7th Day Adventist Church

When an LLU medical team transplanted a baboon's heart into an infant whose pseudonym was "Baby Fae," animal-rights activists picketed the medical center. They seemed disillusioned with SDAs, who have no qualms about prioritizing humans over animals. In October 1992, after a pig's liver had been transplanted into a 30-year-old woman to enable her to survive until a human liver was secured, a representative of PCRM engaged in a televised debate with one of the physicians who had performed the transplant. The representative lamented that the pig's consent had not been obtained.

PCRM appears to be largely a personal forum for its leader, Neal Barnard, M.D., and is said to be substantially funded by PETA. (In fiscal year 1994, donations and grants to PCRM reportedly totaled more than a million dollars. 17) Barnard extols the longevity value of vegetarianism. He has claimed: "It's not genetics or fate that gives people long, healthy lives and cuts other people short; for those who want to take care of themselves, it all comes down to diet." The surgeon argued that pigs were killed daily for meat, including their livers. The PCRM doctor retorted that the consumption of animal fat (which is highly saturated) was responsible for most deaths in modern society. He cited a study conducted by Colin Campbell in China. Campbell had focused on the relative morbidity for certain diseases without pointing out that life expectancy in China (66 years) is lower that that in the United States (75 years). 18

Because they consider themselves morally superior, many vegetarians exhibit no reservations against using mind-control techniques or terrorism to actualize their agenda. Mind control includes using information selectively to "educate" people about the alleged superiority of vegetarianism. It may also include traumatizing people emotionally to condition them against the use of animal foods. Early in my teaching experience, I attended a meeting of SDA secondary school health teachers where many said that they converted students to vegetarianism by taking them on field trips to slaughterhouses to witness the bloodshed. This strategy offended me even though I was a practicing vegetarian at the time. Having studied for years how people have been manipulated by cults and quacks, it is now clear to me that the slaughterhouse tactic is a form of mind control that it is as unethical as discouraging little girls from having sex by inducing them to watch a difficult childbirth.

Terrorism involves trying to coerce people to behave in ways the perpetrators desire. In December 1994, to keep people from having turkey for Christmas dinner, self-described animal-rights terrorists claimed they had injected rat poison into supermarket turkeys in Vancouver, British Columbia. The scare caused the destruction of more than $1 million in turkeys. Apparently, the activists had not foreseen the ensuing slaughter of turkeys as replacements.

Odorless Doo-doo?

The John Harvey Kellogg character in the 1995 film Road to Wellville stated that his feces had no more odor than that of "freshly baked biscuits." One evening I offered a ride home from the university to an elderly colleague, an avid vegetarian. Upon entering my car, he declared: "When I drink carrot juice, my bowel movements have no odor."

Before I could respond, he said: "Rabbits eat lots of carrots, and their feces have no odor." The thought of someone running around sniffing little piles of rabbit doo-doo almost made me laugh, but I didn't want to be disrespectful. His idea that rabbits eat many carrots intrigued me. I had raised them in my boyhood and discovered that, despite the passion for carrots shown by Bugs Bunny, real bunnies are not particularly fond of carrots. Furthermore, wild rabbits seldom would have an opportunity to eat carrots. Luckily the ride was short.

The late Pulitzer Prize-winning anthropologist Ernest Becker argued that defecation is most closely associated with humankind's animality and mortality. 15 During a Bible class at an SDA school, I was taught that people did not defecate in the Garden of Eden but utilized the food they ingested in its entirety. Apparently, foul odors did not befit Paradise. (Perhaps the persistence of the miasmatic theory of disease the theory that diseases are due to foul-smelling emanations from the earth well into the nineteenth century, when SDA beliefs were developed, reinforced the idea of a poopless Paradise.) I was also taught that roughage became part of the human diet after the Fall. Allegedly, this broadening of the diet to include "the herb of the field" (Genesis 3:18, King James version) occurred because humans were now under the " death sentence" caused by original sin. Whether this reportedly was a voluntary dietary change or part of the curse of being ousted from Paradise is debatable. Some versions of the Bible imply that "the herb of the field" merely meant "wild foods" (New English Version), not a new source of food.

Heavy "PETAing"

In the last century, the pacifist movement was vegetarian because of the belief that meat-eating animals were fierce and vegetarian animals were docile. The British poet Percy Bysshe Shelley claimed that the French revolution had been bloody and the English revolution bloodless because the French ate more meat than the English. 16 Such invalid notions have been discredited, but not abandoned. Some boxers still eat raw meat or drink blood before a fight to increase their aggressiveness.

