via Science-Based Medicine
Any sociological question is likely going to have a complex answer with many variables that are not easy to tease apart. We should therefore resist the temptation to make simplistic statements about X being the cause of Y. We can still, however, identify correlations that will at least inform our thinking. Sometimes correlations can be triangulated to fairly reliable conclusions.
When the data is complex and difficult to interpret, however, evidence tends to be overwhelmed by narrative. The recent Sandy Hook tragedy is an excellent example. No one knows exactly why the shooter did what he did, so it is easy to insert your own preferred narrative as the explanation.
Another example is the phenomenon of so-called complementary and alternative medicine (CAM). Why has it been increasing in popularity (and is it, really?). Is it slick marketing, relaxed regulations, scientific illiteracy, a gullible media, or the failures of mainstream medicine? You can probably guess I think it’s all of these things to some degree. The most common narrative I hear by far, however, is the latter – if people are turning to CAM it must be because mainstream medicine has failed them. This version of reality is often promoted by CAM marketing.
The evidence that we have, however, simply does not support this narrative. Studies show that satisfaction with mainstream medicine is not an important factor in deciding to use CAM, that CAM users are generally satisfied with their mainstream care, and they use CAM because it aligns with their philosophy, and they simply want to expand their options.
None of this is to imply that mainstream medicine has no problems or failings – it does. We should, however, be working toward keeping and improving what works and fixing what doesn’t, not discarding science and reason to embrace fantasy as an alternative. This is often the false choice presented by CAM proponents, and is analogous to creationists pointing out alleged weaknesses in the theory of evolution as an argument for creationism as an alternative.
What are the principles behind Homeopathy and does it work?
Hollywood celebrities have a reputation for espousing a sort of prepackaged, fast-food version of politically correct “liberal” issues, as if they buy a kit of personal convictions off the shelf at Whole Foods. It includes environmental concerns, usually exaggerated and often wrong; rejection of “all things corporate” including pharmaceuticals and biotech, with a corresponding embrace of alternative medicine, organic agriculture, and “empowered individual” philosophies like home birth. Then there are the outliers who go the other way toward full alt-right with an imagined superior insight into world affairs. They tend to reject history and science in favor of conspiracy mongering and alternative science, be it the young Earth, the flat Earth, or calling us all sheeple for believing in the standard model of the universe.
Interestingly, anti-vaccination is found in both camps. Left-leaning antivaxxers tend to reject it because it’s not a natural healing method, and right-leaning antivaxxers think it’s an evil government program of enforced mercury poisoning. It increasingly seems that a rational, level-headed, science-literate Hollywood celebrity is as rare as a truly good movie.
So here my list of top 10 celebrities, 2017 edition, who contribute to the Endarkenment by abusing their notoriety to spread misinformation far and wide:
#10 – Shaq and the NBA Flat Earthers
Former player Shaquille O’Neal and current NBA basketball players Kyrie Irving, Wilson Chandler, and Draymond Green have all expressed their belief that the Earth is flat, but I put them all the way down at #10 because it’s not clear that all four literally believe this. They may just be trolling. But whether they are or not, they do genuinely influence a huge number of young people, including some demographics where education is not necessarily a life priority. Guys, if you want to inspire kids to achieve and succeed, you’re doing it wrong.
#9 – Michael Phelps
I include him as a representative of the many athletes and celebrities who loudly and proudly promote cupping, the overtly pseudoscientific technique of suctioning great round hickeys into the skin by rupturing capillaries. A lot of trainers sell this because it costs nothing to administer, requires no training, and they can charge whatever they want for it; and since it’s unregulated, they make a vast array of claims for whatever workout benefits they say it confers. Usually, it just happens to solve whatever that athlete’s complaint of the day is. Phelps proudly shows off these ugly bruises, as do many other athletes and celebrities, and has even posted pictures of himself getting it done on his Instagram. Sellers have even come up with a sciencey-sounding name for it to impress the scientifically illiterate: “myofascial decompression”.
Homeopathy is one of the most enduring forms of snake oil available to consumers; it has been duping people since 1814. But the United States government only recently decided to clamp down on these bogus treatments, with a new policy from the Federal Trade Commission.
The FTC’s policy statement explains that the agency will now ask that the makers of homeopathic drugs present reliable scientific evidence for their health claims if they want to sell them to consumers on the US market.
Mustering that evidence is likely to be difficult given that homeopathy is a pseudoscience.
