All posts by Brennen McKenzie

CAM and the Law Part 3: Malpractice

It is with some trepidation I venture into the next subject in this series — malpractice law. This is a touchy subject for healthcare providers, for obvious reasons. Regardless of the flaws in the system, however, malpractice law is one of the mechanisms put in place by government to regulate the practice of medicine. Like the other such mechanisms touched on so...

/ December 2, 2010

CAM and the Law Part 2: Licensure and Scope of Practice Laws

This post is intended to illustrate a bit about how medicine, including alternative medicine, is defined and limited legally by state licensure. This is, of course, an enormous topic, especially given the variety of laws and regulations among the 50 states and District of Columbia, and the many, often mutually inconsistent, court decisions interpreting them. A comprehensive survey would resemble Gibbon’s history...

/ November 11, 2010

CAM and the Law, Part 1: Introduction to the issues

When I write or talk about the scientific evidence against particular alternative medical approaches, I am frequently asked the question, “So, if it doesn’t work, why is it legal?” Believers in CAM ask this to show that there must be something to what they are promoting or, presumably, the government wouldn’t let them sell it. And skeptics raise the question often out...

/ November 9, 2010

Special Challenges of Science-Based Veterinary Medicine

On this site there have been several thoughtful posts (e.g. by Dr. Atwood and by Dr. Novella), and subsequently much heated commentary, on the distinction between Evidence-Based Medicine (EBM) and Science-Based Medicine (SBM). I agree wholeheartedly with the position that the two are not mutually exclusive, and that SBM is essentially EBM as it should be practiced, with a comprehensive consideration of...

/ July 29, 2010

Raw Meat and Bone Diets for Dogs: It’s Enough to Make You BARF

Some of the most rewarding interactions we have with our pets involve food. Most dogs respond with gratifying enthusiasm to being fed, and this activity is an important part of the human-animal bond. Providing food is also part of the parent/child dynamic that in many ways characterizes our relationships with our pets. Giving food is an expression of affection and a symbol...

/ June 11, 2010