Forgotten Weapons
Published 18 May 2020The Type 68 is a North Korean hybrid of the Tokarev and the High Power, used as a military service pistol until replaced by the Beak-Du-San copy of the CZ75. The general outline of the gun is a copy of the Tokarev, with a modular removable fire control group, lack of manual safety, and tall thin sights. It is chambered for 7.62x25mm, and uses a magazine identical to the standard Tokarev except for not having a magazine catch cut, as the Type 68 has a heel magazine release.
Internally, the High Power elements include a detent-retained barrel pin, use of a solid barrel cam instead of a 1911/Tokarev swinging link, and a fixed barrel bushing. Two patterns of markings exist, one with a date and North Korean marking, and one (like this example) with only a serial number.
North Korean guns of all types are very rare in the United States. A very small number of Type 68s have come into the US, generally through Central America (probably via Cuba) and South Africa (via Rhodesia/Zimbabwe).
Update: It appears that the original design work for these was done by an independent engineering firm in Yugoslavia. The design (a TT33 with High Power type locking and angled slide serrations) was not completed in time for the trials that would lead to adoption of the Yugoslav M57, and the drawings were transferred to “another country” — probably North Korea.
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April 15, 2023
Type 68 North Korean Tokarev/High Power Hybrid
QotD: When the pick-up artist became “coded right”
When did pickup artistry become criminal? Relying on online sex gurus for advice on persuading women into bed used to be seen as a fallback for introverted, physically unprepossessing “beta males”. And for this reason, in the 2000s, the discipline was promoted by the mainstream media as a way of instilling confidence in sexually-frustrated nerds. MTV’s The Pickup Artist shamelessly broadcast its tactics, with dating coaches encouraging young men to prey upon reluctant women, hoping to “neg” and “kino escalate” them into “number closes“. Contestants advanced through women of increasing difficulty (picking-up a stripper was regarded as “the ultimate challenge”) with the most-skilled “winning” the show.
Today, the global face of pickup artistry is Andrew Tate: sculpted former kickboxing champion, self-described “misogynist”, and, now, alleged human trafficker. Whatever results from the current allegations, his fall is a defining moment in the cultural history of the now inseparable worlds of the political manosphere and pickup artistry, and provides an opportunity to reflect upon their entangled history.
Pickup artistry burst onto the scene in the 2000s, propelled by the success of Neil Strauss’s best-selling book The Game. More a page-turning potboiler cataloguing the mostly empty lives of pickup artists (PUAs) than a how-to guide (though Strauss wrote one of those too), the methods in the book had been developed through years of research shared on internet forums. The “seduction underground”, as the large online community of people doing this research was called, then became the subject of widespread media attention. Through pickup artistry, the aggressive, formulaic predation of women was normalised as esteem boosting, and men such as those described in Strauss’s The Game could be viewed in a positive light: they had transformed from zero to hero and taken what was rightfully theirs.
The emergence of PUAs generated a swift backlash. The feminist blogs of the mid-to-late 2000s internet, of which publications like Jezebel still survive as living fossils, rushed to pillory them. The attacks weren’t without justification, but the world of PUAs during this period, much like the similarly wild-and-woolly bodybuilding forums, had no obvious political dimension beyond some sort of generic libertarianism. It was only after these initial critiques that it began to be coded as Right-wing by those on the Left. Duly labelled, PUAs and other associated manosphere figures drifted in that direction. MTV’s dating coaches were not part of the political landscape, merely feckless goofballs and low-level conmen capable of entertaining the masses. But their successors would be overtly political actors.
Oliver Bateman, “Why pick-up artists joined the Online Right”, UnHerd, 2023-01-08.
April 14, 2023
The trust deficit is getting worse every day
Ted Gioia provides more evidence that the scarcest thing in the world today is getting ever more scarce:
Here are some news stories from recent days. Can you tell me what they have in common?
- Scammers clone a teenage girl’s voice with AI — then use it to call her mother and demand a $1 million ransom.
- Millions of people see a photo of Pope Francis wearing a goofy white Balenciaga puffer jacket, and think it’s real. But after the image goes viral, news media report that it was created by a construction worker in Chicago with deepfake technology.
