MD, PhD, MAE, FMedSci, FRCP, FRCPEd.

Monthly Archives: August 2025

Anyone who follows the comment sections of this blog will get the impression that those who presistently question or object to rationalists’ views and interpretations see themselves as much as skeptics as the other side. Indeed, skepticism and denialism are often and easily confused: both can involve questioning established opinions, for instance. Yet, there are important differences related to the motivations, methods, and outcomes. Let me try to explain this in more detail.

Skepticism

Skepticism is an essential principle of science. It is characterised by a questioning attitude and by critical thinking.

  • Skepticism is motivated by the desire to find the most truthful answer to the question at hand and is driven by curiosity as well as a commitment to evidence and reason.
  • A skeptic questions claims by asking for more evidence, examines the methodology, and considers alternative explanations. He/she is open to changing their mind when presented with convincing evidence.
  • The aim of skepticism is to generate progress by improving our knowledge and understanding of the world. Whenever the evidence is insufficient, skeptics suspend their judgement until it is sound. Whenever the evidence shows them to be mistaken, they correct their stance.

    Denialism

Denialism is an ideological and usually unchangable position that rejects a consensus even in the presence of overwhelming evidence. It is by no means a search for the truth but a rejection of reality.

  • Denialists are driven by ideological, political, financial or psychological motives. He or she is not seeking truth but rather is defending a dogma belief, stance or worldview that he or she not willing to change however convincing the evidence. Confronten with overwhelming evidence he or she resorts to willful ignorance or other techniques.
  • Denialists tend to employ rhetorical tactics like cherry-picking, conspiracies, lies etc. to create the appearance of debate and openness where none exists.
  • Denialism hinders progress by rejecting even the most solid evidence. It therefore leads to misinformation, wrong decisions by those you are its victims and often serious harm. 

Crucial differences between skepticism and denialism

Skepticism Denialism
Main motivation Pursuit of truth Preservation of belief
Main method Evidence-based inquiry Rhetorical tactics, misrepresentation
Stance Suspending judgment until evidence is conclusive, ability to change Fixed, dogmatic
Relationship to Science Essential part of the scientific process Rejection of the scientific method
Main outcome Better knowledge and understanding Misinformation, resistance to progress, often harm

I am sure that skeptics rarely have problems identifying a denialist. Perhaps this post helps denialists to comprehend the difference between them and skeptics – I think I told you before: I am an optimist!

In the realm of so-called alternative medicine (SCAM), one comes across plenty of bullshit (BS). However, rarely did I encounter BS as impressively pure as in the recent paper entitled: “Quantum Measurement and Quantum Simulation of the Human Biofield“. As we all seem to be short of a few good laughs, I think this absract might distract you:

This paper explores the convergence of quantum physics and human physiology through the lens of quantum measurement and quantum simulation of the human biofield. The biofield- a term used in complementary medicine to describe the dynamic field of energy and information surrounding the human body- is investigated from a quantum perspective. The study discusses how quantum principles such as coherence, entanglement, and superposition may underpin biofield interactions and how quantum simulation techniques can model these complex dynamics. Advancements in quantum sensing technologies, biophotonics, and computational models provide promising tools for validating biofield phenomena and their potential roles in human consciousness and health. This interdisciplinary exploration offers a framework for future research bridging quantum science and holistic health paradigms.

The author, Ivan Domuschiev,Ph.D.- Independent Researcher (Plovdiv, Bulgaria), also added the following comments and conclusions:

The study of quantum measurement and quantum simulation in the context of the human biofield represents a bold and interdisciplinary frontier in science. While traditional biology views the body through biochemical and electrical processes, the quantum perspective suggests that subtler, coherent field-based interactions may also be at play. Quantum measurement technologies- though still in early development- open the door to exploring these phenomena in increasingly precise ways. Meanwhile, quantum simulation offers a novel avenue for modeling the complex interactions of the human biofield, consciousness, and healing. Despite ongoing scientific skepticism and the lack of consensus, growing empirical evidence from quantum biology, consciousness research, and energy medicine suggests that the biofield concept warrants serious investigation. The integration of quantum principles into human biofield studies could transform our understanding of health, illness, and human potential.

In short: with the rapid development of technology and quantum computers, new, more accurate and reliable methods for measuring the human biofield will appear. With their help, it will certainly be scientifically proven.

Allow me to congratulate Ivan to his achievement:

I have rarely seen BS as pure as this!

