Category: Ethics

Academic Consortium plan: force medical residents to practice integrative medicine

“Integrative medicine” (IM) is an ideological movement within medicine driven in large part by those whose livelihoods depend on its continued existence. This includes both those with positions in academic medicine and individual practitioners who use the IM brand to attract patients. Despite IM and its antecedents (alternative, complementary, alternative and complementary, complementary and integrative) having been around for about a quarter...

/ April 14, 2016

Patient Beware: Off-label drug promotion by pharmaceutical companies

Pharmaceutical companies and their sales reps can distribute information, such as medical journal articles, about unapproved (“off-label“) uses of their drugs as long as they adhere to FDA guidelines. However, the FDA takes the position that this information must be distributed separately from information that is “promotional in nature,” i.e., for marketing purposes, a position that is now open to question. Off-label...

/ March 3, 2016
Generic_forest_plot

Reporting results from clinical trials is vital for science-based medicine

Clinical trials must report on their outcomes, irrespective their results. Doctors and their patients need all the information, not just the good news stories, to make informed decisions.

/ February 28, 2016

Is it ethical to sell complementary and alternative medicine?

Complementary and alternative medicine may be legal to sell - but is it ethical to sell?

/ February 11, 2016

Docs v. Glocks: government regulation of physician speech

A few years ago, an Ocala, Florida, pediatrician, as part of a routine visit, asked a patient’s mother whether she kept firearms in the home. She refused to answer, feeling the question constituted an invasion of her right to privacy. The pediatrician then terminated the relationship and told the mother she had 30 days to find a new doctor for her child....

/ January 21, 2016

CRISPR and the Ethics of Gene Editing

If you have not heard of CRISPR yet, you should have. This is a truly transformative technology that allows for cheap and easy gene editing. It makes a powerful technology easily accessible. Powerful biological technology, like stem cells to give another example, always seem to provoke profound hope and fear. The ability to manipulate human biology comes with it the hope of...

/ December 2, 2015
Homeopathic preparations

The Worst Homeopathy Study. Ever

I run across a lot of information in my feeds that I need to save for further evaluation. The study “Does additional antimicrobial treatment have a better effect on URTI cough resolution than homeopathic symptomatic therapy alone? A real-life preliminary observational study in a pediatric population“, I saved with the file name, ‘jaw droppingly stupid’. The worst homeopathy clinical trial ever doesn’t...

/ September 18, 2015

New Study on Homeopathic Cough Syrup for Children Reveals a Lack of Effectiveness and Ethics

On the pages of SBM we frequently discuss homeopathy, and rightfully so considering its position as one of the most pervasive yet dumbest forms of alternative medicine. Just yesterday our own Scott Gavura, who is neither pervasive nor dumb, wrote an excellent review of some recent improvements in the regulation of these ridiculous remedies in Canada, and I encourage readers to check...

/ August 14, 2015

It’s time for pharmacies to stop selling sugar pills

Why are pharmacies selling sugar pills to consumers that are packaged like medicine? And what will it take for pharmacies to stop?

/ July 16, 2015

Ethical Failures

    It is summer vacation for me in Eastern Oregon at Sunriver. Unbelievable geology, fantastic hikes, great biking, wonderful golf, delicious beer and good food. The thesaurus fails me for superlatives. It is hard to get too riled up about all things SCAM to produce a blog entry when I could be doing one or all of the above. I really...

/ July 10, 2015