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

panacea

Today, there is a strong scientific and medical consensus that homeopathy lacks reliable evidence of efficacy. Many of the strongest rejections come, after independent evaluations of the evidence, from national and international scientific bodies of undoubted repute. Here is my list:

  • Advertising Standards Authority (UK) The ASA requires that efficacy claims for homeopathic products be supported by robust clinical evidence and has ruled that unsupported claims are misleading.
  • American Academy of Pediatrics (USA) Warns that unproven alternative treatments, including homeopathy, should not delay or replace effective medical care, particularly in children.
  • American College of Medical Toxicology & American Academy of Clinical Toxicology (USA) Jointly stated “no evidence exists” homeopathy is effective, noting it can be harmful by delaying evidence-based care; they recommended “against using homeopathic treatment for disease or prevention.”
  • American Medical Association (USA) Issed statements that there is “no good-quality evidence” homeopathy is effective for any condition and opposed its integration into mainstream practice.
  • Argentine Medical Association (AMA, Argentina) The AMA has criticized homeopathy’s inclusion in medical practice, stating it lacks scientific evidence and warning against its promotion as a valid treatment.
  • Belgian Health Authority The Belgian Federal Public Service Health halted reimbursement for homeopathy in 2020, following advice from the College of Physicians that it lacks scientific evidence.
  • Canadian Health Authorities Health Canada mandates warning labels on unlicensed claims: “This product is neither approved nor authorized for any indication,” aligning with evidence that homeopathy lacks reliable clinical support.
  • Canadian Medical Association (CMA) Via editorials in its journal (CMAJ), the CMA has condemned the licensing of homeopathy as a “loophole” that implies efficacy without scientific proof, stating it “makes a joke of the regulatory process.”
  • Chief Medical Officer for England (Dame Sally Davies) Publicly called homeopathic preparations “rubbish” that function only as placebos with no therapeutic benefit beyond psychological effects.
  • European Academies’ Science Advisory Council (EASAC) Issued a 2017 statement finding “no evidence that homeopathic products are effective” and reiterated that explanations for homeopathy’s efficacy are “scientifically implausible.”
  • Federal Trade Commission (USA) Requires that homeopathic products must not claim effectiveness without evidence; otherwise, they must clearly state a lack of scientific support.
  • Federation of American Societies for Experimental Biology (FASEB) Asserted “no convincing evidence” for homeopathy’s clinical efficacy, as its mechanisms contradict established chemistry and physics.
  • Food and Drug Administration (USA) States “No homeopathic product is FDA-approved”; products are not reviewed for safety or effectiveness. The FDA also warns they may pose risks.
  • French Academy of Medicine Rejected homeopathy as scientifically invalid, stating its theoretical basis and clinical evidence are inadequate or absent.
  • German Medical Association (Germany) In 2020, removed homeopathy from the model further education curriculum for doctors, declaring it “is not a medical procedure based on scientific findings.”
  • House of Commons Science and Technology Committee (UK) In its 2010 report, concluded “the systematic reviews and meta-analyses conclusively demonstrate that homeopathic products perform no better than placebos.”
  • Medicines and Healthcare products Regulatory Agency (UK) Followed committee advice by restricting licensing; homeopathic products should not make medical claims without evidence and are no longer endorsed as medicines.
  • National Cancer Institute (USA) States homeopathy has “not been shown to be effective” for cancer treatment or symptom relief, with no rigorous studies supporting benefit beyond placebo.
  • National Health and Medical Research Council (NHMRC, Australia) After reviewing over 1,800 studies, it concluded “there are no health conditions for which there is reliable evidence that homeopathy is effective.”
  • National Health Service (NHS, England) Formally stated “no NHS funding will be spent on homeopathic medicines,” with guidance that homeopathy performs “no better than placebos.”
  • National Institute for Health and Care Excellence (UK) NICE does not recommend homeopathy in any clinical guideline and bases its recommendations on the best available evidence.
  • Royal Society (UK) Numerous Fellows have publicly criticized homeopathy, and the Society has supported evidence-based medicine principles incompatible with homeopathy’s claims.
  • Russian Academy of Sciences Described homeopathy as “pseudoscience” with principles that “contradict known laws of chemistry, physics, and biology.”
  • Spanish Medical Associations (Collegiate Medical Organization of Spain) In 2018, rescinded recognition of homeopathy as a “medical procedure,” declaring it “not scientifically sound.”
  • Swedish Medical Association The Swedish Medical Association and National Board of Health declared homeopathy scientifically unfounded in 2010, advising against its use in healthcare.
  • Swiss Academy of Medical Sciences Concluded homeopathy lacks scientific evidence and should not be reimbursed by health insurance.
  • Swiss Federal Office of Public Health After a 2005-2011 review, it rejected renewed inclusion in basic health insurance (though it was later reintroduced in 2017 under specific political conditions).
  • World Health Organization (WHO) Explicitly stated homeopathy “should not be used” for serious diseases like HIV, tuberculosis, or malaria, warning reliance “can be dangerous.”

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And what about institutions supporting homeopathy? I am aware of just one:

  • Ministry of AYUSH (India) “Homoeopathy is a cost-effective system of medicine and is widely practiced for both acute and chronic conditions.”

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Across decades of systematic reviews and independent evaluations by scientific and medical authorities worldwide, no credible evidence has emerged to support the efficacy of homeopathy. Its principles conflict with well-established scientific laws, and its effects are indistinguishable from those of placebo in rigorous studies. The broad convergence of expert opinion is therefore this: homeopathy has no effects beyond placebo. Its continued use represents a divergence from evidence-based medicine, and reliance on it, particularly as an alternative to effective care, poses a clear risk to public health.

In recent decades, acupuncture has attracted extensive research spanning an astonishingly wide array of medical conditions, from chronic pain and neurological disorders to infectious diseases and psychiatric ailments. However, the proposed mechanisms of action—ranging from peripheral sensory stimulation to central nervous system modulation—fail to provide a coherent, biologically plausible explanation for efficacy across this disparate spectrum (Zhao et al., 2022; WHO, 2003).

The aim of this post is to examine the breadth of published acupuncture trials, delineate the leading scientific hypotheses for its mode of action, and outline the profound implausibility of these mechanisms universally applying to such varied pathologies, ultimately framing acupuncture as non-specific rather than a specific therapeutic modality (Meissner et al., 2019; Ernst, 2018).

