National Center for Complementary and Alternative Medicine
oracknows | November 27, 2016It’s been a long time since I’ve encountered Glenn Sabin. You might remember him, though. He runs a consulting firm, FON Therapeutics, which is dedicated to the promotion of “integrative” health, or, as I like to put it, the “integration of pseudoscience and quackery with science-based medicine. What I remember most about Sabin is how he once proclaimed that “integrative medicine” was a brand, not a specialty. Unfortunately, he was correct in his assessment. Basically, he declared, “CAM [complementary and alternative medicine] is dead. The evolution of evidence-based, personalized integrative…
oracknows | November 13, 2016John Weeks has long been an activist for alternative medicine—excuse me, “complementary and alternative medicine” (CAM) or, as it’s more commonly referred to these days, “integrative medicine.” Despite his having zero background in scientific research or the design and execution of experiments and clinical trials, for some bizarre reason in May he was appointed editor of the Journal of Alternative and Complementary Medicine (JACM). It didn’t take him long at all to use his new post to launch a nasty broadside against CAM critics in general (such as yours truly) and those who criticized a…
oracknows | November 4, 2016That I’m not a fan of the National Center for Complementary and Integrative Health (NCCIH, formerly known as the National Center for Complementary and Alternative Medicine, or NCCAM) should come as no surprise to anyone. Basically, from its very inception as the Office of Alternative Medicine in the early 1990s to its growth to large center with a yearly budget of $120+ million, NCCIH has served one purpose: The promotion and attempted legitimization of quackery and magical thinking in medicine, the better to “integrate” pseudoscientific medicine with science-based medicine. Certainly, the…
oracknows | September 11, 2016I’ve been critical of the National Center for Complementary and Integrative Health (NCCIH), which was until relatively recently known as the National Center for Complementary and Alternative Medicine (NCCAM) ever since I first discovered that it existed, lo, these many years ago. When I first discovered NCCIH, what struck me is how much pseudoscience it funded, including fellowships and educational programs in “complementary and alternative medicine” (CAM), which has rapidly morphed into “integrative medicine” (i.e., “integrating” quackery into real medicine). There were many NCCAM-funded…
oracknows | April 10, 2016It's no secret that I'm not particularly fond of the National Center for Complementary and Integrative Health (NCCIH). Formerly known as the National Center for Complementary and Alternative Medicine (NCCAM) and before that the Office of Alternative Medicine, NCCIH has been the foremost government agency funding research into quackery and the "integration" of quackery into medicine for the last 24 years, which is, of course, the reason I've been been harshly critical of NCCIH since very early in the history of Respectful Insolence. Basically, NCCIH not only funds studies of dubious "…
oracknows | January 7, 2016It's an understatement to say that I'm not exactly a fan of the National Center for Complementary and Integrative Health (NCCIH), the institute formerly known as the National Center for Complementary and Alternative Medicine (NCCAM) and, even a year after its name change, probably still better known by its old moniker. Just type "NCCAM" or "NCCIH" into the search box of this blog if you don't believe me. Basically, it's an institution forced upon the National Institutes of Health in the 1990s by Senator Tom Harkin (D-IA), a woo-friendly senator who believed that bee pollen cured his allergies…
oracknows | November 17, 2015Now that's what I'm talking about! Yesterday, the Justice Department announced criminal charges and lawsuits against the sellers of several supplements! This is the ort of thing that is long overdue—incredibly so, in fact. Before I get to this specific case, let's discuss a little background.
One of the regular topics I write about, both on this blog and at my not-so-super-secret other group blog, is how supplement manufacturers take advantage of the lax regulation of dietary supplements in this country. It's a problem in our laws that we've had since the supplement industry and its lapdogs…
oracknows | September 18, 2015Homeopathy is a frequent topic on this blog, for reasons that regular readers no doubt understand all too well by now. Homeopathy is, as I like to call it, again borrowing from Tolkien, The One Quackery To Rule Them All. When it comes to quackery, few can even come close to homeopathy for the sheer ridiculousness of its precepts. Whether it is the Law of Similars, which claims that to cure a disease you need to use a substance that cause's that diseases symptoms in healthy people, a "law" that has no basis in science, or the Law of Infinitesimals, which postulates that serially diluting a…
oracknows | September 9, 2015Orac's vacation continues apace.
