Death rates and death certificates

Posted by Daniel

Look, can we knock these two on the head, please, gang? I realise that we have no chance of stamping out these fallacies all over the internet – it’s almost as if there were a whole network of right-wing talking points sites out there all taking in each other’s washing! – but we can at least stop regurgitating them ourselves.

1. Iraq is a young country. Therefore, it has a low “crude” death rate. “Crude” in this case means “not adjusted for demographic structure and therefore not meaningfully comparable across countries”. Therefore, it is not surprising that pre-war Iraq had a crude death rate similar to that of Denmark, any more than it is surprising that any other two completely non-comparable statistics might happen to be the same number.

2. When someone dies, you get a death certificate from the hospital, morgue or coroner, in your hand. This bit of the death infrastructure is still working in Iraq. Then the person who issued the death certificate is meant to send a copy to the central government records office where they collate them, tabulate them and collect the overall mortality statistics. This bit of the death infrastructure is not still working in Iraq. (It was never great before the war, broke down entirely during the year after the invasion when there was no government to send them to and has never really recovered; statistics agencies are often bottom of the queue after essential infrastructure, law and order and electricity). Therefore, there is no inconsistency between the fact that 92% of people with a dead relative could produce the certificate when asked, and the fact that Iraq has no remotely reliable mortality statistics and quite likely undercounts the rate of violent death by a factor of ten.

Go on and sin no more, or at least not on our Lancet comments threads.

posted on Thursday, October 12th, 2006 at 2:38 pm
comments
  1. Some of us had the death certificate inconsistency (or “inconsistency”) in good faith. It’s the one obvious point to make if you sit down and try to imagine reasons why this study might be wrong. (I then tried to figure out how the inconsistency could arise and fraud seemed to be the only answer.)

    But anyway, it’s just another armchair objection.
    People who don’t believe this study should be demanding that the government support an independent investigation by human rights groups and statisticians to finally settle the matter. Oddly enough, I haven’t seen any of the rightwing objectors urging this, but I’ve no doubt this is an oversight on their part that will soon be corrected.

    Posted by Donald Johnson · October 12th, 2006 at 2:52 pm
  2. Death certificate inconsistency objection in good faith, that is. Preview is my friend, but I treat him so badly.

    Posted by Donald Johnson · October 12th, 2006 at 2:54 pm
  3. Daniel, my impression is that the UN goes to the other hospitals and asks them for their death certificates. Do you have information to the contrary, or is this “Theoretically, this is how the Lancet study could be right?”

  4. Awhile back I read about a case in India where a man had been declared dead by his inlaws, and had to spend several years in court proving that he wasn’t.

    The dead Iraqis are unlikely to get lawyers to get included in the stats. Perhaps we should set up a fund for them to do that.

  5. statistics agencies are often bottom of the queue after essential infrastructure, law and order and electricity)

    Which makes it especially insane that aid agencies and donor countries all try to flood into post-conflict countries with grand plans for reconstruction, all based on no bleedin’ data! Is there any other field where so much is spent based on so little information? (obviously there are areas where much is spent despite information that the spender has chosen to ignore). But it never sounds good for someone to pipe up at the donor conference and say “how about a few quid for the central statistics agency?”

  6. Wasn’t the UN study based on Iraqi health ministry numbers? Jane seems to be suggesting that the UN did an exhaustive survey of hospitals in Iraq, but I don’t remember a survey with that methodology (not that I’ve been watching it as carefully as I probably should… quite plausible I missed it). Even this would obviously give an undercount, but I don’t know how well the error could be estimated.

    Posted by soubzriquet · October 12th, 2006 at 3:09 pm
  7. Even the numbers in Baghdad, which should be reliable since the death certificates are right there! in the building where they were issued! show the Lancet grossly overcounting deaths.

  8. grossly overcounting deaths

    Come again?

  9. “Jane Galt” seems to be trying to set some kind of propaganda record for a single comments thread. Here’s the reply by the Lancet authors (from this paper: http://web.mit.edu/CIS/pdf/Human_Cost_of_War.pdf) to the various attempts to obfuscate their findings using the hopelessly incomplete numbers from the Iraqi health ministry:

    The Ministry of Health in Iraq has published some numbers from time to time, but these are generally considered to be unreliable. The registration of deaths in Iraq has been an organized process for many years. Death certificates have traditionally been obtained for the deaths of all adults and older children. Death certificates are required for insurance claims, compensation, payment of benefits, and for burial. Cemeteries do not take bodies for burial without certificates. If deaths occurred outside of hospital, the bodies would be transported to the general hospital for the certificate to be issued. If there were doubts about the cause of death, a post-mortem examination would be carried out before issuing a certificate. Copies of the death certificates would go to the national offices managing vital registration. This process has continued through the current conflict, with death certificates being required for burial, and with information from certificates being duly recorded. However, the tabulation of data from registration of deaths in Iraq has suffered from the chaos of the current conflict. Beyond this, there is also a suspicion that records of death, particularly related to violent deaths, is being manipulated and only partially being released for various political reasons. Even with the death certificate system, only about one-third of deaths were captured by the government’s surveillance system in the years before the current war, according to informed sources in Iraq. At a death rate of 5/1,000/year, in a population of 24 million, the government should have reported 120,000 deaths annually. In 2002, the government documented less than 40,000 from all sources. The ministry’s numbers are not likely to be more complete or accurate today.”

  10. So wouldn’t it be better technique to collect the data from the hospitals directly?

    Posted by Sebastian Holsclaw · October 12th, 2006 at 3:40 pm
  11. Note that Juan Cole apparently doesn’t agree with you.

    “Where are the bodies?”

    This is a good question but according to Juan Cole, there’s a good answer: there are two major reasons that most bodies never pass through a morgue: (i): Muslim tradition demands that bodies are buried the day of the death in a simple wooden box, so there’s natural resistance and, (ii) while there are incentives for taking bodies to the morque to counteract this, they’re overwhelmed by the fact that the government is so infiltrated with death-dealing militias at this point that nobody wants to put their name on any sort of government form if they can help it.

    http://www.juancole.com/2006/10/655000-dead-in-iraq-since-bush.html

    Juan says there are no bodies because people are afraid to take bodies to the authorities.
    Daniel says, Juan is wrong-there are bodies-and local government knows all about it-but the federal government doesn’t.

    “When someone dies, you get a death certificate from the hospital, morgue or coroner, in your hand. This bit of the death infrastructure is still working in Iraq. Then the person who issued the death certificate is meant to send a copy to the central government records office where they collate them, tabulate them and collect the overall mortality statistics. This bit of the death infrastructure is not still working in Iraq.”

    How do you know all this?

    Sk

    Posted by Steve · October 12th, 2006 at 3:51 pm
  12. Sebastian-

  13. my impression is that the UN goes to the other hospitals and asks them for their death certificates

    the numbers in Baghdad, which should be reliable since the death certificates are right there! in the building where they were issued!

    So wouldn’t it be better technique to collect the data from the hospitals directly?

    I think that people may be misunderstanding the issues here. Iraq is in a state of complete anarchy. It is not a place where you can just rock up to the hospitals, smile at the receptionist and pick up a neat manila folder full of the week’s death certificates. Even if anyone had the resources and armed guard necessary to carry out this little fantasy, they would use them for something else.

    Posted by Daniel · October 12th, 2006 at 3:54 pm
  14. Regarding crude death rates, the World Bank posts some numbers at its web site. Iraq´s is put at 9 for 1990; 10 for 1995; n.a. for 2000; and 9 (italicised, presumably to indicate uncertainty) for 2004.

    This compares to an average for the Middle East and North Africa of 8 (1990) and 6 (2004).

    But if we look at Iraq’s immediate neighbours, we get (for 2004):

    Turkey: 6
    Syria: 3
    Jordan: 4
    Saudi Arabia: 4
    Kuwait: 2
    Iran: 5
    It would appear that the Lancet estimate of 5.5 for 2002 is quite different from the World Bank’s estimates—but at the same time it is much closer to the general level of the region in which Iraq is located.

    (Btw, I checked Brazil and Mexico as well, and this source differs from the numbers given by poster sebastian holsclaw—they’re much lower, at 7 and 5 than what he reports (around 10 for both, as should be expected for countries with younger populations)).

    Posted by stostosto · October 12th, 2006 at 3:57 pm
  15. I’ll just continue to make be an asshole on this thread.

    I understand that many here make their livings in some area of the the social science biz or the data biz, and this is how you like to talk about things. In the same way, I imagine that classical musical world knows what’s going on with the Baghdad symphony today, and the zoo people have the word on the Baghdad zoo. Great. So if statistics is your thing, this has been another chance to show your stuff.

    Nonetheless, are the numbers decisive in any way? We seem to be arguing about a factor of four, maybe six (except for Soru, who believes that the Iraquis are actially better off now.) Granted that statistics, symphonies, and zoos are always important to people in concerned with them, is the difference between 100,000 and 600,000 at all important from our point of view ? Is there some kind of thershold between the two numbers?

    Sure, 600,000 is a Quantitative Fact, but does having that fact tell us anything we couldn’t already know without the Fact?

    Everyone paying moderately close attention has a lot of scattered, mostly qualitative information informing them that a LOT of people are getting killed in Iraq. There’s other information telling us that many normal functions (e.g. electricity) have been distrupted for years. We know since Rice’s visit that planes can’t routinely land safely in the airport. Reporters keep coming back and telling us that it’s much worse than we think. And so on.

    None of the plausible interpretations or suggested revisions of the study really change the qualitative reality of what’s happening in Iraq.

