Tuesday, March 19, 2013

CACOPHONY OF COCKAMAMIE QUACKERY

CACOPHONY OF COCKAMAMIE QUACKERY
(Irrational Thinking, Wishful Thinking, Group Thinking, PC Thinking)

"There seems to be as many quacks and spin doctors are there are real
doctors."  John de Graaf, David Wann, Affluenza, (SF:  Berrett-Koehler
Publishers, 2001) 161.

"Every year, millions of dollars are spent on alternative
medicines that, in many cases, just don't work.  Not only
do these medicines not work, people relying on them may
expose themselves to serious risk as a result." Stephen Law,
Believing Bullshit, (Amherst, NY: Prometheus Books, 2011) 12.

Quackery can be broadly defined as "anything involving over promotion in the field of health." This
definition would include questionable ideas as well as questionable products and services, regardless
of the sincerity of their promoters. Quackery entails the use of methods that are not scientifically accepted.

Children tend to believe in Santa Claus, the Tooth Fairy, and Superman.
As they mature, most of their standards of evaluation
become more rational, critical, and science-mathematical. When
it comes to evaluating the claims and promises of quackery, however, some MissLed women
seem to be frozen at the  little-girl level of scrutiny.  Many of today’s “complementary” or “alternative” systems of healing (homeopathy, acupuncture, aromatherapy, etc.) in fact, involve magical beliefs and wishful thinking. Often, these make claims that their systems or products are effective because they are "natural," or based on ancient wisdom.  (In fact, being "natural" is no indication of effectiveness or safety - consider mercury). Despite all the  wondrous
technology, with copious information at every one's fingertips, a seemingly endless stream of dubious products, fad diets, and unproven therapies still remain popular.  Many of these, not surprisingly,
are targeted at, and enthusiastically supported by, MissLed women. Even when well-educated and  tech-savvy, many MissLed women still lag far behind when it comes to critically examining claims.  This largely explains why they are vulnerable to the very talented manipulators in quack medicine.  These quacks LIE - skillfully. They bamboozle by promising cures when they know that they don't have any. They claim that they have the answer to questions where none exist. They offer certainty where there isn't any. False hope is their best selling product. This appeals to MissLed women's emotions, and will make them feel good by deluding them for awhile (and manipulating their propensity for wishful thinking).

Of course, not all who sell quackery do so with malicious intentions.  Many are merely misguided idealists.  Others are well-meaning but ill-informed or deluded. Some, however, are crooks who will claim nearly anything to convince MissLed women to giving them their money. Unfortunately, there are too many of them vulnerable or gullible enough to believe their lies - and misguidedly repeat them to co-workers, family members, and friends. Some MissLed women even become marketers and sellers of quackery.  While often be well-intended, their failure to investigate and scrutinize the health claims of the products demonstrates that they are foolish to be so trusting.

Whether it is the latest fad, "miracle," (fill in the blank) diet, organic/natural
cure or remedy,  exercise gadget or other shortcut to fitness, all-too-often, MissLed women 
are the primary consumer.  Marketers target them for rational reasons. With their cognitive biases,
and insufficient critical thinking skills, they are more prone to be duped by the
drivel of quackery that now bombards them 24/7.  This slick, nonstop nonsense reaches them
nearly anytime and almost anywhere  - from the iphone to the Internet to the infomercial.
These charlatans cleverly use junk science and pseudoscientific concepts to bolster their
claims.  They dress up their marketing of these products with scientific jargon, often
spouted by healthy looking, even famous, spokespersons. Indeed, many of those who pitch these claims are promoting the modern-day equivalent of witch doctors and faith healers.

Dangerously - and often damagingly - practitioners of pseudo-medicine
band together to create pseudo-medical, pseudo-professional
organizations.  These are complete with pseudo-legitimate names, pseudo-
legitimate conferences, and pseudo-legitimate appearing websites.  They are equipped with
pseudo-"board certifications,” protocols for pseudo-therapies,
patient brochures hyping pseudo-therapies, pseudo-consent forms
for pseudo-therapies, and pseudo-Institutional Review Boards to
approve pseudo-research. They combine this with very real contributions
from pseudo-scientific corporations to help pay for very real
advertising, very real lobbying, and very real legal representation.
As a result, they sell very real products and treatments that, more often
than not, are very ineffective (although often quite expensive).