- Twitter changes requirements for verification checks. What was once a sign that you could trust somebody’s identity gets turned into a status symbol, sold to anybody willing to pay for it. Within hours, the platform is flooded with bogus checked accounts.
- Officials go on TV and tell people they can trust the banking system—but depositors don’t believe them. High profile bank failures from Silicon Valley to Switzerland have them spooked. Over the course of just a few days, depositors move $100 billion from their accounts.
- ChatGPT falsely accuses a professor of sexual harassment — and cites an article that doesn’t exist as its source. Adding to the fiasco, AI claims the abuse happened on a trip to Alaska, but the professor has never traveled to that state with students.
- The Department of Justice launches an investigation into China’s use of TikTok to spy on users. Another popular Chinese app allegedly can bypass users’ security to “monitor activities on other apps, check notifications, read private messages and change settings.”
- The FBI tells travelers to avoid public phone charging stations at airports, hotels and other locations. “Bad actors have figured out ways to use public USB ports to introduce malware and monitoring software onto devices,” they warn.
The missing ingredient in each of these stories is trust.
Everybody is trying to kill it — criminals, technocrats, politicians, you name it. Not long ago, Disney was the only company selling a Fantasyland, but now that’s the ambition of every tech empire.
The trust crisis could hardly be more intense.
But it’s hidden from view because there’s so much information out there. We are living in a culture of abundance, especially in the digital world. So it’s hard to believe than anything in the information economy is scarce.
Whatever you want, you can get — and usually for free. You can have free news, free music, free videos, free everything. But you get what you pay for, as the saying goes. And it was never truer than right now — when all this free stuff is starting to collapse in a fog of fakery and phoniness.
Tell me what source you trust, and I’ll tell you why you’re a fool. As B.B. King once said: “Nobody loves me but my mother — and she could be jivin’ too.”
Years ago, technology made things more trustworthy. You could believe something because it was validated by photos, videos, recordings, databases and other trusted sources of information.
Seeing was believing — but not anymore. Until very recently, if you doubted something, you could look it up in an encyclopedia or other book. But even these get changed retroactively nowadays.
For example, people who consult Wikipedia to understand the economy might be surprised to learn that the platform’s write-up on “recession” kept changing in recent months — as political operatives and spinmeisters fought over the very meaning of the word. It got so bad that the site was forced to block edits on the entry.
There’s an ominous recurring theme here: The very technologies we use to determine what’s trustworthy are the ones most under attack.
Trust used to be a given in most western countries … it was a key part of what made us all WEIRD. Mass immigration from non-WEIRD countries dented it, but conscious perversion of trust relationships by government, media, public health, and education authorities has caused far more — and longer lasting — damage to our culture. Trust used to be given freely, but now must be earned. And that’s difficult for organizations that have proven repeatedly that they can’t be trusted.
From “cash for access” it’s a very short step to “cash for influence”
Ted Campbell shut down his blog some time ago — unfortunately for those of us interested in Canadian military affairs — but he’s still active on Twitter. Here he responds to a tweet from Sam Cooper of Global News:
Andrew Coyne highlights some of the boggling details in this thread:
Twists and turns in the “Twitter Files” narrative
Matt Taibbi recounts how he got involved in the “Twitter Files” in the first place through the hysterical and hypocritical responses of so many mainstream media outlets up to the most recent twist as Twitter owner Elon Musk burns off so much of the credit he got for exposing the information in the first place:
I was amazed at this story’s coverage. From the Guardian last November: “Elon Musk’s Twitter is fast proving that free speech at all costs is a dangerous fantasy.” From the Washington Post: “Musk’s ‘free speech’ agenda dismantles safety work at Twitter, insiders say.” The Post story was about the “troubling” decision to re-instate the Babylon Bee, and numerous stories like it implied the world would end if this “‘free speech’ agenda” was imposed.
I didn’t have to know any of the particulars of the intramural Twitter dispute to think anyone who wanted to censor the Babylon Bee was crazy. To paraphrase Kurt Vonnegut, going to war against a satire site was like dressing up in a suit of armor to attack a hot fudge sundae. This was an obvious moral panic and the very real consternation at papers like the Washington Post and sites like Slate over these issues seemed to offer the new owners of Twitter a huge opening. With critics this obnoxious, even a step in the direction of free speech values would likely win back audiences that saw the platform as a humorless garrison of authoritarian attitudes.
