bias
So-called alternative medicine (SCAM) likes to present itself as a champion of disease prevention. Its advocates routinely claim to promote health before disease develops, to strengthen the body’s defences, and to address root causes rather than symptoms. This rhetoric is highly attractive, because prevention sounds proactive, humane, and economical. Crucially, it is also good for the SCAM practitioner’s bank account. Yet there is a snag: almost none of the preventive claims made for SCAM are supported by reliable evidence, whereas the prevention that works comes overwhelmingly from conventional medicine and science.
To show preventive benefit, an intervention must demonstrably reduce the incidence of symptom, disease, complication, or mortality in properly designed studies. That may require randomised trials, epidemiological studies, large cohorts, reproducible findings, and enough follow-up to show that fewer people actually experienced the given endpoint. Mainstream medicine has repeatedly met this standard. Immunization, blood pressure control, smoking cessation, lipid lowering, cancer screening, and risk-factor modification are all products of biomedical research, not of alternative healing traditions.
SCAM, by contrast, tends to use prevention in a loose, impressionistic, and unfalsifiable way. A practitioner may claim that a treatment “balances energy,” “supports immunity,” or “keeps the body in harmony,” but such phrases do not establish a preventive effect. They are placeholders for evidence, not evidence itself. In practice, the absence of disease after treatment is treated as proof that the treatment worked, even though the same outcome occurs every day without any intervention at all.
Acupuncture is a good example. Its defenders portray it as a preventive system capable of preserving general health or warding off illness, but the evidence base does not support that claim. Some reviews do suggest that acupuncture may help with some pain-related and symptom-focused conditions, yet its preventive value is largely unproven. I am not aware of solid evidence to show that acupuncture prevents anything – but, if I am wrong, please do correct me.
Chiropractic care is even more revealing because preventive claims are often tied to the doctrine of spinal “subluxation” and nervous system dysfunction. Yet the literature on prevention is thin and methodologically weak. I am not aware of solid evidence to show that chiropractic prevents anything – but, if I am wrong, please do correct me.
Herbalism benefits from the romantic appeal of “natural” remedies, but that appeal should not be confused with demonstrated preventive efficacy. Individual plant compounds have certainly inspired real drugs, yet that is a triumph of pharmacology, not of herbalism as a system. When herbal medicines are tested for prevention, results are usually weak, inconsistent, or insufficient to support recommendation. I am not aware of solid evidence to show that herbal medicine prevents anything – but, if I am wrong, please do correct me.
Homeopathy is one of the most extreme cases within SCAM. It is often sold as gentle, individualized, and even preventive, but its basic principles are scientifically implausible, and its clinical evidence is either flawed or negative. Preventive homeopathy, including ideas such as “homeoprophylaxis,” is particularly problematic because it can give people a false sense of security while displacing interventions that genuinely prevent disease, such as vaccination. I am not aware of solid evidence to show that homeopathy prevents anything – but, if I am wrong, please do correct me.
SCAM speaks almost constantly about prevention, but the evidence for actual preventive benefit is close to non-existent. What we know about prevention, what truly reduces disease incidence and improves population health, comes from conventional medicine, epidemiology, public health, and biological science. SCAM will no doubt continue to borrow the language of medicine and prevention, but – as far as I can see – it has failed to supply the proof.
Needle-based acupuncture is used in some detoxification settings. However, its efficacy for illicit drug use disorders remains uncertain because prior reviews often mixed comparator types, co-interventions, or non-needle modalities. This review aimed to evaluate needle-based acupuncture monotherapy using comparator-stratified meta-analysis.
The authors searched PubMed, Embase, Web of Science, Cochrane Library, CNKI, CBM/SinoMed, trial registries, and supplementary sources from inception to September 12, 2025. The quantitative synthesis was restricted to randomized trials of manual acupuncture, electroacupuncture, or needle-insertion auricular acupuncture delivered without concomitant pharmacotherapy or psychotherapy. Although the registered protocol allowed non-randomized comparative studies, none were pooled because of insufficient comparability and a higher risk of confounding. Sensitivity analyses excluded trials with moxibustion co-treatment.
Thirteen randomized trials (n = 1,027) were included in the meta-analysis. For the prespecified primary outcome of withdrawal severity at the end of treatment, acupuncture favored blank/no-acupuncture controls [g = −2.089, 95% confidence interval (CI): −2.869 to −1.309; τ² = 0.712; I² = 82.9%], but the prediction interval (PI) crossed the null (PI: −4.306 to 0.128). Against active non-acupuncture comparators, the pooled effect was imprecise (g = −1.70, 95% CI: −5.43 to 2.02; PI: −23.49 to 20.09). Against sham acupuncture, two comparisons yielded an imprecise estimate (g = −1.45, 95% CI −9.41 to 6.51), and no PI was estimated. Among secondary outcomes, anxiety favored acupuncture over blank/no-acupuncture controls (g = −1.537, 95% CI: −2.047 to −1.026; PI: −2.939 to −0.134), whereas evidence from sham-controlled studies was less certain (g = −0.998, 95% CI: −1.744 to −0.252; PI: −2.828 to 0.832). For depression outcomes, PIs crossed the null in both blank- and sham-controlled analyses. The certainty of the evidence was low to very low.