  16. “I think that people may be misunderstanding the issues here. Iraq is in a state of complete anarchy. It is not a place where you can just rock up to the hospitals, smile at the receptionist and pick up a neat manila folder full of the week’s death certificates. Even if anyone had the resources and armed guard necessary to carry out this little fantasy, they would use them for something else.”

    Ok, this is where I have a problem. It is too chaotic for people to go to hospitals (which have a discrete small number) but they can do a household survey? That is the kind of thing that makes me skeptical.

    Posted by Sebastian Holsclaw · October 12th, 2006 at 4:05 pm
  17. Sebastian- A sample of hospitals is not useful in determining death rate that can be scaled up to the total population – even assuming that they have good records and that the officials in charge would let you see them – because you have no idea how many people use a given hospital. So you would have to collect the data from every single hospital in the country. With households, you can determine the average number of deaths per household, and the average number of people per household, and scale up to the size of the population. Read the study, especially the section on study design – it’s not that hard to understand.
    http://web.mit.edu/cis/pdf/Human_Cost_of_War.pdf

  18. stostosto, I had already made a correction on the Mexico numbers. (on the other thread) :)

    Posted by Sebastian Holsclaw · October 12th, 2006 at 4:07 pm
  19. Ok, this is where I have a problem. It is too chaotic for people to go to hospitals (which have a discrete small number) but they can do a household survey? That is the kind of thing that makes me skeptical.

    See, we’ve fallen into the trap. Because Iraq is in chaos, we have no way of knowing that things are very bad there. No data, just anecdotal information. Your guess is as good as mine, really.

  20. “because you have no idea how many people use a given hospital.”

    Is that really an unsolveable problem? Heck by focusing on large cities you don’t have to ‘scale it up’. You can get a hard number for discrete areas. The number might not be as flashy as 600,000, but you could say things like: in hot spots like Baghdad and Fallujah X hundred thousand people were killed. Since we all accept that the killing are clumpy, why not focus on getting really accurate numbers out of the clumps instead of crappy numbers that you can ‘scale’ up.

    Posted by Sebastian Holsclaw · October 12th, 2006 at 4:14 pm
  21. I notice that all the comments here about Part 2 of the post. This may be because Part 1 is unclear. Because of Davies’s normally crystal-clear writing style, I spent about five minutes wondering what my problem was that I had no idea what Part 1 was talking about. I was trying to figure out why Iraq being a young country had anything to do with its crude death rate being low.

    Eventually I realized that “Iraq is a young country” should be read as “Iraq has a young population” (implying that its people, because young, are less likely to die of natural causes in a given year), rather than “Iraq was founded relatively recently” (implying that it doesn’t have a good records-keeping infrastructure or something like that).

    Posted by Cryptic Ned · October 12th, 2006 at 4:15 pm
  22. Daniel,

    Then the person who issued the death certificate is meant to send a copy to the central government records office where they collate them, tabulate them and collect the overall mortality statistics. This bit of the death infrastructure is not still working in Iraq.

    What sources do you have for this? I’ve no doubt it is true to some extent, but to what extent?

    I’m also far from convinced about what you presuppose is the inherent mortal danger attached to asking hospitals to produce the copies and records that presumably they have kept, if not submitted to central government.

    I’m not a right-wing nutter and I’ve been careful to say little or nothing about statistical models – I’m simply not qualified. But I don’t think it’s going out on a limb to suggest that the Ministry of Interior, for example, when producing their mortality figures, asked hospitals and morgues for their input. In fact, we know they did. So unless the argument is that hospitals are issuing certificates without retaining a copy and/or recording the issue, or deliberately concealing this data, the disparity in the latest Hopkins figures and those produced elsewhere remains unexplained to any satisfactory degree.

    As per Hopkins, at least 80% of deaths are certified (92% of 87%). So 80% of deaths are certified, but as of 2 days ago, nobody knew anything about 9/10ths of them.

    You don’t have to be an inveterate decent to be unconvinced.

    Posted by Brownie · October 12th, 2006 at 4:20 pm
  23. “That is the kind of thing that makes me skeptical.”

    I don’t understand. You don’t have any reason to believe that this study is invalid, you just think that they should have done a different study. A perfectly good response to a scientific article is: here’s a result, let’s see if we can confirm the results with a different study. But you seem to be saying, There could be more than one way to study this, therefore this way must be invalid and probably fraudulent.

  24. “There could be more than one way to study this, therefore this way must be invalid and probably fraudulent.”

    No, I’m saying that a study which implies a civilian death rate higher than Germany during WWII deserves a skeptical eye since we aren’t, you know, firebombing cities.

    Posted by Sebastian Holsclaw · October 12th, 2006 at 4:24 pm
  25. No, I’m saying that a study which implies a civilian death rate higher than Germany during WWII deserves a skeptical eye since we aren’t, you know, firebombing cities.

    But there wasn’t a civil war going on in Germany during WWII. Unless you count “Ubermenschen vs. Untermenschen”.

    Posted by Cryptic Ned · October 12th, 2006 at 4:27 pm
  26. I realize that I’m being annoying, but anyway.

    What we seem to have established today is one or all of three things.

    1.) Some people have a pure, non-political interest in the Iraq war primarily as an object upon which to practice statistical method.

    2.) Some people think that while 600,000 extra dead might be regarded as awful, if that number were lower by a factor of five or so, that would be non-awful. And it’s awful if things are awful.

    3.) Some people, for whatever reason, want us to talk about statistical methods rather than the Iraq War.

  27. Guardian piece was great, by the way.

  28. I suspect that one place where falsification would take place would be at point where someone might think “If I tell the truth I might be killed.” We already know that people have deliberately falsified death statistics or simply stopped reporting them.

    BTW, it’s at home, but I have a book on Vietnam which mentioned how something similar happened there. The official figures for the number of cases of some disease (I think it was bubonic plague) was actually lower than the number of cases in the files of one particular hospital. I should check the details later.

    I’m a numbers fetishist myself, but John Emerson does have a good point. Iraq is a total disaster and we don’t need exact death tolls to know this.

    But I’ve got my own good point which I intend to beat into the ground—any rightwinger who criticizes the Lancet numbers and doesn’t call for an independent investigation fully supported (but not run in any way) by our government is someone who is more interested in suppressing bad news than in finding the truth. The US has just been accused of causing more deaths than have occurred in Darfur—apparently it’s enough just to point out why this may not be true.

    The Lancet authors, to their great credit, have called for such a study twice. Too bad their critics could not care less.

    Posted by Donald Johnson · October 12th, 2006 at 4:30 pm
  29. One thing I have been wondering about in trying to picture how the survey was conducted, is the number of households surveyed per day.

    1,849 houselholds were surveyed over a period from May 20 to July 10. That works out at around 36 households per day. If we allow the researchers two weekend days off per week, it is 50 households per day. They were two teams, so each team would visit 25 household in a day.

    If a working day is 8 hours, that’s around 3 households an hour, or 20 minutes per household.

    Hm. I wonder, what’s the norm in this sort of work?

    Posted by stostosto · October 12th, 2006 at 4:34 pm
  30. It is too chaotic for people to go to hospitals

    Perhaps relevant:

    Iraqi Hospitals Are War’s New ‘Killing Fields’

    In growing numbers, sick and wounded Sunnis have been abducted from public hospitals operated by Iraq’s Shiite-run Health Ministry and later killed, according to patients, families of victims, doctors and government officials.

    As a result, more and more Iraqis are avoiding hospitals, making it even harder to preserve life in a city where death is seemingly everywhere. Gunshot victims are now being treated by nurses in makeshift emergency rooms set up in homes.

    Posted by spartikus · October 12th, 2006 at 4:34 pm
  31. Let’s just perhaps take another example where there is a vast discrepancy between passive reporting systems and active surveillance: estimating the size of the AIDS epidemic. Case report systems, even with the strictest compulsory notification in place, under-estimate HIV cases by factors from 2 to 10 or even 20. The situation is even worse with reports of cause of death. That means that those who are serious about making estimates of the size of the population affected do careful sample or sentinel surveillance and come up with estimates which tend to be far larger than those captured under the passive surveillance systems, but over time have been found to be ‘more or less’ correct – the more and the less coming from the series of assumptions necessary in extrapolating the sample to the whole population.

    Of course, AIDS case and AIDS death reporting is affected by stigma which is taken to cause much of the under-reporting, although a lot is also due to the inherent weaknesses of passive data collection systems. But it does not seem implausible to me that the lack of government in Iraq is at least as powerful a disrupter of completeness in reporting as is stigma in AIDS, ergo, I find nothing unremarkable in a big gap between statistically valid sample-based surveillance, and reported mortality numbers.

    Posted by Michael Paleologus · October 12th, 2006 at 4:37 pm
  32. Spartikus gives us more evidence that Iraqi statistics are no good, and that things might be perfectly all right there!

  33. Emerson:

    I don’t know why you feel it is unimportant whether the body count is 200,000 or 600,000. After all that’s 400,000 people we are talking about.

    Besides, an actual number surely tells us something about the intensity of the Iraqi chaos. The comparison with Darfur has been made. You could equally compare with the Congo (the numbers of which I don’t have to hand).

    Is the Iraqi death rate higher than that of Germany’s during WWII? Or is it only a quarter that?

    I think that’s valuable information, worthy of a lot of painstaking nitpicking.

    Posted by stostosto · October 12th, 2006 at 4:45 pm
  34. I’m also far from convinced about what you presuppose is the inherent mortal danger attached to asking hospitals to produce the copies and records that presumably they have kept, if not submitted to central government.

