Time to talk
Orac’s post on the National Center for Complimentary and Alternative Medicine (NCCAM, part of the National Institutes of Health) reminded me of this card [PDF] made by them that I’ve been carrying around in my coat pocket for a while now. It says “Ask” and “Tell” in friendly orange speech bubbles, and it encourages me to speak to my health care provider about CAM treatments. I found it in my doctor’s office, and I wasn’t sure what to make of it.
On the one hand, this card tells me that NCCAM is “[my] source for reliable information about complimentary and alternative medicine.” Reliable is good. I checked out the website for the Time to Talk campaign, which these cards are a part of, and the point of it seems to be that patients should tell their doctors (and doctors should ask their patients) about any CAM treatments they may be pursuing on their own, so that doctors can advise patients about potential health concerns. The patient tip sheet says: “If you are considering a new CAM therapy, ask your health care providers about its safety, effectiveness, and possible interactions with medications (both prescription and nonprescription).”
On the other hand, CAM is still CAM. The best way I’ve ever heard to describe the crux of the issue: “You know what they call ‘alternative medicine’ that’s been proved to work? Medicine.” If NIH’s NCCAM is doing anything other than telling people to get as far away from CAM as possible, they’re doing a deplorable job of promoting public health. From the postcard and the Time to Talk site, it seems like they could be encouraging patients to find out about how pretend acupuncture has the same effects as real acupuncture, or about how homeopathy makes no sense whatsoever. However, as Orac’s breakdown of NCCAM grants makes clear, these are not their priorities. The vast majority of their grant funding is going either to things that shouldn’t be categorized as “alternative” (such as studies of the effects of particular diets on health) or — and this is the real issue — studies of therapies based on truly ridiculous ideas that shouldn’t be getting any credibility from a national research institute. For example: NCCAM funded a study to examine homeopathic succussion (vigorous shaking, claimed to make homeopathic treatments more effective; never mind that shaking doesn’t change the fact they are pure water) and to compare succussion to regular stirring, in order to “improve standardization of homeopathic remedy manufacturing and prescribing.” It’s terrifying to think that real money was spent on this so-called study, and others like it. Orac made the very apt comparison: “it’s like studying whether eye of newt or pixie dust is more efficacious in curing cancer.”
If NCCAM was there to provide an authoritative bank of data showing which supposedly alternative therapies were actually real medicine and which were “alternative” because they were pure garbage, that would be fine with me. I would be very excited about that, to be honest. Unfortunately, no matter how scientific the stated intentions of the center’s directors, they seem dead-set on promoting CAM rather than critically examining it.