Food and Drug Administration officials reacted to suspected
whistleblowing by some of its scientists, about excessive radiation from
medical imaging devices, by spying on several. But the larger issue is
the need to alert the public to unnecessary risks, writes ex-CIA
analyst Ray McGovern.
By Ray McGovern
Controversy generated by recent reporting by Eric Lichtblau and Scott Shane of the New York Times about Food and Drug Administration spying on its doctors and scientists
focuses on the blatant invasions of privacy, with Sen. Charles
Grassley, R- Iowa, complaining of “Gestapo” tactics. But what about us?
What about the thousands of patients exposed to unnecessarily
dangerous levels of radiation during mammogram screening and
colonoscopies by General Electric medical imaging devices.
Frances Kelsey, whose work for the Food and Drug Administration blocked U.S. approval of the dangerous drug, Thalidomide.
As I prepare for my umpteenth (and hopefully last) scheduled scan
over the past five years to check if that grapefruit-sized lymphoma
tumor has left my pelvic area for good, I am relieved to remember that
most of the scanning devices have had a Siemens, not a GE label.
As the Times reported, the F.D.A. spying focused on doctors who
believed the agency gave shortshrift to concerns about excessive
radiation coming from medical imaging devices. Lichtblau and Shane
wrote:
“The extraordinary surveillance effort grew out of a bitter dispute
lasting years between the scientists and their bosses at the F.D.A. over
the scientists’ claims that faulty review procedures at the agency had
led to the approval of medical imaging devices for mammograms and colonoscopies that exposed patients to dangerous levels of radiation.
“A confidential government review in May by the Office of Special
Counsel, which deals with the grievances of government workers, found
that the scientists’ medical claims were valid enough to warrant a full
investigation into what it termed ‘a substantial and specific danger to
public safety.’”
During the first few decades of my life, there were no such scan
scams to worry about. The influence of the pharmaceutical corporations,
however, was already huge — and dangerous. Often, it took courageous
whistleblowers — people of integrity unwilling to betray the public
trust — to prevent disaster.
Thalidomide
It has been more than 50 years since my first extended visit to
Europe as a university student. Most readers will be too young to
remember, but a “wonder-drug,” Thalidomide, had just come on the market.
This drug gave temporary rest and relief to millions, especially
prospective mothers with morning sickness and problems sleeping. It was
very popular in Germany.
Stationed in Germany more than a decade later, I witnessed the human
results of the horrible side effects of Thalidomide, which had become
available all over Europe, and beyond. Over 10,000 babies in 46
countries were born without limbs or otherwise disfigured and disabled.
Those still alive would be in their late forties/early fifties now.
How did the United States escape this plague? One whistleblower, a
woman named Frances Kelsey of the U.S. Food and Drug Administration saw
through the charade of the drug company swindlers and stood up to it.
Although Dr. Kelsey came under extreme pressure to fall in step and
approve Thalidomide, she scorned the testing that had been done by the
Thalidomide manufacturer and blocked introduction of the drug into
America.
For her unusual courage and integrity, President John Kennedy gave
her the President’s Award for Distinguished Federal Civilian Serivce in
1962, after it became clear that she had singlehandedly prevented a
public health disaster from befalling us in the United States.
Dr. Kelsey will be 98 on July 24; her courage should be celebrated —
particularly in the light of the behavior of our present-day F.D.A. The
F.D.A.’s current commissioner, Dr. Margaret Hamburg, should be put on
the griddle — and sooner rather than later.
As the Sixties and Seventies wore on, the horrible damage caused by
the drug made itself known. And what also became clear was the reality
that a decade of American babies born whole, with all their limbs, owed a
debt of gratitude to Frances Kelsey, whistleblower par excellence!
A close friend of mine, Tom Clark, tells me that he is of that
generation. Tom added that his mother suffered miserably from morning
sickness in bearing him. He is gratefully aware that he might well be
missing a limb or two today, had his mother been able to acquire
Thalidomide in the United States.
What happens to the likes of Dr. Kelsey at the F.D.A. today? Sadly,
modern-day whistleblowers – whether in government, industry or even the
press – more often than not face severe career reprisals, legal action
and sometimes imprisonment, like Pvt. Bradley Manning jailed for
allegedly leaking classified government documents to WikiLeaks. Rarely
do truth-tellers get presidential awards.