The authors concluded that acupuncture exhibited favorable average effects on withdrawal severity, but null-crossing PIs limited confidence in the reproducibility of these effects across different settings and treatment protocols. Anxiety was interpreted as a secondary finding. No serious acupuncture-related adverse events were explicitly reported, although surveillance was often passive or insufficiently described.
The review treats acupuncture as “effective” for illicit drug disorders by highlighting short-term improvements in craving or anxiety, while the outcomes that matter for addiction – abstinence, relapse, use frequency, and retention – show no reliable benefit.
This, I think, is a classic case of presenting a negative result as a positive finding!
The review explicitly found no consistent difference between acupuncture and comparators for substance use endpoints, and the apparent positive outcomes were limited by low-quality evidence and publication bias. By foregrounding surrogate outcomes and obscuring the lack of clinically decisive effects, the paper misleads readers into perceiving acupuncture as a viable monotherapy for drug use disorders. Yet the evidence does clearly not support that conclusion.
The US resurgence of measles in 2026 serves as a stark, data-driven refutation of the anti-vaccine rhetoric championed by quacks like Robert F. Kennedy Jr. For years, vaccine antagonists have framed immunisations as a matter of personal autonomy, minimizing the societal dangers of declining rates. Yet, public health is not governed by ideology, but by biology. The realities of 2026 – marked by over 2,000 confirmed measles cases across 40 US jurisdictions – demonstrate that when charlatans undermine trust in medical science, the real-world consequence is the return of preventable, highly contagious and dangerous diseases.
The core flaw in RFK Jr.’s rhetoric, it seems to me, is the failure to understand that vaccine protection is a collective barrier, not just an individual shield. Measles is one of the most infectious viruses known to humanity, requiring a high community vaccination threshold of 95% to maintain herd immunity. When coverage drops below this line, the virus easily finds pathways to spread. Because of sustained anti-vaccine sentiment, US kindergarten MMR coverage dropped from 95.2% in 2019–2020 to a dangerous 92.5% by the 2024–2025 school year. This decline left roughly 286,000 children unprotected, effectively dismantling the wall that kept measles at bay for decades.
Furthermore, public health crises thrive on localized vulnerability. While national averages can mask the severity of the issue, anti-vaccine messaging often clusters within specific communities, creating relatively dense pockets of under-vaccinated populations. When measles enters these communities, it does not remain isolated; it triggers rapid, localized outbreaks where almost all of cases are tied directly to these transmission clusters.
Beyond its well-known immediate dangers, a measles infection inflicts severe, long-term damage on the human body by causing a phenomenon known as immune amnesia. The measles virus actively targets and destroys memory T and B cells, the specialized white blood cells responsible for remembering past pathogens. A single measles infection can wipe out 11% to 73% of a person’s preexisting antibodies, effectively erasing the body’s immunological memory. While the patient develops immunity to measles itself, their defense system is left “flying blind” against other entirely unrelated viruses and bacteria they had previously beaten or been vaccinated against. This induced state of generalized immunosuppression typically lasts from two to five years, leaving recovered individuals dramatically more vulnerable to secondary, life-threatening infections long after the initial measles rash has cleared.
Ultimately, the current measles spikein the US illustrates that US public health control is being sabotaged. When prominent morons like RFK Jr. weaponize anti-vax delusions and distort clinical data, they do not simply foster debate, they actively erode the herd immunity threshold. The current US outbreak proves that the protection wall has thinned below the critical margin of safety. Far from being under control, measles has found a resurgence precisely because the rhetoric of figures like RFK Jr. has opened the door for a dangerous, preventable virus to reclaim its ground in and beyond the US.
So-called alternative medicine (SCAM) remains widely used worldwide, yet longstanding concerns persist regarding the balance and reliability of the evidence presented in SCAM journals. This investigation examined long-term trends in publication practices within leading SCAM journals, with particular attention to changes in publication types and the prevalence of positive versus negative study outcomes as indirect indicators of potential publication bias.
The authors conducted a complete census of articles published in four leading SCAM journals at two contemporary time points (2018 and 2023), replicating the design and classification framework of a seminal 2001 analysis covering 1995 and 2000. Articles were categorised by publication type, subject area, and author-reported study outcome (positive, negative, or inconclusive, corresponding to the “open” category used in the original 2001 study). Descriptive analyses were used to compare trends over time and with earlier findings.