This was the context under which I met Musk and the circle of adjutants who would become the go-betweens delivering the material that came to be known as the Twitter Files. I would have accepted such an invitation from Hannibal Lecter, but I actually liked Musk. His distaste for the blue-check thought police who’d spent more than a half-year working themselves into hysterics at the thought of him buying Twitter — which had become the private playground of entitled mainstream journalists — appeared rooted in more than just personal animus. He talked about wanting to restore transparency, but also seemed to think his purchase was funny, which I also did (spending $44 billion with a laugh as even a partial motive was hard not to admire).
Moreover the decision to release the company’s dirty laundry for the world to see was a potentially historic act. To this day I think he did something incredibly important by opening up these communications for the public.
Taibbi and the other Twitter File journalists were, of course, damned by the majority of the establishment media outlets and accused of every variant of mopery, dopery, and gross malfeasance by the blue check myrmidons. Some of that must have been anticipated, but a lot of it seems to have surprised even Taibbi and company for its blatant hypocrisy and incandescent rage.
But all was not well between the Twitter Files team and the new owner of Twitter:
We were never on the same side as Musk exactly, but there was a clear confluence of interests rooted in the fact that the same institutional villains who wanted to suppress the info in the Files also wanted to bankrupt Musk. That’s what makes the developments of the last week so disappointing. There was a natural opening to push back on the worst actors with significant public support if Musk could hold it together and at least look like he was delivering on the implied promise to return Twitter to its “free speech wing of the free speech party” roots. Instead, he stepped into another optics Punji Trap, censoring the same Twitter Files reports that initially made him a transparency folk hero.
Even more bizarre, the triggering incident revolved around Substack, a relatively small company that’s nonetheless one of the few oases of independent media and free speech left in America. In my wildest imagination I couldn’t have scripted these developments, especially my own very involuntary role.
I first found out there was a problem between Twitter and Substack early last Friday, in the morning hours just after imploding under Mehdi Hasan’s Andrey Vyshinsky Jr. act on MSNBC. As that joyous experience included scenes of me refusing on camera to perform on-demand ritual criticism of Elon Musk, I first thought I was being pranked by news of Substack URLs being suppressed by him. “No way,” I thought, but other Substack writers insisted it was true: their articles were indeed being labeled, and likes and retweets of Substack pages were being prohibited.
How to Make a Shaker Candle Box | Episode 3
Paul Sellers
Published 25 Nov 2022Two things Paul has always noticed to be intimidating to woodworkers are recessed or mortised hinge setting and applying finish. The smaller the hinge and the project, the more flaws show.
Following these steps will give you the confidence and success you want, and the hinges will align the box lid perfectly every time. We cover distances and the layout patterns, hinge sizing, and so on throughout this episode, along with how to apply shellac using a 1″ hake brush.
The result is a perfect box. Enjoy yourself!
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QotD: The three great strategic sins
The first sin is the sin of of not having a strategy in the first place, what we might call “emotive” strategy. As Clausewitz notes, policy (again, note above how what we’re calling strategy is closest to policy in Clausewitz’ sense) is “subject to reason alone” whereas the “primordial violence, hatred and enmity” is provided for in another part of the trinity (“will” or “passion”). To replace policy with passion is to invert their proper relationship and court destruction.
The second sin is the elevation of operational concerns over strategic ones, the usurpation of strategy with operations, which we have discussed before. This is, by the by, also an error in managing the relationship of the trinity, allowing the general’s role in managing friction to usurp the state’s role in managing politics.
Perhaps the greatest example of this is the Japanese attack on Pearl Harbor; an operational consideration (the destruction of the US Pacific Fleet) and even the tactics necessary to achieve that operational objective, were elevated above the strategic consideration of “should Japan, in the midst of an endless, probably unwinnable war against a third-rate power (the Republic of China) also go to war with a first-rate power (the United States) in order to free up oil-supplies for the first war”. Hara Tadaichi’s pithy summary is always worth quoting, “We won a great tactical victory at Pearl Harbor and thereby lost the war.”
