Health Blogger Could Be Jailed for Giving Health Advice While Unlicensed

More

On the web, the line between "expert" and "licensed expert" is a thin one.

[optional image description]
Shutterstock/Anna Hoychuk

In February of 2009, Steve Cooksey checked himself into a North Carolina hospital, suffering from what seemed to be complications from Type 1 diabetes. Over four days of treatment, Cooksey kept remembering the experience of his diabetic grandmother, whose life had come to involve daily insulin shots. Something, he decided, had to change. Cooksey, who had never thought much about dieting, began reading up on eating plans that would keep his insulin levels low, and eventually adopted the Paleo diet -- a low-carb, high-protein eating plan that mimics the imagined consumption habits of humans' hunter-gatherer ancestors. Cooksey eventually lost 45 pounds on the diet, and managed, even more significantly, to prevent the need for insulin treatments and other drugs. He also blogged about his experiences, sharing his meal plans and exercise regimen and, eventually, providing a support service to readers that offered one-on-one advice for a small fee.

Now, the North Carolina Board of Dietetics/Nutrition is threatening to send Cooksey to jail. Yes. Cooksey, the Board argues, is violating Chapter 90, Article 25 of the North Carolina General Statutes, which makes it a misdemeanor to "practice dietetics or nutrition" without a license. (Per the statutes, "practicing" nutrition includes "assessing the nutritional needs of individuals and groups" and "providing nutrition counseling.")

This is, on the one hand, ridiculous. Cooksey is a blogger in the classic sense: He's experiencing something, and sharing that experience with others. He's not pretending to be a doctor -- or even a dietitian. (He posts, in addition to a detailed disclaimer tab at the top of each page, a disclaimer at the bottom of each page on Diabetes-Warrior.net: "I am not a doctor, dietitian, nor nutritionist ... in fact I have no medical training of any kind.")

And yet. The case is also fascinating, because Cooksey is, in the end, giving advice. And not just advice about books to read or restaurants to eat at, but about matters that have a direct bearing on people's health. He may not be posing as a doctor, but he is posing as an expert -- licensed not by a bureaucratic board, but by experience itself. 

In that sense, the Board's case against him -- and you can see, in hand-scrawled detail, that case in this fascinating mark-up -- is not without merit. The Paleo diet may be a route to good health or a passing fad; all Cooksey knows is that, so far, it has worked for him. And that's a telling tension -- one that hints at the way the web is changing the dynamics of authority. The bureaucratic bodies that used to be charged with regulating expertise -- through education standards, through licensing, and the like -- are now competing with regular people, made expert by their regular experiences.

Jump to comments

Megan Garber is a staff writer at The Atlantic. She was formerly an assistant editor at the Nieman Journalism Lab, where she wrote about innovations in the media.

Get Today's Top Stories in Your Inbox (preview)

Video

More Video
Here's What Happens When You Light a Fire in Space


Elsewhere on the web

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register. blog comments powered by Disqus

Video

Miami: The Next Big Start-Up City?

How the city became a center for innovation

Video

Video

A Brief History of Romantic Comedies

From The Atlantic's Chris Orr

Video

Life in 'the New Arctic'

A moving portrait of a fading landscape

Video

Video

The Rise of New York City

A fascinating look at Manhattan in the 1940s

Video

What Is Methane Hydrate?

"Flaming ice" is a vast natural energy source

Video

NASA's Time-Lapse of the Sun

Now with epic dubstep music

Video

Shaken Not Tuned: Cocktail Experiments

Can a tuning fork improve a cocktail?

Video

Video

Is He Cheating? A 1950s Guide

'That little blonde secretary from the office?’

Video

New Yorkers: Vintage Vacuum-Tube Amps

Risking electric shock to restore old amplifiers

Video

The DIY Piano-Bicycle

Everybody needs a hobby

Video

What Does It Take to Make Real Craft Gin?

Tour the Green Hat Gin distillery

Video

What Straights Can Learn From Same-Sex Couples

New insight from decades of research

Video

The End of the Mall Rat

A tribute to that pillar of teen culture

Video

The Wonderful World of Capitalism

An adorable 1950s cartoon

Video

New Yorkers: Miss New York USA

An unconventional beauty queen.

Writers

Up
Down

More in Technology

In Focus

Early Monsoon Rains Flood Northern India

Just In