I got linked to an article on alternative medicine education today and it pissed me off so much I just had to write about it. And hey, it’s been a while since I did a rant piece, so this should be fun 😀
First off, the article can be found here: http://www.smh.com.au/opinion/the-question/should–universities–teach–alternative–medicine-20120203-1qxb3.html
Honestly, it’s not so much as article as it is four opinion pieces, two on each side of the argument. Can you guess which two articles are better?
In a nutshell the articles are about the ‘Friends of Science in Medicine’ (FSM) lobbying Australian Universities in an attempt to get them to stop teaching pseudoscience in their classrooms. Unfortunately this article doesn’t quote anything from FSM, but the first author does specify ‘Homeopathy, reflexology, iridology, energy medicine, tactile healing and kinesiology‘ as examples of these pseudosciences.
With this, I completely, 100% agree. These subjects should not be taught at schools, and certainly not in education houses as influential as Universities. If at some point these fields receive some credibility and there is actually some proof that they do anything other than drain a patients wallet, then fair enough, teach them. But until they are dragged out of the realm of psuedoscience and wishful thinking they should not be taught. Our schools and universities are there for teaching students what we do know, not what might one day be proven.
With that we move on from the intelligent, thought out responce to the question, and onto the absolute bullshit spewed by Dr Rob Morrison a researcher at Flinders University. Let’s break it down bit by bit.
“COMPLEMENTARY medicine treatments are used by two in three Australians each year and have been taught in universities here for two decades. The recent call by Friends of Science in Medicine to ban the university teaching of ”complementary medicine” presents a sad view of science and a shameless push to censor learning.”
I’m sorry, but what the fuck is ‘Complementary medicine’? Strangely enough Wikipedia redirects to ‘Alternative medicine’, so let’s not mince words here. Giving it a different and more pleasant sounding name doesn’t cover the smell of crap.
Apparently this ‘complementary’ medicine is used by two thirds of Australians and has been taught for twenty years. Fantastic, then you should have plenty of data to prove this shit actually works. But you see, if you could actually prove it works you wouldn’t need these stupid alternative names; it would just be ‘medical science’. Put up or shut up.
And as for a ‘push to censor learning’, fuck off you ignoramous. This isn’t trying to censor learning, it’s attempting to limit bad teaching that might get people killed! I highly doubt you would stand idly by and let schools teach students the proper blood letting techniques, and currently homaeopathy has about as much credibility.
“There are two fundamental points proposed by this group. First, that healthcare practices should be based as much as possible on sound scientific evidence. This is easy to agree with.”
Thank fucking god.
“But ”evidence-based medicine” is a relatively new approach. Most medical and allied healthcare practices have not been rigorously tested.”
I’m not sure what is mean by ‘relatively new approach’, but I’m going to take a stab and suggest that was in the last 100-200 years. You know, roughly the time people stopped dying at the age of 40. In other words, around the time medicine actually started working fuckwit. And I’ve no idea where he gets the idea that medicines aren’t rigorously tested. I can’t say I’m an expert, but last I checked there were quite a few loopholes you had to jump through before you could get your latest pills on the market.
“Second, this group argues that abolishing the teaching of complementary medicine will somehow strengthen its evidence-based clinical practice. This is nonsense. A strong link between research and education helps communicate the fruits of research rapidly and effectively to clinicians. To impose greater barriers to this is counter-productive to quality care.”
So hang on, you think that if you stop teaching people how to do crackpot medicine, whilst teaching them how to do evidence-based medicine, you won’t strengthen the use of evidence based medicine? You sir, are a fucking moron. And as for getting research to clinicians quickly, fine go nuts. Clinicians aren’t students. They should have the tools to decide what are good practices and what aren’t. And if they fuck up, it’s on their heads. On the other hand if a bunch of students from a particular university start killing off patients, pretty bad for the university. Oh, and the dead patients.
“This year, Chinese medicine practitioners will be registered in Australia…There are few cardiologists who do not recognise the value of fish oil supplements in heart disease, and few geriatricians who are not aware of the importance of calcium and Vitamin D3 for bone health…Why would we shut our minds to these possibilities?”
