NCCAM

One of the great benefits of having been a blogger for nearly eight years now is that I now have a rich history of thousands of posts. True, there are the occasional posts that I wish I hadn't written and even the occasional post that I consider to be not particularly good, but for the most part I'm proud of my work and would put my blog posts up against nearly anyone else's. Another benefit of having such a long history is that, from time to time, I get the opportunity to revisit really old posts. Having written about these issues for so long, I find it really gratifying when I can revisit a…
Chelation therapy, in my somewhat Insolent opinion, is pure quackery. Unfortunately, it's also one of the most common quackeries out there, used by a wide variety of practitioners for a wide variety of ailments blamed on "heavy metal toxicity." Chelation therapy involves using chemicals that can bind to the metal ions and allow them to be excreted by the kidneys is standard therapy for certain types of acute heavy metal poisoning, such as iron overload due to transfusion, aluminum overload due to hemodialysis, copper toxicity due to Wilson's disease, acute heavy metal toxicity, and a handful…
I'd like to publicly thank Dr. John Killen, Jr. I was looking for something to write about yesterday evening, and, just when I was beginning to despair that I might have to do another post on the lunacy that is antivaccine nonsense (even I get tired of taking on antivaccine idiocy, as regular readers know), he generously provided me with a perfect non-vaccine-related topic. Truly, to a skeptical blogger and supporter of science-based medicine like myself, the National Center for Complementary and Alternative Medicine (NCCAM) blog is the gift that keeps on giving. I've written a lot of…
I sense a disturbance in the skeptical blogosphere. It is something that I half-expected, but, even so, it nonetheless somewhat surprised me when it arrived in the form of comments on my blog and e-mails from readers, fellow supporters of science-based medicine, and others asking me what I thought. In a way, it makes me glad that I didn't blog about this back on Monday, when the study that is the focus of this disturbance was published. Had I written about it then, all I would have had as fodder was the study itself. However, waiting a couple of days has allowed me to see the reaction of the…
One of the overarching issues, if not the overarching issue that makes so-called "complementary and alternative medicine" (CAM)—or, as it's now more commonly called, "integrative medicine"—so problematic is prior plausibility. It's also one of the most difficult to explain to the lay public, because to someone not trained in science it can sound like not being open-minded. I like to joke about this whole concept by saying that it's good to be open-minded but not so open-minded that your brains fall out. In other words, the main difference between science-based medicine (SBM) and evidence-…
Oh, goody. I don't know how I've missed this, given that it's been in existence now for over a month now, but I have. Regular readers (and even fairly recent readers, given that I write about this topic relatively frequently) know that I'm not a big fan of the National Center for Complementary and Alternative Medicine (NCCAM). Just search this blog for "NCCAM" if you don't believe me. I've explained the reasons many times, but the CliffsNotes version is that NCCAM is an enormous waste of taxpayer money, dedicated as it is to the study of modalities that are at best highly implausible and at…
I just had a chance to check in on a triad of posts by Prof Janet Stemwedel at Adventures in Ethics and Science (1, 2, 3) on the ethical issues of the conduct of studies, particularly clinical trials, supported by the US NIH's National Center for Complementary and Alternative Medicine (NCCAM). For background, NCCAM was originally established for political, not scientific reasons, as the NIH Office of Alternative Medicine in October 1991. It received a token budget of $2 million at the time. They still only get $120-ish million; modest by NIH standards as compared, say, with the 2007 NCI…
It's probably an understatement to say that I've been critical of the National Center for Complementary and Alternative Medicine (NCCAM). Indeed, I consider it not only to be a boondoggle that wastes the taxpayers' money funding pseudoscience, but a key promoter of quackery. Worse, its promotion of highly implausible (one might even say magical) modalities gives these modalities a patina of scientific respectability that they do not deserve, especially given that, even under the most favorable conditions possible, they routinely fail to demonstrate any efficacy above and beyond that of a…
After complaining during a U.S. Senate hearing that the National Center for Complementary and Alternative Medicine he spearheaded wasn't yielding results that validated such practices, Senator Tom Harkin (D–IA) is facing the backlash of his statements from ScienceBloggers. Many of the alternative medicine practices Harkin advocates have already been subject to the thorough scrutiny of the NIH and other scientific institutions, which failed to find convincing evidence that these practices are beneficial compared with placebos and with established medical practices. Many have questioned whether…
Chris Mooney just asked the question as to why sci/med bloggers are up in arms about Sen Tom Harkin's recent complaints about the National Center for Complementary and Alternative Medicine (NCCAM), the arm of NIH charged with funding studies to investigate the mechanisms and efficacy of modalities not currently considered mainstream medicine. I left a comment for Chris that ended up being a blog post so I'll share it with Terra Sig readers here and expound a bit for good measure. The problem is that Harkin has stated that the establishment is discriminating against alternative medicine and…
I realize I've said it before, but I still can't believe as many people read what I like to lay down on a daily basis right here on this blog. Believe me, it has nothing to do with an sort of false sense of modesty. After four years at this, I know I'm good at blogging. Real good. But good isn't always enough to make much of a difference or even to garner an audience. Whether I've done the first, I don't know. I like to think that I have. As for the second, I've done pretty well for myself. Indeed, after a year of stagnant traffic, January and February were the best months, traffic-wise, in…
Yesterday, I wrote about Senator Tom Harkin's (D-IA) little woo-fest in the Senate's Committee on Health, Education, Labor, and Pensions, which he called Integrative Care: A Pathway to a Healthier Nation. I and a lot of the rest of the medical blogosphere (such as PalMD, Val Jones, and Tufted Titmouse) shook our heads in disbelief and disgust at Harkin's statement (video here) about the National Center for Complementary and Alternative Medicine (NCCAM): One of the purposes of this center was to investigate and validate alternative approaches. Quite frankly, I must say publicly that it has…
The Tufted Titmouse explains in a spot-on parody of Senator Harkin's statement to his Senate panel. I'm tellin' ya, "integrative" reporting is the wave of the future, just like "integrative" medicine.
Senator Tom Harkin (D-Iowa) owes me a new irony meter. I'll explain in a minute, but first you have to know why I even give a rodent's posterior about Harkin. As you may recall, no single legislator in the U.S. has done more to damage the cause of science- and evidence-based medicine than Tom Harkin. It was through his efforts that the National Institutes of Health, despite the fact that its scientists were not agitating for it, had the National Center for Complementary and Alternative Medicine (NCCAM) rammed down its throat, first as the Office of Alternative Medicine (OAM) and then, when…
Remember when President Obama said something about returning science to it's rightful place? Well, our new president has a real tough climb ahead of him. The previous administration shoved science aside for political expediency and religious ideology. Now, forces in the president's own party are trying to insert their own quasi-religious beliefs into health care reform, leaving science in a whole different place altogether. Here's the deal. Some years back, Senator Tom Harkin (D-IA) helped set up the National Center on Complementary and Alternative Medicine (NCCAM). The whole idea of…
What's an advocate of evidence- and science-based medicine to think about the National Center for Complementary and Alternative Medicine, better known by its abbrevation NCCAM? As I've pointed out before, I used to be somewhat of a supporter of NCCAM. I really did, back when I was more naïve and idealistic. Indeed, as I mentioned before, when I first read Wally Sampson's article Why NCCAM should be defunded, I thought it a bit too strident and even rather close-minded. At the time, I thought that the best way to separate the wheat from the chaff was to apply the scientific method to the…