    Simply walking around Iraq exposes you to mortal dange. This is sort of the point. There are citations in the study (and more in the “Human Cost” paper) for how the reporting system has been broken down. It’s not a matter of anything sinister; it’s just that if you’re working in a hospital in Iraq these days, you almost certainly have better things to do than respond to Ministry of the Interior requests for data. Making sure that people file their statistical returns on time is the most thankless job on Earth – nobody ever thinks it’s important and the clerks have no power at all. And that’s in the UK, which is not a war zone.

    Regarding how I know that Iraq uses this system, I know it because everywhere uses it, because it is the only possible way to get a register of deaths & marriages to work. Deaths need to be certified quickly, so that the body can be dealt with, but to tabulate and collate them at the same speed would require a ludicrously disproportionate amount of resources.

    Posted by Daniel · October 12th, 2006 at 4:50 pm
  35. “Deaths need to be certified quickly, so that the body can be dealt with, but to tabulate and collate them at the same speed would require a ludicrously disproportionate amount of resources.”

    Couldn’t you just make it a Sarbanes-Oxley requirement? :)

    Posted by Sebastian Holsclaw · October 12th, 2006 at 4:59 pm
  36. Brownie:

    As mentioned in another thread, it’s documented that the Iraqi health ministry figures for civilian deaths in Anbar province in all of July, 2006 was exactly zero. Nil. Nada. Zip. The UN assumed this was because any figures were impossible to retrieve under the current conditions there, and footnoted the numbers they cited in their report accordingly.

    I think we can assume the total deaths in that province, at least, was somewhat more than that. The hospital/morgue count is an undercount: can we concede that much?

  37. Jesus F Christ, I’m not talking about killing 400,000 people. I’m saying that for most of our purposes, “far, far too many” is as exact a number as we need, and that the study’s lower bound is “far too many”, and haf that or a quarter that would still be “far too many”.

    If anyone here is involved in Iraqi demographics, Iraqi funeral planning, etc., my words do not apply to you.

  38. I do not see the point of pretending to compare mushy numbers from Iraq with mushy numbers from Darfur and mushy numbers for the Congo. This is pushing Bush’s fuzzy math to the limit/

  39. And that’s in the UK, which is not a war zone.

    And you say the flypaper strategy hasn’t worked

    Posted by Cryptic Ned · October 12th, 2006 at 5:11 pm
  40. While we’re at it, can we also all stop referring to the 600K violent deaths or 650K excess deaths in the Lancet as “civilian deaths?” The Lancet paper does not make either claim.

  41. brucer:

    While we’re at it, can we also all stop referring to the 600K violent deaths or 650K excess deaths in the Lancet as “civilian deaths?”

    Yes. This seems to be Sebastian’s misunderstanding, above:

    I’m saying that a study which implies a civilian death rate higher than Germany during WWII deserves a skeptical eye since we aren’t, you know, firebombing cities.

    Sebastian takes the Lancet estimated death rate for everyone in Iraq, which is maybe 2.5%. Then he compares it to the civilian death rate for Germans during WW II, which was maybe 2.6%. The correct comparison, of course, is to the total German death rate, military and civilian (and death camp), which was 10.8%. (Germany numbers taken from Wikipedia.)

  42. Sebastian, you have consistently been misquoting numbers on e.g. German death rates in WWII.

    I followed this debate on the earlier study too, and so far the only reasonable criticisms of the study raised have been: A) recall bias might be greater for pre-war deaths, and B) deaths and casualties include insurgents, not just civilians. Everything else has just been a version of “I refuse to believe this, because I am committed to my own preconceptions over empirical evidence”.

  43. “No, I’m saying that a study which implies a civilian death rate higher than Germany during WWII deserves a skeptical eye since we aren’t, you know, firebombing cities.”

    Posted by Sebastian Holsclaw ·

    Sebastian, can’t you come up with some fresh talking points? That’s far from original.

    Posted by Barry · October 12th, 2006 at 6:21 pm
  44. Daniel writes:


    When someone dies, you get a death certificate from the hospital, morgue or coroner, in your hand. This bit of the death infrastructure is still working in Iraq.

    Could you provide a citation for this claim? Something on-line would be great. But if this was something told to you by, say, a reporter just returned from Iraq, that would be good to know.

    The reason I ask is that this seems somewhat inconsistent with accounts that I have read in places like Fiasco. The claim is that in many areas of Iraq (e.g., Falluja, Ramadi) there is/was no local government to speak of for long periods of time. There was no coroner or morgue to hand out death certificates.

    I just want to understand the facts better.

    Also, can you clarify why everyone keeps death certificates? I have read that the certificates entitle one to various benefits. Is that true? If so, is there any reason to suspect that some certificates are issued fraudulently?

    Again, I highly doubt that these issues affect the overall tenor of the results, but details are good to know.

    Posted by David Kane · October 12th, 2006 at 6:46 pm
  45. The hospital/morgue count is an undercount: can we concede that much?

    Undoubtedly. The fact remains, Hopkins finds that 80% of deaths are certified. I can accept that some of these certifications never see the light of day. But Hopkins also finds that between October 2004 – July 2006, 543,000 excess deaths have occurred (655,000-112,000 for the Mar 2003 – Sep 2004 period). This works out at a daily excess death rate of 822.

    So 822 Iraqis are dying each day, of which approximately 658 are certified (80%). Yet as of 3 days ago, people were talking in terms of maybe 250 deaths per day. Meaning hospitals and morgues have been certifying 2-and-a-half times as many deaths as the least conservative estimates for the last 22 months.

    It doesn’t mean Hopkins is baloney, but any objective observer should be forgiven for being sceptical.

    Not that I’m objective…

    Posted by Brownie · October 12th, 2006 at 7:00 pm
  46. Start with posts 30 and 31, Brownie. Then read 34 and 36.

    Posted by Barry · October 12th, 2006 at 7:24 pm
  47. barry,

    What next?

    Posted by Brownie · October 12th, 2006 at 7:35 pm
  48. No, Brownie, you are clearly not objective.

    But you also miss the point. There are lots of numbers floating around about the casualty rates (amongst other things) in Iraq. That doesn’t mean that all the numbers are equivalent and can be meaningfully compared.

    First off, you have laughable numbers like the `30,000’ that the president is still repeating. This is a political number, though, and shouldn’t be taken at all seriously (why? because it doesn’t bear up under the slightest scrutiny).

    Now we also have numbers like the IBC’s ~50,000. This is not even claimed an estimate of the total civilian deaths, let alone an estimate of the total excess deaths. What it is is a pretty solid number of verified civilian deaths. By nature this is an undercount, and their methodology doesn’t have anything to say meaningfully about about the amount of undercount.

    Finally, you have numbers like the lancet study or the ~250/day number you quote.

    We can forget the political numbers, of course. Of the others, you have to be careful first off to make sure they are counting the same things. Many people in the last couple of days have said stupid things about the comparison between IBC numbers and the lancet study.

    Given that you have two numbers actually talking about the same thing, you can attempt a comparison. Here is where the thing about objectivity comes in. I’m not sure you actually understand this, so I’m going to spell it out. The objective thing to do when presented with two significantly different estimates is not to say `wow, how could the new estimate be so much larger, it can’t be right’. That’s simply nonsense. The thing to do is say `hmmm, one or both of these estimates is wrong. Lets look at the methods used and see if we can’t understand why’.

    Yelling loudly that we can’t possibly have had ~750 d/day in Iraq and not seen it in the news isn’t evidence. That’s a bald faced assertion. Coming from the average north american keyboard commando who can just about find Iraq on a map in a pinch it also looks pretty stupid.

    The fact of the matter is we don’t know. Even the people who ought to know best what’s going on over there have a pretty sketchy idea. So all we can do is look at the methodology of these estimates and try and see which is a better approach. This is why nobody can expect precise numbers. The best we can hope for is accurate numbers—- and the nature of doing measurements in Iraq today means the intervals are going to be large. Period.

    As it is right now, the overwhelming majority of the objections I’ve seen to the Lancet numbers boil down to wishful thinking. There are a few interesting questions about methodology, but nothing devestating. Other questions which rightly belong to a larger scale discussion of the methodology, not this study (regardless of the validity of the methodological comments).

    That you don’t want the numbers to be this high constitutes no serious objection.

    Can you offer a serious objection to the methodology? Can you offer any serious argument that another estimate has significantly better methodology? Or are you going to be like thousands of other jokers offering `i can’t believe..’, ‘clearly…’, ‘obviously the morgues in Baghdad’, ‘surely the media…’ and other mindless speculation about the day to day reality in country you can barely imagine, and a lot of effort has been spent to keep you fairly ignorant about?

    so?

    Posted by soubzriquet · October 12th, 2006 at 7:45 pm
  49. Brownie, the real issue is the complete breakdown of civil society in Iraq. There are death squads in hospitals. Suicide bombs at funerals. Kidnapping is endemic and murder of kidnap victims is common. There is a shooting war, and with 3000 US dead (and an unusually low kill:wound ratio) there is almost certainly a high insurgent-to-coalition death rate.

    Add all of these things up, and the possibility of a large casualty undercount by the usual methods is entirely possible. My main reservation is related to the clumpy nature of violent deaths and its correlation with neighborhood and ethnicity, which could skew statistical sampling. This can be difficult to quantify properly.

  50. I have not read the study, so I can’t claim whether it is valid or not. See, that is how reality works. You actually read something before you decide if it is wrong or right.

