It seems like you think what Metz wrote was acceptable because it all adds up to presenting the truth in the end, even if the way it was presented was ‘unconvincing’ and the evidence ‘embarassing[ly]’ weak. I don’t buy the principle that ‘bad epistemology is fine if the outcome is true knowledge’, and I also don’t buy that this happened in this particular case, nor that this is what Metz intended.
If Metz’s goal was to inform his readers about Scott’s position, he failed. He didn’t give any facts other than that Scott ‘aligned himself with’ and quoted somebody who holds a politically unacceptable view. The majority of readers will glean from this nothing but a vague association between Scott and racism, as the author intended. More sophisticated readers will notice what Metz is doing, and assume that if there was substantial evidence that Scott held an unpalatable view Metz would have gladly published that instead of resorting to an oblique smear by association. Nobody ends up better informed about what Scott actually believes.
I think trevor is right to invoke the quokka analogy. Rationalists are tying ourselves in knots in a long comment thread debating if actually, technically, strictly, Metz was misleading. Meanwhile, Metz never cared about this in the first place, and is continuing to enjoy a successful career employing tabloid rhetorical tricks.
I’ve been trying to figure out why I feel like I disagree with this post, despite broadly agreeing with your cruxes. I think it’s because it in the act of writing and posting this there is an implicit claim along the lines of:
For context, I am both vegan and a doctor. Nutrient deficiencies are common and can cause anything ranging from no symptoms to vague symptoms to life-threatening diseases. (For simplicity, I’m going to focus on deficiencies only, although of course there are other ways diet can affect health.) They are generally well-understood, can be detected with cheap laboratory tests, and have cheap and effective treatments.
Veganism is a known risk factor for some nutrient deficiencies, particularly B12 and iron. Many vegans, including myself, will routinely get blood tests to monitor for these deficiencies. If detected, they can be treated with diet changes, fortified foods, oral supplementation, or intramuscular/intravenous supplementation.
Some vegans don’t know about this, and they might end up with a nutrient deficiency. They might be asymptomatic, or they might develop symptoms, and if they go to a doctor with those symptoms the doctor will (hopefully) figure out the problem and recommend a solution. If they don’t go to a doctor, it could be either because the problem is minor enough that they can’t be bothered, or because they generally don’t seek medical help when they are seriously unwell, in which case the risk from something like B12 deficiency is negligible compared to e.g. the risk of an untreated heart attack. Many people don’t have good access to medical care, but this is a problem orthogonal to veganism, and for these people veganism is unlikely to be their most important health concern.
Beyond these well-known issues, is there any reason to expect veganism in particular to cause any health harms worth spending time worrying about? People have vague symptoms all the time, and perhaps some of these are related to veganism. They might also be related to microplastics, or pathogens, or antibiotics in the meat supply, or who knows what. As far as I’m aware, there is no mysterious syndrome or increased mortality rate among vegans that is currently going unexplained.
Let’s suppose that people do the exact opposite of what you recommend: proselytise for veganism without mentioning the risk of nutrient deficiencies; fail to suggest dietary issues when discussing health problems; make false claims about vegan nutrition. If you take out the references to veganism, this is just the current state of the world. People advertise their fast food restaurants and feed their children sugary breakfast cereals without caveats about the risk of heart disease or diabetes. People give each other folk medical advice and swap half-baked ideas about supplements and fad diets. Much of the work of public health and medicine is preventing, screening for, and fixing the problems caused by this. ‘People should have better health knowledge’ is broadly laudable and agreeable, but it’s not a claim about veganism.
In summary:
The potential health harms associated with veganism are well understood, easily detected, and easily treated
To the extent that vegans don’t know about them, this is not a problem specific to veganism nor is it one where veganism in particular is likely to be causing significant health harms
There is no reason to suspect veganism in particular is causing as yet undiscovered harms