Thursday, March 31, 2016

Dr. Waney Squier: U.K. (Aftermath 6): A wonderfully refreshing point of view (which I share) from Stephen Watkins, director of public health for Stockport, who defends Dr. Squier in the context of the "duty" of scientific dissent. (A point which sadly has been utterly lost on the British General Medical Council. HL); "Our society is ever more intolerant of dissent, diminishingly at ease with itself, and increasingly of the belief that professional practice is improved by rigorous, unvarying compliance with evidence based consensus guidelines, which recognise no duty to treat the exceptional exceptionally. When a system of quality control came to be applied to expert witnesses, the BMA warned that this might be difficult to apply in circumstances of scientific dissent. The warning was not heeded, and so the expert witness Waney Squier—the main dissenter on shaken baby syndrome—was convicted of professional misconduct. She was apparently less than objective in some of her evidence. But I would confirm that, when you believe that innocent, grieving parents are being imprisoned for their bereavement because of scientific error, it’s not always possible to summon up the dispassion to which you might professionally aspire. I don’t know whether Squier is correct; nor do I care. People have a right to be wrong, and without it no other human freedom is meaningful. The duty of dissent in the face of what you perceive as injustice cannot be qualified by a need to carry out a risk assessment as to whether you might lose the debate. The existence of dissent is something a jury is entitled to know."


COMMENTARY: "The Waney Squier case shows that we still need an independent inquiry," by Stephen J. Watkins,  Published by the BMJ on March 31, 2016.

GIST: "In the first BMJ of this century I wrote an editorial criticising the conviction of Sally Clark for murdering her children.1 That conviction was based on the proposition that highly unusual coincidences don’t occur by chance—a mathematical fallacy disproved by every announcement of a lottery winner. It took years to secure Clark’s release, and her health was so badly damaged in the meantime that she died soon afterwards. At that time, medical experts on both sides were united on one point—that the legal system couldn’t deal properly with scientific controversy. This and other miscarriages of justice stopped when the expert witness Roy Meadow refused to give further evidence unless allowed to do so in a proper scientific way, describing uncertainty and the existence of dissent. Science doesn’t advance because scientists are right: it advances because every true scientist has at the core of her soul a passionate belief that she might be wrong. But the law deals in certainties. Faced with scientific dissent, it considers the dissenters to be misguided at best. Why else would people deny what everybody in their discipline knows to be true? After the miscarriages of justice surrounding cot death, the BMA called for a public inquiry headed by a doctor or scientist into the judicial system’s failure to cope with scientific controversy. That didn’t take place. No lessons were learnt. Sooner or later, more miscarriages of justice will result. These cases may share a desire to root out the evil of child murder, as well as a powerful consensus on the interpretation of evidence that is less certain than is widely believed, a few dissenters the prosecutors feel obliged to discredit, and a critique based significantly on knowledge from another discipline. Rather than the epidemiologists of the miscarriages of justice regarding cot deaths, shaken baby syndrome has engineers in place who challenge whether the necessary forces can be generated in the way described. Our society is ever more intolerant of dissent, diminishingly at ease with itself, and increasingly of the belief that professional practice is improved by rigorous, unvarying compliance with evidence based consensus guidelines, which recognise no duty to treat the exceptional exceptionally. When a system of quality control came to be applied to expert witnesses, the BMA warned that this might be difficult to apply in circumstances of scientific dissent. The warning was not heeded, and so the expert witness Waney Squier—the main dissenter on shaken baby syndrome—was convicted of professional misconduct. She was apparently less than objective in some of her evidence. But I would confirm that, when you believe that innocent, grieving parents are being imprisoned for their bereavement because of scientific error, it’s not always possible to summon up the dispassion to which you might professionally aspire. I don’t know whether Squier is correct; nor do I care. People have a right to be wrong, and without it no other human freedom is meaningful. The duty of dissent in the face of what you perceive as injustice cannot be qualified by a need to carry out a risk assessment as to whether you might lose the debate. The existence of dissent is something a jury is entitled to know."

The entire abstract can be found at:

http://www.bmj.com/content/352/bmj.i1768

PUBLISHER'S NOTE:

I have added a search box for content in this blog which now encompasses several thousand posts. The search box is located  near the bottom of the screen just above the list of links. I am confident that this powerful search tool provided by "Blogger" will help our readers and myself get more out of the site.

The Toronto Star, my previous employer for more than twenty incredible years, has put considerable effort into exposing the harm caused by Dr. Charles Smith and his protectors - and into pushing for reform of Ontario's forensic pediatric pathology system. The Star has a "topic" section which focuses on recent stories related to Dr. Charles Smith. It can be found at:

http://www.thestar.com/topic/charlessmith

Information on "The Charles Smith Blog Award"- and its nomination process - can be found at:

http://smithforensic.blogspot.com/2011/05/charles-smith-blog-award-nominations.html

Please send any comments or information on other cases and issues of interest to the readers of this blog to: hlevy15@gmail.com

Harold Levy: Publisher; The Charles Smith Blog.