Some MissLed women misguidedly promote the supposed benefits of alternative
medicines because they are hoodwinked by their use of the appeal to antiquity.  This is a logical fallacy wherein the ancient ways often cited by proponents of alternative medicines are proclaimed to be the correct or best ways.  They bank on MissLed women's ignorance of the truth about humanity's health in the past. In fact, until quite recently, life expectancy was roughly one - half to two-thirds what it is today. In addition, life disease-ridden and far less safe, comfortable, and pleasant.  MissLed women who fall for the dubious appeal to antiquity fail to ask a simple question - if the long-used alternative medicines are so effective, why didn't people live healthier, longer in the past?

Facts are, most 'alternative medicines' are not mainstream for good reasons. A lack of proven effectiveness and questionable safety are two of the most common.  Those few that prove to be truly effective become mainstream and no longer "alternative." Those that remain alternative most likely belong there.

Regardless of media distortions, slick marketing and advertising hype, medical science
must be evidence-based.  It can not be influenced by what seems emotionally appealing, or by
what is popular and trendy with MissLed women.  For the sake of safety and progress, it must be
determined by sound evidence, well-controlled and conducted experiments, and scrupulous clinical trials.

Due to their undeveloped critical thinking skills, MissLed women are particularly vulnerable
to slickly hyped and emotionally appealing information.  Quacks
and charlatans are quick to take advantage of their
vulnerability.  They shamelessly throw around technical terms in a context
where they are completely irrelevant. What is the best way for MissLed women
to deal with quackery?:
 
"When anyone offers you a quick, easy, miracle cure and has no scientific data to back it up, run, run, run to the nearest and best professional you can find." Albert Ellis, How To Make Yourself Happy, (Atascardero, Ca:  Impact Publishers, 1999) 46.

WHY DOES COCKAMAMIE QUACKERY MATTER?

Many MissLed women misperceive their use of such quackery as harmless.
They are badly misinformed.  It can be dangerous, even potentially tragic. 
Witness the harm in the rise of alternative or unproven treatments or
medicines in infants and children. Consider the emotional and physical costs
to those who discover - after the fact - that their dollars and hopes were
wasted on quack treatments.  Truth is, most alternative treatments and quick
fix treatments fall somewhere in the range between barely useful and downright
dangerous.  Which MissLed women are most prone to quackery?  Victims of quackery usually have one or more of the following vulnerabilities:
  • Lack of suspicion
Many people believe that if something is printed or broadcast, it must be true or somehow its publication would not be allowed. People also tend to believe what others tell them about personal experience. Many people believe that any health-related claim in print or in a broadcast must be true, and many are attracted by promises of quick, painless, or drugless solutions to their problems.
The mass media provide much false and misleading information in advertisements, news reports, feature articles, and books, and on radio and television programs. News reports are often sensationalized, stimulating false hopes and arousing widespread fears. Many radio and television producers who promote unsubstantiated health claims say they are providing entertainment and have no ethical duty to check the claims.
  • Belief in magic
Some people are easily taken in by the promise of an easy solution to their problem. Those who buy one fad diet book after another fall into this category.
  • Overconfidence
Despite P.T. Barnum's advice that one should "never try to beat a man at his own game," some strong-willed people believe they are better equipped than scientific researchers and other experts to tell whether a method works.
  • Desperation
Many people faced with a serious health problem that doctors cannot solve become desperate enough to try almost anything that arouses hope. Many victims of cancer, arthritis, multiple sclerosis, and AIDS are vulnerable in this way. Some squander their life's savings searching for a "cure."
Many people suffer from chronic aches, pains, or other discomforts for which medicine cannot offer clear-cut diagnoses or effective treatment. The more persistent the condition, the more susceptible the sufferer may be to promises of a "cure." Many people in this category fall into the hands of doctors who make fad diagnoses such as hypoglycemia, "candidiasis hypersensitivity," or "multiple chemical sensitivity."
Fears of social unacceptability or growing old (wrinkles, loss of hair and sensory acuity, decreased sexual potency, and incontinence) can also lead people astray.
  • Alienation
Some people feel deeply antagonistic toward scientific medicine but are attracted to methods represented as "natural" or otherwise unconventional. They may also harbor extreme distrust of the medical profession, the food industry, drug companies, and government agencies."
"Vulnerability to Quackery,"
Stephen Barrett, M.D.
http://www.quackwatch.org/01QuackeryRelatedTopics/quackvul.html








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 the promotion of unsubstantiated methods
that lack a scientifically plausible rationale. Promotion usually involves a profit motive. Unsubstantiated
means either unproven or disproven. Implausible means that it either clashes with well-established facts or
makes so little sense that it is not worth testing.