Acupuncture has been subjected to thousands of randomized clinical trials (RCTs) and systematic reviews across virtually every medical specialty. A comprehensive 2022 evidence map published in BMJ Open synthesized 120 systematic reviews, encompassing 1,402 individual RCTs and addressing 77 distinct conditions within 12 broad therapeutic categories (Zhao et al., 2022). These categories include neurological disorders, musculoskeletal conditions, cardiovascular diseases, and beyond, reflecting a research enthusiasm that transcends conventional biomedical boundaries.

Neurological applications dominate, with trials targeting stroke sequelae such as hemiplegia and aphasia, vascular dementia symptoms, migraines, tension headaches, and facial nerve palsies like Bell’s palsy (Li et al., 2022; Zhao et al., 2022; WHO, 2003). Musculoskeletal trials are equally prolific, examining low back pain, knee osteoarthritis, fibromyalgia, tennis elbow (lateral epicondylitis), sciatica, shoulder periarthritis, rheumatoid arthritis, and even gouty arthritis (Li et al., 2022; Zhao et al., 2022; Choi et al., 2019; Lam et al., 2020; WHO, 2003). Cardiovascular research has probed essential hypertension, primary hypotension, and pain from thromboangiitis obliterans (Shanghai Medical Clinic, 2025; WHO, 2003). Gynecological and obstetric domains feature prominently, including dysmenorrhea, labor induction, breech presentation correction, pregnancy-related nausea and vomiting, and fertility enhancement (e.g., improved clinical pregnancy rates in IVF protocols) (Zhao et al., 2022; Shanghai Medical Clinic, 2025; Smith et al., 2021; Carr, 2022; WHO, 2003).

Acupuncture trials also extend to psychiatric conditions like generalized anxiety disorder (especially in perimenopause), depression, and other mental disturbances (Zhao et al., 2022; Zhang et al., 2025; WHO, 2003); respiratory issues such as allergic rhinitis and hay fever (Li et al., 2022; Shanghai Medical Clinic, 2025; WHO, 2003); gastrointestinal disorders including acute and chronic gastritis, biliary colic, and postoperative nausea/vomiting (Zhao et al., 2022; Shanghai Medical Clinic, 2025; WHO, 2003); urogenital and nephrological problems like renal colic and radiation-induced leucopenia (often in renal contexts) (Shanghai Medical Clinic, 2025; WHO, 2003); infectious diseases such as acute bacillary dysentery, pertussis (whooping cough), and epidemic hemorrhagic fever (WHO, 2003); pediatric applications, albeit more limited, for post-extubation pain relief and whooping cough (ClinicalTrials.gov, 2013; WHO, 2003); and oncology support for cancer-related fatigue and chemotherapy/radiation side effects (Zhao et al., 2022; Shanghai Medical Clinic, 2025). Additional niches include ear-nose-throat conditions (e.g., rhinitis), eye disorders, connective tissue diseases, metabolic/nutritional imbalances, and skin pathologies (Zhao et al., 2022; WHO, 2003).

This extraordinarily wide spectrum, drawn from seminal analyses like the World Health Organization’s (WHO) 2003 review of controlled clinical trials (WHO, 2003) and Cochrane overviews on pain (Choi et al., 2019; Lee et al., 2011), clearly demonstrates that acupuncture is considered by its proponents to be a ‘cure all’. This begs the question whether such an assumption can be reasonable. The effect sizes are typically modest, and true acupuncture is often no different from sham interventions (e.g., superficial needling at non-acupoints), suggesting limited specific efficacy (Lee et al., 2011).

The scientific literature proposes a constellation of mechanisms to explain how acupuncture might work, integrating peripheral, spinal, supraspinal, and systemic processes. These are often conceptualized through the “Neural Acupuncture Unit” (NAU) model, which posits low-threshold mechanosensitive afferents (Aδ and C fibers) at acupoints converging with brain networks to elicit bidirectional signaling (Zhang et al., 2012).

  • Peripheral and Local Mechanisms. Needle manipulation is claimed to induce immediate tissue responses: adenosine triphosphate (ATP) breakdown to adenosine activates A1 receptors, dampening nociceptor firing (Kelly & Suckley, 2016); axonal reflexes release neuropeptides like substance P and calcitonin gene-related peptide (CGRP), modulating local inflammation; and stromal cells exhibit cytoskeleton remodeling, with collagen fibers “wrapping” around needles to propagate mechanical signals (Kelly & Suckley, 2016; Zhang et al., 2012; Li et al., 2025). The characteristic deqi sensation (aching, soreness) correlates with these events, potentially amplifying sensory input (Staud & Price, 2014).
  • Spinal Cord Level. Ascending afferents are said to activate the gate control system, presynaptic inhibition, and diffuse noxious inhibitory controls (DNIC), releasing endogenous opioids (β-endorphin, enkephalins, dynorphins), serotonin, norepinephrine, and acetylcholine to suppress nociceptive transmission in the dorsal horn (Kelly & Suckley, 2016; Zhang et al., 2012; Staud & Price, 2014). This underpins analgesia and autonomic regulation, such as reduced sympathetic outflow (Kelly & Suckley, 2016).
  • Central Nervous System Modulation. Functional neuroimaging (fMRI, PET) reveals deactivated limbic hyperactivity (amygdala, anterior cingulate), normalized hypothalamic-pituitary-adrenal (HPA) axis activity, and enhanced prefrontal connectivity, particularly in pain, stress, and mood disorders (Kelly & Suckley, 2016; Zhang et al., 2012; Wang et al., 2025). Top-down expectancy modulates descending inhibitory pathways, integrating with reward and mirror neuron systems (Zhang et al., 2012).
  • Systemic and Humoral Effects. Acupuncture is also thought to influence immune homeostasis by shifting cytokine profiles (e.g., ↑IL-10, ↓TNF-α, ↓IL-6), autonomic balance (vagal enhancement), and endocrine axes, providing a basis for visceral, metabolic, and inflammatory conditions (Kelly & Suckley, 2016; Li et al., 2025). Recent integrative studies emphasize network pharmacology, where multi-point stimulation perturbs interconnected pathways (Li et al., 2025).

