I usually have a lot of time for Bernard Keane's analysis. His is a voice of sanity in an otherwise dull, predictable and partisan public debate. But his critique on Monday of what he calls "preventative health wowsers" was way off the mark. It needs a response, not just because of this one article, but because vested interests and ideologues use many of the same facile arguments and too often are left unchallenged.

Bernard argues that the "the medical profession and the preventive health industry are engaged in a constant campaign against basic rights in the name of forcing Australians to become healthier". He primarily draws on the responses to alcohol abuse, but also refers to smoking and gambling. He infers that the problem of alcohol abuse is overstated and that responses to health issue is "always to ban, to tax us and to use surveillance". Bernard's central thesis is that health professionals are simply social elites who want to control behaviours that they disapprove of.