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The Irrepressible Rothbard

Essays of Murray N. Rothbard
Edited by Llewellyn H. Rockwell, Jr.
FLUORIDATION REVISITED Yes,
              I confess: I'm a veteran
 anti-fluoridationist, thereby – not
              for the first time – risking placing myself in the camp of "right-wing
kooks and fanatics." It has always been a bit of mystery
              to me why left-environmentalists, who shriek in horror at a bit
              of Alar on apples, who cry "cancer" even more absurdly than the
              boy cried "Wolf," who hate every chemical additive known to man, still
cast their benign approval upon fluoride, a highly toxic and
              probably carcinogenic substance. And not only let fluoride emissions off 
the hook, but endorse uncritically the massive and continuing
              dumping of fluoride into the nation's water supply.
First: the generalized case for and against fluoridation
              of water. The case for is almost incredibly thin, boiling down to
              the alleged fact of substantial reductions in dental cavities in
              kids aged 5 to 9. Period. There are no claimed benefits for anyone
              older than nine! For this the entire adult population of a fluoridated 
area must be subjected to mass medication!
The case against, even apart from the specific evils
              of fluoride, is powerful and overwhelming.
(1) Compulsory mass medication is medically evil,
              as well as socialistic. It is starkly clear that one key to any
              medication is control of the dose; different people, at different
              stages of risk, need individual dosages tailored to their needs.
              And yet with water compulsorily fluoridated, the dose applies to 
everyone, and is necessarily proportionate to the amount of water
              one drinks.
What is the medical justification for a guy who drinks
              ten glasses of water a day receiving ten times the fluorine dose
              of a guy who drinks only one glass? The whole process is monstrous
              as well as idiotic.
(2) Adults, in fact children over nine, get no benefits
              from their compulsory medication, yet they imbibe fluorides 
proportionately
              to their water intake.
(3) Studies have shown that while kids 5 to 9 may
              have their cavities reduced by fluoridation, said kids ages 9 to
              12 have more cavities, so that after 12 the cavity benefits
              disappear. So that, at best, the question boils down to:
              are we to subject ourselves to the possible dangers of fluoridation
              solely to save dentists the irritation of dealing with squirming
              kids aged 5 to 9?
(4) Any parents who want to give their kids the dubious
              benefits of fluoridation can do so individually: by giving
              their kids fluoride pills, with doses regulated instead of haphazardly
              proportionate to the kids' thirst; and/or, as we all know, they
              can brush their teeth with fluoride-added toothpaste. How about
              freedom of individual choice?
(5) Let us not omit the long-suffering taxpayer, who
              has to pay for the hundreds of thousands of tons of fluorides poured
              into the nation's socialized water supply every year. The days of
              private water companies, once flourishing in the U.S., are long
              gone, although the market, in recent years, has popped up in the form of 
increasingly popular private bottled water even though far
              more expensive than socialized free water.
Nothing loony or kooky about any of these arguments,
              is there? So much for the general case pro and con fluoridation.
              When we get to the specific ills of fluoridation, the case against
              becomes even more overpowering, as well as grisly.
During the 1940s and 50s, when the successful push
              for fluoridation was underway, the pro-forces touted the controlled
              experiment of Newburgh and Kingston, two neighboring small cities
              in upstate New York, with much the same demographics. Newburgh had
              been fluoridated and Kingston had not, and the powerful pro-fluoridation
              Establishment trumpeted the fact that ten years later, dental cavities
              in kids 5 to 9 in Newburgh were considerably lower than in Kingston
              (originally, the rates of every disease had been about the same
              in the two places). OK, but the antis raising the disquieting fact
              that, after ten years, both the cancer and the heart disease rates
              were now significantly higher in Newburgh. How did the Establishment
              treat this criticism? By dismissing it as irrelevant, as
              kooky scare tactics. Oh?
Why were these and later problems and charges ignored
              and overridden, and why the rush to judgment to inflict fluoridation
              on America? Who was behind this drive, and how did the opponents
              acquire the "right-wing kook" image?