These potential mechanisms have been empirically observed in animal models and/or human imaging studies. They  might offer a partial rationale, primarily for analgesia and stress-related syndromes (Kelly & Suckley, 2016; Zhang et al., 2012). The question, however, is whethr they can provide a full explanation for acupuncture’s efficacy in all the above-named conditions.

No synthesis of these mechanisms plausibly accounts for acupuncture’s claimed benefits across unrelated conditions, exposing a core scientific paradox. Musculoskeletal pain might align with local adenosine/opioid effects and spinal gating (Kelly & Suckley, 2016), but how do these explain microbial clearance in bacillary dysentery, hypertensive vascular remodeling, or synaptic imbalances in major depression? (Meissner et al., 2019; Ernst, 2018). Gynecological infertility involves ovarian endocrinology, distant from needle-evoked sensory cues; infectious pertussis implicates Bordetella immunity, not HPA modulation (WHO, 2003; Meissner et al., 2019). This biological implausibility echoes homeopathy critiques: a single intervention cannot verifiably target such heterogeneous pathophysiologies without invoking non-specific forces (Fabrizio et al., 2010).

Trial data reinforce these doubts: meta-analyses consistently show that verum acupuncture is hardly different from sham acupuncture, and sham elicit up to 80% of verum’s effects (Kelly & Suckley, 2016; Meissner et al., 2019; Fabrizio et al., 2010; Kaptchuk et al., 2013). Such considerations implicate patient and therapist expectations, therapeutic ritual, and patient-practitioner alliance as the true mechanism behing the observed outcomes (Meissner et al., 2019; Kaptchuk et al., 2013). Neuroimaging effects often mirror expectancy manipulations in non-needling studies, suggesting top-down confounds (Fabrizio et al., 2010). Lab phenomena (e.g., adenosine release) occur but yield trivial clinical effects, dwarfed by psychosocial amplification (Fabrizio et al., 2010).

Acupuncture’s elaborate ritual maximizes contextual healing, outperforming inert pills but lacking disease-modifying specificity (Meissner et al., 2019; Ernst, 2018). Paradoxes abound—positive preclinical signals evaporate in blinded RCTs; cultural bias inflates Asian trial positives; poor sham penetration and blinding failures perpetuate illusions (Fabrizio et al., 2010; Ernst, 2018). For non-pain conditions, evidence thins further, with publication bias and flexible outcome reporting inflating apparent successes (Fabrizio et al., 2010).

Acupuncture carries risks including minor issues like bleeding, needle site pain, vegetative reactions (e.g., dizziness or nausea), and symptom aggravation, alongside rarer serious events such as pneumothorax, infections, or organ injury. Overall, at least one adverse event in 9.31% of patients undergoing a treatment series or 7.57% of treatments, with half of these being mild local reactions. Serious adverse events seem to be uncommon. Reliable prevalence figures do not exist because there is no adequate surveillance system in place (Ernst 2006).

Acupuncture’s trial proliferation signals cultural and patient-driven demand rather than mechanistic or evidential triumph. Its broad therapeutic claims by far overreach evidence (Staud & Price, 2014). Rigorous advancement would require objective biomarkers (e.g., cytokine assays, EEG), dose-response optimization, adaptive sham designs, and large pragmatic trials stratifying contextual from specific effects (Zhang et al., 2012; Fabrizio et al., 2010). Until compelling evidence exists, acupuncture remains a testament to human suggestibility’s power, but not a biomedical panacea.

References

  • Carr, D. (2022). Acupuncture as Treatment for Female Infertility. Medical Acupuncture, 34(1), 12-21.
  • Choi, D., et al. (2019). Cochrane reviews on acupuncture therapy for pain: a snapshot of the current evidence. Systematic Reviews, 8, 231.
  • ClinicalTrials.gov. (2013). Pediatric Laser Acupuncture and Renal Biopsy (NCT01879826).
  • Ernst, E. (2006). Acupuncture–a critical analysis. J Intern Med, 259(2):125-37.
  • Ernst, E. (2018). Acupuncture Research: The Problem. Pain Medicine, 19(6), 1287-1288.
  • Fabrizio, P., et al. (2010). Paradoxes in Acupuncture Research: Strategies for Moving Forward. Explore (NY), 6(4), 231-239.
  • Kaptchuk, T. J., et al. (2013). Are All Placebo Effects Equal? Placebo Pills, Sham Acupuncture, or Placebo Needle in Irritable Bowel Syndrome. PLoS ONE, 8(7), e67485.
  • Kelly, R., & Suckley, S. (2016). Mechanisms of acupuncture. European Journal of Integrative Medicine, 20, 1-11.
  • Lam, M., et al. (2020). Acupuncture and Chronic Musculoskeletal Pain. Medical Acupuncture, 32(6), 357-366.
  • Lee, M. S., et al. (2011). Acupuncture for pain: an overview of Cochrane reviews. Chinese Journal of Integrative Medicine, 17(3), 187-189.
  • Li, T., et al. (2022). Evidence on acupuncture therapies is underused in clinical practice. Frontiers in Medicine.
  • Li, Y., et al. (2025). Integrative research on the mechanisms of acupuncture. Neural Regeneration Research.
  • Meissner, K., et al. (2019). Acupuncture for the Treatment of Pain – A Mega-Placebo? Frontiers in Neuroscience, 13, 1119.
  • Shanghai Medical Clinic. (2025). WHO Approved Acupuncture List of Conditions.
  • Smith, C. A., et al. (2021). An Overview of Systematic Reviews of Acupuncture for Respiratory Diseases. Frontiers in Public Health.
  • Staud, R., & Price, D. D. (2014). Acupuncture therapy: mechanism of action, efficacy, and safety. International Review of Neurobiology, 111, 171-189.
  • Wang, L., et al. (2025). Possible antidepressant mechanism of acupuncture. Frontiers in Neuroscience, 19, 1512073.
  • WHO. (2003). Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials.
  • Zhang, R., et al. (2012). Neural Acupuncture Unit: A New Concept for Interpreting Effects and Mechanisms of Acupuncture. Evidence-Based Complementary and Alternative Medicine, 2012, 429412.
  • Zhang, Y., et al. (2025). Patient-reported outcome tools of acupuncture clinical trials. Journal of Pain Research.
  • Zhao, C., et al. (2022). Evidence mapping and overview of systematic reviews of the effects of acupuncture therapies. BMJ Open, 12(6), e056803.

