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

prevention

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.:

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

The effect of calcium, vitamin D, or combined supplementation on fractures and falls in adults were assessed in this systematic review and meta-analysis. Randomised clinical trials were eligible, if they compared calcium, vitamin D, or combined supplementation with placebo or no treatment in adults (≥18 years) not receiving drug treatment for osteoporosis. The primary outcome was the risk of any fracture. Secondary outcomes included the risk of hip fracture, non-vertebral fracture, vertebral fracture, and falling, as well as the total number of falls. Pairs of reviewers independently screened trials, extracted data, and assessed risk of bias using the second version of Cochrane’s risk of bias tool. Findings were synthesised using random effects meta-analyses and appraised using Grading of Recommendations Assessment, Development and Evaluation, with application of thresholds for absolute effects considered important.

The review included 69 trials involving 153 902 participants. Participants in most of the trials were community dwelling (87%) and not at high risk of fractures or falls (73%). For the primary outcome of any fracture, little to no effect was found from use of calcium supplements (11 trials, 9067 participants; risk ratio 0.91, 95% confidence interval 0.81 to 1.01; moderate certainty), vitamin D supplements (36 trials, 92 045 participants; 1.00, 0.95 to 1.06; high certainty), or combined supplementation (15 trials, 51 126 participants; 0.91, 0.84 to 0.99; high certainty). Calcium, vitamin D, or combined supplementation appeared to have little to no effect on other fracture and fall outcomes, based largely on moderate to high certainty of evidence. The findings remained robust after an extensive exploration of heterogeneity across multiple subgroup analyses. Evidence for high risk patients or those requiring residential care was limited for many outcomes for calcium monotherapy and for combined supplementation.

The authors concluded that, based on absolute risk reductions and thresholds considered clinically meaningful, this review found little to no benefits from use of calcium, vitamin D, or combined supplementation on the prevention of fractures and falls.

An accompanying BMJ editorial points out that observational studies have associated low dietary calcium and low serum levels of vitamin D with low bone density and falls. Consequently, calcium, vitamin D, or combined supplementation has been widely promoted for preventive musculoskeletal health in older adults…

Th editorial concludes that other interventions, such as balance and resistance exercise, and several multicomponent interventions (eg, combining exercise, hazard assessment, or education with other interventions tailored to risk assessment) have been shown to offer meaningful prevention of falls and falls related injuries.

This new systematic review is a prime example for the slaying of a beautiful hypothesis with an ugly fact. But all is not negative – think of the money that can now be saved and put to better use!

I came across an interesting article about chiropractic. Let me try to summarise it for you:

Texas’s system for disciplining chiropractors has become much less transparent, making it harder for patients to know whether a provider has faced regulatory action or not. Disciplinary cases reported by the Texas Board of Chiropractic Examiners and the National Practitioner Data Bank have dropped sharply even as the number of licensed chiropractors has risen, which prompted patient advocates to ask whether the public is being misled.

A rule change adopted in 2019 that narrowed what the chiropractic board can publicly disclose seems at the heart of this. According to board executive director Boyd Bush, the result is that roughly 70 cases, mostly minor administrative matters such as late license renewals, are no longer appearing in the public-facing record. Bush argues the change was intended to prevent chiropractors from suffering disproportionate consequences, such as losing patients or paying higher insurance premiums, for technical violations that do not directly affect patient care.

That explanation contrasts with the view of patient advocate Ware Wendell of Texas Watch, who says the public needs clearer, more usable information when choosing care. His concern is that a chiropractor can have regulatory action behind the scenes while still appearing to have “no board action taken” in public-facing materials, leaving patients unaware of relevant history.

Moreover, not all chiropractor-related enforcement is handled by the chiropractic board. In some cases, the Texas Medical Board has issued cease-and-desist orders against chiropractors accused of practicing medicine without a license, including claims involving neurology expertise, stem cell therapy, diabetes treatment, thyroid disorders, and chronic degenerative diseases. That overlap between boards adds confusion and can make it even harder for the public to interpret what level of discipline or risk a practitioner has faced.

