The deviousness that comes out of the mouths
of forked-tongue practitioners of complimentary and alternative medicine is
almost too shocking to believe. Yet there they are putting people’s lives at
risk and emptying their wallets just so the alleged “doctors” can have a nice
career with a great income. Academic researchers and unapologetic apologists
for science and truth in medicine, Edzard Ernst & Kevin Smith expose the frauds in
their 2018 book “More Harm Than Good?
The Moral Maze of Complimentary and Alternative Medicine”. In this excerpt there are 15 blatant and underhanded
tactics listed in the 2nd, 3rd and 4th paragraphs.
“In the domain of Complimentary & Alternative Medicine
(CAM), truth is a frequent casualty. CAM practitioners, CAM researchers and CAM
apologists – particularly when faced with critics who cite a lack of evidence
of effectiveness – characteristically will not admit the manifest truth, but
will instead strive doggedly to defend their beliefs, using more or less
obvious untruths.
“CAM defences against the truth are manifold. They include
disingenuous attempts to deny the validity of inconvenient evidence. CAM
proponents will often claim that mainstream research is just as flawed as CAM
research – as if this would somehow justify sloppy CAM research. They may even
make the astonishing ‘postmodern’ claim that objective truth cannot exist. If
none of these defences work, CAM apologists have plenty of other tactics to
call upon. They may try to reverse the burden of truth, illogically insisting
that it is the responsibility of the critic to prove that CAM does not work.
They will often claim that a ‘paradigm shift’ is imminent, which will allow the
truth of CAM effectiveness to be accepted by scientists – a tactic that reveals
a profound lack of understanding of the process by which scientific theories
are established.
“Many CAM proponents assert that normal methods of medical
research are not applicable for CAM, and want to go back to the dark ages of
research by giving priority to ‘personal experience’. They may introduce
irrelevant claims to try to distract their opponents from the issue of
ineffectiveness, such as the assertion that CAM is very safe compared with
conventional medicine. And if none of the above works, then they can always
fall back on making personal attacks against their critics, ranging from
incompetence to corruption – seemingly unmoved by the fact that such
allegations are rarely if ever evidence-based.
“It is in the financial interest of CAM practitioners to
recruit and retain patients, and in pursuit of this goal, and the income it
brings, the truth is often further manipulated. Patients will often be told
that they need treatment for non-existent conditions, or placed on ‘health
maintenance’ programs that are unnecessary, ineffective and in some cases
potentially harmful. CAM practitioners will often employ falsehoods to deter
patients from departing through a manifest lack of therapeutic effectiveness.
Patients may be discouraged from returning to conventional medicine through the
assertion that modern drugs have been the root of the patient’s medical problem
in the first place. Patients may be persuaded that, in CAM, symptoms must get
worse before getting better; or that a CAM cure will inevitably take a very
long time. Many CAM practitioners will cite holism to excuse therapeutic
failure, attempting to plant in their patient’s minds the false belief that
other aspects of their health have been improved by the ineffective therapy.
Finally, when pushed most CAM practitioners will resort to justifying their
practice on grounds of the placebo effect – which is essentially an admission
of the truth that their magic therapy is ineffective.
“Mangling of the truth is not restricted to the ‘coalface’
levels of CAM practice and research; proponents of CAM exist in all levels in
society. This runs to the very top, where we have to endure Prince Charles
publicly preaching in favour of homeopathy along with his other favourite
anti-science superstitions. To knowledgeable rational observers, this spectacle
is straightforwardly absurd; but because the heir to (and soon occupant of) the
British throne is in a highly influential position, his pontifications do a
disservice to the truth that is likely to have far reaching consequences.
“The subversion of the truth entailed by CAM is an affront to
medical ethics in whatever guise it occurs. From a purely utilitarian
perspective, lying is only acceptable where more utility is likely to accrue
from so doing than from truth-telling: in medicine and science, this is as a
rule certainly not the case. The consequences of derogation of the truth in the
domain of CAM are indubitably negative in terms of the effect of utility. By
misleading patients, CAM at the very least wastes their time and resources, and
at worst damages their health.
“Beyond utilitarian considerations, subversion of the truth
has additional ethical implications. Patient autonomy- a cornerstone of medical
ethics – is undermined in line with the extent to which a practitioner uses
falsehoods to induce the patient to submit to treatment.
“The CAM practitioner who promotes untruths has either failed
to enlighten themselves as to the facts – this being a central requirement of
professional ethics – or has chosen to deliberately deceive patients. Either of
these reasons for promulgating falsehoods amounts to a serious breach in terms
of medical ethics. According to almost all forms of ethical theory, the
truth-violating nature of CAM renders it both immoral in both theory and
practice.”
Source
Edzard Ernst & Kevin Smith, “More Harm Than Good? The
Moral Maze of Complimentary and Alternative Medicine” Springer International
Publishing, 2018
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Photo: https://fineartamerica.com/featured/deception-fanatic-studiogary-watersscience-photo-library.html
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