 

Ita Wegman (22 February 1876 – 4 March 1943) was born 150 years ago today. Together with Rudolf Steiner, she was a central figure in the development of anthroposophic medicine, an approach that interprets illness through spiritual–cosmological concepts. In 1921, Wegman founded the Klinisch-Therapeutisches Institut in Arlesheim, Switzerland—today the Ita Wegman Clinic—the first hospital dedicated to anthroposophic medicine. Practices developed there included rhythmical massage, a gentle bodywork technique intended to “harmonize” physiological rhythms, and mistletoe-based cancer therapy derived from Viscum album, later marketed as Iscador, as well as many other remedies influences by homeopathy. Wegman also co-founded Weleda, which remains a major producer of anthroposophic remedies and cosmetics.

Despite its continued use in parts of Europe, mistletoe therapy (including Iscador) has not demonstrated reliable clinical efficacy in improving cancer survival or tumor outcomes in well-controlled trials. Major systematic reviews conclude that evidence for benefit is inconsistent, methodologically weak, and often biased, with any reported improvements largely limited to subjective quality-of-life measures. It is therefore regarded by mainstream oncology as an unproven therapy rather than an evidence-based treatment. For Wegman’s other therapeutic innovations the evidence is even less convincing.

Her collaboration with Steiner was both professionally formative and personally intense. They met in the early 1900s, and Wegman later credited Steiner with inspiring her decision to pursue medicine relatively late, enrolling at the University of Zurich. From 1919 onward, their cooperation deepened: Steiner supplied esoteric frameworks derived from anthroposophy, while Wegman sought to translate these ideas into clinical practice. Their collaboration culminated in the book “Fundamentals of Therapy” (1925), published shortly after Steiner’s death.

Speculation about a romantic relationship between Wegman and Steiner has persisted for decades. Purported “love letters” dated to 1924 describe expressions of affection, but most scholars regard them as forgeries, citing factual errors, the absence of originals from Steiner archives, and stylistic inconsistencies with Steiner’s documented correspondence. Steiner himself described their bond in karmic terms, claiming a debt from a past incarnation that explained their closeness despite his marriage to Marie von Sivers. Historian Peter Selg and others interpret the relationship as an intense spiritual and intellectual partnership rather than a conventional affair, though contemporaries did circulate rumors.

Steiner died on March 30, 1925, after a prolonged illness. The exact cause remains uncertain and not definitively confirmed as stomach cancer. Wegman provided Steiner’s main care from September 1924 until his death, leaving her clinic to nurse him in his studio at the Goetheanum in Dornach, Switzerland. She is said to have employed anthroposophic approaches, but specific treatments remain sparsely documented in available accounts.

Following Steiner’s death, Wegman’s authority within the movement became increasingly contested. In 1935 she was expelled from the Anthroposophical Society amid internal power struggles and accusations of doctrinal deviation; this expulsion was formally reversed in 2018. Wegman’s political stance during the Nazi period remains controversial. While anthroposophy as a movement was partially suppressed in Nazi Germany, several leading anthroposophists  – including Wegman – sought accommodation rather than resistance. Wegman expressed hopes in the early 1930s that National Socialism might support a spiritual renewal of society and did not publicly oppose the regime. Although she was not a member of the Nazi Party and later faced restrictions, her posture is best described as opportunistic accommodation and ideological ambiguity.

Wegman’s collaboration with Steiner created the foundations of anthroposophic medicine. It also generated enduring scientific, ethical, and political controversies – particularly regarding the medical validity of its treatments and its leaders’ responses to authoritarian power after Steiner’s death.

Calcaneal spur is a common cause of chronic heel pain and functional disability. This double-blind, randomized, placebo-controlled trial aimed to evaluate the efficacy and safety of individualized homeopathic (IH) medicines compared to placebo (PL) in managing this condition.

128 participants with chronic heel pain from calcaneal spur were randomly assigned to receive either IH (n = 64) or an identical PL (n = 64) for 6 months. Both groups received standard advice on general management (such as foot exercises and contrast baths). The primary outcome was the change in pain intensity from baseline measured on a 100-mm visual analog scale (VAS). The secondary outcome was the change in lower extremity function measured by the Lower Extremity Functional Scale (LEFS). Outcomes were assessed at baseline, 3 months, and 6 months. Analysis was done using an intention-to-treat approach with a mixed-effects model for repeated measures.

The analysis revealed a statistically significant group × time interaction for VAS pain scores (F-value = 35.12, p < 0.001). At 6 months, the IH group showed a significantly greater mean reduction in pain compared to the PL group (mean difference: −33.28; 95% confidence interval [CI]: −44.3 to −22.2; p < 0.001). Similarly, a significant group × time interaction was observed for LEFS scores (F-value = 33.87, p < 0.001). At 6 months, the IH group had a greater improvement in function (mean difference: 13.78; 95% CI: 9.1–18.4; p < 0.001). Both results were clinically significant. No serious adverse events were reported.

The authors concluded that individualized homeopathy resulted in statistically and clinically significant improvements in pain and function for patients with calcaneal spur compared to PL. These findings suggest that homeopathy may be a viable treatment option for this condition.

This study seems well-designed and is clearly documented. I have read it thoroughly and did not find major flaws. Why, then do I have doubts?

  • I have never heard of a homeopathy advocating homeopathy for calcaneal spur.
  • I don’t see why homeopathy could alleviate pain.
  • The paper reads a little bit as being “too good to be true”.
  • The study was conducted at the Calcutta Homoeopathic Medical College & Hospital, West Bengal, (India’s retraction rate has recently climbed to third place worldwide (5,412 total), rate 2.0002 per 1,000).​

In any case, before we can accept homeopathy as a treatment of pain caused by calcaneal spur, we need an independent confirmation, preferably not from ardent supporters of homeopathy.

  • “The Law of Karma: What you sow is what you reap. If you plant carrots, don’t expect to harvest watermelons.”
  • “If you want to see change in the world, become the change you want to see.”
  • “If you want to reach a state of Bliss — make a decision to relinquish the need to control, the need to be approved and the need to judge.”
  • “Negative people deplete your energy. Surround yourself with love and nourishment and do not allow the creation of negativity in your environment.”
  • “If you want to do really important things in life and big things in life, you can’t do anything by yourself. And your best teams are your friends and your siblings.”
  • “Everyone is acting from his own level of consciousness. This is all we can ask of ourselves or anyone else.”