The total number of published articles increased substantially between the earlier and contemporary periods. The proportion of empirical studies, particularly clinical trials, rose over time. However, the prevalence of positive outcomes also increased markedly, with positive findings accounting for over 80% of published articles in the contemporary period, compared with 49% in the earlier study. Negative and inconclusive outcomes remained relatively infrequent.
The authors concluded that despite growth in publication volume and a shift toward empirical study designs, SCAM journals continue to exhibit a pronounced predominance of positive outcome reporting. These findings suggest that longstanding concerns regarding publication bias in SCAM publishing have not diminished over time and appear to have intensified, with selective publication and related reporting and dissemination practices plausibly contributing to the observed patterns. This has important implications for research integrity and evidence-based decision-making in medical practice.
It is great to see that our past research [the 2001 study mentioned above is one of my team] is being continued. It is less great, of course, to learn that the SCAM-bias continues and might even be on the increase. The reasons why there are so few negative results in SCAM journals might be complex. Two possible clues are:
- The quality of SCAM research tends to be low, and poor quality research tends to generate positive findings, particularly if it is conducted by pseudo-researchers who abuse science for confirming their beliefs rather than for testing hypotheses (see also the ALTERNATIVE HALL OF FAME on this blog).
- If nonetheless a high quality study emerges in SCAM – which, of course, does happen every now and then – it tends to produce a negative result and is likely to get published in a good quality journal rather than in one of the dodgy SCAM journals.
As I have often noted, the end-effect is bad for all concerned: SCAM and SCAM journals are slowly becoming the laughing stock of science. Consequently, nobody takes them seriously. If one day an effective therapy should emerge, we all might faile to notice. In a nutshell: publication bias harms us all!
Dr. Toby Rogers, a political economist and fellow at the libertarian Brownstone Institute, ignited a firestorm in March 2026 when he declared the current childhood vaccination program “one of the greatest crimes in human history” (“libertarian” refers to someone who advocates for extreme individual liberty—particularly freedom from government mandates and regulations—believing that the state should be minimized and that individuals should have absolute autonomy over their own bodies, property, and choices without state coercion).
Rogers’ 2026 statement is not an isolated outburst but the culmination of years of vaccine skepticism. After his partner’s son was diagnosed with autism in 2015, Rogers abandoned his original doctoral focus to study autism’s causes, reviewing nearly 1,000 studies over four years. He concluded that vaccines are the primary driver of the autism epidemic. The overwhelming scientific consensus, however, is that vaccines are safe and that autism’s rise stems from improved diagnosis, broader criteria, and complex genetic and environmental factors unrelated to immunization (see the plethora of previous posts on this subject). His PhD thesis, The Political Economy of Autism, and subsequent publications have been widely criticized by the scientific community. Its methodological flaws include:
- selection bias,
- cherry-picking,
- inclusion of weak studies,
- dismissing robust epidemiological research.
Rogers’ 2026 statement elevates personal conviction and contested research over scientific rigor and public health reality. Rogers argues that children receive too many vaccines too early, warning of “cumulative effects” on developing immune systems. Yet the Institute of Medicine has found no evidence of major safety concerns with the current childhood immunization schedule, and the National Academy of Sciences has repeatedly affirmed that vaccines are safe and effective. Rogers dismisses the 22 major studies confirming vaccine safety as “worthless” because they lacked a true unvaccinated control group—a standard that is both ethically impossible and scientifically unnecessary given the massive population data demonstrating vaccine safety over decades.
Rogers’ evidence relies heavily on a handful of independent studies to support his claims. These studies have been criticized for small sample sizes, selection bias, failure to control for confounders, and methodological flaws so severe that some of Rogers’ co-authored papers, such as “Autism Tsunami,” were retracted from peer-reviewed journals. His claim that vaccinated children have dramatically higher rates of autism and chronic disease rests on research that has not withstood independent replication or scrutiny by mainstream scientists. By contrast, the scientific community’s confidence in vaccine safety derives from massive, longitudinal studies involving millions of children, rigorous clinical trials, and decades of population surveillance.
Rogers’ credibility is compromised not least because he is a regular contributor to Children’s Health Defense, an anti-vaccine organization founded by Robert F. Kennedy Jr. that has a long history of spreading debunked claims. Roger’s testimony before the US Senate Subcommittee on Investigations in September 2025, titled “How the Corruption of Science has Impacted Public Perception and Policies Regarding Vaccines,” tried to position him as a whistleblower exposing “flawed science.” In reality, it relied on the same flawed studies and conspiracy narratives that have been repeatedly discredited by the scientific community.
Rogers receives funding from several anti-vaccine and libertarian organizations, though specific salary figures are not publicly disclosed :
- Brownstone Institute is a libertarian think tank founded by economist Jeffrey Tucker that promotes vaccine skepticism, “medical freedom,” and opposition to public health mandates. The institute is funded by libertarian donors and provides fellowships to researchers who align with its ideology.
