Integrative medicine: “Proven interventions should be called medicine. Unproven interventions should be called unproven”

I am always delighted when I find authors who think in a similarly rational way as I. When it comes to the subject if INTEGRATIVE MEDICINE, this sadly is a rare occasion. I know that most medics would be critical of it, but only few are sufficiently insensed to publish a paper on their criticism. Here is the abstract of a recent article that is a rare exception:

The term integrative medicine claims to describe a third category in clinical practice, somewhere between conventional evidence-based medicine and alternative therapies. This article argues that this category is conceptually confused and often misleading. If an intervention is supported by good evidence, is safe in practice, clinically useful and cost-effective, it should simply become part of regular medicine. If an intervention does not have such evidence, it does not become stronger by being called integrative. The article examines how the language of integrative medicine works. It shows how one attractive label can bring together two very different things: evidence-based supportive care on the one hand, and weakly supported or unproven interventions on the other. This creates the impression that both have the same clinical status, even when they do not. The article also discusses the possible consequences for patients, including confusion about evidence, false confidence in unproven treatments, and reduced adherence to effective care. Drawing on more than a decade of experience evaluating complementary medical claims through foundation IOCOB (a foundation to study complementary medicine) , it argues for a simpler and more honest approach. Proven interventions should be called medicine. Unproven interventions should be called unproven. Disproven interventions should be called disproven. There are not two equal medicines waiting to be synthesised. There is only medicine that has earned its place, and medicine that has not.tive medic      ine m

True words well expressed!

We have discussed interated medicine on this blog more often than I care to mention. The response of proponents usually is that INTEGRATED MEDICINE is so much more than just using alternative treatments. If we look at this claim, we quickly realise that the “so much more” are things stolen from conventional medicine (which proponents denounce by their claim of neglecting these things). If they feel that important bits of healthcare are being neglected, the proper reaction would be to reform medicine and rectify the situation. Instead the proponents put their money on INTEGRATIVE MEDICINE which undeniably is at least partly an attempt to smuggle unproven treatments into healthcare.

I wrote “at least partly” which is, in fact, generous to the extreme! If we look up what the clinics of INTEGRATED MEDICNE actually offer, we quickly realise that it is much more that “partly” – it is their main and lucrative business.

Sorry, but to me this is deeply dishonest!