You probably guessed: these gems of wisdom originate from, Deepak Chopra, the guru of platitude-loving Americans. If you don’t want to spend your money on buying one of his books, you can go on the Internet, find one of several available ‘bullshit generators’ and create similarly profound wisdoms all by yourself.

As Deepak is seen to be virtually overflowing with wisdom, spirituality, consciousness, and holistic health, it is perhaps surprising to find his inclusion in the Epstein Files. The link stems primarily from email correspondence and other communications between him and Epstein that have been made public as part of the ongoing disclosures. The records show repeated exchanges dating from at least 2016 through 2019 — well after Epstein’s 2008 conviction as a sex offender — in which the two men discuss a range of topics. These include scheduling meetings or meetings plans, mentions of other public figures, discussions tied to Chopra’s book projects, and exchanges that veer into casual and at times explicit language about “girls” or women. One of the widely circulated emails has Chopra writing to Epstein, “God is a construct. Cute girls are real,” in an apparently informal exploration of consciousness and personal views.

Another released thread shows discussions about meeting logistics, references to public figures such as Marla Maples (the former wife of Donald Trump), and social anecdotes that reveal the personal tenor of some exchanges. These materials were part of the dataset provided to Congress under subpoena as part of its oversight of the Epstein files.

Inclusion in the Epstein Files does not establish that Chopra was involved in any criminal activity or exploitative conduct. U.S. authorities and journalists emphasise that the raw disclosures document communications and connections — not necessarily illegal behavior — and require careful interpretation.

Nonetheless, many of the public reactions to Chopra’s appearance in these disclosures have been sharp. Social media posts and news coverage have highlighted the tone of certain messages, leading to debate and scrutiny from both followers and critics. In response to the heightened attention and criticism, Deepak Chopra issued a public statement acknowledging the gravity of what has been revealed and offering regret for the way some past communications may read in light of what the world now widely knows about Epstein’s crimes. He wrote on social media that he was “deeply saddened by the suffering of the victims in this case” and that he “unequivocally condemn[s] abuse and exploitation in all forms.” Chopra also stated that any contact he had with Epstein was “limited and unrelated to abusive activity,” and he described some of his past messages as reflecting “poor judgment in tone.”

One such ‘sharp reaction’ appeared on Facebook. As it is quite funny as well as very poignant, allow me to show it to you:

Annie McCubbin 6 February at 10:20

WOW DEEPAK THIS SEEMS TO BE A QUANTUM OF A MESS YOU’VE GOT YOURSELF INTO.

Well looky looky here. In the quantum field of possibilities, Deepak has manifested himself one thousand three hundred mentions in the Epstein files.

With the cavalier camaraderie of two average dudes leaning on the bonnet of a pick-up truck, Chopra and Epstein, amid nauseating pseudo intellectual discourse, discuss the noises cute girls make, and whether or not Deepak had found Epstein a cute Israeli.

This, it should be noted, is ten years after Epstein was registered as sex offender of children.

Chopra has made an admission, of sorts. It has the tone of someone who has spent his life beguiling his followers from behind a screen of opaque confounding verbiage, so I guess it’s true to form when he writes the sentence: –

‘Some past emails have surfaced that reflect poor judgement in tone. I regret that and understand how they read today given what was publicly known at the time.’

No Deepak, you purveyor of impenetrable piffle, it’s not how they read ‘today’, it’s just how they read. So how about you take out the obfuscating ‘today’, turn comments back on, come out from behind the infinite consciousness of the karmic trance of the egoic super self, and face the music.

These emails are not anachronistic innocent exchanges between two older gentlemen musing in a reflective way about the opposite sex. No, these men presented a clear and present danger to women. These exchanges are between a seventy-one-year grifter who has promised his millions of followers hope and healing, and a sixty-four-year-old registered sex offender who had been charged with procuring a minor for prostitution.

So, this great spiritual leader. This purveyor of divine transcendence. This guru who imbues his incomprehensible gobbledy gook with the historical spiritual relevance of the subcontinent, has shown a complete paucity of decency, care and morality

Not only are his discussions with Epstein disturbing but they’re peppered with moments where he cynically mocks his own spiritual repartee.

Perhaps his millions of followers who may have felt spiritually dull witted, may be relieved to discover that his entire shtick is a simple reordering of the following eighteen words:-Consciousness, meditation, infinite, universe, god, vibration, stillness, mirror, manifest, luminous. elemental, connection, awareness, love, gratitude, eternal, karma, and divine.

His collection of books, videos, podcasts, products like ‘The ritual care kit.’ supplements and ‘wellness retreats.’ are not the result of Deepak’s deep wisdom but merely pseudoscientific quasi spiritual guff, concocted with all the care of a four-year-old making a cake with dirt, a hair clip, their mothers Estée Lauder anti-aging cream and the stuffing from the dog’s toy rabbit.

Why do so many of us collapse so willingly into the arms of these grifter gurus?

Well, we are told the answer to our emptiness is to look within. We are just an inspirational quote away from happiness. We are seduced by bite sized morsels of the transcendent to sooth our souls.

We can ask what is missing from my life, and the answer will be delivered in three hours via Amazon. $35 plus shipping. How easy is it to sit on our couches and have the soothing tone of Deepak deliver an immersive learning experience into our noise cancelling head phones? Maybe we may muse, it would be truly beneficial to attend one of his wellness retreats. What’s money when we’re on the path to enlightenment? Perhaps we’ll discover the divine goddess within? Seems easier than fighting for the actual rights of women.

Connecting to the self is given a big rap in wellness circles but it seems to be at the cost of reconnecting with others.

The self-care, self-love movement, implying poverty or illness is a misalignment with the abundance on offer from the universe, absolves its’ followers of any responsibility to help others. You sick or poor? Manifest better.

It has been a fabulous distraction from the rapacity of the neocons, dismantling our social structures and denuding our public services, confident in the knowledge we’re too busy healing from within to look outward.

But the empty void within will not be filled by listening to the lilting tones of Deepak. By all means work out your maladaptive patterns and beliefs by talking to a psychologist but maybe swear off the gurus for a bit. It seems they all, at some point, fall from grace.

