oracknows | July 2, 2015Sometimes, I think advocates of "integrative" medicine are trolling me. Of course, unlike antivaccine advocates, I realize it (usually) isn't about me at all and they're just writing what they believe and have (usually in the vast majority of cases) never encountered me and (usually in the vast majority of cases) aren't considering me at all. Even so, it's hard, when coming across an article like The Power of Integrative Medicine When All Else Fails by Emma M. Seppälä over on Psychology Today, not to think that I'm being trolled, so blatant are the alternative medicine propaganda and apologia…
oracknows | July 1, 2015My original intention was to write about something entirely different today, but, really, how could I, given that SB277 has become law in California and non-medical exemptions to school vaccine mandates are a thing of the past? The topic I had in mind for today can easily keep for a day or two anyway. Besides, what I want to contemplate now is how SB277 will work in practice. Sure, it's fun to watch the antivaccine fringe completely lose it as SB 277 got closer and closer to passing. Indeed, if you want to experience a combination of amusement and revulsion, just peruse the comments of this…
oracknows | June 29, 2015Late last week, something happened that I never would have predicted, and it's all due to how the politics of the issue changed in the wake of the Disneyland measles outbreak earlier this year. The state that contains some of the most famous pockets of low vaccine uptake and some of the most famous antivaccine "luminaries," including pediatricians like Dr. Bob Sears and Jay Gordon, as well as actual celebrities like Rob Schneider, Alicia Silverstone, Bill Maher, Charlie Sheen, and Mayim Bialik, actually passed a law, SB 277, that eliminates non-medical exemptions to school vaccine mandates.…
oracknows | June 29, 2015The overarching goal that proponents of so-called "complementary and alternative medicine" (CAM) or, as is becoming the preferred term, "integrative" medicine is the mainstreaming of the "unconventional" treatments that fall under the rubric of these two terms. Indeed, that's the very reason why they so insisted on the shift from calling it CAM to calling it "integrative medicine." Not being content with the subsidiary status as not quite "real" medicine" that the words "complementary" and "alternative" imply, they want their woo to be seen as full co-equals with scientific medicine, hence…
oracknows | June 26, 2015Orac note: Congratulations on California and everyone who reads this blog who helped pass SB 277 to protect California's children. Here's hoping Governor Jerry Brown signs the bill! I had a big talk to give this morning that required a massive rewrite of my slide set last night; so there wasn't time for the usual Insolence. Some of you might have seen a different version of this post elsewhere. Some of you might not. Either way, I hope you can enjoy!
Two weeks ago, I attended the Center For Inquiry Reason for Change Conference, where I participated in a panel on—what else?—alternative…
oracknows | June 25, 2015About a year and a half ago, I began an intermittent series that I called How "They" View "Us." There are several posts in the series now. Basically, given the amount of nastiness directed at those of us who refute pseudoscience, in particular quackery and antivaccine pseudoscience, by those who believe in it, I tried to envision, quite literally, how "they" view "us." I even did a talk on the topic at the Science-Based Medicine workshop at The Amazing Meeting last year. Basically, I pointed out that we might think of ourselves on the side of right (and, let's face it, we are), the believers…
oracknows | June 24, 2015My opinion about medical marijuana has been fairly consistent. First, the claims made by its advocates for it far exceed the evidence for its benefit, which is why I've referred to it as the "new herbalism." Of course, it's not really very new, but it is herbalism in that medical marijuana advocates make grandiose claims for using their favorite "drug" in its plant form rather than doing the standard thing that modern medicine does with natural products and try to isolate the active compounds, in this case a class of molecules known as cannabinoids. Second, although medical marijuana might…
oracknows | June 23, 2015If there's one message that I've been trying to promote, regardless of whether it's on this blog or my not-so-super-secret other blog, it's the concept that there should be one standard of evidence—one scientific standard of evidence—for evaluating health claims and medical treatments. It doesn't matter if it's the latest drug from big pharma, the latest operation from a hot shot surgeon with a lot of creativity and not necessarily the most rigorous dedication to science- and evidence-based medicine, the woo-filled claims of alternative medicine practitioners, or the seemingly "evidence-based…
oracknows | June 21, 2015Last Thursday I took note of a rather fascinating confluence of cranks who have come together to oppose SB 277 in California. For those not familiar with SB 277, it is a bill currently under consideration in the California Assembly that would eliminate nonmedical exemptions to school vaccine mandates. It was passed by the Senate last month, and a couple of weeks ago it cleared its first hurdle in the Assembly, having been passed by the Assembly Health Committee on a 12-6 vote. So now it's in the full Assembly to be debated, and it shouldn't be too long before it comes to a vote. As I've said…
oracknows | June 19, 2015Even if you're a relative newbie to this blog, you probably wouldn't be particularly surprised to learn that I don't much like Dr. Mehmet Oz, a.k.a. "America's Doctor." Of course, I refer to him as something slightly different, namely "America's Quack," for a whole host of reasons, including his featuring psychic mediums like John Edward and Theresa Caputo, faith healers, Ayurveda, homeopaths, dubious dietary supplements, and even antivaccine loons like Robert F. Kennedy, Jr. Indeed, when about a year ago Senator Claire McCaskill (D-MO) hauled him in front of her Senate committee over his…
oracknows | June 18, 2015The saga of SB 277 just keeps getting stranger and stranger as its end game comes into view.