    Yet I’m willing to bet “Jane Galt” and most of the wingnut “critics” didn’t even read the study. I’m willing to bet that the few wingnuts who did read it simply don’t understand most of (or any) of the statistical concepts. Yet this doesn’t stop these people from declaring the results “false.” Since when is such willful stupidity acceptable?

    Over on Jane Galt’s blog, one of her commenters suggests the peer reviewers should be shot. I bet that person didn’t read the paper either. Just a hunch.

    Posted by Charles Giacometti · October 12th, 2006 at 8:02 pm
  51. Jesus, I was just over at Galt’s. It was a Rorschach test of conservatarian posturing. “To me that looks like…. leftists epidemioligist bias!”

  52. As against the usual rarified discourse there?

    Posted by soubzriquet · October 12th, 2006 at 8:27 pm
  53. Gee you guys really fell off the carrot truck. OK, loved one dies (maybe by electric drill to the brain, lead poisoning, or one of the other popular methods). You don’t dare take him to the hospital or morgue because then they will know you are one of those and put you into the drill press. You know, or more likely your second cousins wife’s brother knows someone who works in the hospital and has access to a a stack of death certificates, complete with seal.

    You need a death certificate. You give your second cousin 200 euros. He gives his wife’s brother 150 E. The brother gives 100 to his friend and back comes the death certificate. Everyone is happy (ok satisfied.)

  54. Soubzriquet, now I remember why I haven’t been there for a year.

  55. Over on Jane Galt’s blog, one of her commenters suggests the peer reviewers should be shot.

    Well, yeehaw! That’s how you settle a disagreement that good ole’ libertarian way. Intellectual debate is for girly men.

    Posted by engels · October 12th, 2006 at 9:51 pm
  56. Hmmm. Numbers seem suspiciously similar to the last Lancet pre-election volley. Which was debunked by the UN by a factor of 4.

    One suggestion – (1) Compare the number of people killed in a single car bomb to the number maimed or injured to a lesser degree. (In typical combat it’s about ten to one.) (2) Do a random sample of people in the areas that are hardest hit, and find out what percentage have minor injuries and what percentage have none. (3) Compare the numbers. If the numbers show about a fifth (or less) of the injuries that would be projected by the number of alleged deaths, then look for the biases that are increasing your supposed death rate.

    If you can’t show that your numbers are reasonable in, say, Baghdad or Basra, then they couldn’t possibly be reasonable in Iraq as a whole.

    Posted by Twill00 · October 12th, 2006 at 10:00 pm
  57. The 2004 report was hardly “debunked” by the UN report, which measured a different statistic. To the extent the two studies can be compared on an apples-to-apples basis, the UN report confirms the Lancet study. See here.

    Posted by Steve · October 12th, 2006 at 10:21 pm
  58. re comment 11:

    steve,

    Daniel is right and Juan Cole is wrong.

    How do I know this? Juan is explaining something that doesn’t need explaining, and his explanation directly contradicts the study he is defending. 90+% of those asked could produce death certificates, so there is no need to explain why they didn’t have death certificates (which is what Juan goes on to do). Daniel instead explains why those death certificates don’t reliably make it into the central list. No one has offered any evidence to counter Daniel’s claim that the official system of data collection is broken (and multiple people have offered support for his claim – 0 deaths in Anbar province?).

    That bugged me about Juan’s post when I first read it. If I didn’t hate blogger’s commenting system I would have pointed this out there.

    Posted by charles s · October 12th, 2006 at 10:22 pm
  59. I’m still waiting to hear a defense of the study’s conclusion that there was little, if any, increase in the non-violent death rate. This is very hard to believe, given the well-documented public health disaster in Iraq (crumbling hospitals, failing sanitation, etc.).

    While I think the qualitative conclusion of this study is right (hundreds of thousands of excess deaths), I don’t think it’s a particularly good study, and I think y’all ought to be careful about exagerating its virtues.

    The concern troll has spoken.

    Posted by Ragout · October 12th, 2006 at 11:14 pm
  60. Re #29
    One thing I have been wondering about in trying to picture how the survey was conducted, is the number of households surveyed per day.

    1,849 houselholds were surveyed over a period from May 20 to July 10. That works out at around 36 households per day. If we allow the researchers two weekend days off per week, it is 50 households per day. They were two teams, so each team would visit 25 household in a day.

    If a working day is 8 hours, that’s around 3 households an hour, or 20 minutes per household.

    Hm. I wonder, what’s the norm in this sort of work?

    Do you have a link to this information? I have the methodological appendicies, but it doesn’t seem to have this material.

    I’ve been in market and social research for 25 years and I find the figures quoted above difficult to believe for door-to-door fieldwork, particularly given the desperate conditions reported in the report’s appendix.

    Posted by James · October 12th, 2006 at 11:19 pm
  61. If the goal of the study had been to estimate the percentage of deaths in Iraq for which death certificates had been issued, their data would yield a point estimate of 91%. Applying that to the actual number of death certificates issued yields a mortality estimate in the neighborhood of 50,000 or 60,000, which matches other studies (e.g. IBC) reasonably well.

    The researchers, on the other hand, observed the sample mean of 91% and concluded that the population percent is highly likely to be less than 10%.

    The defense of this conclusion given above is that a very large proportion of the issued death certificates are not being recorded. But this is hypothesis, not evidence. It is also a relatively easy hypothesis to test. The Johns Hopkins team could have taken the proffered death certificate data, compared them with official records and tallied the percent that are missing. They didn’t take that step, so they provide no evidence to either support or reject the under-recording hypothesis.

    Until someone takes that step we have a study whose data appear to support two conflicting conclusions. One of those conclusions comes fairly close to other estimates (albeit derived in a very similar manner) and the other differs by something like an order of magnitude.

    It is neither unreasonable to conclude that the Lancet case has thus not been conclusively made, nor to conclude that leaving this significant contradiction unexamined is a serious shortcoming of the study.

  62. Yelling loudly that we can’t possibly have had ~750 d/day in Iraq and not seen it in the news isn’t evidence. That’s a bald faced assertion. Coming from the average north american keyboard commando who can just about find Iraq on a map in a pinch it also looks pretty stupid.

    soubzriquet, these exchanges only work if each party deals with the things the other has actually said. You appear to have me confused with someone else.

    FWIW, there are plenty of discussions about the methodology taking place all over the internet, involving people far more qualified to comment than I am. I could cut and paste their commentary and pass it off as my own if that would make you feel better? Also FWIW, one of the main criticisms I’m hearing is not that the study definitely is flawed, rather that its potential to be flawed (systemic sample bias, for example) is not sufficiently acknowledged by the authors. Yes, caveats are given, but in the main, the authors convey an air of surety that the nature of the methodology in the circumstances the study was undertaken should disallow: a little too much grandstanding and not enough humility.

    Additionally, if you can go to YouTube and watch a video of Horton venting his spleen at an anti-war rally, suspicions are going to be raised, justifiably or not. Horton has every right to do this and more, but if you are seriously looking to avoid the controversy that surrounds your work, it’s probably not a good idea. Grist to the mill, and all that.

    I believe there is at least something to be said for observable facts and I think you are a little too quick to discount some of the reasonable concerns being voiced e.g. death certificates. We’re told that it’s too dangerous to go to hospital to count death certificates, but it’s not too dangerous that 80% of Iraqis are going to hospitals to get deaths certified. If Hopkins is right, 658 deaths are being certified in Iraq each day, yet previous estimates of the dead don’t get anywhere near that figure. Yes, I’ve read the explanations on this thread as to why that may be the case, but I’m still not convinced. Whether that’s because I’m not prepared to be convinced or because the explanations themselves – for which no facts are being presented so far as I can tell – are less than convincing, is something I’m sure we can argue about.

    Your position appears to be that unless you try to unpick the Hopkins methodology and/or embark on your own study, you have little or no right to comment. This is palpably absurd. Unqualified, statistically illiterate dissenters criticizing sampling techniques is one thing, raising questions that the Hopkins figures either prompt or do nothing to address, is quite another.

    Posted by Brownie · October 13th, 2006 at 1:17 am
  63. It really doesn’t matter whether it’s dangerous to go to the hospital, etc. The point is that the vast majority of families actually surveyed in this study were able to produce physical death certificates. They must have come from somewhere.

    You can certainly theorize that there are a lot of fake death certificates or something – and then test that theory – but they apparently do exist, in large numbers, absent the possibility of actual fraud in the data collection process. You have to deal with this fact.

    Posted by Steve · October 13th, 2006 at 2:00 am
  64. a little too much grandstanding and not enough humility.

    A little too much grandstanding and not enough humility in the study! Mote and beam, sir, mote and beam!

    James: a team consisted of two male and two female interviewers. They say that they did one cluster of 40 households a day so your 20min number looks about right, but I bet they split into two teams of two so more like 30-40 mins.

    Posted by Daniel · October 13th, 2006 at 2:58 am
  65. Daniel,

    I don’t know how many interviews with Horton you’ve heard in the last few days, but he does a very good job of presenting these figures not just as the best estimate we have, but as likely to enjoy a high degree of accuracy. You know these are not the same thing.

    Further, it’s not as if Horton restricts himself to presenting the figures, rather he is simply bursting with advice about foreign policy. Everyone is entitled to an opinion, for sure, and everyone is entitled to draw conclusions about the opinions of others and the appropriateness of those opinions with regard to time and place.

    Whatever the degree to which you share Horton’s view of the situation in Iraq, do you not accept that less of the mud being thrown at the Hopkins study would stick were it not for Horton’s clearly and frequently expressed political views? Indeed, do you not accept that fewer people would be so quick to dismiss the study altogether?