Chopra while preaching love compassion and peace, was showing off to his convicted sex offender friend, that he can play the misogynistic game as good as the big boys. Meanwhile women all over the world are dying at the hands of their partners. Men schooled and supported in the ideology that women are lesser beings to be controlled, used, punished and discarded.

To so lightly squander the loyalty of your trusting audience seems careless of you Deepak, but maybe the grifting isn’t over. Maybe you can obfuscate out of this, and have an online well published dark night of the soul replete with a brand-new great awakening. There has to be a couple of apps and a book in it.

I hope not. I hope this tearing in the space time continuum has revealed the black hole of grifting where the snake oil salesman sit waiting with their three easy payment options.

Anyway, let us end on one of Deepak’s quotes. ‘Karma memory and desire are just the software of the soul.’

Well Deepak, better strap in, I hear karma can be a real bitch.

The Center for Inquiry (CFI) is raising alarms about new federal legislation that would make it easier for homeopathy groups to market and sell their products. Opposing homeopathy is at the core of CFI’s mission, given that it is dangerous pseudoscience and misleads American patients and consumers to the tune of millions of dollars every year.

HR 7050 was introduced in the U.S. House of Representatives on January 14, 2026, by Rep. Pete Sessions (R-TX), co-sponsored by Reps. Jonathan Jackson (D-IL) and Mike Kennedy (R-UT). The bill seeks to ensure “continued consumer access” to homeopathic products by amending the existing Food, Drug, and Cosmetic Act (FDCA).

Any member of Congress who seeks to protect consumers from medical fraud should be fighting to remove homeopathic products from the marketplace, not ensure “access” to them. Homeopathy is grounded in pseudoscience from the late 1700s that claims the more dilute a medicine, the more potent it is. That is a demonstrably false claim. Homeopathic products typically contain no active ingredients that constitute medicine. They are no better than a placebo as a medical intervention.

The bill would prohibit federal consumer protection agencies, such as the Food and Drug Administration (FDA) and the Federal Trade Commission (FTC), from ensuring that homeopathic products meet objective standards of safety and efficacy. Instead, it codifies the so-called standards in the Homeopathic Pharmacopoeia of the United States, effectively leaving it to the homeopathic industry to police itself. The Pharmacopoeia is shrouded in secrecy, and CFI has had to go to the length of suing the Department of Health and Human Services in an effort to access its contents.

Moreover, in 2016 the FTC expressly declared in a policy statement that homeopathic products can only be legally marketed if they communicate clearly to consumers that there is no scientific evidence the products work! It is this kind of consumer protection that the homeopathy industry hopes to defeat with this legislation.

Additionally, the bill exempts homeopathic drug products from doing the laboratory testing that would establish the potency of each active ingredient. Other drugs are held to these standards, but it’s clear that the homeopathic industry does not want it known that their ingredients have no discernible therapeutic value.

Finally, the bill directs the Secretary of Health and Human Services – currently Robert F. Kennedy, Jr. – to create a Homeopathic Drug Product Advisory Committee to advise the Secretary regarding the regulation of homeopathy. The majority of the committee’s ten members would be representatives from homeopathic manufacturers, from the Homeopathic Pharmacopoeia Convention, and from other groups with obvious ties to homeopathy (as well as one member who is a naturopathic doctor). Again, the theme is insider and deferential regulation.

HR 7050 is currently before the House Committee on Energy and Commerce. CFI’s Office of Public Policy will be aggressively lobbying against the bill. We urge every CFI supporter to contact their Representatives and Senators in Congress and to call on them to vote against HR 7050.

Yesterday, I posted the account of a WHO summit on so-called alternative medicine (SCAM). I deliberately abstained from any comment. Yet, the arguments put forward do certainly deserve some critical evaluation. In particular, I feel that this paragraph needs discussing:

The WHO says its Summit on Traditional Medicine is essentially about repeating this sifting process for traditional remedies used in other parts of the world. It aims to apply rigorous scientific analysis to all them in order to properly assess their claimed benefits and potential harms. By 2034, it says, it will publish a definitive list of which traditional treatments work – and which don’t. “Working on traditional medicine doesn’t mean we will use shortcuts or endorse things that are unproven,” Dr Sylvie Briand, the WHO’s Chief Scientist, told The Telegraph at the conference in New Delhi. The aim was first to document what traditional treatments existed around the world “and then see what could be more useful to address the disease of this century”.

To many readers such words (which are voiced regularly) might seem entirely reasonable. Yet, they clearly are not! So, let me pick them apart.

Applying rigorous scientific analysis to all SCAMs in order to properly assess their claimed benefits and potential harms. This plan looks fine – but only if you know little bit about the subject:

  • It is obvious that not every nonsensical idea merits proper assessment. Many can be rejected out of hand by simply using common sense. A Peruvian man’s piercing ululation, for instance, might not require scientific testing – or, to put it bluntly, testing nonsense will result in nonsense and is a waste of money.
  • It is a demonstrable fact that many other SCAMs have already been assessed properly and most have been found wanting. In my recent book, for example, I have evaluated 202 SCAMs and found only a handfull that pass muster. The problem for the WHO and other such organisations or individuals is not that the evidence is unavailable, but that they elect to ignore it.
  • And that leads to a further important point. What the WHO and other organisations or individuals call “to properly assess” might not coincide with what scientists would consider a critical evaluation of the best available evidence. As we have seen with depressing regularity on this blog, biased assessments inevitably result in false-positive conclusions.

By 2034, the WHO will publish a definitive list of which traditional treatments work and which don’t. This might look encouragingly ambitious but it is not. On the conreary, it is discouragingly naive and totally impossible. Let me use just one of the many hundred SCAM modalities, acupuncture, to explain this in more detail:

  • There are dozens of different types of acupuncture, e.g. traditional, Western, Korean, Japanese, needle, ear, body, scalp, tongue, electro, etc., etc.
  • Acupuncture is touted as a panacea; this means each form of acupuncture would need to be tested in clinical trials of thousands of different conditions.
  • Moreover, there are uncounted different treatment schedules with acupuncture.
  • Even if rigorous, one trial can never enough for a firm verdict. To make sure that the result of one single trial is not a fluke, we need several independent replications.
  • Combining all these imponerabilities would require thousands clinical trials and many decades before one could claim that one has established that this form of acupuncture works for this condition, and that form of acupuncture does not.
  • In case the eventual verdict for acupuncture for any given condition is negative, some clever dick would surely emerge and claim, “but, of course, you did not do the test correctly! So, your verdict is mistaken”
  • Add to this the fact that hundreds of different SCAM modalities exist and most of them claim to be a cure-all, we would not need a decade but several centuries to arrive at the embarrassingly naive aim of the WHO.