A broader policy debate sits behind the story. Lawmakers tried to reduce inter-board oversight last session through Senate Bill 268, but Governor Greg Abbott vetoed it, citing public health and safety concerns. The Texas Chiropractic Association, meanwhile, says complaints should be handled by the boards with direct oversight, while a 2017 Sunset Advisory Commission review had already criticized the chiropractic board for slow complaint resolution and weak enforcement.

The article closes by noting that the board says it has improved the backlog, but the transparency issue is likely to return in the next legislative session. Evidently, a tension exists between protecting chiropractors from over-penalization for minor offenses and ensuring patients can see meaningful disciplinary history before seeking treatment.

On this blog, we have discussed repeatedly that dishonesty and transgressions are by no means rare events in the realm of chiropractic. I think it is time that this profession gets its act together, puts more emphasis on ethics during education/training, and becomes transparent, even if it might not enhance their public image in the short-term.

 

Donald Trump’s rhetoric is systematically racialized and frequently functions as a “dog whistle” to mobilize his racist followers. Here are but a few examples:

  • July 1989 (On the Central Park Five): “I want to hate these muggers and murderers. They should be forced to suffer and, when they kill, they should be executed for their crimes.” (From a full-page newspaper advertisement Trump took out regarding five Black and Latino teenagers accused of assault; the men were later fully exonerated by DNA evidence, but Trump repeatedly refused to apologize or rescind the sentiment).
  • October 1993 (House Subcommittee Hearing on Native American Casinos): “They don’t look like Indians to me… and they don’t look like Indians to Indians.” (Questioning the authenticity of Connecticut tribal members operating competing casinos).
  • June 2015 (Presidential Announcement Speech): “When Mexico sends its people, they’re not sending their best. They’re not sending you. They’re sending people that have lots of problems, and they’re bringing those problems with us. They’re bringing drugs. They’re bringing crime. They’re rapists. And some, I assume, are good people.”
  • January 2018 (Oval Office Meeting on Immigration): “Why are we having all these people from shithole countries come here?” (Referring to immigrants from Haiti and African nations during a bipartisan meeting, as corroborated by attending senators).
  • July 2019 (On Baltimore and Rep. Elijah Cummings): “Cumming [sic] District is a disgusting, rat and rodent infested mess. If he spent more time in Baltimore, maybe he could help clean up this very dangerous & filthy place… No human being would want to live there.”
  • July 2019 (Twitter Statements on Democratic Congresswomen): “Why don’t they go back and help fix the totally broken and crime infested places from which they came. Then come back and show us how it is done.” (Directed at four minority Democratic congresswomen, three of whom were born in the United States).
  • December 2019 (Speech to the Israeli American Council): “A lot of you are in the real estate business, because I know you very well. You’re brutal killers, not nice people at all. But you have to vote for me—you have no choice… You’re not going to vote for the wealth tax.” (Invoking the anti-Semitic trope that Jewish people are solely motivated by money and financial self-interest).
  • December 2023 (Campaign Rally in New Hampshire): “They’re poisoning the blood of our country. That’s what they’ve done. They poison mental institutions and prisons all over the world, not just in South America, not just the three or four countries that we think about, but all over the world. They’re coming into our country, from Africa, from Asia, all over the world.”
  • April 2026 (televised national address from the White House, marking Trump’s first formal address to the nation since the outbreak of the military conflict with Iran) “We are going to hit them extremely hard over the next two to three weeks… We’re going to bring them back to the Stone Age, where they belong.”

An analysis of his public statements and Truth Social posts revealed a abhorrent pattern: approximately 80% of the individuals he labels as “low IQ” are people of colour, specifically Black or Hispanic public figures. The term could theoretically be used as a neutral insult; however, Trump’s skewed application clearly evokes a long history of racist pseudo-science once upon a time used to justify claims of intellectual inferiority among non-white populations. Trump often reserves his most vitriolic attacks on intelligence for non-white targets. He often compounds these insults with additional degrading language, such as:

  • Ketanji Brown Jackson: Described as “that new, Low IQ person, that somehow found her way to the bench”.
  • Maxine Waters: Repeatedly labelled “extraordinarily low IQ” and “the face of the Democrat party”.
  • Don Lemon: Referred to as “the dumbest man on television”.