    Horton has, in my view, unnecessarily politicized the study. Which is not to say that it wouldn’t have been politcized without the additional commentary, just that his non-academic contributions have undoubtedly complicated matters.

    Posted by Brownie · October 13th, 2006 at 3:57 am
  66. Dan, can you clear up one point for me, perhaps? The link to the study I’ve been using is:

    http://i.a.cnn.net/cnn/2006/images/10/11/human.cost.of.war.pdf

    There is only one mention of certificates:

    “We are certain that households did not report deaths which did not occur, as 92% of households had death certificates for deaths they reported.”

    Firstly, my understanding is that the certificate question was asked only 87% of the time and 92% of the respondents claimed to have death certificates. What is not clear is whether the certificates were physically presented. Or if it is clear, I’ve completely missed that reference. Do you know?

    Posted by Brownie · October 13th, 2006 at 4:11 am
  67. Brownie, you’re by your own admission not objective, and you’re not a statistician, Now by your own criteria that means we’re allowed to sling mud at you. So will you just shut up and let us sling mud at you?

  68. That’s not the only reference in that link.

    There’s:

    At the conclusion of the interview in a household where a death was reported, the interviewers were to ask for a copy of the death certificate. In 92% of instances when this was asked, a death certificate was present.

    Posted by Matthew · October 13th, 2006 at 4:29 am
  69. Eli Rabatt: Gee you guys really fell off the carrot truck. OK, loved one dies (maybe by electric drill to the brain, lead poisoning, or one of the other popular methods). You don’t dare take him to the hospital or morgue because then they will know you are one of those and put you into the drill press. You know, or more likely your second cousins wife’s brother knows someone who works in the hospital and has access to a a stack of death certificates, complete with seal.

    You need a death certificate. You give your second cousin 200 euros. He gives his wife’s brother 150 E. The brother gives 100 to his friend and back comes the death certificate. Everyone is happy (ok satisfied.)

    Out of interest, why you need a death certificate? (I think this was asked earlier in the thread.) And 200 Euros is a fair whack to pay for one of them, so is there some incentive for having one? (Presumably, compensation or insurance related.)

    Posted by Lopakhin · October 13th, 2006 at 4:39 am
  70. There’s the proper report here as well – somehow that link gets around the Lancet’s registration

    http://www.thelancet.com/webfiles/images/journals/lancet/s0140673606694919.pdf

    Posted by Matthew · October 13th, 2006 at 4:42 am
  71. Matthew,

    Thanks, my search didn’t throw that up for some reason. I hope you don’t think I’m being obtuse if I say that “a death certifcate was present” is still open to some interpreation i.e. was it “present” in that the families in question said they had one, or was it physically presented? My bet is the latter but definitive clarification would be good.

    So will you just shut up and let us sling mud at you?

    bi, the day you catch me trying to unpick the Hopkins methodology, you’d be entitled to throw as much mud my way as you can muster.

    Posted by Brownie · October 13th, 2006 at 4:42 am
  72. The death toll seems not all that implausible considering the enormous number of bullets the US military has fired in the last few years, perhaps a billion per year more than the annual rate in 2000.

    Still, the more I think about the mechanics of carrying out the survey on the street without getting killed, the more I suspect that the Iraqi interviewers didn’t actually implement the purely random survey design that the American professors from MIT and Johns Hopkins dreamed up for them. It would be nuts to to let luck determine which streets you’d choose, as the report claims they did. You’d want to only go where you knew you’d be safe. Then you’d tell the Americans you did exactly what they told you to do.

    It could be that the interviewers got in contact ahead of time with neighborhood leaders to see if their presence would be welcome to reduce their chances of being killed. (That’s not good random surveying hygiene, but are you going to blame them?) Then, in a neighborhood where the local big shot wanted their presence, he might have passed the word around to aggrieved families to get ready to tell their stories to the interviewers when they showed up. This could cause a bias upward in the number of deaths reported. Or you could theorize scenarios where methodological issues would depress the death count.

    The overall point, however, is that nobody else appears to be doing this kind of study because it is so hideously dangerous, which ought to tell us something.

    More analysis is necessary, but, after a few hours of kicking the tires, these numbers don’t strike me as obviously implausible. I wouldn’t put tremendous confidence in them either, though, due to the savage conditions under which this heroic effort was carried out.

  73. That comment looked better in the preview. I swear.

    Posted by Lopakhin · October 13th, 2006 at 4:55 am
  74. You’d want to only go where you knew you’d be safe. Then you’d tell the Americans you did exactly what they told you to do.

    The thing is, if this is true, it would, counter-intuitively, almost certainly lead to an overcount in deaths.

    The surveyors were doctors from Baghdad, who had published papers under the previous regime, and so by the standards of modern day Iraq probably count as Baa’thist. By that I am not saying anything about their politics, or accusing them of bias, just pointing out that people like them have been explicitly targetted for ‘revenge’ killings, so they are not disinterested neutrals.

    Consequently, they would be least safe in Kurdistan or the south, the areas other sources indicate to be the safest now, and most violent pre-war.

    This is backed up by the fact the survey reports no violent deaths in 2002, when press reports show a civil war was ongoing in the north, and that the northernmost and southermost provinces in the country were explicitly not sampled.

    The real relevance of this is not to score points as to who is right or who is wrong, but to assess the current situation in Iraq, and what is to be done going forward.

    In particular, if the grim picture painted by the survey is right, then the ugly but only alternative would be to keep troops in the country for the indefinite future to keep a lid on the violence until it burns out.

    In contrast, if other reports are more accurate, then a withdrawl is possible, according to this kind of plan.

    Please don’t let annoyance with some statistically illiterate Bushoid be too much of the determining factor on what you think should actually be done between now and the next US election.

    Because after the election will be too late.

  75. Lophakin: yep, you need the death certificate to get the body buried and to claim on life insurance, get bank accounts closed, establish probate, all the grisly business. (I suspect that overworked Iraqi undertakers might be stretching a point these days, but life assurers, never).

    Brownie:

    Whatever the degree to which you share Horton’s view of the situation in Iraq, do you not accept that less of the mud being thrown at the Hopkins study would stick were it not for Horton’s clearly and frequently expressed political views? Indeed, do you not accept that fewer people would be so quick to dismiss the study altogether?

    Frankly no. I remember when people were rubbishing IBC as “absurdly high”. There is no way to portray the deaths of half a million people in a politically neutral way. I also note that the death counts in Darfur have not exactly been presented in a politically neutral way and nobody plays this kind of game with them.

    At present, I think that the only critique which can’t be immediately dismissed as hackery is the one which Johan on the Harry’s place comments made; that the numbers-on-a-map method of geographical selection is new and hasn’t been field tested to see how it compares to “GPS grid” (used in the 2004 survey) and “pen-toss” (used in a lot of Roberts’ previous work). I don’t believe that there actually is a reason to believe that numbers-on-map would introduce a big upward bias, but it’s a sensible point. I think that the attempt to smear the Iraqi doctors as Sunnis and Ba’athists who obviously made the numbers up is just disgusting.

    Posted by Daniel · October 13th, 2006 at 5:35 am
  76. There is no way to portray the deaths of half a million people in a politically neutral way.

    I think there is. Moreoever, if you are the editor of a medical journal that you know will shortly be publishing a study like this, appearing at anti-war rallies in the months before venting your spleen at Bush and Blair counts as unecessary politicization.

    Again, Horton’s totally within his rights to do and say whatever he wants, but I don’t buy the notion that without the political baggage, the prospects of a more considered response to the study findings would be improved. It strikes me this ought to be entirely uncontroversial.

    Posted by Brownie · October 13th, 2006 at 5:58 am
  77. Brownie: You don’t get it, do you? I am already entitled to sling mud at you. If Hopkins is fair game for mud-slinging just because Horton supports his study and adds some “political baggage” to it, then since you’re not neutral either (you said, “Not that I’m objective…”), that means you are also fair game for mud-slinging.

    So, shut up and get lost. And get me someone who’s actually neutral and objective to criticize Lancet’s study.

  78. bi,

    You do realise you sound like a three-year-old, don’t you?

    Posted by Brownie · October 13th, 2006 at 6:10 am
  79. Well we have had literally hundreds of posts here on the Lancet study in the last few days. And yet, when all is said and done, the arguments against the study all boil down to three main points.

    1: The argument from personal incredulity, much mocked (and deservedly so) by Richard Dawkins in the Blind Watchmaker. In this case it should be put ‘I, personally, having never been to Iraq, speaking no Arabic, not being a soldier, and never having been to a war zone (let alone a civil war), having no understanding of or training in statistics….I find these figures in credible! I don’t think I need to provide any more evidence than that.’

    2: Dark hints about political bias, which mysteriously failed to bother them when similar studies in the Sudan and the Congo were published. (Have they checked the political affiliations of the authors of studies of excess mortality in the Congo and the Sudan? Do they care? Would they consider estimates of (e.g.) Sudanese fatalities to be grossly compromised if the authors of the relevant reports went on record as stating their opposition to murder and the actions of the Sudanese government?).

    3: Arguments that it ‘doesn’t really matter’ because one opinion poll had a badly worded question that seemed to imply that a small majority of Iraqis thought it was ‘worth it’.

    And that’s it. Note that most commentators don’t even bother trying to hide their political bias: the argument invariably goes ‘I found this paper emotionally unacceptable and so I went around trying to find evidence as to why it couldn’t be true’, not ‘I am a statistician and I happened to be looking through this article when…..’ etc.

  80. Arguments that it ‘doesn’t really matter’ because one opinion poll had a badly worded question that seemed to imply that a small majority of Iraqis thought it was ‘worth it’.