Well, not quite. The main reason I'm in London right now is because I was invited to give an actual scientific (as opposed to skeptical) talk at a conference about—of all things—ion channels in cancer. That's where I am right now, at the Sir Alexander Fleming Building at Imperial College London, and that's where I'll be all day today and much of tomorrow. Having been invited, I decided to make a vacation of it. Basically, it's a big science sandwich, with two science days in the middle of two slices of vacation bread. I would also be lying if I didn't admit to…
oracknows | July 5, 2015There can be no doubt that, when it comes to medicine, The Atlantic has an enormous blind spot. Under the guise of being seemingly "skeptical," the magazine has, over the last few years, published some truly atrocious articles about medicine. I first noticed this during the H1N1 pandemic, when The Atlantic published an article lionizing flu vaccine "skeptic" Tom Jefferson, who, unfortunately, happens to be head of the Vaccines Field at the Cochrane Collaboration, entitled "Does the Vaccine Matter?" It was so bad that Mark Crislip did a paragraph-by-paragraph fisking of the article, while…
oracknows | May 27, 2015When it comes to the use of what is sometimes called "complementary and alternative medicine" (CAM) or, increasingly, "integrative medicine," there is a certain narrative. It's a narrative promoted by CAM proponents that does its best to convince the public that there is nothing unusual, untoward, or odd about CAM use, even though much of CAM consists of treatments that are based on prescientific concepts of human physiology and pathology, such as traditional Chinese medicine or homeopathy. In other words, it's a narrative designed to "normalize" CAM usage (and therefore CAM practice), making…
oracknows | January 5, 2015The holidays must truly be over. I say this because, starting around Sunday, the drumbeat of blogging topics that I haven't covered but that apparently you, my readers, want me to cover has accelerated. However, before I can move on to what might or might not be greener blogging pastures, material-wise, I feel obligated to finish what I started yesterday, namely the deconstruction of an advertising supplement promoting the "integration" of "traditional medicine" (in particular, traditional Chinese medicine, a.k.a. TCM) for which Science and the American Association for the Advancement of…
oracknows | January 5, 2015
NOTE: There is a follow up to this post.
The holidays are over. Time to start dishing out fresh Insolence, Respectful and, as appropriate, not-so-Respectful for 2015.
I do, however, feel obligated to deal with one painfully inappropriate action by a major science journal left over from 2014. It happened in an issue that came out just before Christmas, and, with all the festivities, being on call last week, and having houseguests; so, unfortunately, I just didn't get around to addressing it, either here or on my not-so-super-secret other blog (where I might crosspost this later in the week).…
oracknows | December 18, 2014
With the way our dysfunctional federal government works, it's not uncommon for the end of a fiscal year to come and go without there being a budget for the next fiscal year in place. This phenomenon is particularly common during election years, and this year was no different. September 30 came and went, followed by the beginning of FY2015 on October 1 with no budget in place, just a continuing resolution. Finally, this week, Congress acted and passed a budget, but, as is often the case given that the President does not have line item veto power, the omnibus spending bill funding the…
oracknows | July 14, 2014After having returned from TAM, I was pumped up by how much interest was shown in the case of Stanislaw Burzynski. More importantly, I was heartened to learn while I was there that the Texas Medical Board had submitted an amended complaint against him containing 202 pages worth of charges. Sure, the descriptions of the violations Burzynski committed in the care of seven patients cited got a bit repetitive, but that’s Burzynski. His MO has been consistent for 37 years, the only change being that in 1997 he decided to use and abuse the clinical trial process as a means to an end, that end being…
oracknows | May 22, 2014
Pretty much everyone who's gotten through junior high recognizes the line from the William Shakespeare play Romeo and Juliet, when Juliet says, "What's in a name? that which we call a rose by any other name would smell as sweet. So Romeo would, were he not Romeo call'd, retain that dear perfection which he owes without that title." It's a succinct contemplation of how much a name means, which, according to Juliet, isn't that much. She (and Shakespeare) were right then, and the same thing is still true. In particular, it's true when referring to things perhaps less appealing than young love…
oracknows | May 15, 2014Over the years, the criticism of "evidence-based medicine" (EBM) that I have repeated here and that I and others have repeated at my not-so-super-secret other blog is that its levels of evidence relegate basic science considerations to the lowest level evidence and elevate randomized clinical trial evidence to the highest rung, in essence fetishizing it above all, a form of thinking that I like to call methodolatry. Now, when EBM works correctly, this is not an entirely unreasonable way to look at things. After all, we just want to know what works in patients. Basically, when EBM is working…
oracknows | February 7, 2014If there's one thing that I write that I don't feel I repeat too much (although some might disagree), it's that, unlike other centers and institutes at the National Institutes of Health (NIH), there is not, and never was, a compelling scientific justification for the National Center for Complementary and Alternative Medicine (NCCAM) to exist as a separate entity. There is nothing that NCCAM does that couldn't be done just as well in other parts of the NIH, with the exception of research into modalities with such low prior plausibility and such fantastical proposed mechanisms of working that…
oracknows | January 16, 2014Practitioners of "complementary and alternative medicine" (CAM) have a love-hate relationship with randomized clinical trials (RCTs). Actually, it's mostly hate, but they do crave the validation that only randomized clinical trials can provide within the paradigm of evidence-based medicine (EBM). Yes, I intentionally said EBM, rather than science-based medicine (SBM), because, as I've described so many times before, the two are not the same thing. EBM fetishizes clinical trials, a fixation that I sometimes call "methodolatry," defined by a blog bud of mine from long ago as the "profane…
oracknows | July 18, 2013I've often (perhaps too often) referred to homeopathy as The One Quackery To Rule Them All. If not homeopathy, what other quackery would rule? Homeopathy is, after all, the perfect quackery. Most of its most "potent" remedies are nothing more than water, because homeopaths believe that the more a solution is serially diluted (with succussion, or vigorous shaking, between each serial dilution), the more potent it becomes, and frequently dilute their solutions far beyond the point where it is likely that there is even one molecule of the original substance in the resulting homeopathic dilution…