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don't wind back the clock on medicine

2009 June 27

You’re probably familiar with the old axiom that it’s not what you say, but how you say it that matters. However, that’s not entirely true. The way you make your argument can flock people who agree with your basic premise to your side and maybe sway a couple of neutral observers. But carefully wielded words specifically intended to appeal to the right set of emotions, are much more potent. A perfect example of that is a recent comment about my coverage of a study which investigated why quack medicine is so prevalent throughout the world.

herbal medicine

It hits all the high notes, casting all modern medication as poisons being peddled by clueless doctors, trying to appeal to our wholesome feelings about nature by asking why we don’t trust what it provides us and leaving us with the plea to be more open minded. Like most defense of alternative medicine, it’s emotional and more than a little misleading. By asking you to choose between “man-made poison” and what nature provides us in herbs, it sets up a classic false dichotomy. And in my case, I would take the so-called poison over some herb any day of the week. Why? Because I have no idea what all those earthy sounding mixtures actually contain or what exactly will happen when I ingest them. There’s no approval by the FDA, no study, no authority to which I could appeal for a review of what happens if I take it for a long period of time. With modern medication, I could at least try to get an idea of what it will do to my body. With herbs, there’s seldom such luck.

Another interesting little tidbit is that the most potent poisons we know of are found in nature. The bite of a big Sydney funnel web spider is fatal without swift medical attention. Komodo dragons have mouths filled with all sorts of horrifying bacteria that seeps into wounds left from their bites and leads to a very painful death. Some frogs are also about as safe to handle as a biological weapon. Predation on our planet created a biosphere in which horrifying toxins are frequently used weapons. And they’re all natural, reaching their current composition over millions of years. Oh and did I mention plants with poisonous leaves? To say that man-made medicine is poisonous but that we should trust something that nature provides because it’s nature, is to forget that most of our biosphere is actively engaged in killing for survival and if you don’t watch what you ingest, you might end up as yet another victim of natural selection.

Of course nature does offer a number of compounds that can be used to help us which is why, contrary to the dogma of herbal advocates, drug companies use quite a few natural extracts and by-products of venoms for a wide variety of medications. Those supposed “man-made poisons” are often based on what nature provides, so when an alternative medicine proponent ridicules modern pharmacology, he’s also unwittingly taking aim at the plants and animals which provide the base for its products. The very same plants and animals he later holds as superior to the experts who practice evidence-based medicine. Obviously, that proponent really isn’t familiar with the topic and relying on the wordplay to make a point because the science isn’t there to back up his claims and outrage at how anyone would be so foolish to believe that humans are smarter than nature in making remedies. Rather than do a quick search and find ongoing projects which scour nature to look for the new cancer cure or HIV treatment, he tries to tap into New Age sensibilities.

Interestingly enough, herbal medicine and many alternative treatment methods have a very long track record. Our ancestors used them for thousands of years and we can compare their life expectancy and the quality of their care to that of the modern world. After developing vaccines, antibiotics and solidifying the germ theory of disease, we’ve been able to subdue polio, mumps, rubella and measles, eradicate smallpox, drive down the previously terrifying infant mortality rate and double life expectancy. In less than a century, today’s principles of medicine were able to do what traditional remedies couldn’t since Neolithic times. Granted, at the time when homeopathy and modern incarnations of herbal remedies were invented, doctors still had a hard time getting a grip on why people got sick and how to treat most diseases. Going to the hospital back then was gambling with your life and people would embrace alternative treatments because they didn’t make things worse.

We’ve come a long way since then and the results are very clear if we look at the drastic improvements to our quality of life. Why should we wind back the clock to the days when diseases were thought to be evil spirits or black magic spells contaminating the body and the cure was a chi re-alignment followed by an aura polishing until the light from your chakras repelled any ghost in the vicinity?

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7 Comments leave one →
  1. June 28, 2009

    This falls into the same category as religious and political beliefs for me. To each his own. What could be more personal than our bodies and how to care for them? It’s great that you know where you stand. It’s got to be frustrating beyond imagining for people who encounter disease and are torn as to which way to turn.

  2. June 28, 2009

    What they call ‘natural’ is just arbitrary anyways. What, are the drug companies making medicine supernaturally?

  3. June 28, 2009

    musubk,

    Alternative medicine proponents call things “natural” for marketing purposes and to set up the above mentioned false dichotomy. Potential patients are lead to believe that because it has that green label on it, whatever is inside must be better for you than any of those scary sounding chemicals made in pharmacology labs.

  4. Amadan permalink
    June 29, 2009

    Forrester’s ‘live-and-let-live’ approach is fine until opinion is peddled as fact. As between you and me, you’re welcome to your choice. But when (as often happens to parents, governments etc ) you are in a position of having to decide what’s best for someone who can’t do so for themself, equal right to an opinion doesn’t mean equal validity of opinion. You’re entitled to your view, but not your own facts.

    That’s where the ‘But It’s Natural’ brigade press the emotion buttons, because they don’t have facts and they can’t afford to admit it.

  5. June 29, 2009

    Just as you described in your opening paragraph, you’ve probably confirmed the views of most readers here and possibly swayed a couple of neutral observers. Unfortunately you’ve probably failed to influence the thinking of anyone who started out with the opposing viewpoint and they are the ones who allow pseudo-scientific nonsense about medicine to perpetuate. A great article nonetheless.

  6. colin permalink
    October 7, 2009

    although i agree about not using “natural” medicines all the time, certain “real” medicines like hand sanitizer are making things worse with stuff like the super bugs, and i have seen the potency of natural medicines on things like backaches and headaches and although minor they can be life altering, and until they are studied more we shouldn’t pooh-pooh them off-hand.

  7. Jeff permalink
    October 11, 2009

    I agree with your sentiment.

    But the anti-new age backlash can be a bit like throwing out the baby with the bathwater (in most cases not, but sometimes

    We’ve seen it before, for example, with lucid dreaming, where scientists in the 1960s vehemently denied that such a phenomenon occurred, mostly due to its association with hippies and spiritual thinkers.

    But a scientific hypothesis is a scientific hypothesis–Just as Richard Feynman gave parapsychology the benefit of the doubt and went to experience for himself if Uri Geller could bend spoons with his mind (this was notoriously not replicated in front of Feynman). A scientific hypotheses should be treated on merits of science regardless of its fanatical association.

    Another example is this whole vaccine movement. The motives and agendas behind the movement seem fairly characteristic of pseudoscience, but the hypothesis that a variable X (in this case, vaccination) could have a statistical association with outcome Y (in this case, autism) is a perfectly reasonable hypothesis that can be tested on scientific merit. I don’t really follow the ordeal, nor care about it, so I don’t know if peer-reviewed studies have been published on the matter. I’m assuming they have, and I’d guess the results were negative.

    In the case of alternative medicine, I’m assuming a lot of it is pseudoscience. I’m sure a lot of it is quackery. I’m sure a lot of it talks about “quantum mechanics” and “energy fields” and “waves”. But let’s not force a dichotomy.

    There’s plenty of pseudoscience in “real” medicine as well. Dig into the medical literature. The most notorious is the Ancel Keys study, which gave rise to the “fat is bad” meme. He removed outliers that really weren’t outliers just so he could publish a weak correlation between fat intake and heart disease. The ensuing lipid hypothesis continues to be dogmatically accepted by most doctors, despite the fact that it’s never been proven. I could go on, but I don’t want to write a book here.

    I think you get my point.

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