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The Diabetic Warrior Goes To Court Afterall

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by on 05-29-2012 at 03:06 PM (1455 Views)
So The Diabetic Warrior, Steve Cooksey, is going to court afterall. Is Advocating the Paleo Diet Against the Law? A New Institute for Justice Suit Stands Up For Free Speech Against Occupational Licensing Law - Hit & Run : Reason.com

The North Carolina Dietitians, now called the North Carolina Board of Dietetics/Nutrition, dropped their charges against Steve, but apparently Steve wasn't ready to let it go, or other parties were not ready to let it go. The Institute for Justice has decided to get involved and is sponsoring Steve in filing a lawsuit, Cooksey v. Futrell et al., in federal court against the state Board.

I like this decision as it may help clarify what can and cannot be said publicly by citizens and residents in many areas, not just nutrition.

This case is about a professional organization imposing its beliefs on people: nutrition is the same as medicine and people shouldn't be able to advise others about it in any way. I suppose the legislation was intended at professional practitioners, but the way it reads, anybody feeding or advising anybody else on what to eat breaks the law. *I'm not referencing the laws. I usually do, but today I'm not. If you are really interested, you can find them on your own. Hint: check Steve's blog.* Such cases might include a mother feeding a child: that child became obese so we're going to charge her for breaking this law. Many such relationships exist. One can argue that the lunch cart operator or the ice cream truck man are all breaking this law by offering foods not approved by this board. If the government cafeteria offers birthday cake for someone, say a retiring staffer who is diabetic, and that person ends up in diabetic ketoacidosis, then the givernment itself might be guilty of breaking its own law.

Regardless if you agree with these scenarios or not, many believe that this law -- these laws -- infringe on free speech. The question lingers of when can government restrict free speech. Can governments restrict the public's free speech by creating a professional organization to control all the relevant speech? Let's create an association of movie critics and license them. Let's make a law that only licensed movie critics can publish movie reviews and ratings. Let's do away with all the IMDBs and Rotten Tomatoes websites which only hurt movie sales. Let's make sure only qualified the professionals handle movie ratings properly. Who would go for that? Every one of us would brush it off and dare the government to challenge us; because we know we'd win. I have every right to say the Harry Potter movies were awful. Evelyn Beatrice Hall's words "I may not agree with what you say, but I will defend to the death your right to say it" loom large in American culture.

So why not nutrition advice?

The professional dietitians around the country believe it's medical advice. In some respects this statement is true. Many of us believe poor (wrong) nutrition causes many if not most modern diseases. We in the first world currently suffer from them on a large scale - pardon the pun. Changing your diet and losing weight is common advice given by health professionals. The benefits of becoming slimmer and fitter are apparently well known, though such studies cannot be easily layed on a table for display. [I'm not even going to address the failure of professional exercisers to band together and professionalize that industry. I don't want it becoming illegal to tell my wife to go out for a run so she can lose all that excess weight. By the way, she's down 18 pounds and feeling and looking like a new woman on my nutrition advice.]

I say nutrition is too fundamental to be considered medicine. It's so fundamental, we call it essential. There are three physical essentials: oxygen, water, and nutrition. Without one of them, we die. It's a simple fact. With no air we die in minutes. With no water we die in days. With no food we die in weeks or maybe months. But we die.

How to you legislate an essential component of life? How can you say the Standard American Diet is the only one that can be eaten and only a person educated and certified in SAD can advise you and anybody who feeds you otherwise is breaking a law? Who made you God?

I hope Steve takes them the distance. I hope he makes them look like communist whores. I hope in the end that all of us are free to write whatever we want about food.

I want us to also realize that such freedom comes with a cost. It comes with responsibility. We shouldn't feel free to feed our babies milkshake diets or advise our blog readers it's okay to eat nothing but coconut oil. We are free to say these things, but recipients are also free to challenge our advice. And when things go wrong, these challenges can become expensive, as they should.