Guest post by Nikil Mukerji

In early January 2024, Edzard asked whether the German sceptics’ organisation GWUP had “lost the plot” (here and here). Yes, he said – and there was hardly any hope for it. Long celebrated for its rigorous defence of science and critical thinking, GWUP had been hijacked by ideologues, trading evidence and logic for rigid dogmas and taboos, vilifying dissent, and shutting down debate. But this is only half the story. There’s been a happy ending. GWUP has risen from the ashes – more committed to its original mission than ever. Here’s what happened.

1. How GWUP Got Ideologically Captured

In 1987, GWUP was launched as Germany’s branch of the international sceptic movement. Vowing to subject extraordinary claims to evidence and logic, Amardeo Sarma and a handful of co-founders set out to illuminate the mysteries of the occult, esotericism, and parascience through rigorous scientific testing. Expanding its remit to patient and consumer protection, GWUP also turned scepticism into a valuable public service. The GWUP swiftly became both a bulwark against health-scam charlatans and a trusted beacon of rationality in matters medical. Over thirty years, its membership grew steadily, approaching the mark of 2,000, as the 2010s came to a close. Then, the COVID-19 pandemic hit and in-person events were cancelled. Like many other organisations, GWUP had to call off its annual conference, SkepKon. But this didn’t stop GWUP’s growth. Its membership surged, propelled by comedian Tommy Krappweis’s Twitch talk “Ferngespräch” – a weekly discussion format that regularly touched on sceptical themes and invited active GWUP members. Host Krappweis regularly promoted the organisation’s name, which encouraged many viewers to join GWUP’s ranks, eager to support what they perceived as its cause: opposing views like homoeopathy, astrology, and COVID-19 misinformation that they disliked and passionately opposed.

Sarma’s leadership team, intent on recruiting younger, more diverse voices, initially embraced this influx heartily and met it with an open mind. But after a while, it became apparent that “Ferngespräch” was no good match for GWUP. Its followers were not steeped in the sceptical evidence-first ethos. Instead, many of them shared the fervent convictions and combative tactics of contemporary “woke” activism – including the notion that the world is essentially a fight between good and evil and that dissenters do not just think differently but are enemies.

The views of many new members only superficially resembled GWUP’s scepticism and constituted, instead, a form of pseudo-scepticism. This was noticed too late, namely when woke ideology had already spread through the entire organisation. Sceptics know that excessive open-mindedness may cause one’s brain to fall out. In the case of GWUP, however, the organisation’s brain didn’t fall out. Rather, ideology crept in – and subsequently drove the entire community crazy.

2. How GWUP’s Ideological Capture Changed Its Culture and Led to a Hostile Takeover

The advent of wokeness destroyed GWUP’s formerly formidable debate culture. Open, reasoned discussions gradually gave way to veritable shouting matches in which nonconfirmists were derided as “old white men,” accused of “mansplaining” and “fragility” to defend their “privileges”. Calls to police language and enforce “safe-space” rules fractured discussion into identity-based camps, while demands to censor opposing views supplanted the once-cherished principle of open inquiry.

Starting in 2022, longstanding GWUP members began pushing back, only to be met with the vitriol of the new woke faction that pressed for their exclusion. I can attest to this, as I, too, was at the receiving end of it. Woke members demanded, amongst other things, that my talk at the annual GWUP conference, SkepKon, be cancelled because I had criticised a field called “critical studies”, which is the academic origin of what we call “wokeness” in popular culture. This demand came from a person who, in all earnestness, has described her understanding of scientific scepticism as “science hooliganism”.

Alexander Waschkau – one of the Ferngespräch talking heads – professed that he’d rather “eat glass” than discuss my ideas and then accused me of peddling antisemitic conspiracy theories – all of this without any evidence to support it and knowing full well that such horrific allegations can destroy a person’s reputation and career.

At this point, the majority of Sarma’s leadership team firmly dug in their heels, defending GWUP’s founding values of open debate, honest inquiry, and reasonable dialogue. So, the ever-growing woke faction changed its strategy. In a political sleight-of-hand, it downplayed its ambitions in the weeks leading up to the May 2023 annual meeting—publicly feigning withdrawal while meticulously lining up loyalists as surprise candidates. Carefully keeping their plans of a coup secret, they flipped the board majority in their favour in a surprise vote, installing one of their own – Holm Hümmler – as chairman. Hümmler’s election to the chair initiated GWUP’s transformation from a champion of open scientific scepticism into an enforcer of rigid ideological conformity.