THE DRIVE FOR FLUORIDATION
The official drive began abruptly just before the
              end of World War II, pushed by the U.S. Public Health Service, then
              in the Treasury Department. In 1945, the federal government selected
              two Michigan cities to conduct an official "15-year" study; one
              city, Grand Rapids, was fluoridated, a control city was left 
unfluoridated.
              (I am indebted to a recent revisionist article on fluoridation by the 
medical writer Joel Griffiths, in the left-wing muckraking journal
              Covert Action Information Bulletin: "Fluoride: Commie Plot
              or Capitalist Ploy?" [Fall 1992], pp. 26-28, 63-66.) Yet, before
              five years were up, the government killed its own "scientific study,"
              by fluoridating the water in the second city in Michigan. Why? Under
              the excuse that its action was caused by "popular demand" for 
fluoridation;
              as we shall see, the "popular demand" was generated by the government
              and the Establishment itself. Indeed, as early as 1946, under the 
federal campaign, six American cities fluoridated their water, and
              87 more joined the bandwagon by 1950.
A key figure in the successful drive for fluoridation
              was Oscar R. Ewing, who was appointed by President Truman in 1947
              as head of the Federal Security Agency, which encompassed the Public
              Health Service (PHS), and which later blossomed into our beloved
              Cabinet office of Health, Education, and Welfare. One reason for
              the left's backing of fluoridation – in addition to its being socialized 
medicine and mass medication, for them a good in itself
              – was that Ewing was a certified Truman Fair Dealer and leftist,
              and avowed proponent of socialized medicine, a high official in
              the then-powerful Americans for Democratic Action, the nation's
              central organization of "anti-Communist liberals" (read: Social
              Democrats or Mensheviks). Ewing mobilized not only the respectable
              left but also the Establishment Center. The powerful drive for compulsory
              fluoridation was spearheaded by the PHS, which soon mobilized the 
nation's establishment organizations of dentists and physicians.
The mobilization, the national clamor for fluoridation,
              and the stamping of opponents with the right-wing kook image, was
              all generated by the public relations man hired by Oscar Ewing to
              direct the drive. For Ewing hired none other than Edward L. Bernays,
              the man with the dubious honor of being called the "father of public
              relations." Bernays, the nephew of Sigmund Freud, was called "The
              Original Spin Doctor" in an admiring article in the Washington
              Post on the occasion of the old manipulator's 100th birthday
              in late 1991. The fact that right-wing groups such as the John Birch
              Society correctly called fluoridation "creeping socialism" and blamed
              Soviet Communism as the source of the fluoridation campaign (no,
              not Bolsheviks, guys: but a Menshevik-State Capitalist alliance,
              see below) was used by the Bernaysians to discredit all the opposition.
As a retrospective scientific article pointed out
              about the fluoridation movement, one of its widely distributed dossiers
              listed opponents of fluoridation "in alphabetical order reputable
              scientists, convicted felons, food faddists, scientific organizations,
              and the Ku Klux Klan." (Bette Hileman, "Fluoridation of Water,"
              Chemical and Engineering News 66 [August 1, 1988], p. 37;
              quoted in Griffiths, p. 63) In his 1928 book Propaganda,
              Bernays laid bare the devices he would use: Speaking of the "mechanism
              which controls the public mind," which people like himself could
              manipulate, Bernays added that "Those who manipulate the unseen
              mechanism of society constitute an invisible government which is
              the true ruling power of our country...our minds are molded, our
              tastes formed, our ideas suggested, largely by men we have never heard 
of..." And the process of manipulating leaders of groups,
              "either with or without their conscious cooperation," will "automatically
              influence" the members of such groups.
In describing his practices as PR man for Beech-Nut
              Bacon, Bernays tells how he would suggest to physicians to say publicly
              that "it is wholesome to eat bacon." For, Bernays added, he "knows
              as a mathematical certainty that large numbers of persons will follow
              the advice of their doctors because he (the PR man) understands
              the psychological relationship of dependence of men on their physicians."
              (Edward L. Bernays, Propaganda [New York: Liveright, 1928],
              pp. 9, 18, 49, 53. Quoted in Griffiths, p.63) Add "dentists" to
              the equation, and substitute "fluoride" for "bacon," and we have
              the essence of the Bernays propaganda campaign.
