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What is the correct way to read this sentence?

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Reader - 28 Jan 2010 17:45 GMT
The opening sentence of the following paragraph doesn't seem clear to
me.  Is my reading comprehension failing me or is the test actually
written incorrect?

" The story took a new turn with revelations that Wakefield had
received legal aid funding to carry out his study, through lawyers
acting for children whose parents believed their autism was caused by
the MMR jab and wanted to sue the manufacturers. It was alleged that
he had not revealed this to the Lancet, which then retracted part of
the paper."
http://www.guardian.co.uk/science/2010/jan/28/andrew-wakefield-downfall

I can't see how the first part of the sentence (to do with legal aid
funding) could have anything to do with the "lawyers acting for
children" in the second part of the sentence.

FIRST. As I understand it funding for legal aid does not come via
lawyers. Perhaps the author means funding was _arranged_ by certain
lawyers.

SECOND.  If legal aid funding was in fact arranged by lawyers who were
themselves also acting for the affected children then what is so
remarkable or incorrect about that?
HVS - 28 Jan 2010 17:55 GMT
On 28 Jan 2010, Reader wrote

> The opening sentence of the following paragraph doesn't seem
> clear to me.  Is my reading comprehension failing me or is the
[quoted text clipped - 12 lines]
> aid funding) could have anything to do with the "lawyers acting
> for children" in the second part of the sentence.

> FIRST. As I understand it funding for legal aid does not come
> via lawyers. Perhaps the author means funding was _arranged_ by
[quoted text clipped - 3 lines]
> who were themselves also acting for the affected children then
> what is so remarkable or incorrect about that?

The problem, I think, is that if legal aid funding that was
obtained to sue the manufacturers was used to fund Wakefield's
study, he should have disclosed to The Lancet that the study was
commissioned in support of legal action (as opposed to being
independently funded).

Signature

Cheers, Harvey
CanEng and BrEng, indiscriminately mixed

Cheryl - 28 Jan 2010 17:56 GMT
> The opening sentence of the following paragraph doesn't seem clear to
> me.  Is my reading comprehension failing me or is the test actually
[quoted text clipped - 19 lines]
> themselves also acting for the affected children then what is so
> remarkable or incorrect about that?

Another article on the same site says 'One of the key claims was that
Wakefield accepted more than £50,000 from the Legal Aid Board for
research to support a group of parents' attempts to fight for compensation.'
http://www.guardian.co.uk/science/2010/jan/28/mmr-doctor-fail-children-gmc

That's a lot clearer. 'Legal aid funding' brings up the image of a legal
aid lawyer providing the money. The Legal Aid Board presumably can
donate or pay out money in any way allowed by the rules governing their
group as well as hiring legal representation for the poor. Your article
also implies that the lawyers for the children were in some way
responsible for getting the money out of the Legal Aid Board and to Dr.
Wakefield.

Paying money to someone in the expectation that his research will give
you the results you want is ethically a bit iffy. At the very least, it
opens the researcher to accusations of conscious or unconscious bias in
favour of the results the financial supporters want.

Signature

Cheryl

HVS - 28 Jan 2010 18:06 GMT
On 28 Jan 2010, Cheryl wrote

> Another article on the same site says 'One of the key claims was
> that Wakefield accepted more than £50,000 from the Legal Aid
[quoted text clipped - 17 lines]
> conscious or unconscious bias in favour of the results the
> financial supporters want.

Yes, and I think the main complaint is that a study commissioned,
in effect, as expert witness support for litigation -- whether
funded by legal aid or not -- isn't supposed to be presented for
publication in a professional journal as an independent study.  (Or
at least not without clearly stating the circumstances under which
it was commissioned.)

Signature

Cheers, Harvey
CanEng and BrEng, indiscriminately mixed

James Hogg - 28 Jan 2010 18:23 GMT
> On 28 Jan 2010, Cheryl wrote
>
[quoted text clipped - 26 lines]
> at least not without clearly stating the circumstances under which
> it was commissioned.)

The Lancet has the following instructions to authors:

"At the end of the text, under a subheading 'Conflicts of interest',
all authors must disclose any financial and personal relationships
with other people or organisations that could inappropriately
influence (bias) their work. Examples of financial conflicts
include employment, consultancies, stock ownership, honoraria,
paid expert testimony, patents or patent applications, and travel
grants, all within 3 years of beginning the work submitted. If
there are no conflicts of interest, authors should state that."