How does this error happen? It tends to come from two main sources. First, it usually occurs most dramatically in military systems where the military leadership – which has been trained for operations and tactics, not strategy, which you will recall is the province of kings, ministers and presidents – usurps the leadership of the state. Second, it tends to occur when those military leaders – influenced by their operational training – take the operational conditions of their planning as assumed constants. “What do we do if we go to war with the United States” becomes “What do we do when we go to war with the United States” which elides out the strategic question “should we go to war with the United States?” entirely – and catastrophically, as for Imperial Japan, the answer to that unasked question of should we do this was clearly Oh my, NO.
(Bibliography note: It would hardly be fitting for me to declare these errors common and not provide examples. Two of the best case-studies I have read in this kind of strategic-thinking-failure-as-organizational-culture-failure are I. Hull, Absolute Destruction: Military Culture and the Practices of War in Imperial Germany (2005) and Parshall and Tully, Shattered Sword: The Untold Story of the Battle of Midway (2005). Also worth checking out, Daddis, “Chasing the Austerlitz Ideal: The Enduring Quest for Decisive Battle” in Armed Forces Journal (2006): 38-41. The same themes naturally come up in Daddis, Withdrawal: Reassessing America’s Final Years in Vietnam (2017)).
The third and final sin is easy to understand: a failure to update the strategy as conditions change. Quite often this happens in conjunction with the second sin, as once those operational concerns take over the place of strategy, it becomes difficult for leaders to consider new strategy as opposed to simply new operations in the pursuit of strategic goals which are often already lost beyond all retrieval. But this can happen without a subordination failure, due to sunk-costs and the different incentives faced by the state and its leaders. The classic example being functionally every major power in the First World War: by 1915 or 1916, it ought to have been obvious that no gains made as a result of the war could possibly be worth its continuance. Yet it was continued, both because having lost so much it seemed wrong to give up without “victory” and also because, for the politicians who had initially supported the war, to admit it was a useless waste was political suicide.
Bret Devereaux, “Collections: The Battle of Helm’s Deep, Part VIII: The Mind of Saruman”, A Collection of Unmitigated Pedantry, 2020-06-19.
April 13, 2023
Old and tired – “Conspiracy Theories”. The new hotness – “Coming Features”
Kim du Toit rounds up some not-at-all random bits of current events:
So Government — our own and furriners’ both — have all sorts of rules they wish to impose on us (and from here on I’m going to use “they” to describe them, just for reasons of brevity and laziness — but we all know who “they” are). Let’s start with one, pretty much picked at random.
They want to end sales of vehicles powered by internal combustion engines, and make us all switch to electric-powered ones. Leaving aside the fact that as far as the trucking industry is concerned, this can never happen no matter how massive the regulation, we all know that this is not going to happen (explanation, as if any were needed, is here). But to add to the idiocy, they have imposed all sorts of unrealistic, nonsensical and impossible deadline to all of this, because:
There isn’t enough electricity — and won’t be enough electricity, ever — to power their future of universal electric car usage. Why is that? Well, for one thing, they hate nuclear power (based on outdated 1970s-era fears), are closing existing ones and will not allow new ones to be built by dint of strangling environmental regulation (passed because of said 1970s-era fears). Then, to add to that, they have forced the existing electricity supply to become unstable by insisting on unreliable and variable generation sources such as solar and wind power. Of course, existing fuel sources such as oil. coal and natural gas are also being phased out because they are “dirty” (they aren’t, in the case of natgas, and as far as oil and coal are concerned, much much less so than in decades past) — but as with nuclear power, the rules are being drawn up as though old technologies are still being used (they aren’t, except in the Third World / China — which is another whole essay in itself). And if people want to generate their own electricity? Silly rabbits: US Agency Advances New Rule Targeting Portable Gas-Powered Generators. (It’s a poxy paywall, but the headline says it all, really.)