When targeting white opponents, Trump tends to use labels like “crooked,” “weak,” or “disgraceful.” In contrast, his attacks on Black and Brown figures – including his description of congress women of colour as “mentally deranged” or “sick” – focus on cognitive or mental fitness, echoing historical tropes used to exclude marginalised groups from public life.

Research into the 2016 and 2020 elections suggests that support for Trump was more strongly tied to racial resentment and xenophobia than to “economic anxiety.” Exposure to such rhetoric can measurably increase the public expression of prejudice. Trump’s rhetoric often aligns with his administration’s policy priorities, which were frequently criticized as racially discriminatory:

  • The “Muslim Ban”: An executive order targeting several Muslim-majority nations.
  • Immigration Enforcement: Hardline policies, such as “zero tolerance” at the border, which disproportionately affected Latinx communities.
  • Overt Commentary: Infamous descriptions of African nations as “shithole countries” and the use of the “Great Replacement” conspiracy theory to describe immigration.

Beyond specific insults, Trump’s broader narrative frequently utilizes dehumanizing imagery. He has, for instance, frequently amplified or “retweeted” supporters who use racist caricatures – such as those depicting the Obamas in a derogatory manner. Recent comments labelling nations like India and China as “hellholes” further underscore a worldview defined by national/ racial hierarchies.

Taken together, the combination of targeted slurs, racially skewed insults, and discriminatory policies provides a substantial evidentiary base for arguing that Trump’s rhetoric is not merely accidental, but a strategic effort to appeal to xenophobic and white-nationalist segments of the electorate.

Does that make him a racist?

Or are his comments merely an expression of his profound stupidity?

I let you decide.

I remember it well: when I was a kid, I went every day in the evening to a nearby farm to fetch a litre of luke warm raw milk. I was lucky; I never caught tuberculosis or any other infection that is transmitted in this way.

Today, raw milk has become the centrepiece of a heated debate. Once only on rural homesteads, unpasteurized milk is now being championed by a powerful coalition of political figures like Robert F. Kennedy Jr., promoters of so-called alternative medicine (SCAM), and “trad wife” influencers. This movement frames raw milk as a “magical health secret” suppressed by a corrupt establishment. However, beneath the veneer of “food freedom” and nostalgic aesthetics lies a complex interplay of populism, nutritional misinformation, outright BS, and significant public health risks.

The issue is largely fuelled by RFK Jr. and his “Make America Healthy Again” (MAHA) idiocy. For him, raw milk is less of a dietary preference and more of a symbol of resistance against federal overreach. He frequently characterizes the FDA’s restrictions on raw milk as a “war on farmers” and an example of “regulatory capture.” In his worm-eaten mind, federal agencies are not protecting the public from pathogens but are instead protecting the profits of “Big Dairy” by criminalising traditional foodways. By pushing for the legalisation of raw milk, Kennedy taps into a deep-seated distrust of institutions that has intensified in the post-pandemic US. He frames the choice to drink unpasteurized milk as a fundamental civil liberty, positioning himself as a defender of the individual against a nasty “nanny state.”

Simultaneously, the “trad wife” and SCAM movements are providing the lifestyle framework for raw milk promotion. On social media, influencers portray a return to traditional domesticity, featuring sourdough starters, hand-churned butter, and glass jars of creamy, raw milk. In this context, raw milk provides a “moral signal” for those who have little else to worry about. What counts is the willingness to go to great lengths to bypass industrial food systems and provide “pure” and “natural” nourishment for the whole family – because pasteurisation “kills” the milk, destroying vital enzymes and probiotics that could cure everything from asthma to lactose intolerance.

As soon as these claims are held up to scientific scrutiny, the “magic” begins to dissipate. The core argument – namely that raw milk is nutritionally superior – is largely unsupported by sound evidence. Modern pasteurisation is as non-invasive as possible. While heat slightly reduces levels of Vitamin C, milk is not a primary source of that vitamin anyway. Moreover, the levels of protein, calcium, and essential minerals remain virtually identical to the raw product. Furthermore, the valuable “enzymes” touted by advocates are enzymes that the human stomach acid neutralizes before they can be absorbed.

