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Friday, April 10, 2026

The Linear No-Threshold (LNT) Radiological Health Model: Is it Too Cautious? Yes, Probably


    

     According to Wikipedia, the Linear No-Threshold Model is as follows:

 “The linear no-threshold model (LNT) is a dose-response model used in radiation protection to estimate stochastic health effects such as radiation-induced cancer, genetic mutations and teratogenic effects on the human body due to exposure to ionizing radiation. The model assumes a linear relationship between dose and health effects, even for very low doses where biological effects are more difficult to observe. The LNT model implies that all exposure to ionizing radiation is harmful, regardless of how low the dose is, and that the effect is cumulative over a lifetime.” 

     This model is commonly used to set public policy regarding radiation exposure. However, the validity of the model is disputed, and detractors say it should not be used to set public policy. Other models suggest that low-dose radiation is not harmful and may actually be beneficial. It has also been argued that the LNT may have created an irrational fear of radiation. That fear has been termed radiophobia. No one disputes the harm of high levels of radiation. The issue of debate is basically lower levels. However, it has yet to be determined whether low levels of radiation are harmful, beneficial, or neutral.




In 2005 the United States National Academies' National Research Council published its comprehensive meta-analysis of low-dose radiation research BEIR VII, Phase 2. In its press release the Academies stated:

The scientific research base shows that there is no threshold of exposure below which low levels of ionizing radiation can be demonstrated to be harmless or beneficial.”

     A 2005 report by the French Academy of Sciences stated:

The LNT concept can be a useful pragmatic tool for assessing rules in radioprotection for doses above 10 mSv; however since it is not based on biological concepts of our current knowledge, it should not be used without precaution for assessing by extrapolation the risks associated with low and even more so, with very low doses (< 10 mSv), especially for benefit-risk assessments imposed on radiologists by the European directive 97-43.”

     Ted Nordhaus, writing for The Ecomodernist, recently wrote about the LNT based partly on an article in Scientific American by Katy Huff, Assistant Secretary for Nuclear Energy at the Department of Energy during the Biden Administration, and professor of nuclear engineering at the University of Illinois. The article is paywalled so I can’t access it, but she argues against the Trump administration’s recent executive order to reconsider the use of the LNT. The EO announced on May 23, 2025, explains that the use of the LNT has been a strong factor in hampering the deployment of nuclear energy in the U.S. since 1978:

Between 1954 and 1978, the United States authorized the construction of 133 since-completed civilian nuclear reactors at 81 power plants. Since 1978, the Nuclear Regulatory Commission (NRC) has authorized only a fraction of that number; of these, only two reactors have entered into commercial operation. The NRC charges applicants by the hour to process license applications, with prolonged timelines that maximize fees while throttling nuclear power development. The NRC has failed to license new reactors even as technological advances promise to make nuclear power safer, cheaper, more adaptable, and more abundant than ever.”

This failure stems from a fundamental error: Instead of efficiently promoting safe, abundant nuclear energy, the NRC has instead tried to insulate Americans from the most remote risks without appropriate regard for the severe domestic and geopolitical costs of such risk aversion. The NRC utilizes safety models that posit there is no safe threshold of radiation exposure and that harm is directly proportional to the amount of exposure. Those models lack sound scientific basis and produce irrational results, such as requiring that nuclear plants protect against radiation below naturally occurring levels. A myopic policy of minimizing even trivial risks ignores the reality that substitute forms of energy production also carry risk, such as pollution with potentially deleterious health effects.”




     Nordhaus describes and critiques Huff’s position regarding the LNT and low-dose radiation:

Huff has published a scathing critique of the reset, arguing that in the absence of new research proving that there are no negative health effects at low doses, and extensive public input into any proposed new standard, changing the NRC’s health standards “effectively demands that NRC’s decision-making be political rather than scientific” and is hence “unethical.”

Huff insists that she is defending science over politics. But her position is, in fact, no less political than that of the Trump administration and far more extreme. She argues for a strict precautionary approach to radiological health risk while insisting that any change to this approach requires new research to falsify a hypothesis (LNT) that is both unproven and likely unfalsifiable. Meanwhile, she obfuscates the actual consequences of changes to public dose standards, which are minimal even accepting the LNT hypothesis, and claims, without evidence, that doing so will result in the loss of public confidence in nuclear energy.”

     Thus, he, correctly in my opinion, explains the issue as one where the Precautionary Principle has long prevailed over other ways of looking at low-level radiation. He says that changing the LNT and the unnecessary hampering of nuclear energy development are long overdue. He argues that humans are already exposed to low-dose radiation from the sun, radon, and anthropogenic sources such as X-rays and CT scans, and that cumulatively, these sources exceed levels that the public and workers at nuclear plants, even with occasional accidental exposure, are exposed to.