3. What Happened Under the Woke Rule

Edzard’s January 2024 blog posts chronicle a rapid and disquieting shift at GWUP in the wake of Holm Hümmler’s elevation to chair. An organisation once lauded for its spirited embrace of open dialogue instead lapsed into a regime of public shaming that stifled any hint of dissent. For instance, when philosopher Andreas Edmüller took the podium to deliver a talk on “The WOKE Phenomenon,” he anticipated rigorous debate—only to be met with a torrent of jeers.

Rather than offer sympathy for the unwarranted hostility, Hümmler himself stepped forward to admonish Edmüller, publicly castigating him for allegedly deploying “alt-right” rhetoric. Veteran GWUP member Stefan Kirsch—a fixture in the organisation’s communications apparatus—was summarily stripped of his role after he simply shared a link to Edmüller’s presentation on GWUP’s X/Twitter feed. In Kirsch’s stead, Hümmler installed an ally notorious for vitriolic online commentary. Edzard found himself at the receiving end of his disdainful public pronouncements.

Behind closed doors, Hümmler and his board majority orchestrated one takeover move after another to insulate woke ideology from critique. As Edzard recounts, Hümmler even overruled an independent selection committee to excise SkepKon talks he disliked, disregarding the fair and transparent selection process that had been agreed upon prior.

Perhaps most troubling, Hümmler muzzled GWUP’s scientific council, sealing off internal communication channels and preventing those who opposed him from alerting the broader membership to his consolidation of power.

4. How GWUP Came Back From the (Brain-)Dead

Edzard was blunt in his January 2024 posts: he no longer believed the general assembly could rescue GWUP from its ideological turn away from reason. Yet, as Chair Holm Hümmler and his “woke” majority ratcheted up cancel-culture tactics—ousting dissenters, rewriting program lineups, and muzzling internal critics—a countervailing force crystallised. Each heavy-handed manoeuvre only broadened the ranks of sceptics who refused to trade open inquiry for ideological conformity, setting the stage for a spirited pushback at the next annual meeting.

In response, board member André Sebastiani launched Skeptische Gesellschaft—a grassroots forum where members could spotlight Hümmler’s behind-the-scenes manoeuvres and reignite an open, transparent debate over GWUP’s future. Early in 2024, Edzard resigned his GWUP membership after more than ten years, signalling profound disillusionment within the organisation. And even GWUP’s founder, Amardeo Sarma, announced he would step back from all his roles—a move that prompted council member Ulrich Berger to declare his intention to table a recall vote against Chair Holm Hümmler.

Confronted by mounting dissent, Hümmler ultimately relented, issuing an unexpected call for an early board election. The scientific council then pressed André Sebastiani to run against him. Rising to the challenge, Sebastiani assembled a slate of members committed to GWUP’s original mission and mounted a concise yet vigorous campaign. When the May 2024 assembly convened—with record turnout—Team Sebastiani triumphed, winning a clear majority and restoring GWUP’s enduring pledge to fearless, evidence-based scepticism.

5. Rebuilding GWUP’s Scientific Scepticism

One thing is clear: GWUP is back – and more committed to its original mission than ever! Since reclaiming its leadership, GWUP’s new team has thrown itself into steering the organisation back to its founders’ aspirations: to wield critical thinking across every field, free from ideological bias; to challenge and dismantle unfounded claims, whoever dares to voice them; and to share evidence and arguments in a way that can move both minds and hearts.

Achieving this revival is no small feat. While countless initiatives have contributed to putting GWUP back together and preparing it for decades to come, three foundational pillars stand out in my view:

  • Firstly, we have codified a clear set of guiding principles for all members: an unwavering openness to all viewpoints, an unrelenting focus on facts, a steadfast immunity to ideological pressure, a cooperative spirit, a commitment born of personal choice, and a welcoming attitude towards member initiatives. By openly inviting anyone who embraces these values to join its ranks, GWUP ensures that its community remains true to the ideals that first inspired its founders.
  • Secondly, we have underscored that GWUP is, above all, a community united by a common purpose. The bonds between our members—the social capital that turns ideas into action—rank among our most treasured assets, and we have doubled down on nurturing them. This year, we hosted our largest SkepKon ever, drawing record numbers of speakers and attendees and reaffirming the strength of our community.
  • Finally, we’ve embraced the central lesson of Popper’s paradox of tolerance: “[I]f we are not prepared to defend a tolerant society against the onslaught of the intolerant,” Popper writes, “then the tolerant will be destroyed, and tolerance with them.” Accordingly, we have strengthened our ranks against those who would disrupt civil discourse.