Signature

James

Reader - 28 Jan 2010 18:43 GMT
>> Reader wrote:
>>>
[quoted text clipped - 52 lines]
>at least not without clearly stating the circumstances under which
>it was commissioned.)

My query was about this sentence:

" The story took a new turn with revelations that Wakefield had
received legal aid funding to carry out his study, through lawyers
acting for children ..." etc.

I think you're saying it should be read as follows:

"The story took a new turn with revelations that Wakefield had
received [money to] carry out his study [which had been awarded to
fund] for children ..." etc.

In other words, lawyers funded Wakefield's medical study from money
given to them for legal aid work.

Is it me being unusually thick today or do you think the original
sentence is almost impossible to read correctly from the way it has
been  written?
Peter Duncanson (BrE) - 28 Jan 2010 19:30 GMT
>>> Reader wrote:
>>>>
[quoted text clipped - 67 lines]
>In other words, lawyers funded Wakefield's medical study from money
>given to them for legal aid work.

Correct. They did so completely legitimately.

>Is it me being unusually thick today or do you think the original
>sentence is almost impossible to read correctly from the way it has
>been  written?

I think that the writer might say that the phrase "legal aid funding"
can refer only to legal aid money received by the lawyers from legal aid
funds adminstered by the Legal Services Commission (for England and
Wales).

Signature

Peter Duncanson, UK
(in alt.usage.english)

HVS - 28 Jan 2010 21:39 GMT
On 28 Jan 2010, Peter Duncanson (BrE) wrote

>> My query was about this sentence:
>>
[quoted text clipped - 12 lines]
>>
> Correct. They did so completely legitimately.

Yes.  AIUI, where Wakefield flouted professional rules,
conventions, and guidelines was in not making this clear when he
submitted the research for peer review and publication.

Signature

Cheers, Harvey
CanEng and BrEng, indiscriminately mixed

Peter Parry - 28 Jan 2010 21:53 GMT
>My query was about this sentence:
>
[quoted text clipped - 7 lines]
>received [money to] carry out his study [which had been awarded to
>fund] for children ..." etc.

Wakefield, prior to the study, had established commercial links with
the solicitor Barr to explore the possibility of claiming for vaccine
damage for autistic children.  Legal aid had, unusually, been provided
to the claimants to fund basic research.  Barr paid Wakefield (as well
as a variety of assorted American crackpots) and Unigenetics  to work
on the case.  The commercial laboratory in Ireland used for the
analysis, Unigenetics, had also previously been set up by Wakefield
and O'Leary for the sole purpose of carrying out analysis for the MMR
litigants through Barr.

>In other words, lawyers funded Wakefield's medical study from money
>given to them for legal aid work.

Not quite, the money was given to the parents, albeit on the
understanding it would be used to fund research into the problem.

>Is it me being unusually thick today or do you think the original
>sentence is almost impossible to read correctly from the way it has
>been  written?

No.  Wakefield did not reveal the source of his funding.  It was
subsequently found that the samples examined by Unigentics were
contaminated in their laboratory and the claimed finding of measles
virus was wrong.  Without this finding Wakefields hypothesis
collapsed.
Don Phillipson - 28 Jan 2010 22:37 GMT
> >>> " The story took a new turn with revelations that Wakefield had
> >>> received legal aid funding to carry out his study, through lawyers
[quoted text clipped - 5 lines]
> >>> http://www.guardian.co.uk/science/2010/jan/28/andrew-
> >>> wakefield-downfall
. . .
> I think you're saying it should be read as follows:
>
[quoted text clipped - 8 lines]
> sentence is almost impossible to read correctly from the way it has
> been  written?

The obvious error is the comma following "study."  Wakefield
actually received money (however used) from lawyers
pursuing their clients' interest.   The sentence is long enough
to demand punctuation:  but any punctuation between "funding"
and "lawyers" misrepresents the grammar of the sentence.

The scandal is not (necessarily) that legal aid funds were
spent on epidemiological investigations;  it is that when submitted
to The Lancet (a peer-reviewed professional journal) the interest
of the paymasters were not disclosed.