    1 – I certainly didn’t claim the study “doesn’t matter” because of the response to the poll questions and I don’t recall having read such a comment from any other contributor. That’s just a flat-out misrepresentation.

    2 – It’s more than one opinion poll that shows majority Iraqi support for the war. Try every opinion poll where that question or similar has been asked.

    3 – “Badly worded” is entirely subjective. “Not worded the way I would have preferred” is not the same as “badly worded”.

    4 – “Seemed to imply” is unnecessarily vague. The consistently positive response to the “worth it” question “clearly demonstrates” rather than “seems to imply”.

    5 – “Small majority” is understating things when the smallest majority I have seen in one of these polls is a 61/39 split. “Comfortable majority” is nearer the mark.

    That’s 4-and-a-half errors in one sentence. Is this a record?

    Posted by Brownie · October 13th, 2006 at 6:53 am
  81. Brownie s3z,

    You do realise you sound like a three-year-old, don’t you?

    Well, to put it briefly, I believe in adjusting my style to suit the audience. I’m sure you don’t have a problem with that.

    Brendan: And for some reason, political bias on their Own Side™ is totally OK, while political bias on the Other Side™ is absolutely unacceptable.

  82. brownie, don’t worry, you still hold the record for errors. This is due more to volume than to skill, but that’s your strong point. As to ‘what’s next’, I had pointed to posts which rebutted your assertions.

    Posted by Barry · October 13th, 2006 at 7:07 am
  83. I think that the attempt to smear the Iraqi doctors as Sunnis and Ba’athists who obviously made the numbers up is just disgusting.

    I’m seeing rather a low degree of correlation betwen that and what I actually said. Care to reread it?

  84. Brendan, I’d add one more point to the deniers:

    Having washed the memory of the Rwadan genocide:
    “…was the massacre of an estimated 800,000 to 1,071,000 ethnic Tutsis and moderate Hutus in Rwanda, mostly carried out by two extremist Hutu militia groups, the Interahamwe and the Impuzamugambi, during a period of 100 days from April 6th through mid-July 1994.” (wikipedia,
    http://en.wikipedia.org/wiki/Rwandan_genocide)

    That 80,000 or more people per day, with machetes and (presumably) some small arms.

    Posted by Barry · October 13th, 2006 at 7:11 am
  85. “I do happen to think that the fact successive polls show majority Iraqi support for the war is relevant and I do genuinely wonder at how widely known this is.”

    I have pointed out that the question that was asked was grotesquely biased. However, even in the example you quoted, the question was not in any sense ‘do you support the war?’ It was: ‘do you think it was a good thing to get rid of Saddam Hussein?’ (that’s not a precise wording, but as I’ve argued, that was the jist of it). The key point is as I’ve always argued, to view the ‘war’ (actually an invasion) and the subsequent occupation as two discrete entities which have nothing to do with each other is a fantasy: it’s like stating that the Russian liberation of Czechoslovakia and Hungary had nothing to do with the fact that these countries were then assimilated into the Russian Empire.

    In other words, it is invalid to infer ‘support for the war’ from the questions that were asked. Given your somewhat wide use of the word ‘error’ I think that counts as an error.

    In any case, this is all totally irrelevant to the Lancet study. Even if 100% of Iraqis thought the invasion and occupation of their country was simply peachy, it would have nothing to do with whether nearly 700,000 of them are now dead who would otherwise be alive. Which makes it even more mysterious as to why you keep on raising this point in a comment thread that is, let’s not forget, about the Lancet study.

  86. Duh, 8,000 people per day. Still adds up to far more people than in Iraq, in a far shorter time.

    Posted by Barry · October 13th, 2006 at 7:14 am
  87. Incidentally, I’d like to apologise: apparently there aren’t 3 reasons as to why the Lancet studies (plural) couldn’t possibly be true: there are actually nine.

  88. It was: ‘do you think it was a good thing to get rid of Saddam Hussein?’

    This is a simple flat lie, a straightforward and unambiguous contradiction of information directly available on this thread.

    You know that, everyone reading this and paying attention knows that. Why do you feel your position is so weak you can’t defend it in any other way?

  89. soru: And what, pray, is this “information directly available from this thread” you refer to?

    (Oh, and don’t give me that “if you’re open-minded enough you’ll find it yourself because I’m open-minded but I’m still not going to bother finding it” line.)

  90. Well it may well be a lie but it’s hardly a simple lie. The actual question asked was: ‘Thinking about any hardships you might have suffered since the US- Britain invasion, do you personally think that ousting Saddam Hussein was worth it or not?’

    As I argued in the previous post, I argued that this is really a question about whether the Iraqis were pleased that Saddam Hussein was deposed or not. And the answer is of course ‘yes’ as any sane person could have predicted.

    This is really rather different from Brownie’s interpretation that a majority of Iraqi’s ‘supported the war’.

    [As I pointed out in the other post, this is like asking Hungarians or Czechs in 1949, “Thinking about the hardships you have suffered since the liberation of your country by the Russians, do you personally think that forcing the Germans out of your country was worth it or not?” Of course the asnwer would be ‘yes it was worth it’ and of course this would spectacularly miss the point].

    In any case, this has, yet again, nothing to do with the Lancet study.

    Posted by Brendan · October 13th, 2006 at 7:38 am
  91. I’m not sure why people give much credibility to the count of death certificates. The figures come from the Ministry of Health, which is controlled by Moktada Sadr, and is said to run death squads in the hospitals and morgues. In the past, Ministry officials have pretty much acknowledged that the figures are manipulated.
    [both links require a subscription to the NY Times]

    Posted by Ragout · October 13th, 2006 at 7:39 am
  92. Daniel writes:


    you need the death certificate to get the body buried and to claim on life insurance, get bank accounts closed, establish probate, all the grisly business. (I suspect that overworked Iraqi undertakers might be stretching a point these days, but life assurers, never).

    Again, do you have a citation for these claims? Something online would be great but if this is just info told to you by, say, a reporter recently returned from Iraq, that would be fine.

    Although I am not an expert in Iraqi financial markets, I was not under the impression that the life insurance market in, say, Falluja, was thriving. How many Iraqis have life insurance, for example?

    Again, my point is that the more that we understand about the actual mechanics of death certificates, the better we can evaluate the Lancet study. Daniel is nice to explain things to us, but not so nice to not make clear his sources.

    Posted by David Kane · October 13th, 2006 at 7:41 am
  93. soru,

    Good point about the survey apparently undercounting violent deaths in pre-invasion Kurdistan. There’s an obvious explanation for this: the interviewers spoke Arabic, not Kurdish.

    Posted by Ragout · October 13th, 2006 at 7:43 am
  94. “The surveyors were doctors from Baghdad, who had published papers under the previous regime, and so by the standards of modern day Iraq probably count as Baa’thist. By that I am not saying anything about their politics, or accusing them of bias, just pointing out that people like them have been explicitly targetted for ‘revenge’ killings, so they are not disinterested neutrals.”

    “I think that the attempt to smear the Iraqi doctors as Sunnis and Ba’athists who obviously made the numbers up is just disgusting.”

    “I’m seeing rather a low degree of correlation betwen that and what I actually said. Care to reread it?”

    Soru, what point are you making? If the survey is unaffected by the stance of the surveyors (as you seem to be saying in your reply above despite making it clear they are not neutrals) I cannot grasp what the purpose of the original paragraph is…could you clarify your point?

    Posted by john m. · October 13th, 2006 at 7:51 am
  95. Btw, I’m with Brendan et al in that not single substantial criticism appears to have be made against the study other than “F**k me that can’t be right.” Of course, with the lack of connections to international terrorism and no WMD, the humanitarian motive/justification is the only one left – and if these numbers are even vaguely correct than it’s a clean sweep for the entire strategy being clearly demonstrable as a complete and total disaster.

    Posted by john m. · October 13th, 2006 at 7:56 am
  96. John M.,

    The survey could be biased by the ethnic and religious affiliations of the interviewers without the interviewers being dishonest. This has been documented a hundred times.

    For example, respondents could have reported what they thought the interviewers wanted to hear. Or the surveyors could have gotten things wrong because they didn’t speak the same language as the respondents. And so on.

    Posted by Ragout · October 13th, 2006 at 8:02 am
  97. Clearly, the Lancet study presents a grotesque underestimate.

    Who really thinks that interviewers are going to the most dangerous places?

    The methodology itself is systematically biased to miss out lives lost when an entire family or village is wiped out and by not including the deaths of the widely reported huge numbers of foreign combatants.

    Didn’t we go though all of this last time over the Fallujah ommissions where they deliberately excluded the worst figures to keep the numbers down?

    Obviously a major science journal will round things down in the interests of not rocking the boat. They are no doubt responsible for the insensitive insistence that people produce death certificates for interviewers when clearly they should be allowed to grieve in peace.

    Ragout, do you have a cite for the interviewers speaking Arabic and hte interviewees not? The more we know the more we can understand the survey.

    David thanks for taking a break from sorting out these folks:
    http://neweconomist.blogs.com/new_economist/2006/09/reproduction.html
    It’s a shame that Daniel is letting his work get in the way of answering important questions.

    Soru, how was the sampling done in your survey? Did they ask many women? People in Tikrit? Turkmen? I’m sure they must be extrapolating from a much, much larger sample.

  98. For all the war apologists in this thread… do you ever get tired of being always wrong about everything? Or is this just the case that acknowledging reality at this point will be too psychically painful, and so denying reality is the only path to follow?

    Seriously, go back to the arguments you were making back in 2002, 2003, 2004, and 2005. Notice any patterns?