On top of all this, there is potential for serious harm. The most dangerous aspect of the raw milk nonsense is the dismissal of microbial risk. Before pasteurisation became standard in the early 20th century, milk was a leading cause of tuberculosis, typhoid, and scarlet fever. Today, even on the most meticulously managed farms, cows can naturally shed E. coli, Salmonella, and Listeria and contamination can occur in a split second during the milking process. The rise of the H5N1 (Bird Flu) virus in dairy cattle in recent years has added a lethal new variable; while pasteurisation effectively inactivates the virus, raw milk remains a potential vector for human infection. A recent study showed, for instance, that unpasteurized milk, consumed by only 3.2% of the population, and cheese, consumed by only 1.6% of the population, caused 96% of illnesses caused by contaminated dairy products.

So, the current raw milk frenzy puts a spotlight on the ignorance of those who support it. While raw milk is marketed as a health-conscious return to nature, it is primarily a brainless and unnecessary revival of long-forgotten risks. Pasteurization is – after immunisation (that is also rejected by these clowns) – one the most successful public health interventions in history. Advocates are not just embracing “food freedom”; they are embracing a level of risk that modern medicine spent a century eliminating.

 

I just published another book. It is almost entirely unrelated to medicine; it’s about my mother, her past, and her relationship to (and at times entanglement with)  Nazi ideologies. For a long time, I avoided this undertaking – perhaps because it compels me to link personal memories with historical abysses, or perhaps because it raises questions to which no simple answers exist. The title, Ein Fräulein aus gutem Hause: Im Schatten des Dritten Reichs” (A Young Woman from a Good Family: In the Shadow of the Third Reich) already indicates that this is not a light or untroubled narrative, but rather an attempt to interweave an individual life history with a broader collective destiny. As my book is in German, allow me to give you a very brief description.

My mother was born 1911 in Breslau (today Wroclaw, Poland) and had an eventful, often dangerous life during and after the Third Reich. In the memoir that she left us children, she articulated a question frequently heard in Germany: “What could we possibly have done to oppose the Nazi crimes? Moral indignation was of no avail.” This assessment contains an element of truth, of course. Within a totalitarian system, the scope for individual resistance is severely constrained. At the same time, however, such a stance points to a significant problem: if resistance is only recognized as necessary once a system has already been transformed into a fascist regime, it is generally too late.

Injustice does not begin with its most extreme manifestations. Fascism, racism, and ultranationalism are not sudden events but gradual processes. They evolve incrementally – through exclusion, dehumanization, and the progressive normalization of violence against those defined as “other.” The extermination camps represent the most radical culmination of this process, not its point of origin.

For this very reason, the deliberate remembrance of the German past appears to me of particular importance today. The story of the “young woman from a good family” has been replicated in similar forms countless times – not only in Germany, but also in other countries and historical contexts. It should serve as a cautionary reminder to remain vigilant about ideologies that offer simplistic answers while eroding fundamental human values.

The book is therefore intended not merely as an account of my family’s past, but foremost as a warning. It opposes the temptation to relativize or consign historical atrocities to oblivion and advocates resolutely for resisting their earliest manifestations. Yes, the book centers on my mother, but only in the sense that it employs her story as a lens through which to examine events in the Third Reich and how her generation of Germans responded to them.

The US “Health Freedom Movement” (HFM) is a coalition of activists, alternative practitioners, supplement and device manufacturers, and libertarian or populist politicians who oppose strong government regulation of healthcare. They claim to defend the individual’s right to choose any treatment or product they consider beneficial, especially so-called alternative medicine (SCAM).

Its roots lie in resistance to medical licensing and in movements around homeopathy, naturopathy, and chiropractic, which often portrayed organized medicine as a cartel limiting patient choice. The John Birch Society and other conservative groups use the term to oppose fluoridation, vaccination mandates, and federal health programs. During 1990s–2000s, the Dietary Supplement Health and Education Act (DSHEA) of 1994, backed by a coalition of supplement companies and “health freedom” advocates, limited the FDA’s pre‑market control over supplements; libertarian politicians like Ron Paul and figures such as Prince/King Charles support aspects of this agenda. More recently, anti‑vaccination activism, opposition to the Affordable Care Act, and then COVID‑19 mandates and vaccines gave the HFM a major boost and re-grouped as “medical freedom” or “health freedom” across partisan lines, but with a strong right‑wing infrastructure.