The main idea behind homeopathy is that an animal or plant extract that causes symptoms similar to the ones a person is suffering from can cure the symptoms. An example: Because onions make eyes tear and noses run, diluted onion extract is thought to cure cold and hay fever. So homeopathic remedies on the market are just extremely diluted versions of plant or animal extracts believed to bring relief to symptoms.
The trouble is that whenever researchers have looked at the homeopathic treatments, they find they do not actually contain traceable amounts of the original plant or animal material they were supposedly diluting.
Many people believe homeopathy is a natural, herbal supplement like any other. But is it?
Via inFact -YouTube
From the video description:
What was once known as Miracle Mineral Supplement, but for legal reasons had to change its name to Miracle Mineral Solution (MMS), is a 28% sodium chlorite solution in distilled water currently being sold online as a cure-all tonic. Jim Humble, the man who coined the name and who is also the self-styled Archbishop of his own church (Genesis II), believes that once “activated” by an acidic solution, MMS can be used to cure people of our most feared illnesses including HIV, cancer, and malaria.
In reality MMS is a harmful mixture of toxic compounds that is being aggressively marketed online as a panacea to very sick and unconsenting children. Put simply, it’s the worst kind of woo and should be avoided at all costs.
MISTAKE! i mixed up chloride and chlorite at the start.
Update: 11/02/2015: Related Link: Man Who Sold Industrial Chemical As “Miracle Mineral Solution” Sentenced To 51 Months In Jail (consumerist.com)
By Emiliano Tatar, MD via philly.com
Unfortunately, it is essentially nothing more than distilled water and its use as a replacement for conventional medicine can, in some cases, be dangerous and even fatal. Last March, Hope Delozier, an 18-month-old Pennsylvania resident developed an ear infection. Her parents, who avoid conventional medical practices, tried to treat her with Homeopathic remedies. Hope soon died after the infection spread to her brain. Most tragically, this was completely preventable with inexpensive antibiotics.
The practice of homeopathy has been around since the early 19th century (invented by Samuel Hahnneman). It relies on several basic tenets. The two most important ones are “like cures like” and “potentiation.” Like-cures-like is the idea that, for example, if I eat plant X and it makes me feel warmth, then the plant has a substance that can cure a fever. Potentiation is the idea that the more dilute a substance is the more powerful it becomes medically. There is no other place in modern science where these principles are accepted except for in homeopathy. There is no reason to believe that “like cures like” and the idea of ultra-dilution making something more powerful flies completely against the laws of physics and chemistry.
Several years ago, during a lecture on Science-Based Medicine, I noted that if there were one medical pseudoscience that was vulnerable to extinction it was homeopathy. Homeopathy is perhaps the most obviously absurd medical pseudoscience. It is also widely studied, and has been clearly shown to not work. Further, there is a huge gap in the public understanding of what homeopathy is; it therefore seems plausible that the popularity of homeopathy can take a huge hit just by telling the public what it actually is.
Further, homeopathy is in a precarious regulatory position. Homeopathic products are presented and regulated as drugs, but clearly they are not, and they are also not supplements, herbal drugs, nutrition-based, or natural products. They are simply fraudulent drugs riding a wave of ignorance.
In the last few years homeopathy has had a rough time. While the industry is still growing, there are signs of clear trouble on the horizon. Let’s review:
Homeopathy is a 200 year old pre-scientific system of medicine based upon magical thinking. It is mostly based on two notions, the first of which is that like cures like. In other words, a substance that causes a symptom can cure that symptom in extremely low doses. There is no scientific basis for this, despite the desperate attempts by homeopaths to invoke vaccine-like analogies, or their new favorite, hormesis.
The second notion is that you make a remedy more powerful by diluting it to extreme degrees. People have fun making comparisons, such as the need to drink a solar-system’s worth of water to have a 50% chance of getting a single molecule of active ingredient. No problem, say the homeopaths, homeopathic potions contain the magical “essence” of what was previously diluted in them. It’s turtles all the way down.
Medical students and residents frustrated with bogus advice from doctors on TV have, for more than a year, been asking the American Medical Association to clamp down and “defend the integrity of the profession.”
Now the AMA is finally taking a stand on quack MDs who spread pseudoscience in the media.
“This is a turning point where the AMA is willing to go out in public and actively defend the profession,” Benjamin Mazer, a medical student at the University of Rochester who was involved in crafting the resolution, said. “This is one of the most proactive steps that the AMA has taken [on mass media issues].”
