(CAM) Complementary and Alternative Medicine
Complementary medicine is another expression for “alternative” medicine, though the two are often linked as complementary and alternative medicine and referred to as CAM. (sCAM is sometimes used to refer to supplements and complementary and alternative medicine, since much of CAM promotes taking supplements as essential to good health.) The term ‘complementary’ seems to have been introduced by the purveyors of quackery in an attempt to produce the bias that untested or discredited treatments should be used along with scientifically tested medical treatments. There really is no such thing as “alternative” medicine; if it’s medicine, it’s medicine. ‘Alternative medicine’ is a deceptive term that tries to create the illusion that a discredited or untested treatment is truly an alternative to an established treatment in scientific medicine. By adding ‘complementary medicine’ to the repertoire of misleading terms, the purveyors of quackery have improved on the illusion that their remedies somehow enhance or improve the effects of science-based medical treatments. (source: The Skeptic’s Dictionary)
by Steven Novella via NeuroLogica Blog
Chiropractors and naturopaths would like to be your primary care physician. They are tirelessly lobbying to expand their scope of practice, with the goal of achieving full parity with actual physicians. This would be an unmitigated disaster, for reasons I will detail below.
Oregon is setting up coordinated care organizations to help promote improved care at reduced cost. The idea sounds plausible and is a good experiment in how to reduce health care costs. The idea is to set up local groups of health practitioners who work in a coordinated way to take care of the local population, including physical and mental health, with dental health on the way. These CCOs would focus on preventive care with the goal of reducing illness and ER visits.
With any new health care initiative (including Obamacare, and this CCO initiative) so-called complementary and alternative medicine (CAM) practitioners see them as an opportunity to expand their power, reach, and scope. Unfortunately they have been largely successful – they know how to talk to both ends of the political spectrum, and the relevant science seems to get lost or distorted in all the propaganda.
A recent commentary in the Washington Times is a great example of this. The article was written by Peter Lind, a “metabolic and neurologic” chiropractor. Chiropractic neurology is pure pseudoscience, it relates to actual neurology as alchemy does to chemistry, or astrology to astronomy. Lind writes:
Governor Kitzhaber’s philosophy and current Oregon law says that CCOs cannot discriminate against complementary and alternative health providers (CAM) such as chiropractic physicians, naturopathic physicians, licensed acupuncturists, and licensed massage therapists. Governor Kitzhaber has said repeatedly that CAM providers cannot and will not be discriminated against in the new health care system and that chiropractic and naturopathic physicians will act in the capacity of primary care providers for those who wish to practice at the top of their licensure. These providers will help address the primary care provider shortage that is only going to grow when Oregon’s CCOs come fully online.
“Not discriminate against” is code for – abolish the standard of care. There are several political codes which ultimately just mean to get rid of the standard of care, or to create a double standard. “Health care freedom” is another. I have seen such “anti-discrimination” laws in effect with disastrous results. They mean, for example, that insurance companies are forced to pay for useless and sometime fraudulent treatments by CAM practitioners, and then have to write absurd rules (that apply to everyone, including physicians) in an attempt to limit the damage.
- Why Do People turn to Alternative Medicine? (illuminutti.com)
- CAM Practitioners as Primary Care Doctors (skepticblog.org)
- Alternative Medicine Use Common In Kids With Chronic Conditions: Study (prn.fm)
- Does Adding Alternative Medicine Cost Health Insurers More Money? (alternativendhealth.wordpress.com)