Conflicts of Interest and the FDA’s Determinations of Food Safety

By Leslie Francis

At last year’s Petrie-Flom conference on the FDA in the 21st Century, I had an experience that I’ve never really had before in my academic career.  I gave a paper (co-authored, actually) that was met with genuine ire.  The paper dealt with labeling GMO foods.  Several in the audience—including friends—heard me as going over to the dark side of anti-science, irrational skepticism, and downright immoral ignorance of important nutritional and commercial advantages.  I wasn’t buying into such bad science, however.  The written paper (concededly it’s always possible that a lengthy legal argument doesn’t come across in a nuanced way in a short presentation) argued three points:  (1) the FDA has not acted to the full extent of its statutory labeling authority; (2) the present processes for granting market clearance for particular GMO products is highly deferential to industry submissions with respect to safety (the safety of a particular GMO product is a different question from the general question of GMO safety—the FDA’s own example is the unknown allergenic effects of adding peanut genes to other agricultural products); and (3) in a context in which scrutiny of safety is so industry-dependent, there is a case to be made for labeling so that consumers can make their own choices.

In a nutshell, the current FDA process for allowing a particular GMO product to be marketed is a variant of the process for allowing marketing of additives Generally Recognized as Safe (GRAS).  Under the GRAS process, anyone can petition for a determination that an additive is GRAS; industry can also make its own GRAS determinations.  The procedure for clearing GMO foods is a consultative process that is also voluntary and entirely reliant on information from industry.  Unlike the GRAS process, however, it does not even require publication of the information relied on for consultations.

In an article published this week in JAMA Internal Medicine, Neitner et al. demonstrate the extent to which GRAS determinations are riddled with conflicts of interest.  The authors conclude, “The lack of independent review in GRAS determinations raises concerns about the integrity of the process and whether it ensures the safety of the food supply, particularly in instances where the manufacturer does not notify the FDA of the determination. The FDA should address these concerns.”  Given the parallels between the GRAS process and the process applied to GMO foods, one might hypothesize that conflicts of interest are similarly present in the latter.  The FDA should address these concerns, too.  This is not anti-science; it is respect for good science.

[Leslie Francis]

Peter Singer on Animals and Ethics

Video of the lecture is now available online.

By Chloe Reichel

Last Friday, Princeton ethicist Peter Singer joined Petrie-Flom for a lecture on “Ethics and Animals: Where are we now?” Singer began his talk with a historical look back at various religious and philosophical views of the relationship between humans and animals. He traced the lineage of thought from the view of dominion, which entails the idea that man has been granted free reign over animals by God (first found in Genesis, and also espoused by Aristotle); to the notions developed by Thomas Aquinas and Immanuel Kant, who believed that abuse of animals was not itself morally problematic except to the extent that it may inculcate bad habits in those who practice it; to the early English Utilitarians, who recognized the capacity of animals to suffer; to Charles Darwin, whose groundbreaking theory of evolution muddied previous distinctions between human and non-human animals.

Singer went on to discuss modern views of proper animal treatment. He articulated the prevailing view that humans have some obligations to treat animals well and without cruelty, but that human interests exceed those of animals. Singer then laid out his main principle regarding the treatment of animals—that of equal consideration of interests. In other words, the interests of non-human animals should be considered equally with human interests. To favor human interests over animal interests is a speciesist stance, similar in nature to other –isms, like racism and sexism, and equally morally indefensible, in Singer’s view. Singer carefully noted that while equal consideration of interests would mandate better treatment of many animals, such as those raised as livestock, his principle does not imply that humans and animals should receive the same treatment.

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Art Caplan: In Defense of GMOs

Bill of Health contributor Art Caplan has a new opinion piece in the Chronicle of Higher Education. In “Genetically Modified Food: Good, Bad, Ugly,” Caplan argues for the unrealized promise of GMOs:

[…] commercial farming of oranges and grapefruit is in dire peril from an insect-borne bacteria that causes a disease known as “citrus greening.” An uncontrollable fungal blight is destroying the banana crop around the world. Coffee rust is knocking out plants in Central and South America. Diseases like rice blast, soybean rust, stem rust in wheat, corn smut in maize, and late blight in potatoes destroy at least 125 million tons each year of the world’s top five foods. The damage done to rice, wheat, and maize alone costs global agriculture $60-billion per year. The effects are especially catastrophic in the developing world, where 1.4 billion people rely on these foods.

