Scott Alexander, curated
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Highlights From The Comments On My IRB Nightmare

Quality
67
Strong
Claude Shift
35
Slight
RWI
2
of 10

Follows up on

My IRB Nightmare — Essay · Aug 2017

Summary

A Highlights-From-The-Comments companion to 'My IRB Nightmare.' Curates reader IRB horror stories (a COPD observational study buried in 300 pages, the 'Don't Be a Nazi' training, lasers-on-infants, a communion-wine science fair) alongside genuinely balancing pushback: much of the pain is institutional not regulatory; private IRBs turn things around in days; and the Tuskegee/American-misconduct reminder that IRBs exist for real reasons. Scott concedes some snark was unfair but sharpens the core claim — IRBs have crept into low-risk studies to everyone's detriment (the 'police state vs anarchy' false dichotomy), and new NIH rules reclassifying basic science as 'clinical trials' are making it worse.

Why this score

Quality 67 · Strong. Strong, low (companion). A rich, entertaining highlights post lifted by Scott's clarifying response and the substantive institutional-vs-regulatory and Tuskegee counterpoints; upper companion-cohort, level with the other strong Highlights (Cultural-Evolution 68 / Scott-Adams 68), held just below as secondary curation.

Claude’s paradigm shift 35 · Slight. Slight–Moderate (35). Curation of reader stories plus Scott's reply; surfaces good points (institutional≠regulatory) but derivative by format.

Real-world impact 2 · Minor. Minor (2). Extends the (real-world-relevant) IRB-reform discussion; within-blog companion reach.