    Posted by Barbar · October 13th, 2006 at 8:10 am
  99. Daniel: At present, I think that the only critique which can’t be immediately dismissed as hackery is the one which Johan on the Harry’s place comments made;

    With respect, I don’t agree with that. For instance, there’s the quote to which Mettaculture drew attention in a comment at HP: ‘Coalition forces have been reported as targeting all men of military age.’ (along with references to a couple of newspaper articles.) This seems to me to be an inflammatory comment and out of place in what should be a scholarly study. Then there’s the misrepresentation of US Department of Defense statistics to which I drew attention in a comment at HP. They weren’t using DoD figures, merely relying on them as a backup, but still, they should get these things right. And then there’s the matter of the pre-war death rates.

    Brendan: [As I pointed out in the other post, this is like asking Hungarians or Czechs in 1949, “Thinking about the hardships you have suffered since the liberation of your country by the Russians, do you personally think that forcing the Germans out of your country was worth it or not?” Of course the asnwer would be ‘yes it was worth it’ and of course this would spectacularly miss the point].

    I must say, I fail to see why that would be an unreasonable question to ask of Hungarians or Czechs. In the other thread, you suggest posing that question in the 1950s or 60s, which might make it less sensible. FWIW, probably not all Czechs or Hungarians would have answered yes in 1949; and the overall response would be worth taking into account. Forgive me if I’ve missed an argument on this matter somewhere along the way, on some other thread.

    Posted by Lopakhin · October 13th, 2006 at 8:18 am
  100. I agree with Jack. So-called “scientists” are nothing but cogs in the apparatus of ideological oppression, who construct culture in accordance with their bourgeois “values”. This survey is yet more establishment propaganda designed to minimise the extent of capitalism’s crimes. The estimate is just obviously far too low. And I have never seen the data. Prove me wrong, please.

    Posted by engels · October 13th, 2006 at 8:20 am
  101. Jack, the Lancet article says “All were medical doctors with previous survey and community medicine experience and were fluent in English and Arabic.” If any spoke Kurdish, the article surely would have listed it as a qualification.

    It’s well-known that most Kurds in northern Iraq speak Kurdish as a first language.

    Posted by Ragout · October 13th, 2006 at 8:25 am
  102. David: it’s a factoid that keeps getting cited in press reports like this one, usually in the context of someone arguing that morgue counts aren’t all that unreliable (which they probably aren’t, as a measure of the deaths that arrived at that specific morgue; it’s the compilation that I think is unreliable). I haven’t checked it myself though.

    Lopakhin: I think both of those are really quite subjective points of emphasis rather than anything that might affect the conclusions.

    Posted by Daniel · October 13th, 2006 at 8:25 am
  103. Obviously a major science journal will round things down in the interests of not rocking the boat. They are no doubt responsible for the insensitive insistence that people produce death certificates for interviewers when clearly they should be allowed to grieve in peace.

    Mmm … didn’t want to rock the boat about MMR either, did they?

    Posted by Lopakhin · October 13th, 2006 at 8:29 am
  104. Didn’t we go though all of this last time over the Fallujah ommissions where they deliberately excluded the worst figures to keep the numbers down?

    There is a a thing about that you may not be aware of.

    According to calculations available on Tim Lambert’s blog, adding in the Fallujah data, while it increases the median prediction, also increases the variance sufficiently to make the 95% CI span zero.

    Lambert dismisses that as an artefact, but I think it is somewhat interesting.

  105. What are you trying to gain? What is the magic number, lower than 600,000, that would make you happy, and make the Iraq war a good war? Why are you intervening here in such a kneejerk way?

    You guys are like whipped boxers dead on their feet, waiting for the knockout blow, still punching feebly just because they have to, because they’re boxers. If you win this argument you win nothing. Why bother?

    Our intervention has been a disaster. The statistical information here is more or less consistent with the qualitative reports we get—Iraq is descending into a goon squad civil war, and no one is safe except Americans in the Green Zone. The airport isn’t even safe. American leaders can’t announce their visits. There are large areas where no American can ever go.

    The minimum estimate is 50,000, and it’s known to be an undercount. Does 50,000 seem like a small, OK nuumber to you?

    [I realize that some of you are stats buffs and stats experts who have no opinion about the Iraq War. You guys carry on! We need freaks like you without political opinions if we are to get the truth!]

    Obviously the people who did this study are illegal combatants. They released key information at a time calculated to interfere with a key part of the War on Terror—the Congressional Election. Only if this election is won can the terrorists be defeated.

  106. The estimate is just obviously far too low.

    It wouldn’t surprise me if it indeed was far too low, simply because they must’ve known they would be accused of overcounting. Certainly they had to protect themselves by being overly conservative every step of the way.

  107. Has anyone else noticed that every member of this “team” of so-called “statisticians” from the alleged John Hopkins university is American? I hardly think I need to point out what this might suggest about their unconscious biases…

    Posted by engels · October 13th, 2006 at 8:36 am
  108. John Emerson—you’re right that it may not make much moral difference whether the number dead is 100,000 or 600,000. But at the same time, notice how your fellow lefties are suddenly overwhelmingly convinced that the number has to be 600,000; that the study is unimpeachable and no criticisms are correct; and that they must—must—defend the study to the death. Why are they so emotionally attached to the study, if it makes no difference? (Answer: It’s not because they’re non-partisan scholars interested solely in the truth; it’s because they’re anti-war and they’re eager to have anything that will help their side of the argument.)

    Overall: Why does everyone seem to believe that a gut-check is somehow irrational? I.e., “this study is an order of magnitude greater than every other statistical source; maybe their extrapolation from a few hundred confirmed deaths isn’t actually accurate.”

    What’s wrong with that? That’s the way we all reason when calculations turn out to have results that seem improbable. You’re balancing the checkbook, and you get to the end, and you have 10 times as much money in the account as you had imagined. Do you throw up your hands and say, “Whoo-hoo! That’s what the math says, and math is never wrong! I’m having a party!” Or do you recheck your work?

    Posted by Functional · October 13th, 2006 at 8:43 am
  109. According to calculations available on Tim Lambert’s blog, adding in the Fallujah data, while it increases the median prediction, also increases the variance sufficiently to make the 95% CI span zero.

    Says Soru, yet again. It still isn’t true, though.

    http://anonymous.coward.free.fr/misc/roberts-iraq-bootstrap.png

    Posted by Kevin Donoghue · October 13th, 2006 at 8:43 am
  110. “The survey could be biased by the ethnic and religious affiliations of the interviewers without the interviewers being dishonest. This has been documented a hundred times.”

    Ragout, thanks for answering on Soru’s behalf, but are you asserting that this happened in this case? i.e. that the respondents deliberately lied because of who was asking the questions? If Soru wanted to make this point, why not just say so or is cryptic inference a more useful form of argument for some reason? Presumably on this basis all the polls discussed above telling us how delighted the Iraqis are with democracy will have suffered the same problem?

    Is it really necessary to point out that asserting that something could have happened rather than offering evidence that it did happen does not actually undermine the survey? Of those hundred documented instances you refer to, what was the effect on said surveys? Were all the results wrong? Just some? What % did it effect? Were any of them similar studies, employing similar methodologies in similar circumstances? The determination of the survey’s critics to find fault – any fault – is leading to some really desperate ‘arguments’.

    To that end, and in order to help, I would like to point out the entire study is discredited because I first heard about it on a Thursday.

    Posted by john m. · October 13th, 2006 at 8:46 am
  111. What are you trying to gain? What is the magic number, lower than 600,000, that would make you happy, and make the Iraq war a good war?

    A number below zero would presumably make the question unambiguous, rather than debatable as at present. That is not remotely unlikely, given the smallest mistake in the survey technique.

    Brendan:
    This is really rather different from Brownie’s interpretation that a majority of Iraqi’s ‘supported the war’..

    Is it a fair description of your position that Iraqis, collectively and according to the survey, can be assumed:

    1. to support a war that deposed Saddam and resulted in a successful and complete withdrawl within the next two years.

    2. to oppose a war that would result in the continued occupation of their country in 2014 (by analogy with 1956).

    I’m guessing you think it is uncontested and not worthy of debate that ‘the war’ when used by Brownie refers to the latter.

  112. If Soru wanted to make this point, why not just say so or is cryptic inference a more useful form of argument for some reason?

    Sorry, I thought it was obvious based on the content of the point I was responding to, which said that the surveyors, as admitted in the report, would tend to avoid the most dangerous areas.

    The same thing applies to reporters – the areas that are most dangerous to a western journalist are not necessarily those with the highest mortality rates.

  113. [The question] was: ‘do you think it was a good thing to get rid of Saddam Hussein?’ (that’s not a precise wording, but as I’ve argued, that was the jist of it).

    As Soru has said, that’s what is known in polite circles as a falsehood.

    Two polls were cited, and the questions were in each:

    “Thinking about any hardships you might have suffered since the US- Britain invasion, do you personally think that ousting Saddam Hussein was worth it or not?”

    “As you know the United States, Britain and some allies removed the government of Saddam Hussein in Iraq in 2003. Do you think that this was the right decision or a mistake?”

    When you are asked “was it worth it?” about anything, you are explicitly being asked to balance a benefit obtained against cost endured. You need to lift your patronization of Iraqis to new heights if you are seriously arguing that when answering such questions, Iraqis think only about Saddam and not the action taken to remove him, and all that this has meant.

    When discussions reach a point where your interlocutor has nowhere to go but to deny the meaning of words written in black and white, it really is time to call it a day, absent even the semi-literate warblings of other commentators who insist on arguing against points I’ve never made and attacking positions I do not hold.