Considering these problems, I fear, that the ‘WHO Summit on Traditional Medicine’ might be full of good will [to be entirely honest, I am not even sure that this is true!] but this and similarly ignorant, naive and promotional initiatives certainly are leading us up an expensive, wasteful and dangerous garden path.

 

PS

Oh, I almost forgot!

To criticize is easy, some will say.

Why does Ernst not show us how it should be done properly?

How do we arrive at a point where we can say: THIS SCAM WORKS FOR THIS CONDITION, AND THAT SCAM DOES NOT?

The proper way of achieving this goal is to do what we do in all medicine and remember that the onus of proof lies on the shoulders of those who make the therapeutic claim. In other words, if acupuncturists claim that a certian type of acupuncture can effectively treat asthma, for example, let them come up with the evidence! Until the evidence is on the table, the claim should be viewed as unproven which means the treatment cannot be recommended.

Simple!

The WHO says it is sifting the wheat from the chaff in order to save lives – but critics fear it is pandering to India and China; this TELEGRAPH article is worth reading in full; here I will merely quote a few passages from it.

Mongolian shamans beat wicker drums to summon ancestral spirits. A Peruvian man in a headdress unleashes a piercing ululation. And a man from Kentucky tells me the body can rid itself of cancer if you eat the right shrubs. It is a line-up one might expect at the healing field at Glastonbury but this is a conference centre in New Delhi and the event has been organised by the World Health Organization; the WHO Global Summit on Traditional Medicine. It’s the second gathering of its kind, following an inaugural meeting in Gujarat in 2023, and the three-day event has drawn hundreds of delegates from around the world. Alongside yoga instructors, aromatherapists, Chinese herbal practitioners and a small army of homeopaths, sit senior WHO officials, leading scientists and health ministers from across Africa, Asia and Latin America. Only Gwyneth Paltrow and her wellness website Goop is missing. They are here to “harness the potential” of traditional medicine, a catch-all term for practices that pre-date, and sit outside, modern evidence-based healthcare; therapies that for the most part have long been dismissed as quackery by mainstream science. What counts as “traditional medicine” ranges from drinking herbal teas to Indian Ayurveda, a holistic “wellness system” combining oils, herbs, homeopathy, yoga and meditation to “balance” and “heal” the body. To critics – and there are many – the scene is absurd.

So why is the WHO – a global authority on evidence-based health – giving a platform to this stuff? Has it fallen victim to the seductive power of TikTok-based wellness like so many of the west’s middle classes? Or has it – as some critics allege – been bought off by the traditional medicine super powers of India and China? …

The WHO says its Summit on Traditional Medicine is essentially about repeating this sifting process for traditional remedies used in other parts of the world. It aims to apply rigorous scientific analysis to all them in order to properly assess their claimed benefits and potential harms. By 2034, it says, it will publish a definitive list of which traditional treatments work – and which don’t. “Working on traditional medicine doesn’t mean we will use shortcuts or endorse things that are unproven,” Dr Sylvie Briand, the WHO’s Chief Scientist, told The Telegraph at the conference in New Delhi. The aim was first to document what traditional treatments existed around the world “and then see what could be more useful to address the disease of this century”.

One idea is that some traditional practices like yoga and meditation, while perhaps not offering direct curative benefits, could play an important role in preventative medicine. After all, so-called non-communicable diseases, often caused by lifestyle factors such as poor diet, chronic stress and a lack of exercise are now by far the biggest killers across the globe. “Many traditional systems of medicine take a holistic view and focus on strengthening the person as a whole, not just treating isolated symptoms,” Dr Sung Chol Kim, Unit Head for Traditional, Complementary and Integrative Medicine at the WHO told The Telegraph in Delhi. But others are sceptical. They fear the WHO, which is struggling for funding in the wake of the US leaving the organisation and widespread aid cuts, is simply pandering to India and China where traditional medicine is big business. Even if well intentioned, they worry that the discovery process the WHO has set in motion will end up promoting and legitimising quackery. “I think highly of the WHO. However, by giving a platform to traditional medicine practitioners who promote treatments that are unproven – or even disproven – such as homeopathy, the organisation risks legitimising quackery. That, in my view, is both unethical and irresponsible,” said Dr Edzard Ernst, a British-German academic who specialises in the study of complementary and alternative medicine…

Even within the WHO, there is tension over what is being platformed at the summit. One senior official, speaking on condition of anonymity, described homeopathy … as “complete nonsense”. “There is not one shred of evidence anywhere, absolutely anywhere, that suggests it works,” the official said, while acknowledging pressure to engage rather than alienate powerful member states. Dr Ernst, the British-German academic, said: “Many experts are puzzled by this attitude. The most likely explanation is that the WHO is bowing to political will instead of science.” ….

Globally, an estimated 4.6 billion people already use some form of traditional medicine. In sub-Saharan Africa, millions rely on traditional healers as their first – and sometimes only – point of care. Its use can delay access to appropriate treatment, and some practices have been linked to the spread of disease. This week, 41 people were reported to have died after undergoing rituals to initiate them into manhood in South Africa, a central part of which involves unsafe and brutal circumcisions. Another example, common in places like Uganda, Benin, and Burkina Faso, includes small skin incisions into which herbs are rubbed – sometimes referred to as “vaccinations” – increasing the risk of HIV transmission through the reuse of razors and knives. Efforts to regulate practitioners are underway, but progress remains slow. Malawi’s Minister for Health and Sanitation, Madalitso Baloyi, said her government wants clear guidance from the WHO. “As a Ministry, we want to ensure [traditional remedies] are tested and quality checked,” she told The Telegraph. She added that, at the moment, traditional medicine is being done “behind closed doors”, and that the WHO process would help bring it into the open where it can be better monitored.

