UPDATE: While my criticism of Blythman's article focused on the idiocy of her belief that public health policy can be based on middle class behaviour and assumptions, the article also deserved a right royal bollocking for its dodgy use of research. Adopting the faux objectivity characteristic of so much of the American press, it pretended to present two sides of the story by: A) offering accepted scientific evidence, then B) providing oppositional critiques of the mainstream science. See the trick here? It presents two sides of teh argument, but only lets one side critique the other. Thankfully, wiser men than me have called her on it. The best bit is the second letter, which points out that one of her key critics of putting folic acid in bread runs an online health food shop that sells - you guessed it - folic acid. Joanna, you got played.
This is one of the most egregious, up its own ass articles I've ever read. Joanna Blythman's normally pretty good, but in this piece she seems to be willfully myopic about the ways that socio-economic realities and the diets of the poor. Eg, she quotes, approvingly, this guy:
"It is noticeable that the FSA isn't proposing adding it to wholemeal
bread because it already contains it. Why doesn't the FSA just tell
people to eat more wholemeal bread?"
Um, because that wouldn't work, especially not with the mums who need this. (Hint: they don't have the same approach to food as you.)
Ok, that's one stupid question answered; how about another one?
The other main objection is that fortification is a sledgehammer to
crack a nut. The estimate is that adding folic acid to bread will save
120 babies in the UK every year from spina bifida, but for every baby
saved, half a million people, male and female, will have to take the
added folic acid. "Why not target potential young mothers rather than
mass-supplementing the population at large ?" asks Holford.
Hey, toughie! How about 'Because the young mothers who need this don't respond to government messages on health and diet?' You do; they don't - wishing ain't gonna change that. Or maybe the poor all quit smoking when I wasn't looking.
Pathetic.
Via Ezra Klein, here's an american example of the genre, in which well-off journalists who work from home bash those who don't make the time to cook proper meals after a 10-hour day.