MD, PhD, FMedSci, FSB, FRCP, FRCPEd

 

How do you fancy playing a little game? Close your eyes, relax, take a minute or two and imagine the newspaper headlines which new medical discoveries might make within the next 100 years or so. I know, this is a slightly silly and far from serious game but, I promise, it’s quite good fun.

Personally, I see the following headlines emerging in front of my eyes:

MEASLES IRRADICATED

VACCINATION AGAINST AIDS READY FOR ROUTINE USE

IDENTIFICATION OF THE CAUSE OF DEMENTIA LEADS TO FIRST EFFECTIVE CURE

GENE-THERAPY BEGINS TO SAVE LIVES IN EVERY DAY PRACTICE

CANCER, A NON-FATAL DISEASE

HEALTHY AGEING BECOMES REALITY

Yes, I know this is nothing but naïve conjecture mixed with wishful thinking, and there is hardly anything truly surprising in my list.

But, hold on, is it not remarkable that I visualise considerable advances in conventional healthcare but no similarly spectacular headlines relating to alternative medicine? After all, alternative medicine is my area of expertise.  Why do I not see the following announcements?

YET ANOTHER HOMEOPATH WINS THE NOBEL PRIZE

CHIROPRACTIC SUBLUXATION CONFIRMED AS THE SOLE CAUSE OF MANY DISEASES

CHRONICALLY ILL PATIENTS CAN RELY ON BACH FLOWER REMEDIES

CHINESE HERBS CURE PROSTATE CANCER

ACUPUNCTURE MAKES PAIN-KILLERS OBSOLETE

ROYAL DETOX-TINCTURE PROLONGS LIFE

CRANIOSACRAL THERAPY PROVEN EFFECTIVE FOR CEREBRAL PALSY

IRIDOLOGY, A VALID DIAGNOSTIC TEST

How can I be so confident that such headlines about alternative medicine will not, one day, become reality?

Simple: because I only need to study the past and realise which breakthroughs have occurred within the previous 100 years. Mainstream scientists and doctors have discovers insulin-therapy that turned diabetes from a death sentence into a chronic disease, they have developed antibiotics which saved millions of lives, they have manufactured vaccinations for deadly infections, they have invented diagnostic techniques that made early treatment of many life-threatening conditions possible etc, etc, etc.

None of the many landmarks in the history of medicine has ever been in the realm of alternative medicine.

What about herbal medicine? Some might ask. Aspirin, vincristine, taxol and other drugs originated from the plant kingdom, and I am sure there will be similar such success-stories in the future.

But were these truly developments driven by traditional herbalists? No! They were discoveries entirely based on systematic research and rigorous science.

Progress in healthcare will not come from clinging to a dogma, nor from adhering to yesterday’s implausibilites, nor from claiming that clinical experience is more important than scientific research.

I am not saying, of course, that all of alternative medicine is useless. I am saying, however, that it is time to get realistic about what alternative treatments can do and what it cannot achieve. They will not save many lives, for instance; an alternative cure for anything is a contradiction in terms. The strength of some alternative therapies lies in palliative and supportive care and not in changing the natural history of diseases.

Yet proponents of alternative medicine tend to ignore this all too obvious fact and go way beyond the line that divides responsible from irresponsible behaviour. The result is a plethora of bogus claims – and this is clearly not right. It raises false hopes which, in a nutshell, are always unethical and often cruel.

 

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