Before the Bernays campaign, fluoride was largely
              known in the public mind as the chief ingredient of bug and rat
              poison; after the campaign, it was widely hailed as a safe provider
              of healthy teeth and gleaming smiles.
After the 1950s, it was all mopping up – the
              fluoridation forces had triumphed, and two-thirds of the nation's
              reservoirs were fluoridated. There are still benighted areas of
              the country left however (California is less than 16 percent fluoridated)
              and the goal of the federal government and its PHS remains as "universal
              fluoridation."
DOUBTS CUMULATE
Despite the blitzkrieg victory, however, doubts have
              surfaced and gathered in the scientific community. Fluoride is a
              non-biodegradable substance, which, in people, accumulates in teeth
              and bone – perhaps strengthening kiddies' teeth; but what about
              human bones? Two crucial bone problems of fluorides – brittleness and 
cancer – began to appear in studies, only to be systematically
              blocked by governmental agencies. As early as 1956, a federal study
              found nearly twice as many premalignant bone defects in young males
              in Newbergh as in unfluoridated Kingston; but this finding was quickly
              dismissed as "spurious."
Oddly enough, despite the 1956 study and carcinogenic
              evidence popping up since the 1940s, the federal government never
              conducted its own beloved animal carcinogenicity test on fluorides.
              Finally, in 1975, biochemist John Yiamouyiannis and Dean Berk, a
              retired official of the federal government's own National Cancer
              Institute (NCI), presented a paper before the annual meeting of
              the American Society of Biological Chemists. The paper reported
              a 5 to 10 percent increase in total cancer rates in those U.S. cities
              which had fluoridated their water. The findings were disputed, but
              triggered congressional hearings two years later, where the government
              revealed to shocked Congressmen that it had never tested fluoride
              for cancer. Congress ordered the NCI to conduct such tests.
Talk about foot-dragging! Incredibly, it took the
              NCI twelve years to finish its tests, finding "equivocal evidence"
              that fluoride caused bone cancer in male rats. Under further direction
              of Congress, the NCI studied cancer trends in the U.S., and found
              nationwide evidence of "a rising rate of bone and joint cancer at
              all ages," especially in youth, in counties that had fluoridated
              their water, but no such rise was seen in "non-fluoridated" counties.
In more detailed studies, for areas of Washington
              state and Iowa, NCI found that from the 1970s to the 1980s bone
              cancer for males under 20 had increased by 70 percent in the fluoridated
              areas of these states, but had decreased by 4 percent in
              the non-fluoridated areas. Sounds pretty conclusive to me, but the NCI 
set some fancy statisticians to work on the data, to conclude
              that these findings, too, were "spurious." Dispute over this report
              drove the federal government to one of its favorite ploys in virtually
              every area: the allegedly expert, bipartisan, "value-free" commission.
The government had already done the commission bit
              in 1983, when disturbing studies on fluoridation drove our old friend
              the PHS to form a commission of "world-class experts" to review
              safety data on fluorides in water. Interestingly, the panel found
              to its grave concern that most of the alleged evidence of fluoride's
              safety scarcely existed. The 1983 panel recommended caution on fluoride
              exposure for children. Interestingly, the panel strongly recommended 
that the fluoride content of drinking water be no greater than two
              parts per million for children up to nine, because of worries about
              the fluoride effect on children's skeletons, and potential heart
              damage.
The chairman of the panel, Jay R. Shapiro of the National
              Institute of Health, warned the members, however, that the PHS might
              "modify" the findings, since "the report deals with sensitive political
              issues." Sure enough, when Surgeon General Everett Koop released
              the official report a month later, the federal government had thrown
              out the panel's most important conclusions and recommendations,
              without consulting the panel. Indeed, the panel never received copies
              of the final, doctored, version. The government's alterations were
              all in a pro-fluoride direction, claiming that there was no "scientific 
documentation" of any problems at fluoride levels below 8 parts
              per million.
In addition to the bone cancer studies for the late
              1980s, evidence is piling up that fluorides lead to bone fractures.
