On July 27th 2020, a group of physicians calling themselves “Frontline Doctors” posted a video to Facebook, YouTube and Twitter. The video displays licensed medical doctors in front of a supreme court building (1) advocating the reopening of schools, (2) suggesting that there are public health costs of lockdowns (e.g., excess suicides, cases of depression, domestic violence, and substance abuse) and (3) extolling the virtues of zinc and hydroxychloroquine (a drug whose robust supply is essential for managing lupus and other ailments) in treating and preventing COVID-19 infections. By the morning of July 28th, the video had roughly 14 million views and had been removed from every mainstream platform that had initially hosted it for violating their coronavirus misinformation policies. On the same morning, I became curious and watched the video elsewhere. It was not hard to find.
Lesson one: Despite claims that private social media companies regularly violate persons’ free speech rights, actions by private companies to censor content are much less worrying than similar actions by state agents. This is partially because it’s relatively easy to access content that private parties take down. Less so when the state does it.
On July 29th, the New York Times’ David Leonhardt ran a “morning briefing” indicating that the video had been removed for suggesting that hydroxychloroquine was an effective cure and that masks were unnecessary. The remark on masks was a mere snippet of the much broader message. “You don’t need a mask,” Stella Immanuel said, “there’s a cure.” She herself admits to wearing a surgical mask, so presumably she does not mean that there is no reason to wear a mask in the absence of the drug’s widespread deployment. Other doctors who spoke at the event clearly advocate social distancing and mask-wearing practices.
But leaving this claim aside, there is at least some truth in the main of what these doctors were saying. The segment lasted over 45 minutes, only a small portion of which contained anything about masks and only some of which concerned hydroxychloroquine . Many of the group’s claims about the safety of reopening schools and the hidden public health costs of lockdowns are largely uncontroversial. Others, e.g., that Sweden’s response represents an alternative approach to locking down are likewise true, even if the results of Sweden’s alternative approach have been mixed. Labeling the entire segment false or misleading thus does disservice to what’s true in it.
Lesson two: John Stuart Mill was right that censored content that is false often contains important half-truths and that this matters when considering whether to suppress it.
In the same piece, Leonhardt claimed that confusion induced by social media platforms’ failure to aggressively censor content is among the most noteworthy causes of the United States’ comparatively bad coronavirus outcomes. (Leonhardt also cited Sinclair’s media network, which broadcasts content downplaying the risks of the virus.) Let’s leave aside the fact that the causal explanation of the U.S.’s performance relative to its peers is a matter of some complexity and focus instead on something striking about the causal claim he in fact makes: that social media companies’ lack of censorship deserves a large portion of the blame for these outcomes.
But notice that reporters like Leonhardt at mainstream media outlets have likely done more than any social media platform to spread this particular video’s message. Had the message merely remained on Twitter, YouTube, and Facebook (as so much content does) I would not have watched it. The same is surely true for countless others. But because the video’s content, which might have otherwise maintained a kind of cult viewership, was covered by all of the major news outlets, lots of people sought it out. This is the Streisand Effect in action: very often, attempts to suppress information lead to its viral spread. This matters because there are in effect two possibilities: either the ineptly suppressed content is dangerous or it isn’t. If it is genuinely dangerous, then Leonhardt (and others like him) have acted irresponsibly by their own lights by drawing much more attention to it. If the content of the video is not genuinely dangerous, on the other hand, then the main justification for removing the content in the first place is implausible.
Now, you might say the way that mainstream outlets spread the speech was not dangerous insofar as it was framed explicitly as containing disinformation. The problem is twofold. First, the current media climate is so polarized right now that even once reputable outlets like the New York Times are deemed untrustworthy by a significant subset of the population. (Some go so far as to claim that these outlets are anti-reliable.) When such outlets declare something to be disinformation, then, there is real reason to worry that people skeptical of the outlet will be more favorably disposed to the bad speech than they’d otherwise have been. Second, some research has uncovered an Illusory Truth Effect, according to which people are more likely to believe things that they hear constantly repeated, even if listeners know the repeated claim is false.
Lesson Three: If there’s dangerous content out there, it’s often better to ignore it than draw increased attention to it. Paradoxically, censoring content is among the best ways of promoting it. Given the newsworthiness of social media censorship, were these companies to do what Leonhardt wants them to do and censor content more often, the effect might well be that the allegedly dangerous content reaches a wider audience than it otherwise would.
None of this is to deny that some of what these doctors said sounds crazy. (Though, notably, for some of them, their professional views on the efficacy of hydroxychloroquine are among their most innocuous.) Still, it’s important not to pretend that the coronavirus treatment science is settled—there is still much that we don’t know, and the mainstream medical researchers at least deem the hypothesis that hydroxychloroquine is an effective treatment worthy of study in high profile scientific outlets. Until these questions are settled, it’s important for professionals, even fringe professionals, to make their arguments without being dismissed out of hand and derided. Importantly, the arguments regarding hydroxychloroquine offered by the so-called “Frontline Doctors” are largely anecdotal, rely on small sample sizes (n=350), and are afflicted with other problems evident to anyone remotely well-versed in critical thinking. Were these arguments to become widely accepted, it would be important to recognize their flaws and to draw public attention to them. But to think that the conclusions of such arguments are beyond the pale—especially in the context of the broader pandemic, during which those insisting on proper data collection techniques have been derided for not acting quickly enough—is, frankly, not credible. Thus even if these arguments should be discredited and derided, it’s important to take care not to similarly deride and discredit those who argue for similar conclusions from more solid grounds.
Lesson four: If you must draw attention to a bad argument that someone makes on some important issue, focus on the argument’s substance, rather than discrediting what speakers say by taking small claims they make out of context. Doing so is a small first step toward establishing credibility with those who disagree with you. Again, there is no first amendment issue here, but even the most fastidious protection of our rights to speak against government interference is insufficient for ensuring a healthy atmosphere for discourse.