California legislature should repeal naturopathic licensing
On January 1, 2018, the California Naturopathic Doctors Act will be automatically repealed unless the California Legislature deletes or extends that date during the 2017 legislative session, which convenes on December 5, 2016. In addition, according to California law, the Naturopathic Medicine Committee of the Osteopathic Medical Board of California, which regulates naturopathic doctors (NDs), is subject to review by “appropriate policy...
Is there a distinct standard of care for “integrative” physicians? The Woliner case
We at SBM argue that there should be a single, science-based standard of care in medicine. Unfortunately, with the rise of "complementary and alternative medicine" (CAM) also called "integrative medicine," there is a separate standard emerging that allows CAM practitioners to get away with using unproven and disproven treatments. The case of Dr. Kenneth Woliner illustrates this problem.
Personal Care Products Safety Act: Facelift for FDA Regulation or Lipstick on a Pig?
The U.S. cosmetics industry, the largest in the world, is expected to reach $62 billion in revenues in 2016. Yet, despite the fact that its products are regularly applied to, and absorbed by, the body’s largest organ (the skin) and even ingested in small amounts, the cosmetics industry is largely self-regulating. There are over 57,000 different chemicals used in cosmetics. According to...
NCCIH funds sauna “detoxification” study at naturopathic school
It is no secret that we at SBM are not particularly fond of the National Center for Complementary and Integrative Medicine (NCCIH; formerly, the National Center for Complementary and Alternative Medicine). We’ve lamented NCCIH’s use of limited public funds for researching implausible treatments, the unwarranted luster NIH/NCCIH funding bestows on quack institutions, the lack of useful research it has produced, and its...
Nada for NADA: “acudetox” not effective in addiction treatment
The National Acupuncture Detoxification Association (NADA) teaches and promotes a standardized auricular acupuncture protocol, sometimes called “acudetox.” NADA claims acudetox encourages community wellness . . . for behavioral health, including addictions, mental health, and disaster & emotional trauma. I do not know what “community wellness” is or how one measures whether wellness has been successfully “encouraged.” In any event, in the NADA...
Kratom: another dangerous “natural” remedy
Kratom (Mitragyna speciose) is a tropical tree from Southeast Asia whose leaves are traditionally chewed or prepared as a powder. Native populations chew the leaves to reduce fatigue when doing manual labor, such as working on rubber plantations. It is also used in cultural performances and consumed as a drink prepared from kratom powder. When the Second World War caused an increase...
CARA: Integrating even more pseudoscience into veterans’ healthcare
The pixels were barely dry on David Gorski’s lament over the expansive integration of pseudoscience into the care of veterans when President Obama signed legislation that will exacerbate this very problem. The “Comprehensive Addiction and Recovery Act of 2016” (“CARA”) contains provisions that will undoubtedly keep Tracy Gaudet, MD, and her merry band of integrative medicine aficionados at the VA busy for...
Legislative Alchemy 2016 Update: Acupuncturists win; naturopaths and chiropractors don’t (so far)
Legislative Alchemy is the process by which state legislatures transform pseudoscience and quackery into licensed health care practices. By legislative fiat, chiropractors can detect and correct non-existent subluxations, naturopaths can diagnose (with bogus tests) and treat (with useless dietary supplements and homeopathy) fabricated diseases like “adrenal fatigue” and “chronic yeast overgrowth,” and acupuncturists can unblock mythical impediments to the equally mythical “qi”...
FDA efforts to improve compounded drug safety upsets naturopaths
Favorite naturopathic treatments comprise pumping patients full of dubious mixtures by injection, including IV drips. Naturopaths also employ topicals (salves, ointments and creams), rectal, and vaginal suppositories, and oral medications, such as bio-identical hormone replacement therapy, all made from “natural” substances. According to the American Association of Naturopathic Physicians (AANP) these nutritional, herbal and homeopathic remedies are compounded to meet unique patient...
Bye Bye Bravewell
Exactly one year ago tomorrow, The Bravewell Collaborative shut down, an event so momentous that few seem to have noticed. It’s been a while since we at SBM devoted much attention to Bravewell, although, at one time, its doings were a regular feature of SBM posts. For those of you not familiar with Bravewell, a brief history. The main mover and shaker...