The website of the HOMEOPATHY HUB gives us intriguing access to the brain of a homeopath. It tells us that “protecting patient choice is at the heart of everything we do. Homeopathy, which is the second largest system of medicine in the world, is a form of treatment which plays a vital role in the lives of hundreds of thousands of people across the UK. There is, however, a movement to try and withdraw homeopathy from the public and make homeopathic medicines difficult to secure. Our intention is to be a central “hub” for accurate information on current campaigns to retain access to homeopathy and details on how you can get involved and make your voice heard. Without public and patient support we will not be successful.”
Here are a few of the above statements that I find doubtful:
- protecting patient choice – choice requires reliable information; as we will see, this is not provided here;
- second largest system of medicine in the world – really?
- plays a vital role – where is the evidence for that claim?
- movement to try and withdraw homeopathy from the public and make homeopathic medicines difficult to secure – nobody works towards this aim, some people are trying to stop wasting public funds on useless therapies, but that’s quite different, I find;
The HOMEOPATHY HUB recently alerted its readers to the fact that the Charity Commission (CC) is currently conducting a public consultation on whether organisations promoting the use of complementary and alternative medicines (CAM) should have charitable status (https://www.gov.uk/government/consultations/consultation-on-complementary-and-alternative-medicines) and urged its readers to defend homeopathy by responding to the CC offering a “few helpful points” to raise. These 7 points give, I think, a good insight into the thinking of homeopaths. I therefore copy them here and add a few of my own comments below:
- there are many types of evidence that should be considered when evaluating the effectiveness of a therapy. These include scientific studies, patient feedback and the clinical experience of doctors who have trained in a CAM discipline. Within Homeopathy there is considerable evidence which can be found (https://www.hri-research.org)
- many conventional therapies and drugs have inconclusive evidence or prove to be useful in only some cases, for example SSRIs (anti-depressants). Inconsistent evidence is often the result of the complexity of both the medical condition being treated and the therapy being used. It is not indicative of a therapy that doesn’t work
- removing all therapies or interventions that have inconsistent or inconclusive evidence would seriously limit the public and the medical profession’s ability to help treat and ease patients suffering.
- all over the world there are doctors, nurses, midwives, vets and other healthcare professional who integrate CAM therapies into their daily practice because they see effectiveness. They would not use these therapies if they did not see their patients benefitting from them. For example in the UK, within the NHS hospital setting, outcome studies demonstrate effectiveness of homeopathy. (http://www.britishhomeopathic.org/evidence/results-from-the-homeopathic-hospitals/)
- practitioners of many CAM therapies belong to registering bodies which expect their members to comply to the highest professional standards in regards to training and practice
- In the UK the producers and suppliers of CAM treatments (homeopathy, herbal medicine etc) are strictly regulated
- as well as providing valuable information to the growing number of people seeking to use CAM as part of their healthcare, CAM charities frequently fund treatment for those people, particularly the elderly and those on a low income, whose health has benefitted from these therapies but who cannot afford them. This meets the charity’s criterion of providing a public benefit.
- “Patient feedback and the clinical experience of doctors” may be important but is not what can be considered evidence of therapeutic effectiveness.
- Yes, in medicine evidence is often inconsistent; this is why we need to rely on proper assessments of the totality of the reliable data. If that fails to be positive (as is the case for homeopathy and several other forms of alternative medicine), we are well advised not to employ the treatment in question in routine healthcare.
- Removing all treatments for which the best evidence fails to show effectiveness – such as homeopathy – would greatly improve healthcare and reduces cost. It is one of the aims of EBM and an ethical imperative.
- Yes, some healthcare professionals do use useless therapies. They urgently need to be educated in the principles of EBM. Outcome studies have normally no control groups and therefore are no adequate tools for testing the effectiveness of medical interventions.
- The highest professional standards in regards to training and practice of nonsense will still result in nonsense.
- The proper regulation of nonsense can only generate proper nonsense.
- Yes, CAM charities frequently fund bogus treatments; hopefully (and with the help of readers of this blog), the CC will put an end to this soon.
I think these 7 points by the HOMEOPATHY HUB are a very poor defence of homeopathy. In fact, they are so bad that it is not worth analysing more closely than I did above. Yet, they do provide us with an insight into the homeopathic mind-set and show how illogical, misguided and wrong the arguments of homeopathy enthusiasts really are.
I do encourage you to give your response to the CC – it wound be hard to use better arguments than the homeopaths!!!