Alternative medicine is also booming across Europe and the United States – from homeopathy to supplements like the shrub ashwagandha, meditation and so-called lifestyle “hacks” such as drinking raw milk or avoiding suncream. Only this week, US health secretary RFK Jr, confirmed he had cut six federal vaccine recommendations from the childhood immunisation schedule – including jabs for meningitis, hepatitis, and Covid-19. Dr Michael Osterholm, the director of the University of Minnesota’s Center for Infectious Disease Research and Policy, described the decision as “radical and dangerous”.

Yet the WHO seems undeterred. “Some traditional remedies will probably be found to be really active and really useful. Others will just be a placebo – for example, you feel better when you drink tea,” said Dr Reeder. The WHO argues that investing in traditional medicine could also help tackle the leading killers of the 21st century: non-communicable diseases such as obesity, diabetes, cardiovascular disease and mental illness. Holistic approaches to wellness incorporating exercise, a more considered diet and stress reduction could complement conventional treatments, placing “an emphasis on prevention over cure,” said Dr Tedros…

 

This article explores how the sociological concept of trust, both externally and internally, presents challenges to the legitimacy and credibility of the chiropractic profession. This ethnographic study consisted of systematic observation and interviews of 40 chiropractors in South Carolina from Fall 2016 to Fall 2017. Additionally, interviews were conducted with staff members, patients, and other medical providers, such as physicians, physical therapists, massage therapists, and representatives from the insurance industry, about their understanding and experiences with chiropractic medicine. Phone interviews were also conducted with deans and provosts at seven chiropractic colleges around the country.

In total, over 100 interviews and informal conversations occurred during the course of the project. All identifiers of participants and chiropractic colleges in the study were removed to ensure anonymity. Instead, pseudonyms were created that were known only by the author of the study. Additionally, data from the South Carolina Department of Labor, Licensing and Regulation was obtained to document changes in the number of chiropractors who are no longer in practice in the state between 2016 and 2017.

The data from this study suggests that there may be a number of trust issues between the public and chiropractors, between chiropractors and physicians, and among chiropractors themselves. For example, comments and observations from respondent interviews suggests many patients do not fully trust their provider. Additionally, physicians claim the reason for the lack of trust is due to the absence of any meaningful accountability measures to control rogue chiropractors and the wide variance in types of treatment they offer. Among chiropractors themselves, there appears to be an absence of trust, as many providers see their colleagues as competitors and potential threats.

Trust is a key component to the success of any social relationship. Given the inability or unwillingness of the chiropractic profession to hold members accountable for questionable practices, along with the perception that chiropractic treatments may not be effective, the public, patients, and the medical profession will likely continue to view chiropractic medicine with suspicion.

In the paper, the author (Robert Hartmann McNamara, Ph.D. Department of Criminal Justice ) makes several further valuable points:

  • The need for autonomy is a critical component to understanding why so many providers are unwilling to allow their profession to be regulated. It also seems apparent that there is no collective conscience, no real sense of solidarity, and there remain questions about the trustworthiness of chiropractors by patients, the public, the medical community and even among chiropractors themselves.
  • Chiropractors point to some level of persecution by insurance companies—indicating that others in medicine engage in inappropriate billing and fraud, but that insurance companies target chiropractors because of their limited ability to stand up to them. While there may be some truth to these criticisms, there is also evidence to indicate that the identification of chiropractors for audits may be justified. For example, in a 2016 report by the Office of Inspector General, a division of the U.S. Department of Health and Human Services, the agency responsible for overseeing health programs like Medicare and Medicaid, of all the providers who were cited for fraud, abuse, and errors in Medicare billing, chiropractors were overwhelmingly the largest set of offenders. In fact, the report showed that for 2013, an estimated $359 million in Medicare payments for chiropractic services did not comply with Medicare requirements. Thus, one of the primary reasons for the creation of Medicare accountability teams is because the data indicated that chiropractors are at the center of the problem when it comes to inaccurate and fraudulent billing for treatment.
  • The sociological literature points out that the development and enhancement of trust is a crucial component to establishing and sustaining social relationships, and thereby creating a sense of solidarity and morality. To the extent that chiropractors can better foster the development of trust, they will likely earn the respect of their colleagues in medicine and not be seen in a negative light by the public or their patients. This is accomplished, of course, by setting reasonable expectations of what chiropractors can legitimately do and holding the members of the profession accountable in adhering to those standards.

All of this ties in well with many of my previous posts on chiropractic. I might therefore just add this:

What can you expect from a profession that was founded by one of the most infamous snake oil salesmen in US history?

This year’s ‘Christmas issue’ of the BMJ comes with a remarkable editorial. Please allow me to quote a few passages from it:

We live in a world of lies, damned lies, and AI hallucinations. A US publication calculated that Donald Trump told 30 573 lies during his first term as president. Trump is neither alone nor atypical—except that his rate of lying and the thickness of his brass neck may be unprecedented…

We live in the era of the Big Lie. The more powerful you are, the bigger the lie you can tell. Nobody holds you to account. We no longer call lies “lies”: they are alternative facts, different versions of the truth, and—in perhaps the most sinister twist—hallucinations. Our old fashioned, and possibly unfashionable, view … is that words and facts do matter…

… the term “hallucination” deserves greater scrutiny. An AI hallucination is a fabrication, a lie, a bullshit. Why does it earn such a soft name, which seeks to hide the failure or error rate of an AI tool? The answer inevitably lies in money. Tech guru and science fiction writer Cory Doctorow argues that tech companies’ primary interest is to convince investors and markets of their relentless growth. Hype about AI’s capabilities sells. Hallucinations cover its failures…

As we end the year of the Big Lie, what’s clear is that the world isn’t ruled by citizens. It never was. It’s no longer ruled by the great religions, although they may delude themselves that it is. Nor is it primarily ruled, hubris aside, by politicians or dictators. Without a doubt—and more clearly than ever before—the world bows to the power of the corporation. Hail the multinational, the conglomerate. All hail the tech bros. We live in their age of surveillance capitalism. There are many words for this unspoken calamity, but “hallucination” is regrettably not one of them.

Inspriewed by these words, I decided to list some of the biggest lies from the world of so-called alternative medicine (SCAM) as they emerged during 2025. Here they are together with some ot the blog posts that disclosed them:

In SCAM, we live indeed in the era of the Big Lie, and not just since 2025! I will continue to do my best in disclosing untruths and farauds in 2026 and [I hope] beyond.

Why?

Mainly because I want to prevent harm done to vulnerable patients.

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