Everybody is exposed to background radiation that is significantly higher than low dose exposures that they might be exposed to from nuclear reactors. And large numbers of people will die from cancers caused by other factors. As a result, even when tracking very large populations exposed to low doses of radiation over a very long time period, it is extremely difficult, if not impossible, to identify a statistically significant increase in cancer incidence or mortality above the background rate experienced by populations that have not been exposed to excess low dose radiation.”

     Huff calls for more research, as those wedded to the Precautionary Principle often do, but Nordhaus argues that more research is not likely to solve the epidemiological issue.

Science simply can’t resolve the uncertainty about radiological health effects at low dose exposures. The decision to regulate low dose effects that are unavoidably speculative is no less political than the decision not to do so. Huff prefers a more precautionary approach than the Trump administration. But that is a conflict over social and political values, not science.”

     He argues that the Chernobyl disaster was an extreme outlier due to a poor nuclear energy design by the Soviets and a very poor response by them as well – for instance, iodine tablets were not given to many workers exposed to keep the meltdown under wraps. Even in those lights, the deaths and later cancers have been lower than would be expected by the LNT model.

     Nordhaus thinks the U.S. will likely raise the maximum allowable dose from nuclear plant operations that the public could be exposed to from 1 mSv to 5 mSv, twenty times lower than the 100mSv threshold for observable radiological health effects.

Given the low dose and extreme uncertainty that there is any effect at all, there is no appreciable difference between a 1 mSv maximum dose and a 5 mSv maximum dose. Both doses are far higher than anything that any nuclear reactor would likely expose the public to in anything other than a worst-case accident and yet are still de minimis in relation to a dose that one might reasonably expect to have significant public health consequences.”

     Nordhaus also argues, as other nuclear advocates such as climate scientist James Hansen have also argued, that the air pollution from fossil fuels definitely kills people, and replacing some of that fossil fuel generation with nuclear generation will eliminate some of those deaths. Thus, more nuclear energy would likely result in overall better health outcomes for people. That is a reasonable argument that is difficult to argue against ands yet another situation where precaution might cause more harm than good. Thus, it is reasonable to assume that raising thresholds for low-dose exposure could actually help to save lives. He notes that Huff and others argue that raising exposure limits will undermine public confidence is simply a self-fulfilling prophecy, not based in reality. One might argue why we should accept deaths from fossil fuel pollution and not accept possible but not likely very slight increases in future cancers due to ionizing radiation exposure.

The public confidence game, in these ways, is circular and well past its sell date. We are over fifty years past the era when the radiological risk norms that both Democrats and much of the nuclear industry continue to adhere to were established. The anti-nuclear movement is dead. The soft energy path is a fantasy. Fear of the unknown when it comes to nuclear energy and radiation may still be around, but new research suggests that it has substantially attenuated.”

Arguing about speculative cancer deaths from speculative future low dose radiation releases that may not even exist, when verifiable harm is still being caused by fossil fuels, does not serve the public good.”

Bottom-line, there is simply no reasonable basis for the claim that the changes to radiological health standards currently being discussed by the Trump administration and the NRC will be material to the public’s health. Nor that updating those standards will spark a backlash from the general public. It’s time to get on with the business of reform at the NRC and building a globally competitive 21st-century nuclear industry.”

     I wholeheartedly agree with Nordhaus that our nuclear energy industry has been so hampered by regulations, slow approvals, and unsubstantiated safety and public health precautions that it has been rendered wounded and dysfunctional, raising costs to unnecessarily high levels and increasing timelines for deployment unnecessarily. The raising of the exposure limit is both reasonable and a step in the right direction, but there are many other hurdles to overcome before the U.S. might see a real renaissance in nuclear energy.



References:

 

The Public Confidence Game: How Extreme Radiological Precaution Undermines Both Public Health and Public Confidence in Nuclear Energy. Ted Nordhaus. The Ecomodernist. February 9, 2026. The Public Confidence Game - by Ted Nordhaus

Loosening radiation exposure rules won’t speed up nuclear energy production: Relaxing radiation safety standards could place women and children at higher risks of health issues. Katy Huff. Scientific American. January 23, 2026. Weaker radiation limits will not help nuclear energy | Scientific American

Linear no-threshold model. Wikipedia. Linear no-threshold model - Wikipedia

Ordering the Reform of the Nuclear Regulatory Commission: A Presidential Document by the Executive Office of the President on 05/29/2025. Federal Register. Federal Register :: Ordering the Reform of the Nuclear Regulatory Commission

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