People who fancy themselves morally superior often have a mission to convert humanity to their worldview. The most violent ideologic vegetarians are the animal-rights activists, who have destroyed animal research facilities and threatened researchers' lives. Animal-rights groups such as People for the Ethical Treatment of Animals (PETA) consider animals on par with humans. On April 24, 1996, PETA's Ingrid Newkirk appeared on the television newsmagazine Day & Date opposing sport fishing. She began her argument by seeking commiseration for suffocating fish. Then she said that fish were unhealthful food because they contained mercury and other environmental contaminants. The solution, according to Newkirk, was vegetarianism. Her opponent, a TV talk-show host, pressed her into acknowledging the PETA creed. The talk-show host described an on-air encounter she had had with another PETA representative. A scenario had been presented in which the representative's daughter needed a vital organ from a beloved household pet in order to survive. The ethical question had been whether the child's life was worth more than the pet's. The PETA representative had held that the child had no more value than the pet. Newkirk did not contest the assertion that PETA considers the life of a child no more valuable than that of a pet.

Vegetarianism has taken on a "political correctness" comparable to the respectability it had in the last century, when many social and scientific progressives advocated it. Today, crusaders extol meatless eating not only as healthful but also as a solution to world hunger and as a safeguard of "Mother Earth." The Physicians Committee for Responsible Medicine (PCRM) aggressively attacks the use of animal foods and has proposed its own food-groups model, which excludes all animal products.

I disclaimed vegetarianism after many years of observance. Although the arguments in favor of it appear compelling, I have learned to be suspicious, and to search for hidden agendas, when I evaluate claims of the benefits of vegetarianism. Vegetarianism is riddled with delusional thinking from which even scientists and medical professionals are not immune.

Don't get me wrong: I know that meatless diets can be healthful, even desirable, for some people. For example: (a) Men with an iron-loading gene are better off without red meat, because it contains heme iron, which is highly absorbable and can increase their risk of heart disease. (b) Because vegetarian diets are likely to contain less saturated fat than nonvegetarian diets, they may be preferable for persons with familial hypercholesterolemia. (c) Vegetables contain phytochemicals that appear protective against colorectal cancer. (d) Homocysteinemia (elevated plasma homocysteine) approximately doubles the risk of coronary artery disease. Several congenital and nutritional disorders, including deficiencies of vitamins B6 and B12 and folic acid, can cause this condition. Since folic acid occurs mostly in vegetables, low intakes of the vitamin are less likely among vegetarians than among nonvegetarians. (e) Some people find that being a vegetarian helps to control their weight. Vegetarianism tends to facilitate weight control because it is a form of food restriction; and in our overfed society, food restriction is a plus unless it entails a deficit of some essential nutrient.

However, one need not eliminate meat from one's diet for any of the foregoing reasons. Apparently, it is ample consumption of fruits and vegetables, not the exclusion of meat, that makes vegetarianism healthful.

Dog Day Afternoon?

The term "vegetarian" is misleading, for it is not a name for people who favor vegetable consumption, but a code word for those who disfavor or protest the consumption of animal foods. The neologism anticarnivorist better characterizes the majority of those who call themselves vegetarians. I call myself a "vegetable enthusiast," because I strongly encourage eating lots of vegetables, including legumes, whole grains, and fruits. I believe that these foods are desirable not only because of their high nutrient density and low caloric density, but also because of aesthetic and gustatory factors. Being a vegetable enthusiast doesn't entail rejecting the use of meat or animal products.

Most people who categorize vegetarians identify at least five different kinds, based on which types of animal food they consume: Semivegetarians consume dairy products, eggs, fish, and chicken; pesco-vegetarians consume dairy products, eggs, and fish; lacto-ovo-vegetarians, dairy products and eggs; ovo-vegetarians, eggs; and vegans, no animal foods. From a behavioral standpoint, I categorize vegetarians as either pragmatic or ideologic. A pragmatic vegetarian is one whose dietary behavior stems from objective health considerations (e.g., hypercholesterolemia or obesity). Pragmatic vegetarians are rational, rather than emotional, in their approach to making lifestyle decisions. In contrast, vegetarianism is a "matter of principle" for ideologic vegetarians; its appropriateness is a given.