    Having played host to numerous visits from the CT authors, I expected rather better from their commentators.

    Time to stop racking up the comments over here and go back over there.

    It was a blast. Kind of.

    Posted by Brownie · October 13th, 2006 at 8:56 am
  114. “The same thing applies to reporters – the areas that are most dangerous to a western journalist are not necessarily those with the highest mortality rates.”

    …except for the western journalist mortality rate, obviously. It’s an interesting approach you’re taking Soru but ultimately it is an opinion based one rather than statisically generated based on actual sampling.

    Posted by john m. · October 13th, 2006 at 9:13 am
  115. Brownie: You are completely wrong. “Was it worth it” is a completely accurate abbreviation of those questions. Go back to wherever you came from, you dishonest hack.

  116. Heckuva job, Brownie!

    Posted by Steve LaBonne · October 13th, 2006 at 10:07 am
  117. Brownie, though you’re right that saying “a death certifcate was present” is “still open to some interpreation”, that it follows “interviewers were to ask for a copy of the death certificate” I think the conclusion is that they were shown it.

    You add (I think not in response to this), “the day you catch me trying to unpick the Hopkins methodology, you’d be entitled to throw as much mud my way as you can muster”.

    You were critical of the original study methodology, and the statistical techniques used. Have you changed your mind on the original, or is difference in the methodology between the studies that makes the difference?

    Posted by Matthew · October 13th, 2006 at 10:22 am
  118. I appreciate Daniel providing a citation. However, that citation does not seem (to me) to support the claims that he is making. That article reports:


    Iraqi authorities say morgue counts are more accurate than is generally thought. Iraqis prefer to bury their dead immediately, and hurry bodies of loved ones to plots near mosques or, in the case of Shiites, in sacred burial sites. Even so, they have strong incentives to register the death with a central morgue or hospital in order to obtain a death certificate, required at highway checkpoints, by cemetery workers, and for government pensions. Death certificates are counted in the statistics kept by morgues around the country.

    Great. But that the issues that (reasonable) people have with the death certificate question. We all agree that death certificates are issued, that a family is better off with one than without one. Great. But I have my doubts about a) if the government is/was actually issuing certificates in the most violent parts of Iraq during large parts of the study and b) if death certificates get you benefits, are there any false ones is existence.

    Recall that Daniel made a sweeping claim:


    When someone dies, you get a death certificate from the hospital, morgue or coroner, in your hand. This bit of the death infrastructure is still working in Iraq.

    I do not think that this claim was true in, say, Falluja, for 2004-2005. I suspect that it is not true for many other places.

    This does not mean that the study is wrong or that people aren’t dead. I just don’t think that Daniel should be implying that death certificates are not an issue if the only information he has to go on is news reports which don’t address the issue.

    Posted by David Kane · October 13th, 2006 at 10:27 am
  119. Well, well, if it isn’t David “I believe it is a statement of fact” Kane, open-minded torture apologist!

    How did it feel like to undergo repeated waterboarding?

  120. Let me be polite (try, try….).

    Without a death certificate you can’t transfer property like houses, farm land and any number of a hundred things. Without a death certificate your loved one’s obligations don’t die with him.

    You will discover this when you have to get a hundred copies of a death certificate for someone near and dear to you. It is not one of life’s pleasures, but it is dealth’s necessities. Well, maybe not in Somalia.

  121. The furor about the numbers is successfully fogging the implications of the numbers. To me, one of the implications is how surprisingly little we know about the Iraq war – because it is reported (in English) almost exclusively with the American p.o.v. in mind. Nir Rosen’s book collecting his reportage of the war, In the Belly of the Green Bird, is one of the few war books I’ve read that actually mostly ignores the Americans and concentrates on the multiple factions that have been struggling in Iraq from the beginning. And it definitely presents a different war, one that even a reader of Informed comment and the daily news stories in the NYT and Washington Post does not see. At all.

    Another implication is, of course, that the argument that Americans have a “moral responsibility” to the Iraqis and so must remain there is an even more brainless use of an empty phrase than we thought. Americans had a moral responsibility not to attack Iraq unless they were threatened, which they ignored – but the pretense that, after that moral lapse, now the moral Americans have a moral interest to mount an occupation is truly hilarious—rather like saying the Nazis had a moral responsibility to put France together after 1941. Putting that Welcome Wagon mask on a pillaging expedition has had the results we have been seeing for years. Moral responsibility has mainly consisted in Americans making completely cretinous Bungalow Bill decisions about Iraqi factions that they obviously have no business making, while profiting enormously from shoddy work or no work of reconstruction, which they are apparently incapable of doing, filling the country with private military forces and American soldier’s unconstrained by Iraqi law, and creating a massive jail system into which people regularly disappear for no reason. I suppose at least the latter shows that the Americans are following the you break it, you fix it rule – they broke Saddam Hussein’s system of torture prisons, and so they’ve been doing their best to restore them. And the end result has been an enormous death toll of the ‘natives’ and the continuing and incredible imperialist arrogance of the ‘occupiers’, who at the moment are engaged, incredibly enough, in trying to break up the country, fighting for the Badr brigades against Sadr’s militia, while Sciri rams through a federalism law in the joke parliament that is going to create a taliban like enclave of Islamicist rule in South Iraq.

    Enough harm has been done to the Iraqis, I would think, to satisfy the American thirst to combine the pleasure of lynching with the pleasure of think that God blesses America. I certainly hope these Lancet figures count if the Dems win and they do investigate the conduct of Bush’s dirty war.

  122. I certainly hope these Lancet figures count if the Dems win and they do investigate the conduct of Bush’s dirty war.
    Don’t get your hopes up. They’re a bunch of spineless eunuchs. And all too many of them were complicit in the decision to go to war in the first place.

    Posted by Steve LaBonne · October 13th, 2006 at 10:39 am
  123. A number [of extra deaths] below zero would presumably make the question unambiguous, rather than debatable as at present. That is not remotely unlikely, given the smallest mistake in the survey technique.

    As I have already explained to you, this might be true of the abstract statistical manipulation of the data, but the statistical interpretation of Iraq death tolls is only a supplement to a lot of other knowledge we already have.

    But at the same time, notice how your fellow lefties are suddenly overwhelmingly convinced that the number has to be 600,000

    My fellow lefties mostly responding to the inevitable barrage of criticisms by statistical illiterates pulling stuff out of their butts. I personally think that the study was a good-faith effort, but that in the present political climate kneejerk criticisms were inevitable. The ignorant, ad hoc nature of many of these criticisms has been effectively demonstrated. That’s a good thing, though to me it’s a bad thing that we’ve allowed trolls to set the agenda. The topic remains the war itself and the destruction it has wrought, not the differences between avrious quantitative estimates.

  124. Steve, while you are probably right that the Dems will act like they have acted, I’m not counting on their inherent morality, but on two things: the mounting toll of this insane war, and two, their self interest. Eventually, some politician is going to figure out that all the preliminaries to an anti-war politics are in place, and decide to enter that position.

    Since the Dem leadership lives in D.C., I think they are insulated from the true emotional disgust with the war elsewhere because, frankly, the war is one of the best things ever to happen to D.C. The reason it has the hottest real estate market and the most booming economy east of Las Vegas is because the Bush administration has used the bogus war on terror to pour tens of billions of dollars into the local economy – via a plethora of war industry firms and all their hangers on. Dem honchos sit among all this wealth, have benefitted from it themselves, and naturally are hesitant about turning off that faucet. Thus, the triumph of Lieberman-ism. My hope is simply that the war is in the final bubble phase—the money has to run out sometime, and then D.C. will be left, overbuilt, with hundreds of disgruntled, laid off think tankers looking for another war to promote. Which will mean taking down this one.

  125. Brownie: you missed the point, again. Besides the fact that your quoted paragraph is not in my opinion an unreasonable description—- it wasn’t really meant to reflect only you and was badly worded. I probably should have left it out, but would you then have addressed any of the substance of the post? I somehow doubt it, but surprise me!

    If you have a report from a reasonably reliable source (say, a well respected medical journal) that gives a result you don’t like, there is only one intellectually honest response to it. You simply cannot begin by trying to find flaws and expect to be taken seriously. That appoach may make you feel comfortable (being able to trumpet `ah, see, it’s broken’ at the first percieved flaw without any danger of learning something) but it is deeply flawed. The only honest approach is to first make sure you understand it (not somebody elses characterization of it) and then ask the question `can this be correct’? There is of course an opposite problem, that of grasping at numbers that support some position you hold and broading applying them without understanding either. I haven’t seen much of that going on in this current case.

    Arguments from incredulity really don’t add anything of value to a discussion of this. You personally don’t give evidence (that I’ve seen) of understanding the study, other studies, or the methodologies involved. As far as I can see, you are merely (and ineptly) trying to poke holes in something you don’t like. This sort of nonesense is a waste of time to engage with, so I won’t any further.

    Posted by soubzriquet · October 13th, 2006 at 11:00 am
  126. [...] The buzz over the Lancet’s estimated 654,965 excess deaths in Iraq between January 2002 and July 2006 has not subsided. Lila Guterman at the Chronicle of Higher Education has discussed the previous Lancet study (2004) as misrepresented by the media. Daniel Davies at the Guardian and various posters at Crooked Timber (1)(2)(3) have discussed the previous Lancet study (2004) and taken on the scoffers, among which are the New York Times, George W. Bush, and numerous right-wing blogs. Mahablog and Majikthise give more explanations of the present Lancet study and debunk the critics. [...]