Category: Politics and Regulation
“Integrative Medicine Experts”: Another Barrier to Effective Discipline
This is the final entry in the current series having to do with state regulation of physicians.† It is the final one merely because I’m tired of the topic, for now. There is plenty more to write about, including an event that occurred only yesterday right here at my own hospital. I’ll give a preview of that at the end of this post, but first we’ll look...
Vitamin Cocktail with a Meme Twist (Supplement my gimlet with a dash of dissonance)
A trail of recent reports is trying to tell us something. But are we listening, and are “they” listening? If so, does it mean the same to “them” as it does to us? The report trail is telling us that multiple vitamins fail as preventatives against cardiovascular disease, cancer, or even for anything other than for dietary vitamin deficiency. And that is...
Robert F. Kennedy, Jr., vaccines, the EPA, and the interface with science-based medicine and public policy
This blog is entitled Science-Based Medicine for a reason, and that’s because we here at SBM believe that the best method to result in the most efficacious treatments for the most people is through the application of science to the evaluation of the biology, pathophysiology, and treatment of disease and disorders. I may (or may not) be departing a bit from the...
Wyeth vs. Levine: Should Drug Label Standards Be Determined By Juries?
It is with some degree of trepidation that I enter the fray on the Wyeth vs. Levine case. I’ve been watching the media frenzy about the lawsuit with interest – mostly because (for the first time in a while) I think that the pharmaceutical company is in the right on this one – and that most journalists (and even medical journal editors)...
How State Medical Boards Shoot Themselves (and You) in the Foot
This is almost the final entry (for now) in a series of posts about the pitfalls of regulating physicians who peddle quackery.† In previous entries we’ve seen how quacks have portrayed an illegal and pseudoscientific treatment, intravenous hydrogen peroxide, as legitimate; how a physician who practiced that and other dubious methods eluded definitive regulatory sanctions for years; examples of quacks banding together to...
A New Twist for Autism: A Bogus “Biomedical” Board
Here’s a short addition to the topic of Pseudomedical Pseudoprofessional Organizations (PPOs).† New pseudo-board-certification schemes pop up like mushrooms after a spring rain, but just last week there was an announcement of one with a difference: The American Medical Autism Board AMAB offers the first of its kind board/diplomate certification program for medical doctors specializing in biomedical treatment of autism and related disorders. These...
The Pseudomedical Pseudoprofessional Organization (PPO*)
(*Not to be confused with “Preferred Provider Organization,” which shares the acronym) This is part of an ongoing series† discussing pitfalls of regulating physicians, but I’ve decided, in the interest of flexibility, to vary the title. A couple of weeks ago I gave some examples of how individual physicians practicing substandard, implausible medicine manage to avoid or delay being disciplined by state medical boards. I...
Pitfalls in Regulating Physicians. Part 2: The Games Scoundrels Play
A Few Things that No Doctor Should Do When a physician is accused of DUI, “substance abuse,” being too loose with narcotic prescriptions, throwing scalpels in the OR, or diddling patients, the response of a state medical board† tends to be swift and definitive. Shoot first, ask questions later. After all, the first responsibility of the board is to the public’s safety, not to preserving...
Autism’s false prophets revealed
Dr. Paul Offit has written a book about the false prophets of autism, those who promote the idea that vaccines cause autism and those who sell quackery to treat autism, which are often the same people. If you want a good history of how the "vaccines cause autism" myth started, this is a great primer.
FDA approval of drugs and transparency in clinical trial results
Note: The reason that I am posting today rather than my usual Monday slot is because the article I discuss here was embargoed until last night. Consequently, I asked Harriet if she would trade days with me this week, and she was kind enough to do so. One thing that science relies on almost absolutely is transparency. Because one of the most...