At GWUP, every member is free to debate any idea, even those others deem wholly irrational. No topic is off-limits, and we refuse to impose artificial deadlines on discussions. Yet we draw the line at personal attacks: our zero-tolerance policy ensures that individuals who harass or defame members—like the notorious podcaster Alexander Waschkau, who has repeatedly sought access to our online community—are now barred from entry. By protecting our community in this way, we preserve an environment where robust yet courteous debate can flourish, bounded only by the mutual respect that underpins civil conversation.

6. What You Can Do to Help

If you want to help, you can do so by doing what Edzard does. This includes, first and foremost, speaking up. Dive into fierce public debates, but do so with respect and poise, making evidence and reason your lodestar rather than feelings and ideological allegiance.

Also, you can support or join a sceptical organisation near you. What happened to GWUP can happen everywhere, and if you value science and reason, adding your voice to a sceptical organisation increases the chance that ideological land grabs falter at the threshold. And if you are German-speaking or happen to live in a German-speaking country, you are more than welcome to join GWUP.

We’d be delighted to have you rebuild scientific scepticism with us – and make it better than ever! (If you add “Book Edzard Ernst” into the comment field of your application of GWUP membership, we’ll send you a free copy of Edzard’s new book “Wer Recht hat, heilt”, Alibri 2025.)

This multicentre pragmatic randomized controlled trial evaluated the effectiveness and cost-effectiveness of physiotherapy, chiropractic care, and the combination of physiotherapy and chiropractic care compared with information and advice for the treatment of patients with nonspecific chronic low-back pain (CLBP) in Sweden.

 Eighty-eight participants with nonspecific CLBP were randomly assigned to receive physiotherapy, chiropractic care, combination treatment, or information and advice. The Oswestry Disability Index (ODI), health-related quality of life (HRQoL), quality-adjusted life-years (QALYs), working status, and costs were the main outcome measures.

The study revealed no statistically significant differences in any of the outcome measures when physiotherapy, chiropractic care, and combination treatment with information and advice were compared (p > 0.05). The ODI changes between baseline and the 6-month follow-up ranged from 6.13 to 12.56 across the treatment groups, indicating reduced disability in all groups. Compared with the other treatment options, the combination treatment resulted in the greatest QALY gain (0.418) and lowest cost (SEK 3,081).

The authors concluded that, compared with alternative standalone treatment options, the combination treatment strategy resulted in greater QALY gain and lower costs from a heath care perspective. Although the study did not detect statistically significant differences in outcomes or costs among the treatment options, the combination treatment showed promising potential for cost-effectiveness. Given the small sample size and low statistical power of the study, further clinical trials with fewer treatment arms and a focus on the combination group are warranted to confirm these findings. The insights gained from this study are important for informing the design and conduct of future clinical studies investigating the effectiveness, costs and cost-effectiveness of treatments for CLBP.

I have said it countless times before – but I will say it again: we are all not very effective in curing CLBP. In terms of effectiveness, it therefore hardly matters what treatment we opt for. In this situation, our preference should be guided not by the (in)effectiveness of the therapy but by its

  1. safety,
  2. cost,
  3. availability.

If you apply these criteria, one thing seems very clear:

CHIROPRACTIC CANNOT BE THE TREATMENT OF CHOICE FOR CLBP.

Today, I ask for your forgiveness for deviating completely from the subject of this blog: this post has nothing to do with so-called alternative medicine (but quite a bit with health and survival). Perhaps you find it important nonetheless.

I have been a pacifist all my life, and the persistence of wars across the world depresses me just as much as the way we continue to pollute the planet as though there is no tomorrow. One day soon, I fear, there will indeed be no tomorrow.

Realizing that the two – wars and pollution – are connected makes things even worse

Modern wars like the ones in Gaza or Ukraine have undoubtedly an enormous impact on the environment, contributing to pollution and hence climate change in multiple ways.