Signature

Don Phillipson
Carlsbad Springs
(Ottawa, Canada)

The Todal - 29 Jan 2010 14:53 GMT
> The scandal is not (necessarily) that legal aid funds were
> spent on epidemiological investigations;  it is that when submitted
> to The Lancet (a peer-reviewed professional journal) the interest
> of the paymasters were not disclosed.

Both were scandalous. The Legal Aid Board is not authorised to fund research
projects and were in effect tricked into doing so on the basis that the
money was part of the doctor's fee in supplying expert evidence in the case.
Richard Miller - 29 Jan 2010 17:51 GMT
>> The scandal is not (necessarily) that legal aid funds were
>> spent on epidemiological investigations;  it is that when submitted
[quoted text clipped - 4 lines]
>projects and were in effect tricked into doing so on the basis that the
>money was part of the doctor's fee in supplying expert evidence in the case.

Agreed.
Signature

Richard Miller

Richard Miller - 28 Jan 2010 21:56 GMT
>The opening sentence of the following paragraph doesn't seem clear to
>me.  Is my reading comprehension failing me or is the test actually
[quoted text clipped - 19 lines]
>themselves also acting for the affected children then what is so
>remarkable or incorrect about that?

Legal aid was granted to fund a group action on behalf of children who
had developed autism and on whose behalf it was claimed that there was a
link to MMR. As part of that funding, the Legal Services Commission
authorised the lawyers to fund, through legal aid, research by Wakefield
into the possible connection between MMR and autism.

This was unprecedented. Legal aid is often granted in order to secure a
report from an expert on whether the known evidence supports the
supposition that a causal link exists between the alleged wrong and the
alleged harm. Legal aid has so far as I am aware never before or since
been granted to enable the expert to carry out a study to find out
whether the link exists. That is quite simply not what legal aid is for,
and it was a gross waste of public money. The reason it is so improper
is that if the study had not yet been done to prove a link, then the
doctors who gave the MMR jab could not conceivably have known of such a
link, and therefore could not have been negligent in failing to advise
of the risk or offer alternatives.

Despite that, the Legal Services Commission still got badly slated in
the press when they belatedly took the correct decision to pull the
funding for the MMR case.
Signature

Richard Miller

avro - 28 Jan 2010 22:28 GMT
> In message <l9i3m5tm1s3968eu7t754lppucr7pknpbv@4ax.com>, Reader
> <unclear_reading@english.writing> writes
[quoted text clipped - 43 lines]
> the press when they belatedly took the correct decision to pull the
> funding for the MMR case.

Interesting. Well put. Do you work in the law?
Richard Miller - 28 Jan 2010 23:05 GMT
>> Despite that, the Legal Services Commission still got badly slated in
>> the press when they belatedly took the correct decision to pull the
>> funding for the MMR case.
>
>Interesting. Well put. Do you work in the law?

Yes, I have done for 20 years.
Signature

Richard Miller

The Todal - 29 Jan 2010 10:41 GMT
>>The opening sentence of the following paragraph doesn't seem clear to
>>me.  Is my reading comprehension failing me or is the test actually
[quoted text clipped - 41 lines]
> press when they belatedly took the correct decision to pull the funding
> for the MMR case.

Although your account is well put, it is probably not accurate in every
respect.

The claim did not depend on proving that the doctors who administered the
jab were negligent. It depended on showing that the vaccine was defective
and that this could or should have been rectified by the manufacturer prior
to distribution.  So it is not accurate to say that Wakefield's study,
funded by the LSC, would have been a waste of time and would have taken the
case no further.  It would have been one important link in the chain in
proving that the MMR jab could cause injury. It was however plainly
inappropriate for the LSC to fund studies at public expense.  Pay for a
report from Wakefield, yes. Not pay for him to do research to back up his
theories.

The LSC decided to withdraw funding for the case, and that of course meant
not just funding for Wakefield's studies but for the lawyers pursuing the
claim. That was a bold and sensible step. Unfortunately the LSC has often
funded hopeless claims and probably continues to do so, because it fails to
apply any objective scrutiny and relies to a great extent on the solicitors
and counsel it is funding to supply the advice about the prospects of
success.