- Children’s Health Defense is explicitly an anti-vaccine organization led by Mary Holland (CEO) and founded by Robert F. Kennedy Jr. The organization has illuminated funding sources through IRS 990 filings, showing it raised millions of dollars and pays researchers, speakers, and staff. In Rogers’ Senate testimony, he explicitly stated: “Since then I’ve continued my research with Children’s Health Defense, as an independent journalist, and as a Fellow at Brownstone Institute”.
- Rogers also appears at MAHA Institute conferences (Make America Healthy Again), which is aligned with HHS Secretary Robert F. Kennedy Jr.’s movement and features speakers from anti-vaccine organizations including Children’s Health Defense.
Rogers’s financial ties to anti-vaccine organizations create clear conflicts of interest. His research supports the organizational mission of Children’s Health Defense and Brownstone Institute, and his income appears tied to producing content that aligns with these organizations’ anti-vaccine advocacy. The political economy of Rogers’ work is thus ironic: while he critiques the “political economy of autism” and government response, his own research is funded by private organizations with clear ideological and financial incentives to promote vaccine skepticism.
Rogers is not a medical doctor. He has a doctorate in political economy from the University of Sydney and a Master’s in public policy. He holds no medical degree or formal training in medicine, immunology, epidemiology, or vaccine science. His expertise is in political economy, not medical or vaccine research, which means his claims about vaccine safety and autism lack the scientific credentials required to make authoritative medical assertions.
During outbreaks of Ebola Virus Disease (EVD), public health organizations like the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) combat “infodemics”, i.e. surges of false information and unproven so-called alternative medicine (SCAM) polluting social media (Bedrosian et al., 2016; Fung et al., 2016; Obol & Nzedibe, 2024). Because these SCAMs are ineffective and frequently dangerous, authorities issue warnings against their use. Here are just a few of the many claims that can be found:
- Bathing in or drinking hot, highly saturated saltwater solutions can sweat out or kill the Ebola virus (Fung et al., 2016). Public health agencies strongly advise against this practice. It does nothing to prevent or treat EVD and can cause severe illness and death from acute hypernatremia (Vijaykumar et al., 2019).
- Solutions containing silver nanoparticles act as powerful natural antimicrobials capable of neutralizing the Ebola virus inside the body (Fung et al., 2016). The WHO has explicitly stated that Nano Silver is an unproven compound with no demonstrated efficacy against Ebola. Authorities recommend avoiding these products, as silver accumulation can cause irreversible organ damage and a condition called argyria (which permanently turns the skin blue/gray).
- Consuming large quantities of specific botanical items, such as raw onions, ginger, or alligator peppers, can stave off infection (Nsoesie & Oladeji, 2020). These “natural cures” possess no therapeutic effects capable of stopping viral replication of the filovirus family. Relying on them creates a false sense of security, which delays life-saving, evidence-based triage and supportive care (Fridman et al., 2025; Nsoesie & Oladeji, 2020).
- Ebola has been attributed to spiritual curses or witchcraft that can only be reversed by traditional spiritual cleansing (Bedrosian et al., 2016). Public health organizations work alongside local communities to pivot away from these practices. Delaying medical intervention to seek traditional spiritual healing drastically increases community transmission and prevents patients from receiving SOTA antiviral therapies and fluid replacement, lowering survival rates (Obol & Nzedibe, 2024).
- A homeopath market “e-remedies” online, claiming that the “energy signature” of a remedy could be digitized into an audio file (Moffitt, 2018). He claimed that listening to a specific, hissing MP3 file could stimulate the body’s immune system to fight off Ebola. This prompted an investigation by the Medical Board of California into the doctor’s license for promoting unscientific and unproven online remedies (Moffitt, 2018).
- Some chiropractors claim that spinal manipulations can prevent Ebola infections, because misalignments interfere with the nervous system. Since the nervous system coordinates the immune responses, these misalignments weaken the body’s ability to recognize and destroy the Ebola virus (Terry Chiropractic Boulder). People “have nothing to fear but fear itself” regarding outbreaks if they keep their spines properly aligned to maximize their natural innate immunity. Global public health authorities and mainstream scientific institutions strongly reject these claims. There is zero credible scientific evidence demonstrating that manual spinal manipulation enhances immune competence or protects an individual against Ebola (Côté et al., 2020).
Ebola infection requires immediate, professional medical treatment. Treatments include monoclonal antibody therapeutics along with intensive supportive care. Relying on internet remedies significantly delays proper clinical treatment and increases the risk of mortality.