So how is this
pixie dust“new” electricity to be stored? Why, in batteries, of course — to be specific, in lithium batteries which are so far the most efficient storage medium. The only problem, of course, is that lithium needs to be mined (a really dirty industry) and even assuming there are vast reserves of lithium, the number of batteries needed to power a universe of cars is exponentially larger than the small number of batteries available — but that means MOAR MINING which means MOAR DIRTY. And given how dirty mining is, that would be a problem, yes?No. Because — wait for it — they will limit lithium mining, also by regulation, by enforcing recycling (where have we heard this before?) and by reducing battery size.
Now take all the above into consideration, and see where this is going. Reduced power supply, reduced power consumption, reduced fuel supply: a tightening spiral, which leads to my final question:
JUST HOW DO THEY THINK THIS IS ALL GOING TO END?
If there’s one thing we know, it’s that increased pressure without escape mechanisms will eventually cause explosion. It’s true in physics, it’s true in nature and it’s true, lest we forget, in humanity.
Of course, as friend-of-the-blog Severian often points out, these people think Twitter is real life. Of course there’ll be enough pixie dust to sprinkle over all their preferred solutions to make them come true. Reality is just a social construct — they learned that in college, and believe it wholeheartedly.
Build the Moravian Stool with Sliding Dovetail Joinery
Rex Krueger
Published 12 Apr 2023
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Beeching plus 60
In The Critic, Peter Caddick-Adams notes that it’s just past 60 years since one of the most controversial documents the British government published during the latter half of the 20th century: The Beeching Report.

The British Railways Board’s publication The Reshaping of British Railways, Part 1: Report, Beeching’s first report, which famously recommended the closure of many uneconomic British railway lines. Many of the closures were implemented. This copy is displayed at the National Railway Museum in York beside a copy of the National Union of Railwaymen’s published response, The Mis-shaping of British Railways, Part 1: Retort.
Photo by RobertG via Wikimedia Commons.
Wednesday, 27 March 1963 marked the day when a civil servant with a doctorate in physics, seconded from ICI, proudly flourished a report he had written. That man was Dr Richard Beeching, and the result of his recommendations contained in The Reshaping of British Railways are with us to this day.
Beeching identified many unprofitable rail services and suggested the widespread elimination of a huge number of routes. He identified 2,363 stations for closure, along with 6,000 miles of track — a third of the existing network — with the loss of 67,700 jobs. His stated aim was to prune the railway system back into a profitable concern. Behind Beeching, seconded to the newly-established British Railways Board, stood the figure of the publisher-turned-Prime Minister, Harold Macmillan. He knew a thing or two about railways, having been a pre-nationalisation director of the Great Western Railway. It put him in the delightful position of never having to pay for a train ticket.
Macmillan observed from a shareholder’s point of view, “you can pour all in money you want, but you can never make the damned things pay for themselves”. In his view, the railway network and infrastructure of wagon works, tiny branch lines, cottages for signallers, crossings keepers and station masters, with most halts staffed 18 hours a day, amounted to a social service, albeit an expensive one. It had made the prosperity of Victorian Britain possible and was sustaining it still. From nationalisation in 1948, the railways themselves had attempted to make savings, closing 3,000 miles of track and reducing staff from 648,000 to 474,000. That famous Ealing comedy film of 1953, The Titfield Thunderbolt, about a group of villagers trying to keep their branch line operating after British Railways decided to close it, already reflected concern and railway nostalgia.
Britain’s literary and celluloid love affair with iron rails and steam began as long ago as 1905 with the publication of Edith Nesbit’s The Railway Children, a success which peaked when the book was made into a highly successful movie in 1970. Meanwhile, professional sleuths and loafers like Sherlock Holmes, Bulldog Drummond, Lord Peter Wimsey, Hercule Poirot and Bertie Wooster capitalised on the branch line network in their methodology of moving swiftly about pastoral England in their hunts for miscreants. It was the success of The Lady Vanishes, a 1938 mystery thriller set on a continental train, that launched Alfred Hitchcock as a world-class director. David Lean’s Brief Encounter of 1945, based on Noël Coward’s earlier one-act play, Still Life, attached deep romance to station platforms and waiting rooms, reminiscent of so much heartache in the recently fought world war. It is still regarded as one of the greatest of all British-made films. None of this mattered to Beeching, the man who was “Britain’s most-hated civil servant” at his death in 1985, a moniker still used today.