There is a way to get rid of such otherwise unstoppable plant diseases, which waste scarce resources, bring about malnutrition and starvation for hundreds of millions, and cost the world economy billions of dollars. Genetically modified organisms.

Specifically, engineering plants to resist the diseases. So why don’t the folks bearing the bad news about GMOs make a connection to the huge problems that could be fixed by genetic engineering? The answer is the bungling mismanagement of a potentially useful breakthrough technology by the GMO industry, alongside market forces that produce GMOs friendly to pesticides rather than hostile to fungi. [….]

Bad management thus turned a technology that should have been greeted as a way out of chemically based farming into a public-relations nightmare.

Read the full article here.

“How I Stopped Worrying and Learned to Love Test Tube Meat (and Started Thinking It May Be Immoral NOT to Eat It)” Or “Hooray For Chickie Nobs!!??!!”

If you were watching television this week you may have seen this clip of a taste test for hamburger meat grown in a “test tube” in London discussed here. The meat was grown from stem cells from existing cows used to grow 20,000 strands of tissue. Costing more than $330,000 to make, with funding by google Co-Founder Sergey Brin, the day where this will be available at your grocery store or served at your fast food franchise is far away. But it may come sooner if we conclude that there may be a moral duty to develop and eat this kind of meat rather than animal-grown meat and press our governments to start funding this work. What is the morality of test tube meat consumption?

Sometimes narrative can be a way into ethics so consider this bit from one of my favorite novelists (and Canadian public intellectuals) Margaret Atwood from her novel Oryx and Crake. She imagines a dystopian future that includes the the consumption of “Chickie Knobs” in one scene:

“This is the latest,” said Crake.

What they were looking at was a large bulblike object that seemed to be covered with stippled whitish-yellow skin. Out of it came twenty thick fleshy tubes, and at the end of each tube another bulb was growing.

“What the hell is it?” said Jimmy.

“Those are chickens,” said Crake. “Chicken parts. Just the breasts, on this one. They’ve got ones that specialize in drumsticks too, twelve to a growth unit.

“But there aren’t any heads…”

“That’s the head in the middle,” said the woman. “There’s a mouth opening at the top, they dump nutrients in there. No eyes or beak or anything, they don’t need those.”

To be clear the test tube meat unveiled earlier this week is not a Chickie Nob, it is grown from stem cells rather than being a cow with extra parts and brains missing (Atwood is silent on some characteristics of the Chickie Nob that may matter ethically such as whether it feels pain or is sentient), but I think many will react to the test tube meat the same way: disgust. Some in bioethics, like Leon Kass, think there can be a “Wisdom of Repugnance.” In my own work I have been a persistent skeptic on this theme. For me repugnance and disgust are good and should be cultivated as reactions for that which we deem immoral, but should be broken down and overcome for those things which we conclude are morally worth pursuing. Thus repugnance is a tool whose proper deployment depends on prior moral conclusions. In the case of test tube meat, whatever repugnance we feel is one we should get over and media, government, etc, should help us do so.

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AALS Section on Law, Medicine & Health Care Call for Papers

2014 Annual Meeting Section Panel

Saturday, January 4, 2014, 2:00–3:45 p.m.

 Sustainability and Health

This panel will explore the effects of the environment on health in western nations and the role that sustainability initiatives play with regard to wellness. The panel will be interdisciplinary, broadly spanning topics in health, environmental, and animal law and policy as well as public health, land use, and urban planning. Possible topics include: the effects of urban planning on food access and obesity, the consequences of factory farming for human health, the effects of local and sustainable food movements on human health, the health impacts of environmental laws, the environmental impacts of health laws, and the link between ground water and air pollution and illness.

Interested speakers should submit an abstract of up to 300 words electronically by August 31, 2013 to: Ani B. Satz, Chair-Elect, AALS Section on Law, Medicine & Health Care, asatz@law.emory.edu. Selected speakers will have the option of publishing original papers not committed for publication or in print prior to the Annual Meeting in a special issue of the peer reviewed Journal of Law, Medicine & Ethics.