References
Bedrosian, S. R., Young, E. C., Smith, L. A., Cox, J. D., Manning, C., Pechta, L., Telfer, J. L., Gaines-McCollom, M., Harben, Kathy, Holmes, Wendy, Lubell, K. M., McQuiston, J. H., Nordlund, Kristen, O’Connor, John, Reynolds, B. S., Schindelar, J. A., Shelley, Gene, & Daniel, K. L. (2016). Lessons of Risk Communication and Health Promotion — West Africa and United States. MMWR Supplements, 65(3), 68–74. https://doi.org/10.15585/mmwr.su6503a10
Fridman, I., Boyles, D., Chheda, R., Baldwin-SoRelle, C., Smith, A. B., & Elston Lafata, J. (2025). Identifying Misinformation About Unproven Cancer Treatments on Social Media Using User-Friendly Linguistic Characteristics: Content Analysis. JMIR Infodemiology, 5, e62703. https://doi.org/10.2196/62703
Fung, I. C.-H., Fu, K.-W., Chan, C.-H., Chan, B. S. B., Cheung, C.-N., Abraham, T., & Tse, Z. T. H. (2016). Social Media’s Initial Reaction to Information and Misinformation on Ebola, August 2014: Facts and Rumors. Public Health Reports®, 131(3), 461-473. https://doi.org/10.1177/003335491613100312
Moffitt, M. (2018). State doubts Los Gatos doctor can cure ebola with hissing MP3 files. SFGATE. https://www.sfgate.com/bayarea/article/dr-bill-gray-medical-license-homeopathy-treatment-12954925.php
Nsoesie, E. O., & Oladeji, O. (2020). Identifying patterns to prevent the spread of misinformation during epidemics. Harvard Kennedy School Misinformation Review. https://doi.org/10.37016/mr-2020-014
Obol, S. J., & Nzedibe, O. (2024). Critical perspective on infodemic and infodemic management in previous Ebola outbreaks in Uganda. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1375776
Terry Chiropractic Boulder. (2014). Hold On Ebola: How Bolstering Your Immune System Can Help You Avoid Disease. https://terrychiropracticboulder.com/blog/hold-on-ebola-how-bolstering-your-immune-system-can-help-you-avoid-disease/
Vijaykumar, S., Jin, Y., & Pagliari, C. (2019). Outbreak communication challenges when misinformation spreads on social media. Revista Eletrônica de Comunicação, Informação e Inovação em Saúde, 13(1). https://doi.org/10.29397/reciis.v13i1.1623
For some time, I had suspected that the stupidity of Robert F. Kennedy Jr. runs deep. Just how deep, is a surprise even to me. Let me give you just two examples from a choice of plenty:
EXAMPLE No 1
In January 2026, Robert F. Kennedy Jr. released far-reaching new Dietary Guidelines for Americans 2025–2030. They dramatically “flipped the food pyramid” by encouraging Americans to consume red meat and whole milk, sources previously discouraged by public health experts because of their contributios to heart disease and other chronic conditions.
“American households must prioritize whole, nutrient-dense foods—protein, dairy, vegetables, fruits, healthy fats, and whole grains—and dramatically reduce highly processed foods. This is how we Make America Healthy Again”, Kennedy commented. “Thanks to the bold leadership of President Trump, this edition of the Dietary Guidelines for Americans will reset federal nutrition policy, putting our families and children first as we move towards a healthier nation,” Secretary Rollins said. “At long last, we are realigning our food system to support American farmers, ranchers, and companies that grow and produce real food. Farmers and ranchers are at the forefront of the solution, and that means more protein, dairy, vegetables, fruits, healthy fats, and whole grains on American dinner tables.”
The scientific community responded with outrage, calling it a reckless abandonment of evidence-based nutrition and science. Promoting saturated fats and red meats contradicts decades of medical research and will increase cardiovascular disease rates across the US.
EXAMPLE No 2
In a hilarious revelation Robert F. Kennedy Jr. took to Joe Rogan’s podcast to inform the world that the UK has become a dystopian nightmare. “It’s like the Soviets. It’s like Kafka,” he declared in February 27, 2026.
The trigger for this epiphany? David Lammy, the UK’s Deputy Prime Minister, announced plans to scrap jury trials for offenses carrying less than three years imprisonment. Instead, a judge will decide. Lammy felt that this was necessary because of the backlog that meant cases could not be heard for years. RFK Jr., ever the historian, reminded listeners that the UK was once the “birthplace of Magna Carta”. Now, according to him, the UK is a “dictatorship over speech restrictions”.
Joe Rogan was horrified. “Existential threat to freedom of thought!” he cried, as if the UK had outlawed laughter or something. The pair seemed genuinely shocked that a country with a functioning parliament and a Prime Minister might have different ideas about justice than, say, a certain American podcast audience.