There’s an argument that Beeching was deliberately set up as a patsy for the real villains, Ernest Marples and Harold MacMillan:
The cold, dispassionate Beeching was absolutely the wrong man for the job. As he told the Daily Mirror at the time, “I have no experience of railways, except as a passenger. So, I am not a practical railwayman. But I am a very practical man.” John Betjeman, writing persuasively and eloquently in the Daily Telegraph each week, and later Ian Hislop, hit the right note in observing that Beeching, and all he stood for were technocrats. They “weren’t open to arguments of romantic notions of rural England, or the warp-and-weft of the train in our national identity. They didn’t buy any of that, and went for a straightforward profit and loss approach, from which we are still reeling today”.
However, it has also been argued that Beeching was the unwitting fall-guy for the Minister of Transport of the day, Ernest Marples. He was a self-made businessman who “got things done”, but he retained an air of shadiness about him. Macmillan should have known better. Marples had been managing director of Marples Ridgway, awarded contracts to build the first motorways. When challenged about a conflict of interest, he sold his 80 per cent shareholding to his wife. Elevated to the peerage, Marples fled to Monaco in 1975 to avoid prosecution for tax fraud. So, in some ways, the thing was a stitch-up. Marples directly benefited from the widespread cuts advocated by his subordinate, Beeching. Macmillan had his eye off the ball and was already considering retirement, hastened by an operation for prostate cancer six months after Beeching’s report.
The Prime Minister was astute enough to ensure the press presented the cuts in a positive way, however. From the Cabinet papers of the day, we now know the day before the publication of The Reshaping of British Railways, Beeching’s findings were rewritten to suggest the cuts were the first phase of a co-ordinated national transport policy, with advanced plans to replace the axed rail networks with improved minor roads and local bus services. In reality this was political fantasy (my inner lawyer cautions against more extremist language), for the bus-road subsidy would have cost more than that already paid to the railways. The promise of replacement bus services should have come with a guarantee of remaining in place for at least 10-15 years, because most were withdrawn after two, forcing more motor traffic onto an already inadequate road network.
A Brief History of Gin
No Nonsense Gin Drinking
Published 21 Jul 2019Pay attention class! No running, shouting or talking at the back! It’s time to learn all about gin!
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QotD: The real purpose of modern-day official commissions
After the riots were over, the government appointed a commission to enquire into their causes. The members of this commission were appointed by all three major political parties, and it required no great powers of prediction to know what they would find: lack of opportunity, dissatisfaction with the police, bla-bla-bla.
Official enquiries these days do not impress me, certainly not by comparison with those of our Victorian forefathers. No one who reads the Blue Books of Victorian Britain, for example, can fail to be impressed by the sheer intellectual honesty of them, their complete absence of any attempt to disguise an often appalling reality by means of euphemistic language, and their diligence in collecting the most disturbing information. (Marx himself paid tribute to the compilers of these reports.)
I was once asked to join an enquiry myself. It was into an unusual spate of disasters in a hospital. It was clear to me that, although they had all been caused differently, there was an underlying unity to them: they were all caused by the laziness or stupidity of the staff, or both. By the time the report was written, however (and not by me), my findings were so wrapped in opaque verbiage that they were quite invisible. You could have read the report without realising that the staff of the hospital had been lazy and stupid; in fact, the report would have left you none the wiser as to what had actually happened, and therefore what to do to ensure that it never happened again. The purpose of the report was not, as I had naively supposed, to find the truth and express it clearly, but to deflect curiosity and incisive criticism in which it might have resulted if translated into plain language.
Theodore Dalrymple, “It’s a riot”, New English Review, 2012-04.
April 12, 2023
Institutional Review Boards … trying to balance harm vs health, allegedly
At Astral Codex Ten Scott Alexander reviews From Oversight to Overkill by Simon N. Whitley, in light of his own experience with an Institutional Review Board’s demands:
Dr. Rob Knight studies how skin bacteria jump from person to person. In one 2009 study, meant to simulate human contact, he used a Q-tip to cotton swab first one subject’s mouth (or skin), then another’s, to see how many bacteria traveled over. On the consent forms, he said risks were near zero — it was the equivalent of kissing another person’s hand.
