The Lacuna Project

lacuna (n.) a gap in a record where something should be

Independent research. Not affiliated with any government, agency, or company.

Subject · MED

Medicine and Public Health

How American medicine and public health came to be funded, staffed and legally protected by the industries they oversee, and which questions they declined to answer.

13 chapters · 106 findings · finding numbers carry the prefix MED

  1. 01

    The Founding

    How Carnegie, Rockefeller and the AMA rebuilt American medicine between 1901 and 1930, and what the foundations wrote about why.

    Chapter as PDF

  2. 02

    The Template Goes Global

    Rockefeller personnel and money in the League of Nations health body and the early WHO; the Gates Foundation as successor.

    Chapter as PDF

  3. 03

    The Studies Not Run

    The comparisons that would settle the safety of the childhood schedule, and the record of decisions not to make them.

    Chapter as PDF

  4. 04

    The Filtered Record

    Unpublished trials, selective reporting, ghostwritten reviews and retractions that arrived decades late.

    Chapter as PDF

  5. 05

    The Shield

    From the Cutter incident to the 1986 Act and the PREP Act: how liability for recommended products was removed.

    Chapter as PDF

  6. 06

    Money, Fees and the Revolving Door

    Industry user fees at FDA, lobbying, and the movement of officials between regulators and the regulated.

    Chapter as PDF

  7. 07

    What Was Known and When

    Cutter, SV40, EcoHealth, myocarditis: the gap between internal knowledge and public statements.

    Chapter as PDF

  8. 08

    Cancer: The Unasked Questions

    Early-onset cancer, glyphosate and SV40, and the studies regulators did not commission.

    Chapter as PDF

  9. 09

    Harm from Care

    What medical care itself costs in lives, and why the estimates range tenfold.

    Chapter as PDF

  10. 10

    The Terrain

    Water, food, housing and labor: what drove the historic fall in mortality, and what it implies for health now.

    Chapter as PDF

  11. 11

    Industrial Poisons and Delayed Disclosure

    Minamata, PFOA, lead, tobacco and DES: the dates of exposure, warning, disclosure and intervention.

    Chapter as PDF

  12. 12

    Military Exposure and the Classified Record

    Agent Orange, Camp Lejeune, Gulf War illness, radiation experiments and MKULTRA: exposure, secrecy and delayed accountability.

    Chapter as PDF

  13. 13

    Patients Against the Official Record

    Infected blood and Lyme disease: patients, disputed evidence, guideline authority and the record recovered through investigation.

    Chapter as PDF

Mechanisms documented in this report

Further reading

Books, films and reports on this subject, with their main claims checked against the exhibit register. All further reading.