New Issue: Science’s Impossible Questions. Read Now

Book Review: The Truth in Small Doses

Books and recommendations from Scientific American

Join Our Community of Science Lovers!


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


The Truth in Small Doses: Why We're Losing the War on Cancer--and How to Win It
Clifton Leaf
Simon & Schuster, 2013 ($27)

The U.S. Congress declared a “war on cancer” with the 1971 National Cancer Act and poured money into fighting the disease. Yet ever since, new cancer cases have risen three times faster than the U.S. population. According to Leaf, a journalist and cancer survivor, the act failed because of the flawed research culture it spawned. In this history of the fight against cancer, he describes how scientists often cannot secure funding for risky research in a culture that rewards competition over collaboration. The final section is a call to shift funding from narrow projects to broadly skilled researchers and urges patients to become better advocates for progressive change. Without such steps, Leaf says, the war on cancer has no chance of being won.

About Marissa Fessenden

Marissa is a freelance science journalist in Bozeman, Montana. She was an editorial intern with Scientific American from June 2012 through June 2013. Follow on Twitter @marisfessenden

More by Marissa Fessenden
Scientific American Magazine Vol 309 Issue 2This article was published with the title “The Truth in Small Doses” in Scientific American Magazine Vol. 309 No. 2 (), p. 96
doi:10.1038/scientificamerican0813-96c

Subscribe to Support Independent Journalism

Great science journalism requires human expertise, time, effort and creativity. And it costs money. That’s why I and the journalists here at Scientific American hope you’ll join our community.

When you subscribe, you are supporting staff and freelance journalists who are passionate about telling science stories that are true, important and compelling. Our editors and reporters are often experts in their fields, which means they understand the nuances of big discoveries and can untangle the breakthroughs from the hype. With a subscription, you are also supporting rigorous fact-checking to ensure the words we publish are precise and accurate. And you’re supporting original illustrations, graphics and photos that bring you closer to an advanced laboratory, an ice sheet in Antarctica or a space mission in orbit. You’re helping us craft other types of high-quality journalism as well: Our newsletters are carefully written, edited and curated by staffers you have or will come to know and love. Our Science Quickly podcast is based on original reporting, collaboration with editors and scientists and exacting production.

Subscriptions keep this engine running so we can continue to deliver thoughtful, rigorous and independent science journalism to you. In an era of viral misinformation, this work is crucial. If you value what we do, I hope you’ll consider joining us as a subscriber

Thank you,

Jeanna Bryner, Editor in Chief, Scientific American

Subscribe