I really want to rip this stupidity to shreads, but I feel the need to be fair. None of these responces refer to what the FSM were requesting be taken out of university courses. I’m assuming by the first reponse the request was to remove pseudosciences such as homaeopathy and crystal healing, and with that I agree. But if this includes removing all Chinese medicine then they’re being a bit overzealous. Of course some Chinese medicine works, and if it’s been proven to work it should be fine to teach it.
“There is no better place than our universities to rigorously discern what works from what does not.”
Okay, again to be fair this dude is a researcher and may just be refering to his own position. If that’s so, then yes, universities are a good place for people to research whatever they like and if they want to spend their time trying to validate psuedosciences then let them. But just because you’re researching this shit doesn’t mean you should be teaching it to students, and that is the question the article poses. Students are at a point in their career where they don’t have the mental tools to be able to process what works and what doesn’t; they’ll just take in what their teacher tells them.
Feel free to do your own research, just don’t drown your students in information that is currently being tested!
“This disregard for patients’ choice will only discourage them from disclosing complementary medicine use to their doctors.”
Wait what? How did we get on to patients choices? I thought we were talking about what should be taught to students? This is just so far removed from the actual topic it’s barely worth mentioning, but for the stupidity it conveys. You see, patients shouldn’t have to make choices about their health. Idealy, they should go to their doctor and their doc should tell them what the best cure is. The patient doesn’t have the knowhow to make a compentant choice. It’s akin to taking the average Joe off the street and asking him which buttons to push in the NASA spacecraft. It’s not a choice, it’s a fucking guessing game. Medicine and the human body are ridiculously complicated things and the idea that you should leave these choices in the hands of an overwhelmed patient is an incredible denial of responsibility.
The next article is by a student, Rob Pearlman. Honestly, nothing to add here. This dude sounds like he’s got his head screwed on straight. Hopefully a few more students think like him and these universities won’t be able to pull the wool over their eyes.
The final piece is by Valerie Malka, a surgeon, and is almost as bad as the bullocks spewed by Morrison.
“FOR MORE than 10,000 years, natural therapies have been used, while conventional medicine is but 100 years old.”
Yes this is true, but as noted above you might want to look at the correlation between the last 10,000 years and the average age of death as compared to the last 100 years.
“They deserve the recognition universities have given them as they have healing modalities and benefits proven by credible and peer-reviewed research.”
If that is true, then no qualms. If it’s been tested and found to work then go nuts. That’s not pseudoscience.
“The World Health Organisation estimates that more than 80 per cent of the world’s population relies on natural therapies to treat, prevent and cure diseases…”
And oddly enough 80% of the world lives on less than $10 a day. I’m sure there’s no connection between bad medicine and poverty.
“in Australia we have closed-minded colleagues determined to damage and bring into disrepute the entire natural health profession.”
I’m sorry, but would someone please slap this cunt? I am so sick of “close-minded” being another phrase for “doesn’t agree with me”. It is not close minded to ask someone to bring you proof before you start administering drugs, no matter if they’re natural or not
“Do the Americans have it completely wrong? Not only do they have dedicated courses in universities but almost 85 per cent of US medical schools offer elective courses in alternative and complementary medicine or include it in required courses.”
Umm, again I’m not expert, but isn’t the US medical system kinda fucked? Also, we’re talking about the country that has people trying to teach Creationism in high schools. Yeah, they’ve got it pretty fucking wrong.
“There is no better than modern medicine when it comes to surgery, emergency and trauma, but for almost everything else, traditional, natural or alternative medicine is far more effective…”
Okay, this here I think is part of the problem. Natural medicine and alternative medicine aren’t necessarily the same thing. Alternative medicine is medicine that has not yet been proven to work. Natural medicine is stuff like herbal remedies. Of course some of the latter work. Fuck me, some of the former might work too. But you don’t go around administering or teaching things that you don’t know work. It’s just irresponsible.
This last link is mostly a reference for a future post, but it should help emphasise exactly why we shouldn’t go around administering medicines we don’t know work.