Science-Based Medicine Meets Medical Ethics
There are four main principles in medical ethics: Autonomy Beneficence Non-maleficence Justice Autonomy means the patient has the right to consent to treatment or to reject it. Autonomy has to be balanced against the good of society. What if a patient’s rejection of treatment or quarantine allows an epidemic to spread? Beneficence means we should do what is best for the patient....
Acupuncture is astrology with needles
A guest post that demonstrates that acupuncture and astrology have a lot of things in common.
Plus ça change, plus c’est la même chose
The more things change, the more they stay the same. Not every post will be an in-depth, authoritative review of a topic like yesterday’s on Dr. Sears. A change of pace can be nice, and I have always liked history. JAMA likes to run articles called “JAMA 100 YEARS AGO” and the reprint from the July 24, 1909 issue is interesting. It...
Cashing In On Fear: The Danger of Dr. Sears
Dr. Sears is a popular pediatrician who has written a dangerous and deceptive book on vaccination.
Beware the Spinal Trap
Last year Simon Singh wrote a piece for the Guardian that was critical of the modern practice of chiropractic. The core of his complaint was that chiropractors provide services and make claims that are not adequately backed by evidence – they are not evidence-based practitioners. In response to his criticism the British Chiropractic Association (BCA) sued Simon personally for libel. They refused...
Incorporating Placebos into Mainstream Medicine
Alternative medicine by definition is medicine that has not been shown to work any better than placebo. Patients think they are helped by alternative medicine. Placebos, by definition, do “please” patients. We would all like to please our patients, but we don’t want to lie to them. Is there a compromise? Is there a way we can ethically elicit the same placebo...
Senator Tom Harkin and Representative Darrell Issa declare war on science-based medicine
In discussions of that bastion of what Harriet Hall likes to call “tooth fairy science,” where sometimes rigorous science, sometimes not, is applied to the study of hypotheses that are utterly implausible and incredible from a basic science standpoint (such as homeopathy or reiki), the National Center of Complementary and Alternative Medicine (NCCAM), I’ve often taken Senator Tom Harkin (D-IA) to task,...
‘Acupuncture Anesthesia’ Redux: another Skeptic and an Unfortunate Misportrayal at the NCCAM
A neglected skeptic Near the end of my series* on ‘Acupuncture Anesthesia’, I wrote this: Most Westerners—Michael DeBakey and John Bonica being exceptions—who observed ‘acupuncture anesthesia’ in China during the Cultural Revolution seem to have failed to recognize what was going on right under their noses. I should have added—and I now have—Arthur Taub’s name to that tiny, exceptional group. Taub, a neurologist and...
Magic diet? Not so much
Alternative medicine practitioners love to coin magic words, but really, how can you blame them? Real medicine has a Clarkeian quality to it*; it’s so successful, it seems like magic. But real doctors know that there is nothing magic about it. The “magic” is based on hard work, sound scientific principles, and years of study. Magic words are great. Terms like mindfulness,...