The comparison to Kafka is particularly weird: Kafka’s The Trial features a man arrested by a mysterious bureaucracy for an unspecified crime. Meanwhile, RFK Jr. seems to be arguing that replacing juries with judges in minor cases is the moral equivalent of the Soviet Union. A bold claim, especially from someone whose vis part of a government that checks people’s social media upon arrival – one of several reasons why I would never travel to the US, while these people are in power. But not as bold as Kennedy’s Nazi and Holocaust references in relation to vaccines. In his 2025 HHS confirmation hearing, Senator Raphael Warnock pressed him on statements likening the CDC to a “Nazi death camp,” which RFK Jr. denied, claiming he was comparing injury rates rather than the institution itself.
Perhaps the real dystopia is RFK Jr. spending his time lecturing other countries while the US degrades into a Kafkaesque nightmare of its own?
Quackademia, a term created [as far as I remember] by David Colquhoun for the infiltration of quackery into academia, has often been discussed on this blog, e.g.:
- Quackademia in Canada: the first bachelor’s degree in Traditional Chinese Medicine
- Quackademia galore: An Oxford ‘university’ starts a course in ‘veterinary chiropractic’
- Quackademia at its most rampant: the ‘Certificate in Holistic Health and Healing Arts’ (HHHA) at the University of New Mexico
- Another blow to quackademia: TCM course at a Sydney university is to be stopped
- Vienna 2019: the end of quackademia
- Quackademia down under
- Quackademia revisited
- Quackademia
Now growing backlash against quackademia seems to finally emerge also in France – opposition against university programs that give academic legitimacy to unproven so-called alternative medicine (SCAM). The Higher Council for the Evaluation of Research and Higher Education is preparing to review these courses, after criticism that universities are lending credibility to practices that have not been scientifically validated.
Across France, more than 200 university diplomas are said to exist in areas such as reflexology, aromatherapy, auriculotherapy, hypnosis, acupuncture, homeopathy, meditation, and related practices. Critics argue that this amounts to a form of institutional “entryism,” because the university label can make such practices look medically endorsed even when they are not.
The main concern is not just whether these therapies work, but whether universities should be teaching them at all. A January report on health misinformation reportedly recommended banning the academic labeling of healthcare practices that have not been validated, and that recommendation is at the center of the debate. Experts warn that, if a SCAM is scientifically validated, it belongs in medicine; if it is not, it may still be studied, but should not be taught as an academic medical qualification. They also warn that these programs can mislead the public and create a false impression of legitimacy. Yet, some deans and faculty leaders say that certain courses, especially acupuncture, hypnosis, or mindfulness, can be acceptable when used for specific indications and when properly framed. They distinguish those from programs in naturopathy, aromatherapy, or homeopathy, which they see as much harder to justify inside medical faculties.
As the Conference of Medical Deans is preparing to examine the issue rigorously, they should – I feel – also consider the ethical implications. Teaching dangerous nonsense to naive students is not just not academic, it is deeply unethical. If done well, this excercise should lead to a major cleanup of universities regarding SCAM, or at the very least to much tighter rules about what can carry an academic label.
Having observed French quackademia for decades, I am tempted to exclaim:
BETTER LATE THAN NEVER!
Guest post by Ken McLeod
It seems like it was a century ago, but it’s been only six years since the COVID19 pandemic hit the world. Governments reacted in similar ways implementing severe public health measures such as lockdowns and mandatory wearing of facemasks. When those public health measures hit, they hit hard. The city of Melbourne was locked down for 111 days, for example,[1] alongside social distancing, curfews, and closed borders.
And then the vaccines arrived and were added to those rules. On 7 October 2021, the Victorian Chief Health Officer issued public health Directions that required, unless a valid medical exemption was given for medical reasons by a registered medical practitioner, ‘manufacturing workers’ must receive a first dose of the COVID-19 vaccine by 15 October 2021 (or have a booking to do so) and must be fully vaccinated against COVID-19 by 26 November 2021.3 The refusal or failure by an employer to comply with the Directions was an offence which carried a significant penalty.
Antivaxxers were quick to exploit those exemptions and regrettably, out of tens of thousands of registered medical practitioners, some were willing to put their own unfounded beliefs above the science.
One of those doctors was Dr Denes C.Borsos, originally from Romania, practicing in the Australian state of Victoria in the picturesque country town of Colac, pop 22,000.
Dr Borsos issued 189 COVID-19 vaccination exemptions and 122 face mask exemptions to his patients, largely in the period from 11 to 14 October 2021. In the period from 11 to 13 October 2021, Dr Borsos saw approximately 221 patients in his practice.