Which reminds me of an open letter that ten other veterans of
government service and I signed nearly eight years ago, on Sept. 9,
2004. Our “Truth-Telling Coalition” directed an appeal to “Current
Government Officials.” We wrote:
It is time for unauthorized truth telling.
Citizens cannot make informed choices if they do not have the facts —
for example, the facts that have been wrongly concealed about the
ongoing war in Iraq: the real reasons behind it, the prospective costs
in blood and treasure, and the setback it has dealt to efforts to stem
terrorism. Administration deception and cover-up on these vital matters
has so far been all too successful in misleading the public.
Many Americans are too young to remember Vietnam. Then, as now,
senior government officials did not tell the American people the
truth. Now, as then, insiders who know better have kept their silence,
as the country was misled into the most serious foreign policy disaster
since Vietnam.
Some of you have documentation of wrongly concealed facts and
analyses that — if brought to light — would impact heavily on public
debate regarding crucial matters of national security, both foreign and
domestic. We urge you to provide that information now, both to Congress
and, through the media, to the public.
Thanks to our First Amendment, there is in America no broad Officials
Secrets Act, nor even a statutory basis for the classification system.
Only very rarely would it be appropriate to reveal information of the
three types whose disclosure has been expressly criminalized by
Congress: communications intelligence, nuclear data, and the identity of
U.S. intelligence operatives. However, this administration has
stretched existing criminal laws to cover other disclosures in ways
never contemplated by Congress.
There is a growing network of support for whistleblowers. In
particular, for anyone who wishes to know the legal implications of
disclosures they may be contemplating, the ACLU stands ready to provide
pro bono legal counsel, with lawyer-client privilege. The Project on
Government Oversight (POGO) will offer advice on whistle blowing,
dissemination and relations with the media.
Needless to say, any unauthorized disclosure that exposes your
superiors to embarrassment entails personal risk. Should you be
identified as the source, the price could be considerable, including
loss of career and possibly even prosecution. Some of us know from
experience how difficult it is to countenance such costs. But continued
silence brings an even more terrible cost, as our leaders persist in a
disastrous course and young Americans come home in coffins or with
missing limbs.
This is precisely what happened at this comparable stage in the
Vietnam War. Some of us live with profound regret that we did not at
that point expose the administration’s dishonesty and perhaps prevent
the needless slaughter of 50,000 more American troops and some 2 to 3
million Vietnamese over the next ten years.
We know how misplaced loyalty to bosses, agencies, and careers can
obscure the higher allegiance all government officials owe the
Constitution, the sovereign public, and the young men and women put in
harm’s way. We urge you to act on those higher loyalties.
A hundred forty thousand young Americans are risking their lives
every day in Iraq for dubious purpose. Our country has urgent need of
comparable moral courage from its public officials. Truth telling is a
patriotic and effective way to serve the nation. The time for speaking
out is now.
SIGNATORIES
Appeal from the Truth-Telling Coalition
Edward Costello, Former Special Agent (Counterintelligence), Federal Bureau of Investigation
Sibel Edmonds, Former Language Specialist, Federal Bureau of Investigation
Daniel Ellsberg, Former official, U.S. Departments of Defense and State
John D. Heinberg, Former Economist, Employment and Training Administration, U.S. Department of Labor
Larry C. Johnson, Former Deputy Director for Anti-Terrorism
Assistance, Transportation Security, and Special Operations, Department
of State, Office of the Coordinator for Counter Terrorism
Lt. Col Karen Kwiatowski, USAF (ret.), who served in the Pentagon’s Office of Near East Planning
John Brady Kiesling, Former Political Counselor, U.S. Embassy, Athens, Department of State
David MacMichael, Former Senior Estimates Officer, National Intelligence Council, Central Intelligence Agency
Ray McGovern, Former Analyst, Central Intelligence Agency
Philip G. Vargas, Ph.D., J.D., Dir. Privacy & Confidentiality
Study, Commission on Federal Paperwork (Author/Director: “The Vargas
Report on Government Secrecy” — CENSORED)
Ann Wright, Retired U.S. Army Reserve Colonel and U.S. Foreign Service Officer