Here's a really good discussion by David Gorski, a research oncologist, of LNT vs. hormesis, and why Ann Coulter is still a moronic crank. It's longish so here's just a few grafs chosen not to make any particular point but just to give a sampling of what Dr. Gorski is saying.
As imperfect as it is, the LNT model is a reasonable approximation for purposes of policy-making because it is conservative and safe. Admittedly, there are problems applying such a model when the doses get really low, as in lower than the normal background radiation that we all live in, but it’s a useful approximation. When it is very hard to distinguish between an LNT model and a hormesis model at very low radiation exposures, until better data can be gathered that clearly demonstrate the superiority of one model over another, the responsible and safe model to choose is the most conservative one that fits reasonably well. Basing public policy on a model that, if incorrect, has the potential to result in considerable harm in the form of increased radiation-induced disease prevalence is not wise policy at all, at least when the alternate model is not demonstrably wrong.
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Despite my irritation, I was rather grateful for Coulter’s article. It did remind me of a rather fascinating debate in radiobiology over what model best describes the biological effects of radiation. Hormesis might indeed be a real phenomenon in humans, but it’s been very difficult to demonstrate. Even one of the best review articles I’ve found that argues for the existence of hormesis as a phenomenon, an article by Tubiana et al entitled The Linear No-Threshold Relationship Is Inconsistent with Radiation Biologic and Experimental Data doesn’t exactly argue for hormesis. Rather, it argues that the LNT model is inconsistent with the data and needs to be modified to more of a threshold model, in which doses below a certain threshold are probably harmless but above a certain threshold start to increase the risk of disease. Arrayed against these sorts of arguments are scientists like Rudi H. Nussbaum and Wolfgang Köhnlein, who call hormesis and the zero-risk threshold dose “scientifically refuted, but stubborn myths.” They even argue that in some cases the risk of low level radiation exposure might well be underestimated. Not surprisingly, in her article Coulter used nearly every myth that Nussbaum and Köhnlein deconstruct in their paper.
Hormesis is clearly an area of science that is as yet controversial. The reason is because it’s difficult to demonstrate definitively one way or another whether hormesis occurs in humans in response to low dose radiation. As I mentioned above, the signal-to-noise ratio for studies of low dose radiation is very low. Moreover, studies of low dose radiation have been conflicting, although we can say with a fair amount of confidence, based on my review of the literature, that, if hormesis occurs, it probably occurs only below doses of 100 mSv. Remember, 30 mSv is the dose received from a CT scan of the chest, abdomen, and pelvis and can be estimated to increase one’s lifetime risk of a fatal cancer by 1 in 1000 to 1 in 500 in pediatric patients, while most people receive around 3 mSv per year from background radiation. To put this all into context, XKCD has a very useful chart that describes how much radiation we receive from various sources. Another good perspective comes from a recent AP article on the topic, which takes a much more balanced perspective.
The bottom line is that we just don’t know whether hormesis is a real phenomenon for radiation response in humans. Lacking that knowledge, we do know that the LNT model is a reasonable approximation for purposes of regulation because it is simple and defensible. Even so, different professional organization bodies have started to question it.
Full article:
http://www.sciencebasedmedicine.org/?p=11636