some individuals even killed? (I know that the later is probably where all of our hearts are, however can you see their argument? I don't condone it, and I often think they grossly exaggerate what will be the after effects.

    Another question is in regard to point 6 about having equal treatment for public and private research stipulations. A point I found interesting while researching OSHA was that some sources have said that OSHA is less harsh on regulations for govt. projects because by fining them, they really are only transferring funds from one govt. agency to another and what is the point of that. This makes me concerned at the level of review govt. funded projects are getting. Do you foresee this being an issue? Or currently an issue, that govt. funded projects have little review of their research because any fines would be a "transfer of money" and what is the point of that? Just a thought.

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  6. This chapter wrap out all the ideas and procedures that author has for us. He passes those perspectives for transferring and informing us the similar theme that do somethings politically. Just being a health educator is not enough, the regulations, laws, and policies do not engage us, people will not follow us until their get the worst of it. Hey, we are not moth, keeping on flying to light until die. We should get a lesson from predecessors, avoiding it happen again.
    As to me, I got thinking from the book that policy is specific important part of those events. Making a change in chain from policies can be a way,at least for me, it is.
    How about you? What do your learn from the book? After your read those chapter, what kind of changing you have in health education area,even others ?

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  7. How many politicians do you think have stock or some kind of investments in these companies that are, literarily, getting way wiht murder?

    Can we consider the Toxic Substances Control Act (TSCA) the EPA's loop hole to be able to monitor chemicals (aka drugs as well) for their life time?

    Why can we not just tax someof the companies a little bit more to help clean up chemical messes, support the EPA, and fill in the gap of the chemicals out there? .2% of their annual sales, to get a budget of 400 milloin.

    Please describe to me wha tthe heck a voluntary regulation is or even does? (a little sarcastic tone here)

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  8. What a statement by a few journals to step up and say that they will NOT publish those with financial backing. I think that ths has got to help with some of the shoddy work out there theat tries to add doubt to good studies done whit precision. I also, ejnoyed that part that mentioned that both sides of the spectrumshould be reqluired to play by the sma rules? I mean if the priveat sector would be encouraged to publish all of their findings would it be a different stroy on what is found? I hope we get the chance one day!

    It is a sham that when the EPAis just trying to do it's job it is "slaped on the hands". Why even get a regulation entity teh ability to make change, if you are not going to let them do anything? OR - there are SO MANY loops to jump through that, sometimes, hundreds more have to die first. Get on board federal court system. Is is shameful that our regulatory system is afraid to do their job, because of lake of support.

    I am so sick on voluntary regulation. What the heck is that?!? "Oh, will when we get around to it", or "we will just tell yout he ones that we wnat you to know about". What ever - that is a joke, if you are going to do something, then do it right! Complie a comlete list that can be regulated it et needs to be depending on the chemical.

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  9. I agree with comment 9, that each company should have their own inspectors, I believe that we might see truer results and maybe society as a whole will feel like they are getting more to the core of the truth of the matter when it comes to safety.Furthermore, I also agree with comment 11, Integrate the control of environmental and workplace exposures, will play a key role as well. Sorry I could not make it last night, but I am sure you did a wonderful job and sparked much discussion!!

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  10. I thought this was a good last chapter to end with. I feel the entire text is incredibly frustrating, however so often you'll have authors that don't suggest anything to fix it. I thought many of his suggestions were great, and maybe a stretch for some of them, however at least he was moving towards a solutions instead of just ranting and raving. Overall enjoyed the text very much. Nice presentation Jing.

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  11. Michaels definitely needed to end this book with suggestions on how to make this process EFFECTIVE! Although I think most of us still feel like there isn't enough closure. As I've been finding and sharing news clips in class, these issues are still very real and very alive. While Michaels does offer suggestions, how do we effectively process these thoughts/ideas/frustrations so that we can be prepared to deal with things of this nature in our professional careers? Anyone with me here? Suggestions...? I'm feeling the frayed ends.

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  12. It sounds like reading Michaels book has stirred each of your thought pots. Awareness is followed by understanding and understanding by formulation and action. This book offers an array of possible causes to dedicate your careers to solving or accomplishing. It identifies specific problems. During my career I have seen huge progress on lead and other hazards. I have also seen setbacks that had to be overcome. See beyond problems to the possible and use the basics of public health to get there--epidemiology to dimensionalize, collaboration to form solutions, and services/policy/education to implement solutions. Michaels also illustrates that your work may need to overcome doubt and other forms of intentional opposition.

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  13. I thought this chapter was good for audience better understanding on "doubt in our world". What we see, sometimes are not the real true or plausible story. The mainstream does not a measurement of true. You'd better figure out by yourself!!! I think we have to go into government, the power still a better way to help people, changing the health education effectively. But how can we climb up to the summit of the government? what angel is possible for us to start at?

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  14. I would have to agree with Dr. Jecklin, awareness is key when looking at the topics which were presented in this last chapter. I think that from this book we all have a different outlook on things out in the real world. I think it makes us better people for because we might not take things for face value, but actually do our own research and be able to pass on what we learn to others, so that there may be no more doubt.

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  15. I appreciated the background information you shared with us about the original Sarbanes-Oxley rules as they relate to business. How appropriate to put a science-spin on them especially given that many of the leaders within industry may have more business background than science. It will be interesting to see if the application of the reccommendations follows.

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  16. A great metaphor with regulated capitalism, is economy is like a bike tire with 3 valves: 1) Consumption; 2) Investment; 3) Government spending- If an increase or decrease in consumption or investment is not accompanied by an opposite reaction by the government it can lead to a blowout or flat tire in the economy. With a recession right now, I question how these large corporations follow the policies that are put in place, and are we seeing more of scandal being done to their employees of hiding these issues that we have discussed throughout the chapter, in order to save money and not lose their business. So the question Jing mentioned who is responsible, is a good matter to chew on? I reflect on myself and if I was a scientist would I work at University that pays less and does fair work, or do I work for unfaithful large corporation that pays more? I would have to measure my value system and decide what kind of person I want to be in this University, but I would admit it would be hard to say no to salary that pays more out of my own survival of paying for my students loans.

    Reflecting on this chapter along the whole book, on the suggestion the author makes on how the culture of businesses treats their employees and every citizen along with acknowledging Dr. Jecklin comment on “regulated capitalism,” makes me want to continue to educate and be aware of economic debate associating with public health. Thus far this book as given me the attentiveness I need to continue to education myself in this area and stay current with the political news in order to continue my professional development in public health.

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