Worth reading, anyway: http://www.bailii.org/ew/cases/EWCA/Civ/2006/155.html 
(decision to withdraw funding)
Press report: http://news.bbc.co.uk/1/hi/health/3494360.stm

and http://www.bailii.org/ew/cases/EWHC/Fam/2003/1376.html  (mothers and
fathers in dispute about whether or not children should be immunised)
Richard Miller - 29 Jan 2010 17:53 GMT
>> Legal aid was granted to fund a group action on behalf of children who had
>> developed autism and on whose behalf it was claimed that there was a link
[quoted text clipped - 46 lines]
>and http://www.bailii.org/ew/cases/EWHC/Fam/2003/1376.html  (mothers and
>fathers in dispute about whether or not children should be immunised)

Thanks, that's a useful correction. It still seems to me, though, that
if it was not previously proven that there was a link between the
vaccine and autism, it would be impossible to argue that the alleged
"defect" could have been rectified.
Signature

Richard Miller

Big Les Wade - 29 Jan 2010 13:14 GMT
Richard Miller <richard@seasalter0.demon.co.uk> posted
>if the study had not yet been done to prove a link, then the doctors
>who gave the MMR jab could not conceivably have known of such a link,
>and therefore could not have been negligent in failing to advise of the
>risk or offer alternatives.

But the manufacturer could have been. So could the Medicines Control
Agency. The onus is on these organisations to prove that a medicine is
safe before it is marketed. It is not a defence to say "oh we didn't
think of checking for a link to brain damage".

Signature

Les
Criticising the government is not illegal, but often on investigation turns out
to be linked to serious offences.

Richard Miller - 29 Jan 2010 17:54 GMT
>Richard Miller <richard@seasalter0.demon.co.uk> posted
>>if the study had not yet been done to prove a link, then the doctors
[quoted text clipped - 6 lines]
>safe before it is marketed. It is not a defence to say "oh we didn't
>think of checking for a link to brain damage".

I disagree. They cannot disprove every conceivable occasional adverse
reaction before authorising a drug.
Signature

Richard Miller

Big Les Wade - 30 Jan 2010 18:03 GMT
Richard Miller <richard@seasalter0.demon.co.uk> posted
>>Richard Miller <richard@seasalter0.demon.co.uk> posted
>>>if the study had not yet been done to prove a link, then the doctors
[quoted text clipped - 6 lines]
>>safe before it is marketed. It is not a defence to say "oh we didn't
>>think of checking for a link to brain damage".

>I disagree. They cannot disprove every conceivable occasional adverse
>reaction before authorising a drug.

Of course, but they have a statutory duty to search for adverse
reactions. If they fail to discover a serious reaction that subsequently
emerges in clinical practice, then they certainly can be found liable.

At least the manufacturer can be. This has happened to a great many
pharma and medical device manufacturers in the past 10 years, and some
of them have had to pay enormous sums in compensation.

The regulator can usually escape liability by showing it followed
standard practice. But in principle it too is exposed.

All that *could* have happened with MMR. In the end it didn't, but that
wasn't known in advance. That's why we do medical research: to find out
things that we couldn't have known in advance.

Signature

Les
Criticising the government is not illegal, but often on investigation turns out
to be linked to serious offences.

The Todal - 29 Jan 2010 09:54 GMT
> The opening sentence of the following paragraph doesn't seem clear to
> me.  Is my reading comprehension failing me or is the test actually
> written incorrect?

Your comprehension is incorrect.

> " The story took a new turn with revelations that Wakefield had
> received legal aid funding to carry out his study, through lawyers
[quoted text clipped - 11 lines]
> lawyers. Perhaps the author means funding was _arranged_ by certain
> lawyers.

Legal aid only comes via lawyers. The lawyers get the funding, to pay their
fees and disbursements. Here, they commissioned medical reports from
Wakefield and his fees included (in effect) the cost of running his studies,
which the lawyers should have refused to pay but presumably they paid,
recovering the money from the Legal Aid fund.

> SECOND.  If legal aid funding was in fact arranged by lawyers who were
> themselves also acting for the affected children then what is so
> remarkable or incorrect about that?

Because any research arranged in those circumstances isn't objective and
impartial, but is designed to help establish a claim.
 
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