Evidently word had got around. According to the Geelong Advertiser, a local newspaper, reported that on 14 October 2021 police were forced to disperse a crowd of alleged antivaxxers who had flocked to his clinic following reports that he was handing out vaccine exemptions.[2] According to AusDoc “Police were called to Dr Denes Borsos’ practice….following reports that about 100 people were lined up for a kilometre outside his clinic waiting for vaccine exemptions.” [3]
Health Care Commission Inspectors visited his clinic on 18 October 2021 and issued Borsos a $1,817 fine and an Infringement Notice which said that:
- Dr Borsos contravened public health directions; and
- undermined the public health response to the COVID-19 pandemic; and
- failed to meet his obligations as a registered medical practitioner; and
- inappropriately wrote referrals to specialist cardiology practitioners for each of those patients; and
- failed to make adequate clinical records for each of those patients except in the cases of eight patients where Dr Borsos failed to make any clinical records; and
- engaged in inappropriate billing practices, in that he falsely claimed benefits from Medicare for 84 patients.
On 24 December 2021 the Medical Board of Australia issued Borsos with an immediate suspension of his registration and referred the case to the Victoria Civil and Administrative Tribunal.
In his submission to the Tribunal Borsos branded the vaccine an ‘experimental bioweapon’ and that the Medical Board was ‘wrong, cruel and arrogant’ and accused it of ‘stretching the legislation like bubble gum’. [4]
Meanwhile Borsos then ran as an independent candidate for the Victorian seat of Polwarth, Victoria, on 26 Nov 2022. Of 53,064 eligible voters, Borsos received 2,017 votes, or 3.8 % [5] of votes.
Then in 2024 Borsos made two applications to Australia’s paramount Court, the High Court of Australia, for leave to appeal. On both occasions leave was refused. At least he was in good company; two other failed applicants were suspended antivax medical practitioners, Mark Hobart and Valerie Peers. [7]
At the Victorian Civil and Administrative Tribunal hearing on 13 May 2025:
- Dr Borsos stated that if a patient stated that they did not wish to have a COVID-19 vaccination, this was sufficient justification to grant the patient a vaccination exemption;
- Borsos claimed that Covid 19 is a scam, the PCR tests are a fraud and the COVID jabs are intentionally harmful;
- When Dr Borsos was asked whether the referrals to cardiologists were used as a justification for the vaccination exemptions, he stated that the justification for the vaccination exemptions was that the patient wanted an exemption;
- Dr Borsos did not accept the authority of Australian Technical Advisory Group on Immunisation (ATAGI) Guidelines for COVID-19 vaccination exemptions. [8]
- Borsos said of his referrals of 196 patients to un-named specialist cardiology practitioners [the patient] “is pressured at work to have the COVID jab and is very concerned about the risk of myocarditis, and the implications of getting injured.” [9]
- Borsos claimed that his opinion should override that of the expert and regulatory authorities.
We might never know how many of Borsos’ clients went on to suffer illness because of his irresponsible actions. We do know, however, of one real victim.
Mr Ross Edwards was employed by Bulla Dairy Foods as a Plant Operator at their Colac factory. After being employed by Bulla for 17 years, his employment was terminated effective 25 October 2021, because he had chosen not to be vaccinated against COVID-19: a requirement under Victorian Government public health orders.
Mr Edwards had obtained an ‘exemption’ from Borsos on 13 October 2021. He contended to the Fair Work Commission that his dismissal was harsh, unjust and unreasonable, but the dismissal was upheld.
The Commission’s decision says that in addition to Mr Edwards, Dr Borsos also provided exemptions to four other employees of Bulla. More than a dozen other employees were terminated. [10] So at least 13 people lost their jobs due to Borsos’ irresponsibility.
And Borsos lost his career and can’t apply for registration until 2031.
REFERENCES
[1] https://pmc.ncbi.nlm.nih.gov/articles/PMC10846680/
[2] Geelong Advertiser November 3 2021 ‘Colac GP agrees to stop practicing medicine….’ Harrison Tippet
[3] AusDoc 4 November 2021 GP at Centre of Vax exemption case agrees to stop practicing
[4] Daily Mail ‘Doctor who blamed Shane Warne’s death on vaccines is banned from for five years: ‘Career destroyed’ ‘Ian Vickers https://tinyurl.com/3pk9xm3f
[5]https://www.vec.vic.gov.au/results/state-election-results/2022-state-election-results/results-by-district/polwarth-district-results/polwarth-results-distribution
[7] Leave refused [2024] HCASL 256
[8] Medical Board of Australia v Borsos (Review and Regulation) 2025 VCAT 15 July 2025 VCAT reference No Z294/2024
[9] Medical Board of Australia v Borsos (Review and Regulation) 2025 VCAT 15 July 2025 VCAT reference No Z294/2024
[10] Fair Work Commission Decision https://tinyurl.com/yc5a8ukk
Ten years ago, I wrote a blog post entitled “Data fabrication in China is an ‘open secret’”. Even though this seems chauvinistic and/or xenophobic, I often quote it (the last time yesterday) because it is, I think, hugely important for interpreting the plethora of studies that currently come out of China. But perhaps it is unfair; maybe the situation has improved? To find out, I asked AI (Gemini). Here is the reply I got:
There is substantial new evidence, and the overarching verdict has not changed—if anything, the systemic skepticism you described a decade ago has been thoroughly validated by both Western watchdogs and massive structural crackdowns from the Chinese government itself.