SB 277 is, of course, a big deal. If it's passed by the California Assembly and signed into law by Governor Jerry Brown, it would eliminate nonmedical exemptions to school vaccine mandates, making the largest state in the union only the third state that only allows medical exemptions. Since its passage by the California Senate last month and its clearing the Assembly Health Committee last week on a 12-6 vote, SB 277 has taken on the air of inevitability. Sure, it could still stall or be hopelessly…
oracknows | June 17, 2015Antivaccinationists like Holocaust analogies. I've described this particularly loathsome phenomenon more times than I can remember, most recently when Robert F. Kennedy, Jr. compared the "vaccine-induced autism epidemic" (vaccine-induced only in RFK, Jr.'s imagination and that of antivaccinationists) to the Holocaust. True, even he was forced to apologize, although it was a classic "notpology":
"I want to apologize to all whom I offended by my use of the word holocaust to describe the autism epidemic," Kennedy said in a statement. "I employed the term during an impromptu speech as I struggled…
oracknows | June 16, 2015A common question, rhetorical or otherwise, that skeptics are asked about alternative medicine is, "What's the harm?" It's seemingly an effective ploy for some modalities, so much so that years ago Tim Farley felt obligated to try to answer the question on a website (whatstheharm.net) that catalogues examples of the harm alternative medicine, supernatural and paranormal beliefs, and other pseudoscience do. After all, most homeopathy (at least anything diluted greater than around 12C, at least) is water, without any remaining remedy, effective or otherwise. On the other hand, some homeopathic…
oracknows | June 14, 2015Over the years, I've written a lot about the intersection between the law and science in medicine. Sometimes, I support a particular bill, such as SB 277. Sometimes I oppose a bill, such as right-to-try or laws licensing naturopaths. The case I will discuss here is unusual in that it is a case of the law getting ahead of what the science says in a manner that will likely do little, if any, good for patients, cause a lot of confusion until the science is worked out better, and end up costing patients money for little or no benefit. I am referring to laws mandating the reporting of high-breast-…
oracknows | June 12, 2015Regular readers might have wondered why there was no post yesterday. The answer's simple: A combination of work and having to fly out to Buffalo for the CFI Reason for Change conference, where I'll be on a panel on (of course!) alternative medicine later today. That same combination means that this post will be uncharacteristically brief. I know, I know. When I say "uncharacteristically brief," usually what happens is that I manage to keep things under 2,000 words for a chance, but that's just how I roll.
However, as busy as I am at the moment, I just have to take note of a most happy…
oracknows | June 10, 2015I bet antivaccinationists would be annoyed if they knew what I was up to yesterday. This week, our department had a visiting professor for Grand Rounds, and that professor was a Nobel laureate. Of course, it's not every day that we have a Nobel laureate visiting us (actually, it's rare). This time around the Nobel laureat visiting us was Harald zur Hausen. He won a Nobel Prize in Physiology or Medicine in 2008 for a discovery he made decades ago, namely his discovery of the role of papilloma viruses in causing human cervical cancer. Yes, antivaxers, not only did I meet the man whose science…
oracknows | June 8, 2015Before 2005, I did pay attention to the antivaccine movement, but it wasn't one of my biggest priorities when it comes to promoting science-based medicine. That all changed when Robert F. Kennedy published his incredibly conspiracy-packed black whole of antivaccine pseudoscience entitled Deadly Immunity. Sadly, almost exactly ten years later, Robert F. Kennedy, Jr. hasn't changed. He's still spewing the same antivaccine pseudoscience and conspiracy theories that he was spewing a decade ago, with no sign of letting up.
One thing that has changed over the last decade is the social media…
oracknows | June 8, 2015Let food be thy medicine and medicine be thy food.
- attributed to Hippocrates
Who said anything about medicine? Let's eat!
- attributed to one of Hippocrates forgotten (and skeptical) students
Who hasn't seen or heard Hippocrates' famous quote about letting food be your medicine and your medicine your food? If you have Facebook friends who are the least bit into "natural" medicine or living, you've almost certainly come across it in your feed, and if you're a skeptic who pays the least bit of attention to what's going on in the quackosphere you will almost certainly have seen it plastered…
oracknows | June 5, 2015One of the odd things about having been a blogger as long as I have been is that, occasionally, posts that I wrote years ago rise up to bite me long after I've forgotten that I even wrote them. Actually, that's usually not the right way to put it. Blogging is a very short term activity in that most posts are very ephemeral. They're usually (but not always) about something immediate, of the moment. Don't get me wrong. There are quite a few posts that I've written that aren't so ephemeral and could be read now without reference to the events or news that inspired them and be just as good now as…
oracknows | June 4, 2015I've been paying attention to the antivaccine movement a long time. Indeed, it's been just under a decade since I made what was my first big splash in the blogosphere, namely my particularly "Insolent" takedown of Robert F. Kennedy, Jr.'s conspiracy-laden, pseudoscience-spewing super-concentrated antivaccine nonsense known as Deadly Immunity. So here it is, almost ten years later, and RFK, Jr. is still around, spewing the same nonsense that he did ten years ago, except that this time he's using Holocaust analogies to describe the vaccination program. Unfortunately, some things never seem to…