Keep your head up Steve Cooksey!
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  1. xMenace's Avatar
  2. DeusXM's Avatar
    The problem is this has nothing to do with freedom of speech. It's entirely about passing off opinion as medical advice.

    I understand Steve was to some extent charging for his advice and did very little to indicate he was neither trained nor qualified. This has since been rectified.

    The analogy about movies and movie critics is completely irrelevant. Opinions on the quality of a movie are not subject to independent scientific verification. Dietary advice is. The fact that the science over dietary advice is confused complicates matters, but it doesn't change the fact that it should be possible to verify whether a diet is 'good' or not.

    A much better analogy would be having someone with no qualifications charging for medical prescriptions. You wouldn't allow an unlicensed doctor to continue practising on the grounds of freedom of speech, and with good reason. It's the same for those giving out nutritional advice without a consensual scientific backing.

    I've decided on balance, it'll be better for all our health if Steve loses. Why? Because then that sends out a clear message - if you don't have actual nutritional training, you can't influence dietary advice. Why's that good? Because then it provides a legal mechanism to prevent food manufacturers from influencing 'government' dietary advice. No more foods claiming to be 'healthy choices' on the basis they contain less than 5% fat. You then end up forcing consumers to actually consider what they eat, instead of picking up something that's labelled 'healthy' and then not even thinking whether or not it actually is.

    Furthermore, it sets a precedent that will protect people from much larger issues than diet - no more kooks on the internet selling dodgy health products etc.
  3. xMenace's Avatar
  4. xMenace's Avatar
  5. xMenace's Avatar
    Quote Originally Posted by DeusXM
    The problem is this has nothing to do with freedom of speech. It's entirely about passing off opinion as medical advice.

    I understand Steve was to some extent charging for his advice and did very little to indicate he was neither trained nor qualified. This has since been rectified.

    The analogy about movies and movie critics is completely irrelevant. Opinions on the quality of a movie are not subject to independent scientific verification. Dietary advice is. The fact that the science over dietary advice is confused complicates matters, but it doesn't change the fact that it should be possible to verify whether a diet is 'good' or not.

    A much better analogy would be having someone with no qualifications charging for medical prescriptions. You wouldn't allow an unlicensed doctor to continue practising on the grounds of freedom of speech, and with good reason. It's the same for those giving out nutritional advice without a consensual scientific backing.

    I've decided on balance, it'll be better for all our health if Steve loses. Why? Because then that sends out a clear message - if you don't have actual nutritional training, you can't influence dietary advice. Why's that good? Because then it provides a legal mechanism to prevent food manufacturers from influencing 'government' dietary advice. No more foods claiming to be 'healthy choices' on the basis they contain less than 5% fat. You then end up forcing consumers to actually consider what they eat, instead of picking up something that's labelled 'healthy' and then not even thinking whether or not it actually is.

    Furthermore, it sets a precedent that will protect people from much larger issues than diet - no more kooks on the internet selling dodgy health products etc.
    But what if Steve's right? What if our dietary and medical advice has been wrong all this time?

    This is the danger of censorship - ideas go unchallenged and are subjected to the whims of power. We also know that Steve is not the only voice. There are not only many every day kooks but also researchers, doctors, and dietitians on board with the viewpoint. Such laws and professional organizations might do more to entrench bad practice than actually do good for us.

    Advice is opinion. It is contained in a relationship, and I don't argue the relationship needs to be managed. Charging money for professional advice with no credentials and no insurance is folly, but it's not wrong. If a friend came to me for advice, I'd tell tehm what to do. I have many times, but I also tell them to check with their doctors, to check their facts, to do their own research.

    These laws are a very slippery slope.
  6. gettingby's Avatar
    I've been following Steve for a while. He's been a big help to me with his advice. And it was advice that I asked for. He didn't contact me any way way before I contacted him. He has never charged me anything. And, he has also made it known that this is what he did. He's not holding a gun to anyone's head saying "Do it my way". And Steve is fully aware that his way of eating is not going to cure me but it sure as heck is helping my pocket by needing less insulin and still keeping good readings.
  7. xMenace's Avatar
    Here's an important loking analysis at Law dot Com

    Can state licensing boards ban ordinary advice on the Internet?

