Scott Alexander, curated
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Side Effects May Include Anything

Quality
68
Strong
Claude Shift
50
Moderate
RWI
2
of 10

Summary

A public-service exposé of EHealthMe/PatientsVille/Treato — sites that auto-generate 'Could $DRUG cause $SIDE_EFFECT?' pages by scraping FDA adverse-event reports for every drug-symptom pair. The Xolair/depression example: 14 of 11,502 reporters = 0.1% (below baseline, so Xolair would be 'the most effective antidepressant on Earth'), yet the weasel-word framing ('Major depression is found among people who take Xolair') plus a fake auto-generated support group terrifies patients. Treato even garbles a tennis-forum post (a user named 'Xolair') into a depression 'report.' The real harm: patients stop taking medication (the antidepressant patient who quit over Googled 'shoulder pain'), and 'one day somebody's going to Google can penicillin cause cancer, stop taking antibiotics, and die.'

Why this score

Quality 68 · Strong. A clean, important public-service debunk of a scummy SEO-medical-misinformation industry, with vivid examples and a real patient-harm stakes argument. Strong-low; narrow in scope.

Claude’s paradigm shift 50 · Moderate. Names and dissects a specific (and under-recognized) misinformation mechanism; useful but applied. Moderate.

Real-world impact 2 · Minor. A within-discourse exposé; no material-world effect. Within-blog influence.