A South Korean postage stamp issued in 2005 depicts a scene that is
reminiscent of the iconic human evolution cartoon in which a stooping
ape evolves, in six or so steps, into an upright, bipedal Homo sapiens.
It shows a paraplegic man climbing slowly out of his wheelchair,
standing up straight, and then performing a giant leap of celebration.
Placed next to an image of an ovum undergoing the technique of nuclear
transfer, the message was clear: Thanks to the groundbreaking
publications of Hwang Woo-Suk, therapeutic cloning was a medical
miracle that had as good as happened. The trouble is, it hadn’t happened. And nearly 4 years on, it still hasn’t.
South
Korea was understandably proud of Hwang’s achievements and, like the
rest of the world, excited by his claims and those of researchers
worldwide that his human embryonic stem cell (hESC) techniques were set
to provide therapies for not only spinal injuries, but Alzheimer’s,
Parkinson’s, and a host of other degenerative diseases. The rest is
history. By January 2006, it was clear that Hwang’s pioneering papers
had been fabricated and that the eleven individualized human stem cell
lines he claimed to have established did not exist. Hwang left Seoul
National University and was subject to criminal investigation, the
stamp was withdrawn from circulation, and the world still awaits
approval for the first hESC therapeutic application.
It doesn’t take anything so extreme as scientific fraud to scupper
what may have seemed, at the time, to be a well-grounded scientific
prediction. At its most enthusiastic, science has always been prone to
promise rather more, and sooner, than it has managed to deliver. It can
sometimes feel as if cures for diseases are forever 10 years off, while
nuclear fusion seems to have been 50 years away from practical reality
for about half a century now. It might be easy to look back and laugh
at claims that eugenics would spell the end for not only heritable
diseases, but also of social problems such as vagrancy and crime, but a
1989 Science editorial’s claim during the run-up to the human
genome project that the new genetics could help reduce homelessness by
tackling mental illness1 is perhaps fresh enough to make biologists’ toes curl with embarrassment.
Meanwhile,
in bleaker moments, scientific authorities have predicted the end of
the world and civilization as we know them at the hand of pandemics or
environmental catastrophe. And yet we are still here, in defiance of
Thomas Malthus’s eighteenth-century warnings about overpopulation and
ecologist Paul Ehrlich’s prophesy in his 1968 book The Population Bomb
that “In the 1970s and 1980s hundreds of millions of people will starve
to death in spite of any crash programs embarked upon now.”
Of course, scientists have a strong incentive to make bold
predictions—namely, to obtain funding, influence, and high-profile
publications. But while few will be disappointed when worst-case
forecasts fail to materialize, unfulfilled predictions—of which we’re
seeing more and more—can be a blow for patients, policy makers, and for
the reputation of science itself.
In 1995, for example, an
expert panel on gene therapy convened by the U.S. National Institutes
of Health’s then-director Harold Varmus2
concluded: “Expectations of current gene therapy protocols have been
oversold. Overzealous representation of clinical gene therapy has
obscured the exploratory nature of the initial studies, colored the
manner in which findings are portrayed to the scientific press and
public, and led to the widely held, but mistaken, perception that
clinical gene therapy is already highly successful. Such
misrepresentation threatens confidence in the field and will inevitably
lead to disappointment in both medical and lay communities.”
Scientists
have been making predictions for as long as there have been scientists.
Indeed, without speculating about the future, it would be impossible to
make decisions about how best to proceed. But there is reason to
believe that promises are becoming more central to the scientific
process.
Sir Ian Wilmut, leader of the Roslin Institute team
that cloned Dolly the sheep, says that a “soundbite” media culture that
demands uncomplicated, definitive, and sensational statements plays a
significant role. “It’s [the media] who put the most pressure on
scientists to make predictions,” he says. And in a radio or TV
interview that allows perhaps only 10 or 20 seconds for an answer,
“it’s very easy then to inadvertently mislead.”
But it might
also pay scientists—financially and politically—to go along with such
demands, and to indulge in what Joan Haran, Cesagen Research Fellow at
Cardiff University, UK, diplomatically calls “discursive overbidding,”
whereby they talk up the potential value of work for which they seek
the support of funds, changes in legislation or public approval.
“Since
the late 20th century, scientists no longer quite have that quality
that we used to speak of as scientists being disinterested. They are
now very interested,” says Hilary Rose, professor emerita of the
sociology of science at the University of Bradford, UK and Gresham
College London. “Many clearly manage to rise above this, but the basic
culture of science has changed.”
Various developments such as
the 1980 Bayh-Dole Act in the United States, and the rise of the
spin-out companies from universities, mean that research has become
more intrinsically bound up with the commercial world. Many biotech
companies are now led by financial directors rather than scientific
directors, says Nik Brown, co-director of the Science and Technology
Studies Unit, University of York, UK. The past decade has seen a rise
in the number of financial experts appointed to influential positions
in biotech companies, for instance. And since the end of the Cold War,
he says, the central role of science has become less about security and
more about economy, with science and technology becoming central to
many nations’ economic strategy.
