The fine line between quality improvement and medical research
As I’ve mentioned before, the single biggest difference between science-based medicine (SBM) and what I like to call pseudoscience-based medicine, namely the vast majority of what passes for “complementary and alternative medicine” (CAM) or “integrative medicine” is that SBM makes an active effort to improve. It seeks to improve efficacy of care by doing basic and clinical research. Then it seeks to...
Is scientific peer review a “sacred cow” ready to be slaughtered?
I’ve frequently noted that one of the things most detested by quacks and promoters of pseudoscience is peer review. Creationists hate peer review. HIV/AIDS denialists hate it. Anti-vaccine cranks like those at Age of Autism hate it. Indeed, as a friend of mine, Mark Hoofnagle, pointed out several years ago, pseudoscientists and cranks of all stripes hate it. There’s a reason for...
Michigan HB 5126: Who thought it was a good idea to make it easier for parents to obtain nonmedical exemptions to school vaccine mandates and harder for local county health officials to do their jobs?
The Michigan Department of Community Health recently passed a regulation that requires parents seeking personal belief exemptions to school vaccine requirements to receive counseling at a local state or county health office, and the regulation has worked. Personal belief exemptions are down. No wonder the Michigan legislature is trying to reverse the rule and ban the MDCH from enforcing similar rules in...
Worshiping at the altar of the Cult of the Brave Maverick Doctor
One of my favorite television shows right now is The Knick, as I described before in a post about medical history. To give you an idea of how much I’m into The Knick, I’ll tell you that I signed up for Cinemax for three months just for that one show. (After its second season finale airs next Friday, I’ll drop Cinemax until...
“Electromagnetic hypersensitivity” and “wifi allergies”: Bogus diagnoses with tragic real world consequences
"Electromagnetic hypersensitivity" and "wifi allergies" are two names given to a nonexistent medical condition in low energy electromagnetic fields like wifi are blamed for a variety of health conditions. This is a story in which the parents' insistence that their teenage daughter, who had posted threats to commit suicide on social media, had this condition appears to have interfered with seeking mental...
How not to debate a “pro-vaxer”
To say that the relationship that antivaccine activists have with science and fact is a tenuous, twisted one is a major understatement. Despite mountains of science that says otherwise, antivaccinationists still cling to the three core tenets of their faith, namely that (1) vaccines are ineffective (or at least nowhere near as effective as health officials claim); (2) vaccines are dangerous, causing...
Stanislaw Burzynski and Robert O. Young: How two quacks of a feather illustrate how poorly states regulate medical practice
One of the weaknesses in our system of regulating the practice of medicine in the United States is that, unlike most countries, we don’t have one system. We have 50 systems. That’s because the functions of licensing physicians and regulating the practice of medicine are not federal functions, but state functions. Each state sets its own laws and regulations governing the practice...
On “integrative medicine” and walking and chewing gum at the same time
Evidence matters. Science matters. However, when advocates of "integrating" quackery into medicine via the vehicle of "integrative medicine" invoke weak science and poor quality evidence in conventional medicine in response to criticism, what they are really doing is deflecting attention away from their quackery. More importantly, advocates of science-based medicine are capable of walking and chewing gum at the same time. We...
To debate or not to debate: The strange bedfellows of Andrew Weil
Those who stand on the wrong side of science love public debates and frequently challenge science advocates to them. The reason, of course, is that public debates are almost never a good venue to argue science, and these debates almost never happen in a truly neutral venue. This time around, I got a bit of ego gratification when Andrew Weil apparently wanted...
The suffering the search for “natural immunity” inflicts on children
I realize that Scott Gavura has already covered this particular case (and quite well), but it’s so egregious that I couldn’t resist discussing it myself because it is one of the most horrifying examples I’ve seen in a long time of the consequences of the sorts of beliefs that fall under the rubric of naturopathy. Quite frankly, reading the story angered me...