One can spot ideologic vegetarians by their exaggerations of the benefits of vegetarianism, their lack of skepticism, and their failure to recognize (or their glossing over of) the potential risks even of extreme vegetarian diets. Ideologic vegetarians make a pretense of being scientific, but they approach the subject of vegetarianism more like lawyers than scientists. Promoters of vegetarianism gather data selectively and gear their arguments toward discrediting information that is contrary to their dogma. This approach to defending a position is suitable for a debate, but it cannot engender scientific understanding.

Because of the influence of my Seventh-day Adventist (SDA) environment, I practiced vegetarianism for many years. My wife and I even tried to give up consuming all animal products, but this didn't work. We sometimes muse aloud about the morning we put soymilk on our breakfast cereal. We ended up eating the cereal with a fork because we found the mixture repulsive. We had another unforgettable experience when we ate with a group of vegetarian hippies in the Oregon woods. We were there at their request to advise them on vegetarian eating. They had already prepared the worst-looking vegetarian stew I have ever seen or tasted. It consisted of raw peanuts and a variety of half-cooked vegetables. After eating it, I had heartburn for hours. Digestive distress is legendary among SDAs.

Reasons for adopting vegetarianism can be very personal. Some years ago I shared a podium for several days with a vegetarian. It became clear from our informal conversations that he was not religious; so I asked him why he had opted for vegetarianism. He told me a touching story about having been a lonely boy whose closest companion was his pet dog. He said that, peering into the dog's eyes one day, he had come to see the animal as a fellow being. Soon he had applied this view to all animals, and since he could not bear the thought of eating his dog, he could no longer eat other animals.

Disclosure

Research into vegetarianism by vegetarians always involves at least unconscious bias. All humans have entrenched beliefs beliefs whose rootedness makes doing related scientific research unwise. Kenneth J. Rothman, Dr.P.H., referred to SDAs in a recent discussion of conflicts of interest in research:

We might expect conflict of interest concerns to be raised, for example, about Seventh Day Adventists who are studying the health effects of the comparatively abstemious lifestyle of their fellow Adventists. Whereas policies at [the Journal of the American Medical Association] and The New England Journal of Medicine emphasize financial conflicts, Science asks authors to divulge "any relationships that they believe could be construed as causing a conflict of interest, whether or not the individual believes that is actually so." In other words, to comply with disclosure policies at Science, authors might need to disclose to editors their religion and sexual orientation along with their financial portfolio. 19

Although Rothman argues for letting work standing on its own merit rather than judging cynically any possible connection to a funding source, his example makes the point that motivations more powerful than money can distort data. Science fraud can be extremely difficult to detect, because the perpetrators control the information. As Mark Twain observed, "Figures don't lie, but liars figure!"

I don't believe that all research done by vegetarians is untrustworthy. My experience with the ongoing Seventh-day Adventist Health Study (SDAHS), a series of studies conducted from LLU School of Public Health, has been largely positive. Its chief researcher, the late Roland Phillips, M.D., Dr.P.H., was an outstanding scientist in whose objectivity I had the utmost confidence. He recognized the problem of the influence of social expectations on SDAs responding to questions about their lifestyle. Adventist groupthink makes it likely that SDAs will underreport activities disfavored by the church community (e.g., meat-eating, coffee drinking, and imbibing) and over-report those that are approved (e.g., dining meatlessly and exercising). Phillips seemed to feel that the benefits of vegetarianism per se were limited, and that one must take account of heredity, socioeconomic status, and the total SDA lifestyle. Abstention from smoking, access to state-of-the-art healthcare, and strong social support probably are responsible for most of the health benefits SDAs enjoy. The main problem with SDA vegetarian science is how the scientific information is used. To paraphrase an old Pennsylvania Dutch saying: Among SDAs, when the news about vegetarianism and health is good, "we hear it ever" ; when the news is not good, "we hear it never."

I have received numerous reports from SDA health professionals, and have personal knowledge of other cases, in which church members' overconfidence in vegetarianism prevented them from obtaining effective medical care. Some reports have involved true believers in vegetarianism who were members of physicians' families. Some denied symptoms, and their denial kept them from seeking effective intervention in time. Others rejected medical care for "natural remedies" that emphasized diet. The attitudes evidenced are consistent with those identified in cancer patients who had turned to quackery because they believed they had brought the disease upon themselves and could cure it by "natural" practices. 20 The SDA Church has bent over backward to document the benefits of the SDA lifestyle and to persuade members to adopt vegetarian diets. I would like to see the church seek earnestly to expose the harm that its vegetarian teachings have caused its members. Alas, there's the rub with ideologic vegetarianism: Objectivity always takes a back seat to proselytism.