It’s a changing role for science that finds formal expression in the
scientific funding process, says Brian Wynne, professor of science
studies at Lancaster University, UK. “Every research proposal these
days, whichever field you’re in, has got to include a statement on the
impact your research is going to have. And that isn’t just intellectual
impact; it’s also economic impact. And that is basically requiring
scientists to make promises, and to exaggerate those promises.”
Central
too is the desperate competition to get funded and published, which
forces scientists to emphasize the potential impact of their work,
introducing further temptation to exaggerate. Last year, 8% of papers
submitted to Nature were accepted for publication (down from
nearly 11% in 1997). In recent years, fewer than 1 in 10 applications
for new R01s from the US National Institutes of Health have been
successful.
Moreover, at a time when the pressures on
scientists to “rhetorically overbid” is increasing, politics is
becoming more reliant on science to provide predictions to guide policy.
“There
are probably more issues than there were where there is political
concern about issues—often global issues—which have a scientific
content,” says Sir Martin Rees, astronomer and president of the United
Kingdom’s Royal Society. “Climate change is one. Pandemics are another.
These are both issues where the science is uncertain, but it’s better
to listen to the best scientists than to the man in the street.”
But
according to Dan Sarewitz, director of the Consortium for Science,
Policy, and Outcomes at Arizona State University, a consequence of this
reliance on science is that politicians are able to “fob off
responsibility to scientists” when making difficult policy decisions.
That politicians are looking to science for certainty regarding complex
political issues is illustrated by an address to the Copenhagen Climate
Conference earlier this year by the then Danish Prime Minister Anders
Fogh Rasmussen, who appealed to scientific delegates for simple,
unambiguous accounts of the science. “[Don’t] provide us with too many
moving targets, because it is already a very, very complicated
process,” he said. “I need fixed targets and certain figures, and not
too many considerations on uncertainty and risk and things like that.”
Such demands, says Sarewitz, can tempt scientists into providing
simplistic and unqualified extrapolations from the current state of
knowledge to possible future scenarios.
Another development is
that scientists, still reeling from public opposition—at least in
Europe—to genetically modified crops and food, increasingly need the
public on their side to secure funds and make progress. As British
fertility expert Robert Winston told the BBC in 2005: “We tend often to
really have rather too much overconfidence. We may exaggerate, simply
because [stem cell research, for example] is an area where we need
support, where we need the support of the public, and we need to
persuade them. And I think we can go about persuading people a bit too
vigorously sometimes.” Of
course, cloning technologies might yet help people walk again. But the
fact remains that the South Korean stamp was celebrating something that
had not yet actually happened. And as the Hwang case testifies, the
future has an annoying habit of taking unexpected turns.
As
physicist Niels Bohr once jokingly put it, “predictions can be very
difficult—especially about the future.” Or as Joan Haran says, when
scientists make predictions and promises they are entering “a realm of
the imaginary.” So even if those predictions are based on science’s
conventional territory of facts and data, they have as much to do with
wishful thinking and social and political possibilities.
A single unexpected scientific discovery is all it can take to confound
the most carefully considered of predictions by throwing open new
worlds of possibilities or shutting down others. Wilmut knows this only
too well. In 2006, at a public lecture at the Edinburgh International
Book Festival, Wilmut predicted that within 5 years scientists will
have determined whether they can use cloning to cure motor neuron
disease, the subject of his research since moving to the University of
Edinburgh. But within only a couple of years, Wilmut had, like many
other researchers, switched from using cloning techniques in favor of
induced pluripotent stem cells (iPS), whereby somatic cells are
reprogrammed, either genetically or biochemically, to become
pluripotent. Other scientists continue to pursue cloning techniques,
but the shift towards iPS means that 3 years since Wilmut made his
prediction, it is looking less likely that it will even be proven right
or wrong. Wilmut holds his hands up. “Sometimes you’re right, and
sometimes you’re wrong,” he says. “You give the best prediction you can
at the time.”
By the time a prediction has been proved right or wrong, however, it
is already out there influencing the worlds of research and policy, for
better or for worse. And it’s a two-way street: Add to the mix the
influence of legislative changes on research trajectories, and things
get even less predictable. It’s natural to assume, for example, that
countries with less restrictive policies for human embryonic stem cell
research would show more progress in this area. But that optimism has
not been rewarded. While hESC therapies have so far proved elusive, and
even clinical trials are rare and newsworthy events, adult SC research
has at least kept pace with treatments—notably for heart disease and
the regeneration of a patient’s collapsed trachea—already emerging from
the pipeline.
Hilary Rose says that while there are plenty of
reasons to be critical of the former U.S. President George W. Bush’s
hostility to hESC research, the restrictions forced scientists to think
harder about how to make the most of alternatives. “It almost
feels like hurray for George Bush,” she says. Sociologist Christine
Hauskeller, Senior Research Fellow at the ESRC Centre for Genomics in
Society, University of Exeter, UK, points out that many countries other
than the United States sought alternatives to hESCs in the light of
ethical objections. (Indeed, iPS was initially developed in Japan.)