              In the past two years, no less than eight epidemiological studies
              have indicated the fluoridation has increased the rate of bone fractures
              in males and females of all ages. Indeed, since 1957, the bone fracture
              rate among male youth has increased sharply in the United States,
              and the U.S. hip fracture rate is now the highest in the world.
              In fact, a study in the traditionally pro-fluoride Journal of the
              American Medical Association (JAMA), August 12, 1992,
              found that even "low levels of fluoride may increase the risk of
              hip fracture in the elderly." JAMA concluded that "it is
              now appropriate to revisit the issue of water fluoridation."
Clearly, it was high time for another federal commission.
              During 1990-91, a new commission, chaired by veteran PHS official
              and long-time pro-fluoridationist Frank E. Young, predictably concluded
              that "no evidence" was found associating fluoride and cancer. On
              bone fractures, the commission blandly stated that "further studies
              are required." But no further studies or soul-searching were needed
              for its conclusion: "The U.S. Public Health Service should continue
              to support optimal fluoridation of drinking water." Presumably, they did 
not conclude that "optimal" meant zero.
Despite the Young whitewash, doubts are piling up
              even within the federal government. James Huff, a director of the
              U.S. National Institute of Environmental Health Sciences, concluded
              in 1992 that animals in the government's study developed cancer,
              especially bone cancer from being given fluoride – and there
              was nothing "equivocal" about his conclusion.
Various scientists for the Environmental Protection
              Agency (EPA) have turned to anti-fluoridation toxicologist William
              Marcus's warning that fluoride causes not just cancer, but also
              bone fractures, arthritis, and other disease. Marcus mentions, too,
              that an unreleased study by the New Jersey Health Department (a state 
where only 15 percent of the population is fluoridated) shows
              that the bone cancer rate among young males is no less than six
              times higher in fluoridated than in non-fluoridated areas.
Even coming into question is the long-sacred idea
              that fluoridated water at least lowers cavities in children five
              to nine. Various top pro-fluoridationists highly touted for their
              expertise were suddenly and bitterly condemned when further study
              led them to the conclusion that the dental benefits are really 
negligible. New Zealand's most prominent pro-fluoridationist was the country's
              top dental officer, Dr. John Colquhoun.
As chairman of the Fluoridation Promotion Committee,
              Colquhoun decided to gather statistics to show doubters the great
              merits of fluoridation. To his shock, he found that the percentage
              of children free of dental decay was higher in the non-fluoridated
              part than in the fluoridated part of New Zealand. The national health
              department refused to allow Colquhoun to publish these findings,
              and kicked him out as dental director. Similarly, a top 
pro-fluoridationist
              in British Columbia, Canada, Richard G. Foulkes, concluded that
              fluoridation is not only dangerous, but that it is not even effective
              in reducing tooth decay. Foulkes was denounced by former colleagues
              as a propagandist "promoting the quackery of anti-fluoridationists."
WHY THE FLUORIDATION DRIVE?
Since the case for compulsory fluoridation is so flimsy,
              and the case against so overwhelming, the final step is to ask:
              why? Why did the Public Health Service get involved in the first
              place? How did this thing get started? Here we must keep our eye
              on the pivotal role of Oscar R. Ewing, for Ewing was far more than just 
a social democrat Fair Dealer.
Fluoride has long been recognized as one of the most
              toxic elements found in the earth's crust. Fluorides are by-products
              of many industrial processes, being emitted in the air and water,
              and probably the major source of this by-product is the aluminum
              industry. By the 1920s and 1930s, fluorine was increasingly being 
subject to lawsuits and regulations. In particular, by 1938 the
              important, relatively new aluminum industry was being placed on
              a wartime footing. What to do if its major by-product is a dangerous
              poison?
The time had come for damage control; even better,
              to reverse the public image of this menacing substance. The Public
              Health Service, remember was under the jurisdiction of the Treasury
              Department, and treasury secretary all during the 1920s and until
              1931 was none other than billionaire Andrew J. Mellon, founder and
              head of the powerful Mellon interests, "Mr. Pittsburgh," and founder
              and virtual ruler of the Aluminum Corporation of America (ALCOA),
              the dominant firm in the aluminum industry.