The AMA will look at creating ethical guidelines for physicians in the media, write a report on how doctors may be disciplined for violating medical ethics through their press involvement, and release a public statement denouncing the dissemination of dubious medical information through the radio, TV, newspapers, or websites.
The move came out of the AMA’s annual meeting in Chicago this week, where representatives from across the country vote on policies brought forward by members of the medical community.
Mazer and fellow medical students and residents were prompted to push the AMA after noticing that the organization was mostly silent during the recent public debates about the ethics of Dr. Oz sharing unfounded medical advice on his exceptionally popular TV show.
“Dr. Oz has something like 4 million viewers a day,” Mazer previously told Vox in an interview. “The average physician doesn’t see a million patients in their lifetime. That’s why organized medicine should be taking action.”
It seems that the regulation of supplements, homeopathy, and “natural” products in Canada is as bad as the US. The Canadian Broadcasting Corporation (CBC, the equivalent of NPR and PBS in the US) recently conducted a demonstration of just how worthless and deceptive the regulations are.
They created a fake treatment called “Nighton” which they claimed treated fever, pain, and inflammation in children and infants. They then applied to the government for a Natural Product License. On the application they checked all the appropriate boxes and submitted as evidence copied pages from a 1902 homeopathic reference book. That was it. Five months later their fictitious product was approved as “safe and effective.”
What this means is that when the Canadian government approves a natural product as safe and effective, it is completely meaningless. It is essentially a license to lie to the public about a health product.
It is reasonable to assume that many if not most of the public, if they see a product on the pharmacy shelf with the label, “licensed as safe and effective for fever, pain, and inflammation,” with an official government issued product number, that some sort of testing and quality assurance was involved.
The situation is identical in the US. Companies can market homeopathy products or supplements without providing any evidence that the product is safe, and can even make health claims (as long as they don’t mention a specific disease by name) again without the need to provide any evidence. In essence, in the US or Canada a company can put anything in a pill or bottle (as long as it doesn’t contain an actual drug), then without any testing market their random assortment of vitamins, herbs, or just water (in the case of homeopathy) with specific health claims. Pharmacies are happy to sell these fake products side-by-side with real medicines.
This is nothing short of a scandal.
I intensely dislike all forms of medical quackery. Of course, my passionate, full-throated, defense of the scientific consensus on the safety and effectiveness of vaccines is fairly obvious. There are literally mountains of evidence that support my skepticism of the antivaccine beliefs.
But there’s more junk medicine out there than the pseudoscience pushers running around the vaccine world. One of my favorite ones is homeopathy. It is a scam that tries to convince people that a vial of nothing more than water (and sometimes ethanol) has some magical medical properties. And it’s expensive water, much more expensive than some bottled water that claims it’s bottled at the source of some glacier in the Alps.
What is homeopathy?
But let’s back up a bit, and explain the “science” of homeopathy, because a lot of people, mostly Americans, conflate homeopathy with natural medicine, like herbal medicine. It isn’t. Basically, homeopathy, known as the “law of similars”, relies on belief that “let like be cured by like”, and is a term coined by Samuel Hahnemann, a German physician who was appalled by the state of medicine at the time, the late 1700’s. And frankly, the state of medicine at that time was pretty bad, so any new idea might have been worthy of trying. However, when Hanneman was alive, basic scientific knowledge was missing. Cell theory and germ theory were a few decades from even a basic understanding.
Homeopathic potions are prepared by serially diluting the original substance (could be anything from diseased tissue to arsenic to snake venom plus mercury) with shaking and forceful striking on an elastic body, which they term succussion. Each dilution followed by succussion is assumed to increase the effectiveness. Homeopaths call this process potentization. So far, it’s just merely diluting and shaking, so nothing much there. But the level of dilution is such that there is only a tiny possibility of any molecule of the original substance showing up in solution.
The dilution is precisely described by Hahnemann. The first dilution is one part to 99 parts water. Then, one part of that first dilution is then diluted in another 99 parts water. Each of these dilutions is called 1C, so two dilutions would be called 2C, with one part of the original similar diluted in approximately 10,000 parts water.
But it doesn’t stop there. Homeopathy uses >30C dilutions, which means that the final dilution is simply water with an almost 0% probability of including even 1 molecule of the original similar.