It
is a research landscape that continues to change in unforeseen ways as
UK scientists drop hESC research in favor of the new promise offered by
iPS. “In fieldwork in 2007 and 2008, we did not find a single embryonic
stem cell laboratory that is not also working on iPS,” says Hauskeller.
Cloning isn’t the only area where scientists make wild predictions, of course. In his book Our Final Hour: A Scientist’s Warning,
Sir Martin Rees predicts that “the odds are no better than fifty-fifty
that our present civilisation on Earth will survive to the end of the
present century.” Plainly, much more than science goes into an
assessment of the risks posed by nuclear warfare, bio-terror, bio-error
and environmental disaster.
“Of course,” agrees Rees. “I’m
writing this book as a member of the human race,” not a representative
of the Royal Society. But while his prediction involves judgments
outside his area of expertise, it still carries the authority of
science, as witnessed by the book’s subtitle. And it’s that very
authority that could be undermined should these predictions fall flat.
Haran’s
research shows that people are rather trusting of scientists’ visions
of the future, while taking the predictions of journalists or of movies
and other fictional media with a big pinch of salt. “Because of the
high esteem in which scientists are held, it becomes very hard to mount
a critique of their promises,” says Haran. And scientists want to keep
it that way, it would seem. As an example, scientists complained after
a New York Times article in 1980 warned readers not to hope
for immediate miracles from research on interferons, arguing that such
expressions of doubt by the press would affect their research funding,
erode public trust in science, and make further progress impossible.
Scientists defending their corner is understandable, says Haran, but it
should be recognized that it can be at the expense of healthy
skepticism.
The
consequences of inflated expectations about what, and when, science can
deliver may be felt by individuals, society, and by science itself.
Harold Varmus’s expert panel on gene therapy reported that overselling
of the science by scientists and their sponsors “threatened confidence
in the integrity of the field and may ultimately hinder progress toward
successful application of gene therapy to human disease.” During the
ensuing debate, David Valle, a pediatrician at Johns Hopkins Medical
Institutions in Baltimore, was quoted as saying that one of his
patients had stopped a restricted diet that could save his eyesight on
the basis that “gene therapy is right around the corner.”
Predictions can also create a sense of haste and urgency that can
impede cool, calm reflection on how to proceed at the policy level.
Brown says it can create a pressure to legislate before experts
properly understand a new research path and its potential. “You’ve got
to legislate before your international competitors do,” he says.
Christine
Hauskeller cites recent amendments made to the United Kingdom’s Human
Fertilisation and Embryology Act, which make it legal to create
human-animal hybrid embryos for use in stem cell research following
intense lobbying by scientists who argued that egg donations were
insufficient to supply research needs. However, now that the law is in
place, she says, the development of iPS, combined with unforeseen
serious technical problems in making hybrid embryos and a lack of
funding for the research, means that no scientists in the UK are
actually working on them. “We now have a policy without a product,” she
says.
This is not only a waste of financial and legal
resources, she says, but it serves to narrow social and scientific
possibilities. Indeed, she says, a promissory culture of science and
technology can detract from the essence of scientific investigation:
“If we already know what scientists must produce, then it’s not
science—it’s called engineering.”
According to Brown, entire
regulatory bodies have been established in anticipation of promising
new research paths, which subsequently fail to deliver. The UK
Xenotransplantation Interim Regulatory Authority (UKXIRA), for example,
was set up in 1997 to oversee the development of animal-human organ and
tissue transplantation. “Meanwhile, the science itself has been
collapsing,” he says. “It’s proving to be unstable and unsound, and
certainly not delivering what was expected.” UKXIRA was disbanded in
2006, without having granted a single license to conduct
transplantation. “It met regularly to talk about…well…to kind of
speculate really, but did little more than that,” says Brown.
Hilary
Rose believes that an overemphasis on certain research trajectories,
and overoptimistic expectations of what they can deliver, can obscure
political and social solutions to problems. She cites the Science
editorial that looked to the Human Genome Project as a solution to
homelessness, which might skew spending towards genetics and away from
other, proven social services. “Which is going to create more public
health—more health for more people—improvements in, for example,
housing and nutritional status for people, or genetics? I think
genetics might do some wonderful things for a tiny number of extremely
sick people, but I don’t think it’s likely to do much good for the
public health of the entire population.”
Perhaps the most
worrying aspect for scientists of a promissory culture of the
discipline is that unmet promises, as the NIH gene therapy report
suggested, might ultimately undermine public confidence. Presently,
says Sarewitz, science seems “incredibly robust” to public skepticism.
“Science budgets continue to grow, and science in the US is riding a
crest of political legitimacy, of popularity, and I think that’s what’s
encouraged this continual promise-making,” he says.
However,
public opposition to GM in Europe is perhaps an indication that trust
in science is not bulletproof. How many expert assurances or warnings
must turn out to be conspicuously wrong for the authority of science
and scientists to be diminished? “I do very much worry for the soul of
science should there be a backlash,” says Sarewitz. “And I can’t see
any feedbacks into the system right now that would encourage
communities of scientists to be more circumspect in their claims about
what the future will look like.”
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