In 1931, the PHS sent a dentist named H. Trendley
              Dean to the West to study the effects of concentrations of naturally
              fluoridated water on people's teeth. Dean found that towns high
              in natural fluoride seemed to have fewer cavities. This news galvanized
              various Mellon scientists into action. In particular, the Mellon
              Institute, ALCOA's research lab in Pittsburgh, sponsored a study
              in which biochemist Gerald J. Cox fluoridated some lab rats, decided
              that cavities in those rats had been reduced and immediately concluded
              that "the case (that fluoride reduces cavities) should be regarded
              as proved." Instant science!
The following year, 1939, Cox, the ALCOA scientist
              working for a company beset by fluoride damage claims, made the
              first public proposal for mandatory fluoridation of water. Cox proceeded
              to stump the country urging fluoridation. Meanwhile, other ALCOA-funded
              scientists trumpeted the alleged safety of fluorides, in particular
              the Kettering Laboratory of the University of Cincinnati.
During World War II, damage claims for fluoride emissions
              piled up as expected, in proportion to the great expansion of aluminum
              production during the war. But attention from these claims was diverted,
              when, just before the end of the war, the PHS began to push hard
              for compulsory fluoridation of water. Thus the drive for compulsory
              fluoridation of water accomplished two goals in one shot: it transformed
              the image of fluorine from a curse to a blessing that will strengthen
              every kid's teeth, and it provided a steady and substantial monetary
              demand for fluorides to dump annually into the nation's water.
One interesting footnote to this story is that whereas
              fluorine in naturally fluoridated water comes in the form of calcium 
fluoride, the substance dumped into every locality is instead sodium fluoride. The 
Establishment defense that "fluoride is fluoride"
              becomes unconvincing when we consider two points: (a) calcium is
              notoriously good for bones and teeth, so the anti-cavity effect
              in naturally fluoridated water might well be due to the calcium
              and not the fluorine; and (b) sodium fluoride happens to be the
              major by-product of the manufacture of aluminum.
Which brings us to Oscar R. Ewing. Ewing arrived in
              Washington in 1946, shortly after the initial PHS push began, arriving
              there as long-time counsel, now chief counsel, for ALCOA, making
              what was then an astronomical legal fee of $750,000 a year (something
              like $7,000,000 a year in present dollars). A year later, Ewing
              took charge of the Federal Security Agency, which included the PHS,
              and waged the successful national drive for water fluoridation.
              After a few years, having succeeded in his campaign, Ewing stepped
              down from public service, and returned to private life, including
              his chief counselship of the Aluminum Corporation of America.
There is an instructive lesson in this little saga,
              a lesson how and why the Welfare State came to America. It came
              as an alliance of three major forces: ideological social democrats,
              ambitious technocratic bureaucrats, and Big Businessmen seeking
              privileges from the State. In the fluoridation saga, we might call
              the whole process "ALCOA-socialism." The Welfare State redounds to the
welfare not of most of society but of these particular venal
              and exploitative groups.
January 1993
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The only real voyage of discovery consists not in seeking
new landscapes but in having new eyes. -Marcel Proust
~~~~~~~~~~~~~~~~~~~~
The libertarian therefore considers one of his prime educational
tasks is to spread the demystification and desanctification of the
State among its hapless subjects.  His task is to demonstrate
repeatedly and in depth that not only the emperor but even the
"democratic" State has no clothes; that all governments subsist
by exploitive rule over the public; and that such rule is the reverse
of objective necessity.  He strives to show that the existence of
taxation and the State necessarily sets up a class division between
the exploiting rulers and the exploited ruled.  He seeks to show that
the task of the court intellectuals who have always supported the State
has ever been to weave mystification in order to induce the public to
accept State rule and that these intellectuals obtain, in return, a
share in the power and pelf extracted by the rulers from their deluded
subjects.
[[For a New Liberty:  The Libertarian Manifesto, Murray N. Rothbard,
Fox & Wilkes, 1973, 1978, p. 25]]

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