Economist and philosopher Murray Rothbard was my mentor and friend. He died in 1995, but his writings continue to inform the world. As with other such great thinkers, the question in the midst of a great crisis is always, what would he think about this?
Let there be no doubt: Murray Rothbard was fully opposed to the deployment of government power to poison the public in the name of public health. He very precisely and presciently explained the source: “an alliance of three major forces: ideological Social Democrats, ambitious technocratic bureaucrats, and Big Businessmen seeking privileges from the State.”
It is reprinted here in full.
‘Fluoridation Revisited’ by Murray Rothbard
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 a 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. Not only do they let fluoride emissions off the hook, but they endorse uncritically the massive and continuing dumping of fluoride into the nation’s water supply.The Pros and Cons
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 9! 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. 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 10 glasses of water a day receiving 10 times the fluoride dose of a guy who drinks only one glass? The whole process is monstrous as well as idiotic.
Adults—and in fact, children over 9—get no benefits from their compulsory medication, yet they imbibe fluorides proportionately to their water intake.
In addition, studies have shown that while kids aged 5 to 9 may have their cavities reduced by fluoridation, the same kids at ages 9 to 12 have more cavities, so that after 12 years of age, the cavity benefits disappear. At best, then, 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?
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 kid’s thirst. Or they can get their kids to brush their teeth with fluoride-added toothpaste. How about freedom of individual choice?
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 United States, are long gone, although the market in recent years has popped up in the form of increasingly popular private bottled water (even though this option is far more expensive than socialized free water).
There is certainly nothing loony or kooky about any of these arguments, is there? So much for the general case for and against 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, fluoridation proponents 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 10 years later, dental cavities in 5- to 9-year-old kids 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 fluoride opponents raised the disquieting fact that, after 10 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.
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 medical writer Joel Griffiths, in the left-wing muckraking journal Covert Action Information Bulletin.)Yet, before five years were up, the government killed its own “scientific study” by fluoridating the water in the control 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.
PR Drive
The mobilization, the national clamor for fluoridation, and the stamping of fluoridation 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, who had 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.As a retrospective scientific article pointed out about the fluoridation movement, one of its widely distributed dossiers listed as opponents of fluoridation “in alphabetical order reputable scientists, convicted felons, food faddists, scientific organizations, and the Ku Klux Klan.” 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 explained, “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 related 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.” 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.
Doubts Accumulate
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 Newburgh 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 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 percent 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.
Incredibly, it took the NCI 12 years to finish its tests, finding “equivocal evidence” that fluoride causes bone cancer in male rats. Under further direction of Congress, the NCI studied cancer trends in the United States, 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.
‘World-Class’ Review
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 fluoridation, especially for 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 9, 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 eight parts per million.
Predictable Conclusion
Clearly, it was high time for another federal commission. During 1990 to 1991, a new commission, chaired by veteran PHS official and longtime 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 have turned anti-fluoridation, with toxicologist William Marcus warning that fluoride causes not just cancer, but also bone fractures, arthritis, and other diseases. 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 unfluoridated areas.
Even coming into question is the long-sacred idea that fluoridated water at least lowers cavities in children aged 5 to 9. 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.
In the early 1980s, 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 unfluoridated 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.
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 byproducts of many industrial processes, being emitted in the air and water, and probably the major source of this byproduct is the aluminum industry. By the 1920s and 1930s, fluoride was increasingly being subjected to lawsuits and regulations. In particular, by 1938, the important and relatively new aluminum industry was being placed on a wartime footing. What to do if its major byproduct is a dangerous poison?
The time had come for damage control, or even to reverse the public image of this menacing substance. The Public Health Service, remember, was under the jurisdiction of the Treasury Department, and the Treasury secretary during the 1920s and until 1931 was none other than billionaire Andrew J. Mellon, head of the powerful Mellon interests, 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 effect 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.”
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.
Suspicious Connection
One interesting footnote to this story is that whereas fluoride 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 fluoride; 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 longtime counsel, now chief counsel, for ALCOA, making what was then an astronomical legal fee of $750,000 a year (something like $7 million 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 of 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.