    Applying that kind of analysis to Cooksey's speech makes clear the irrationality of the North Carolina board's actions. There is perhaps no kind of advice more ubiquitous than dietary advice, and our general societal presumption is that competent adults are fully capable of weighing conflicting dietary advice and deciding for themselves what to eat. That's why Cooksey has joined with the Institute for Justice, a nonprofit, public interest law firm to challenge the North Carolina Board of Dietetics/Nutrition's attempt to silence his speech.
  8. Chanson13's Avatar
    Quote Originally Posted by DeusXM
    . . . it should be possible to verify whether a diet is 'good' or not.
    Ordinarily, I think i would agree with you, Deus, but I am sooo tired of hearing advice from the registered dietician at the hospital where I see my endo that I am going to disagree. She is giving the same advice that she has given for 30 years (at least). I.e. follow the ADA guidelines, and get 50-60% of your calories from carbohydrates - and avoid all fats like the plague. I followed that advice for years, and it led to A1c's in the mid 7's to mid 8's. Since limiting my carb intake, my A1c's have been below 6.5 and occasionally below 6. I've also lost a few extra pounds. My take on all this is that the state of our knowledge about diet and its effect on metabolism is primitive at best.

    If the dieticians are going to restrict what advice can be given with respect to diet, are they going to shoulder the liability of what happens when they themselves give bad advice? I honestly feel like I got bad advice for years, and it probably damaged my quality of life in some ways. But I'm quite sure the Dietetic Association is not advocating for that kind of responsibility.
  9. DeusXM's Avatar
    But what if Steve's right? What if our dietary and medical advice has been wrong all this time?
    But that's an entirely different argument. The principle is whether someone with no training is allowed to dispense health advice for a charge. We can argue all we want about how Steve is some sort of vanguard for a movement or whatever. But you've said yourself, there are plenty of doctors and dieticians on board with the different diet approach. They aren't getting sued. Why? Because they're trained. The 'establishment' isn't shutting down alternative points of view, it's shutting down untrained people from dispensing advice for money.

    The question isn't whether the advice Steve was giving out for money was correct; the question is whether he personally should be allowed to charge for that advice. To put in perspective, what if I started a consultancy service where I charged people and told them they needed to use leeches to cure diabetes, and that my advice was superior to that of doctors' because it was a treatment with a long history? Should I be entitled to continue to run that service on the grounds of freedom of speech? I don't think so. What about if I started a similar service, but for telling cancer patients that chemo is a good idea? Should I be entitled to run that service? No. I'm not a doctor. I don't have the necessary training.

    The problem is that all of Steve's supporters in this seem to have a very different agenda to the one they're promoting. Ostensibly, it's supposed to be about freedom of speech. But when this view is challenged, suddenly it's about dieticians giving bad advice, or that there's too much regulation in business (and what a surprise, a libertarian group funded by the Koch Family Foundation wants less business regulation). These are entirely separate debates and have absolutely nothing to do with what is actually going through the courts. Playing Devil's advocate, you could put forward a compelling counterargument that Steve is just another in a long line of people who are lining their pockets out of other people's sickness.

    You need to ask yourself whether you're really in this on the grounds of freedom of speech, or whether it's really because you're seeing this court case as a platform to push a low-carb agenda and get your opinions validated. If it's the latter, let's at least be intellectually honest about this instead of using 'freedom of speech' as a Trojan horse.

    If Steve was being prosecuted for offering diet advice entirely free of charge with no consultancy fee, and did his best to ensure his audience knew he wasn't qualified, then yes, I would back him on this. But that's not what's happened.
  10. gettingby's Avatar
    Deus, just want to say this. Steve has always had a disclaimer on his site stating that he was not a licensed professional. He never led anyone to believe he is.