The Conspiracy Theory that Went Bust
Some of the proponents of the drug hydroxychloroquine (HCQ) have put forward a conspiracy theory to explain the negative results for the drug in some clinical trials. They claim that the scientists running the trials have sold out to pharmaceutical companies and designed the trials in such a way as to make HCQ fail the trials. The alleged reason for doing this is to favor more expensive alternatives such as the drug remdesevir from Gilead Sciences and vaccines or antibodies made by other companies. This convoluted conspiracy theory has grown to encompass a worldwide network of scientists that have sold out in this fashion and to even involve organizations such as the Gates Foundation and the World Health Organization that are also allegedly colluding with the pharmaceutical companies.
This vast network of colluding scientists from different countries using different sources of funding and engaging in behavior contrary to the principles of the organizations for which they work, is not only very unlikely but the most basic tenets of the conspiracy theory are not even coherent. I have mentioned before that the same trial that found that HCQ was not effective against COVID-19 (the Recovery trial), also found that dexamethasone was effective in advanced cases of the disease. Steroids like dexamethasone are cheap generic drugs. Why would scientists colluding with pharmaceutical companies design the trials to torpedo one cheap drug (HCQ) but not another one (dexamethasone)?
But there is more.
Recently the results of the Solidarity trial sponsored by the World Health Organization (WHO) were published. It was already known that the trial had not found HCQ to be effective and this fanned the conspiracy theory, but another result of the trial was that remdesivir was not effective too! Why would the WHO betray their pharma overlords by trashing their drug? The answer is that the WHO didn’t because there was no one to betray. The vast majority of scientists involved in this research are honest individuals who are genuinely interested in finding whether these drugs work against a terrible disease. These scientists designed and performed clinical trials to the best of their abilities to obtain answers. This is how science is supposed to work. No ulterior motives, no deceit, and no conspiracy: just the facts, the evidence, and the truth.
The Accusation that Fell Flat
The attacks on Dr. Anthony Fauci continue due to his resistance to accept that hydroxychloroquine works. Dr. Fauci has stated:
“The point that I think is important, because we all want to keep an open mind, any and all of the randomized placebo-controlled trials, which is the gold standard of determining if something is effective, none of them had shown any efficacy by hydroxychloroquine. Having said that, I will state, when I do see a randomized placebo-controlled trial that looks at any aspect of hydroxychloroquine, either early study, middle study, or late, if that randomized placebo-controlled trial shows efficacy, I would be the first one to admit it and to promote it. But I have not seen yet a randomized placebo-controlled trial that’s done that. And in fact, every randomized placebo-controlled trial that has looked at it, has shown no efficacy. So, I just have to go with the data. I don’t have any horse in the game one way or the other, I just look at the data.”
This is the comment we would expect from a scientist like Dr. Fauci, Just show him a well-designed study that shows that HCQ is effective and he will change his mind. Makes sense right? But no, HCQ proponents will have none of it. They claim the evidence for HCQ is overwhelming (it isn’t), but it is being suppressed by a massive disinformation campaign (which is really an attempt by responsible organizations and individuals to counter misinformation about HCQ). And they have found another way to attack Dr. Fauci. They claim that the lack of acceptance of the effectiveness of HCQ by Fauci is killing people!
The Yale epidemiologist Harvey Risch and others have stated that back in the 1980s Dr. Fauci refused to issue guidelines for physicians to consider the prophylactic use of an antibiotic (Bactrim) to prevent an opportunistic infection (pneumocystis pneumonia) in AIDS patients because he considered there was not enough data, and this led to the preventable deaths of 17,000 people. They claim that Fauci is doing this again with HCQ and that people who could be saved are dying. This new accusation has reached a fevered pitch with claims that Dr. Fauci is a mass murderer. The notorious HCQ proponent Vladimir Zelenko is circulating a petition to the White House to bring several individuals including Dr. Fauci to justice for “Crimes Against Humanity / Mass Murder”.
There are several things that have to be understood by Fauci’s critics.
The first is that, as I have explained before, the job of doctors is to save their patients and improve their lives, and doctors have the freedom to treat patients as they see fit. On the other hand, the job of scientists like Fauci is to try to figure out what works and what doesn’t based on the evidence. During times when a disease ravages society, the use of many drugs that may or may not work is often proposed. These drugs can be prescribed by doctors, but they should not be endorsed by scientists. There is a scientific discussion that has to take place and the evidence has to be generated and/or evaluated. Dr. Fauci cannot endorse a drug for which the evidence is deficient. In any case Dr. Fauci himself has stated that he had no authority to issue guidelines, but he offered to help with carrying out a clinical trial.
The second thing is that Fauci is not the type of callous person that he is made out to be by HCQ proponents. Just consider that their accusations are remarkably similar to those levied upon Fauci by the notorious AIDS activist Larry Kramer back in the 1980s who besides calling him a murderer also said Fauci was a Nazi who should be put in front of a firing squad. Larry Kramer eventually befriended Fauci and he and other AIDS activists worked together with Fauci to make improvements to the clinical trial system which has saved many lives and given patients more control over the process.
And finally, just consider Fauci’s achievements. Apart from what I mentioned above regarding the modification of the clinical trials system, Fauci has not only made many scientific contributions that have advanced our knowledge of disease as well as developing effective therapies against diseases, but he has been among the architects of major programs such as PEPFAR (President's Emergency Plan for AIDS Relief) which has saved the lives of 18 million (!) people in Africa. In recognition for his work in creating the PEPFAR program, President George W. Bush awarded him the Presidential Medal of Freedom in 2008.
Fortunately, this accusation by HCQ proponents that Fauci is a murderer has fallen flat. The vast majority of people understand that Dr. Fauci is an exceptional individual both as a scientist and as a person. The vast majority of people also understand that those levying these accusations against Fauci have now pushed themselves further into a fringe and lost all credibility.
The image of Dr. Fauci ny NIAID is used here under an Attribution 2.0 Generic (CC BY 2.0) license. The conspiracy sign by Nick Youngson from Picpedia.Org (used here under a Creative Commons 3 - CC BY-SA 3.0 license), the public domain image of hydroxychloroquine by Fvasconcellos, and the public domain coronavirus image by Alissa Eckert, MS; Dan Higgins, MAM, from the CDC's Public Health Image Library were modified and merged.