The HFM’s main players include politicians (e.g. Ron Paul, Tom Harkin, Orrin Hatch, Robert F. Kennedy Jr.) and media personalities (e.g. Gary Null, Kevin Trudeau, and many supplement‑selling influencers as well as SCAM doctors). Many of them have strong financial ties to supplement, wellness, or SCAM industry.

The HFM’s stated aims sound liberal: individual autonomy, informed and access to SCAM. In practice, however, its core goals are sharper and consistently deregulatory:

  • Limit or abolish pre‑market safety and efficacy requirements for supplements and many SCAMs.
  • Oppose or roll back mandatory childhood vaccination, COVID‑19 vaccination and mask rules, school-entry requirements, and sometimes even basic disease‑reporting obligations.
  • Resist overarching government health programs, including water fluoridation, electronic health records, and population‑level data sharing, which they portray as surveillance or tyranny.
  • Create broad legal shields for all types of SCAM practitioners and restrict the enforcement powers of medical boards and public‑health authorities.

While the rhetoric centres on “freedom” and “choice”, the policy is liberating commercial interests from evidence‑based standards and oversight. For this, the HFM uses a mixture of advocacy and classic populist agitation:

  • Legislative lobbying: Drafting model bills that redefine or exempt SCAM practitioners, weaken vaccination requirements, and restrict state health departments’ emergency powers.
  • Litigation: Groups such as the “Health Freedom Defense Fund” use lawsuits against mask mandates, vaccine requirements, and school or airline rules both as legal tools and as high‑visibility fundraising and mobilization devices.
  • Electoral politics: Endorsing and funding candidates who promise to “reign in” public‑health agencies, defund WHO, or defy CDC guidance; in some places, anti‑vaccine activists have captured local hospital or school boards.
  • Media ecosystems: Conferences, podcasts, Substack newsletters, and “documentaries” circulate narratives of regulatory capture, big‑pharma malfeasance, and heroic mavericks, often entwined with sales of supplements or courses.

These activities reinforce distrust of science and conventional medicine and thus create a host of issues and problems:

  • Selective use of autonomy: Autonomy is invoked vigorously when opposing vaccines, fluoridation, or regulation of supplements, but tend to disregard it when patients are misled by misinformation, coercive marketing, or opaque conflicts of interest in the alternative sector itself. Yet protection against deception and unsafe products is essential for meaningful autonomy; “choice” among misrepresented options is not genuine choice.
  • Systematic downplaying of risk and evidence: The HFM treats lack of evidence of benefit as if it were evidence of safety and legitimacy and often dismisses adverse‑event data. Regulators and critics must meet impossibly high standards, while proponents of SCAM face essentially none.
  • Commercial conflicts of interest: Many leading voices within the HFM derive substantial income from selling SCAM. The HFM criticizes “Big Pharma” conflicts of interest while largely ignoring or concealing its own.
  • Wilful ignorance of collective harms: Opposition to vaccination, masking, and quarantine treats infections as purely individual matters, neglecting that infectious disease risk is shared and that one person’s “choice” can impose morbidity and mortality on others. Yet any rights framework that leaves no space for legitimate public‑health constraints on individual choice is incompatible with controlling epidemics.
  • Alliance with broader conspiracist and extremist currents: Sections of the HFM have fused with anti‑globalist, anti‑UN/WHO, and sometimes far‑right political currents, amplifying conspiracy narratives and distrust that spill over into many domains beyond health. Thus they corrode trust in institutions that are necessary for coordinating large‑scale health responses.

In a nutshell, the HFM is a deregulatory, commercially entangled project that uses the language of liberty to erode evidence‑based medicine and to normalise quackery as well as anti‑vaccination politics. To put it bluntly: the HFM does not seem to operate in the best interest of either the individual patient or the collective public health.

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