His IRB — ie Institutional Review Board, the committee charged with keeping experiments ethical — disagreed. They worried the study would give patients AIDS. Dr. Knight tried to explain that you can’t get AIDS from skin contact. The IRB refused to listen. Finally Dr. Knight found some kind of diversity coordinator person who offered to explain that claiming you can get AIDS from skin contact is offensive. The IRB backed down, and Dr. Knight completed his study successfully.
Just kidding! The IRB demanded that he give his patients consent forms warning that they could get smallpox. Dr. Knight tried to explain that smallpox had been extinct in the wild since the 1970s, the only remaining samples in US and Russian biosecurity labs. Here there was no diversity coordinator to swoop in and save him, although after months of delay and argument he did eventually get his study approved.
Most IRB experiences aren’t this bad, right? Mine was worse. When I worked in a psych ward, we used to use a short questionnaire to screen for bipolar disorder. I suspected the questionnaire didn’t work, and wanted to record how often the questionnaire’s opinion matched that of expert doctors. This didn’t require doing anything different — it just required keeping records of what we were already doing. “Of people who the questionnaire said had bipolar, 25%/50%/whatever later got full bipolar diagnoses” — that kind of thing. But because we were recording data, it qualified as a study; because it qualified as a study, we needed to go through the IRB. After about fifty hours of training, paperwork, and back and forth arguments — including one where the IRB demanded patients sign consent forms in pen (not pencil) but the psychiatric ward would only allow patients to have pencils (not pen) — what had originally been intended as a quick record-keeping had expanded into an additional part-time job for a team of ~4 doctors. We made a tiny bit of progress over a few months before the IRB decided to re-evaluate all projects including ours and told us to change twenty-seven things, including re-litigating the pen vs. pencil issue (they also told us that our project was unusually good; most got >27 demands). Our team of four doctors considered the hundreds of hours it would take to document compliance and agreed to give up. As far as I know that hospital is still using the same bipolar questionnaire. They still don’t know if it works.
Most IRB experiences can’t be that bad, right? Maybe not, but a lot of people have horror stories. A survey of how researchers feel about IRBs did include one person who said “I hope all those at OHRP [the bureaucracy in charge of IRBs] and the ethicists die of diseases that we could have made significant progress on if we had [the research materials IRBs are banning us from using]”.
Dr. Simon Whitney, author of From Oversight To Overkill, doesn’t wish death upon IRBs. He’s a former Stanford IRB member himself, with impeccable research-ethicist credentials — MD + JD, bioethics fellowship, served on the Stanford IRB for two years. He thought he was doing good work at Stanford; he did do good work. Still, his worldview gradually started to crack:
In 1999, I moved to Houston and joined the faculty at Baylor College of Medicine, where my new colleagues were scientists. I began going to medical conferences, where people in the hallways told stories about IRBs they considered arrogant that were abusing scientists who were powerless. As I listened, I knew the defenses the IRBs themselves would offer: Scientists cannot judge their own research objectively, and there is no better second opinion than a thoughtful committee of their peers. But these rationales began to feel flimsy as I gradually discovered how often IRB review hobbles low-risk research. I saw how IRBs inflate the hazards of research in bizarre ways, and how they insist on consent processes that appear designed to help the institution dodge liability or litigation. The committees’ admirable goals, in short, have become disconnected from their actual operations. A system that began as a noble defense of the vulnerable is now an ignoble defense of the powerful.
So Oversight is a mix of attacking and defending IRBs. It attacks them insofar as it admits they do a bad job; the stricter IRB system in place since the ‘90s probably only prevents a single-digit number of deaths per decade, but causes tens of thousands more by preventing life-saving studies. It defends them insofar as it argues this isn’t the fault of the board members themselves. They’re caught up in a network of lawyers, regulators, cynical Congressmen, sensationalist reporters, and hospital administrators gone out of control. Oversight is Whitney’s attempt to demystify this network, explain how we got here, and plan our escape.
French Onion Soup from 1651
Tasting History with Max Miller
Published 11 Apr 2023
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