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Bioethics Complementary and alternative medicine Medicine Quackery

NCCAM: I say we take off and nuke the entire center from orbit. It’s the only way to be sure.

Over the years that this blog has been in existence, beginning very early on, there has been one overarching theme. That theme is that the best medicine is science-based medicine. Sure, we could quibble about how that was originally defined, and I used to be more of a booster of evidence-based medicine until its blind […]

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Antivaccine nonsense Autism Medicine Politics

California Bill AB 2109: Real informed consent versus antivaccine misinformed consent

I’ve discussed the concept of “misinformed consent” multiple times before. Quacks in general, particularly the “health freedom” movement proclaim their dedication to “informed consent.” “All we’re asking for,” they will say, “is informed consent.” The antivaccine movement in particular demands “informed consent” about vaccines. Be it Barbara Loe Fisher, the bloggers at the antivaccine crank […]

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Clinical trials Complementary and alternative medicine Medicine

Patient satisfaction versus quality of care, round two

About a month ago, I wrote about a study that looked at metrics of patient satisfaction and compared them to hard outcomes often used to evaluate quality of care, including frequency of emergency room usage, frequency of hospitalization, and overall mortality. Even though these days there appears to be an implicit assumption that increased patient […]

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Antivaccine nonsense Autism Medicine Politics

Now Andy Wakefield will prevail in his libel suit against Brian Deer because John Walker-Smith won his appeal? Not so fast there, pardner…

I don’t know what it is about the beginning of a year. I don’t know if it’s confirmation bias or real, but it sure seems that something big happens early every year in the antivaccine world. Consider. As I pointed out back in February 2009, in rapid succession Brian Deer reported that Andrew Wakefield had […]

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Complementary and alternative medicine Medicine Quackery

Surveying the “integrative medicine” landscape (2012 edition)

One of the most potent strategies used by promoters of “complementary and alternative medicine” (CAM)–or, as its proponents like to call it these days, “integrative medicine” (IM)–is in essence an argumentum ad populum; i.e., an appeal to popularity. Specifically, they like to use the variant of argumentum ad populum known as the “bandwagon effect,” in […]