The data suggest that most SDAs are reasonable in their approach to vegetarianism. In the 1970s, the SDAHS revealed that only one percent were vegans. 21 This may change as vegetarianism becomes more popular in the general population. SDAs tend to be overachievers. If we regard something as "good," we strive to adopt it completely. If we consider something "bad," we avoid it completely. SDA vegetarian evangelists have become more aggressive in recent years because of the widespread belief in the SDA community that doomsday is nigh.

I recall an SDA church leader's fitting reply to the question of whether he ate meat: "I eat just enough to keep me from becoming a fanatic!"

One Less "Ism"

I gave up vegetarianism because I found that commitment thereto meant surrendering the objectivity that is essential to the personal and professional integrity of a scientist. As a health educator, I feel I have an obligation to endeavor to stick to whatever unvarnished facts scientific research uncovers. I can support pragmatic vegetarianism, but I believe that crusading vegetarian ideologues are dangerous to themselves and to society.

ACSH advisor William T. Jarvis, Ph.D., is a professor of public health and preventive medicine at Loma Linda University, founder and president of the National Council Against Health Fraud, and coeditor of The Health Robbers: A Close Look at Quackery in America (1993). This article is an adaptation of one published by Prometheus Books (Amherst, New York) in the November/December 1996 issue of Nutrition & Health Forum newsletter.

1. D. Erhardt, "The New Vegetarians, Part OneÃVegetarianism and its Medical Consequences," Nutrition Today, November/December, 1973.

2. R. Spitzer. No Need For Hunger. Danville, Ill.: Interstate Printers and Publishers, 1981.

3. National Academy of Sciences. Toxicants Occurring Naturally In Foods. Washington, D.C.: National Academy Press, 1973.

4. J. Wood. "Mother of Starved Children Asks Permission to Give Birth Again," San Francisco Sunday Examiner & Chronicle, March 27, 1983, p. A5.

5. Journal of Nutrition Education 1981; 13:26.

6. Newsweek, September 18, 1972, p. 71.

7. "Temple Beautiful DietÃDeath for David Blume," (AP) San Bernardino Sun, October 15, 1979, p. A-3.

8. C.V. Wetli and J.H. Davis. JAMA 1978; 240:1339.

9. San Jose Mercury News, August 20, 1994.

10. O. Segerberg. Living to Be 100: 1200 Who Did and How They Did It. New York: Charles Scribner's Sons, 1982.

11. J.L. Lyon, M.R. Klauber, J.W. Gardner, and C.R. Smart, "Cancer Incidence in Mormons and Non-Mormons in Utah, 1966-70," N Engl J Med 1976; 294:129-133 (p.132).

12. J.E. Enstrom. "Cancer Mortality among Low-Risk Populations," CA A Cancer Journal for Clinicians 1979; 29:352-61.

13. C.M. Friedenreich, R.F. Brant, and E. Riboli. "Influence of Methodological Factors in a Pooled Analysis of 13 Case-Control Studies of Colorectal Cancer and Dietary Fiber," Epidemiology 1994; 5:66-79.

14. D.J. Hunter et al. "Cohort Studies of Fat Intake and the Risk of Breast CancerÃA Pooled Analysis," New Engl J Med 1996; 334:356-61.

15. E. Becker. The Denial of Death. New York: Macmillan Publishing Co., Inc., 1973.

16. J. Whorton. "Tempest in a Flesh-Pot: Development of a Physiological Rationale for Vegetarianism," Journal of the History of Medicine, April 1977, pp. 119-120.

17. Good Medicine, Spring 1995.

18. The Population Reference Bureau, Inc., Washington, D.C., 1988.

19. K. Rothman. "Conflict of Interest: The New McCarthyism in Science," JAMA 1993; 269 (21):2782-4.

20. B. Cassileth et al. "Contemporary Treatments in Cancer Medicine," Ann Intern Med 1984; 101:105-12.

21. "Researchers Release Adventist Health Study Results," Pacific Union Recorder, March 12, 1979.

(From Priorities, Vol. 9, No. 2)