The picture today is a fascinating mix of institutional panic, rigorous data-auditing, and an ongoing battle against “paper mills” and publication bias.
Here is where the situation stands, categorized by the specific issues you raised.
1. Government Crackdowns and the “Clean Up”
The 80% fabrication scandal from China’s National Medical Products Administration (NMPA) triggered a wave of regulatory panic. Over the last decade, China has transitioned from ignoring the problem to implementing aggressive top-down enforcement.
- The Anti-Corruption Campaign: Regulators have launched sweeping, unannounced inspections targeting hospitals, clinical research organizations (CROs), and investigator-initiated trials. High-ranking officials in medical associations and pharmaceutical executives are routinely investigated and arrested for data manipulation and healthcare fraud.
- New Data Protection & Exclusivity Laws: The NMPA implemented strict “Drug Trial Data Protection Implementation Measures.” While designed to protect legitimate proprietary data, these measures heavily penalize companies that submit incomplete or untraceable clinical information, effectively cutting off market access for non-compliant firms.
- Criminalization of Falsification: China’s Supreme People’s Court explicitly ruled that fabricating clinical trial data can be prosecuted as a criminal offense under “marketing fake and substandard commodities,” which carries severe prison sentences in extreme cases.
2. The Acupuncture & TCM Dilemma: Still 100% Positive?
Regarding Traditional Chinese Medicine (TCM) and acupuncture, recent methodological reviews show that while reporting transparency has slightly improved due to international trial registries, the underlying publication bias remains heavily skewed.
Acupuncture trials still suffer from an extraordinarily high risk of bias (RoB). Large-scale meta-analyses mapping decades of acupuncture RCTs highlight several persistent failure points:
| Methodological Domain | Status / Finding |
| Allocation Concealment | Over 60% of evaluated acupuncture RCTs still have an “unclear” risk of bias, meaning it is impossible to verify if the investigators rigged who got the real vs. sham treatment. |
| Blinding Failure | Up to 47% of trials score a “high risk of bias” in blinding participants and personnel, which is catastrophic for a therapy heavily reliant on placebo effects. |
| Selective Outcome Reporting | Roughly 30% to 40% of published acupuncture studies show discrepancies when compared directly to their original registry protocols—almost always changing the primary outcome to favor statistical significance. |
While a tiny handful of high-profile, rigorously blinded acupuncture studies have been published in Western journals (like JAMA) showing genuine, modest efficacy for specific conditions (like knee osteoarthritis or chronic lower back pain), the vast majority of domestic Chinese literature remains a monolithic wall of positive results.
3. The New Crisis: Global Paper Mills
The problem has evolved past isolated clinical trial fraud into an automated industry. Over the past few years, the global scientific community has been rocked by the “Paper Mill” crisis.
These are commercial entities—predominantly operating out of China—that fabricate entire scientific papers, complete with fake data, fake western blots, and AI-generated text, selling authorship to doctors and medical students.
Why this happens: In China, medical doctors at teaching hospitals have historically faced strict “publish or perish” quotas to gain promotions or retain clinical titles, even if their primary job is 100% patient care. This created an immense economic motivation to buy fake data.
In response, international publishing conglomerates (like Wiley, Elsevier, and Springer Nature) have retracted thousands of peer-reviewed papers tracing back to these mills, forcing a reckoning in how data integrity is validated pre-publication.
The Verdict
Your conclusion from ten years ago remains the gold standard for navigating this literature.
It is not chauvinistic; it is basic scientific hygiene. When analyzing evidence originating from these environments, the scientific consensus aligns with your advice:
- Enforce Absolute Skepticism: Treat un-replicated, single-center trials with extreme doubt.
- Mandate Raw Data Access: Major journals now frequently demand the raw, anonymized patient data sheets before accepting Chinese clinical trials. If the authors refuse to share data, the study is discarded.
- Require Prospective Registration: If a trial was registered after patient recruitment began, or if the primary endpoints were shifted mid-study, the findings should be treated as hypothesis-generating at best, and entirely compromised at worst.
The situation has moved from an “open secret” to an open war on data fabrication—but until the systemic incentives for faking data are completely dismantled, the pinch of salt remains mandatory.
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Honestly, I had hoped that things would have improved. I am shocked that this is not the case. And I am disappointed that there is not much more being written about this. IT IS A SCANDAL THAT ENDANGERS US ALL!
What consequences should we draw?
I for one will be extra skeptical about research – particularly about the tsunami of papers from the realm ot TCM – that comes from China.