  • Debris and Hazardous Materials: The conflict in Gaza has generated massive amounts of debris, estimated at 50 million tons, contaminating soil and water with toxic substances like asbestos and heavy metals. Similarly, in Ukraine, the war has caused significant environmental damage, including pollution from industrial sites and destruction of infrastructure.
  • Water Pollution: In Gaza, sewage treatment plants have been damaged or destroyed, resulting in over 130,000 cubic meters of untreated sewage being discharged into the Mediterranean Sea daily. In Ukraine, water sources have been contaminated due to industrial and military activities.
  • Military Operations: The initial two months of the Gaza conflict emitted greenhouse gases equivalent to burning at least 150,000 tons of coal. In Ukraine, the war has led to increased emissions from military vehicles, industrial activities, and reconstruction efforts.
  • Reconstruction: Rebuilding damaged buildings in Gaza using conventional methods would result in an additional 30 million metric tons of greenhouse gases, surpassing the annual emissions of New Zealand.
  • Soil Contamination: Unexploded ordnance and toxic substances can contaminate soil and groundwater for extended periods, posing health risks to local populations.
  • Loss of Biodiversity: The destruction of infrastructure and ecosystems can lead to loss of biodiversity, affecting ecosystems and human livelihoods.
  • Climate Change: The cumulative impact of these conflicts contributes to climate change, exacerbating existing environmental issues and creating new challenges for affected regions.

Apart from diplomatic failures, what is behind this level of pollution? Much points to the arms industry. It’s direct and indirect environmental impact is huge. In fact, it might be the biggest polluter of them all.

  • Greenhouse Gas Emissions: The US military alone is estimated to be one of the largest institutional consumers of petroleum in the world, contributing significantly to greenhouse gas emissions.
  • Toxic Waste: Military activities generate hazardous waste, including toxic chemicals and heavy metals, which can contaminate soil, water, and air.
  • Conflict-Related Damage: Wars and conflicts cause destruction of infrastructure, ecosystems, and natural resources, leading to long-term environmental damage.

What can be done about it?

I think we need to realize how terrible wars are not just for the people directly affected but for the future of the planet. We also need to realize that, without the arms industry, there cannot be heavily polluting wars. So let’s draw the obvious conclusion: One way to dramatically decrease pollution and wars would be to stop the arms industry to profit from human conflict and misery.

PS

You don’t need to tell me that I am naive; I have heard this often enough. Perhaps it would be more constructive to consider whether I – in my naivety – don’t have a point.

I just received an interesting comment by someone who hides behind the name SANDBOX:

Technically, your Springer books should have been peer-reviewed, and you should have declared your conflicts of interest with CSI(COP), Sense About Science, GWUP, Science Media Centre, and other pseudoskepticist activist organizations. Failure to do so constitutes a violation of the code of conduct policies. If your books were exempt from peer review, that undermines their credibility.

I replied as follows:

I always declare my conflicts of interest truthfully.

And SANDBOX countered:

If that were true, your affiliations would appear in your books and articles, starting with the Science Media Centre and CSICOP. But in all the articles you’ve published, that never appears!

Apart from being called a liar here, this raises several interesting questions:

  1. Are CSI(COP), Sense About Science, GWUP, Science Media Centre pseudoskepticist activist organizations?
  2. Am I a member of CSI(COP), Sense About Science, GWUP and the Science Media Centre?
  3. Is SANDBOX correct when assuming that books are normally peer-reviewed?

Ad 1

I think the answer is NO.

Ad 2

Yes, I am a ‘fellow’ of CSI; no, I am not a member of either Sense About Science, GWUP or the Science Media Centre.

Ad 3

I had previously stated that books are not normally peer-reviewed by publishers, only book proposals are. This was based on my experience of publishing ~60 book. As this experience might be misleading, I asked META-AI:

“Are books normally peer-reviewed by publishers like scientific articles?”

Here is the answer:

No, books typically don’t go through the same peer-review process as scientific articles. Publishers often have editors review book proposals and manuscripts for quality, relevance, and marketability.

Some academic books might have chapters reviewed by experts, but it’s not the same rigorous peer-review process used for journal articles. Fact-checking and editing still occur, but the process varies depending on the publisher and book type.

To be sure, I asked a second question: “What is a conflict of interest in terms of publishing a book?”

Here is the answer:

  • A conflict of interest in publishing a book occurs when an author’s personal or financial relationships could influence the content, tone, or presentation of the book. Examples include:
  • Financial gain from promoting specific products or ideas
  • Personal connections to individuals or organizations featured in the book
  • Affiliations with companies or organizations that could benefit from the book’s content
  • Authors and publishers often disclose potential conflicts of interest to maintain transparency and credibility.

In conclusion: books are not normally peer-reviewed and if they were I would have no conflicts of interest to declare.

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