QUACKS Ploys to Emotionally Manipulate MissLed women include:
  • "We really care about you!"
Although being "cared about" may provide a powerful psychological lift, it will not make a worthless remedy effective. It may also encourage over-reliance on an inappropriate therapy.
  • "We treat the whole patient."
There is nothing wrong with giving due attention to a patient's lifestyle and social and emotional concerns in addition to physical problems. In fact, good physicians have always done this. Today, however, most practitioners who claim to offer "alternative," "complementary," "integrative," or "holistic" health methods are engaged in quackery and embrace such terms as marketing tools. Few actually "treat the whole patient."
  • "No side effects"
"Alternative" methods are often described as safer, gentler, and/or without side effects. If this were true—and often it is not—their "remedy" would be too weak to have any effect. Any medication potent enough to help people will be potent enough to cause side effects. FDA approval requires evidence that the likelihood of benefit far exceeds the probable harm.
  • "We attack the cause of disease."
Quacks claim that whatever they do will not only cure the ailment but will also prevent future trouble. This claim is false. Illness can result from many factors, both internal and external, some of which have been identified and some of which are unknown. Scientific medical care can prevent certain diseases and reduce the odds of getting various others.
  • "We treat medicine's failures."
It is often suggested that people seek "alternatives" because doctors are brusque, and that if doctors were more attentive, their patients would not turn to quacks. It is true that this sometimes happens, but most quackery does not involve medical care. Blaming doctors for quackery's persistence is like blaming astronomers for the popularity of astrology. Some people's needs exceed what ethical, scientific health care can provide. Some harbor deep-seated antagonism toward medical care and the concept of a scientific method. But the main reason for quackery's success is its ability to seduce people who are unsuspecting, gullible, or desperate. Several years ago, a survey done in New Zealand found that most cancer patients who used "alternative" therapies were satisfied with their medical care and regarded "alternative" care only as a supplement A more recent study found that only 4.4% of those surveyed reported relying primarily on alternative therapies. The author concluded:

Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life
  • "Think positive!"
Many quack promoters suggest that use of their method(s) will provide mental benefit that transcends the physical properties of their remedy. This is typically described with terms like "mind/body interaction," "mind over matter," or the power of positive thinking. A positive attitude may make people more apt to comply with an effective treatment regimen. Contrary to "popular wisdom," however, there is little scientific evidence that optimism or faith in a treatment causes people to live longer or to recover faster from an illness. Even if there were, it would not outweigh the dangers of misplaced trust.
  • "Jump on the bandwagon."
Quacks and vitamin pushers use several strategies to claim that their methods are popular (which may or may not be true), that popularity is a sign of effectiveness (which often is untrue), and that therefore you should try them. The popularity claim may involve endorsements or testimonials (which are inherently misleading) or statistics (which typically are inflated). The statistics can include the number of consumers supposedly using a method, how long the method has been in use, the number of practitioners administering it, and/or the length of time a practitioner or facility has been in business.
  • "Time-tested" or "Used for centuries!"
This ploy suggests that the length of time a remedy has been used is a measure of its effectiveness. Its promoters imply that if the remedy didn't work, it wouldn't remain available. Some promoters claim (sometimes truthfully, sometimes not) that their methods have been handed down from generation to generation, are steeped in folk wisdom, were derived from ancient writings, or the like. The falsity of this ploy is easily seen by noting that astrology has survived for thousands of years with no reliable evidence of any validity. Note, too, that many genuine methods survive briefly because they are replaced by more effective ones.
  • "Backed by scientific studies"
Since most people regard scientific evidence as a plus, unscientific promoters claim to have it when in fact they do not. Their writings may list dozens or even hundreds of publications that supposedly support what they say. But the references they cite may be untraceable, misinterpreted, outdated, irrelevant, nonexistent, and/or based on poorly designed research. The classic example is Adelle Davis's book Let's Get Well, which lists 2,402 references. Many did not support her viewpoints and some were not even related to the passage in which they were cited. What should count is not the number of references but their quality and relevance—which the average reader will find difficult or impossible to judge. When talking with experts, quacks may acknowledge that "some aspects of what we do are not well understood," thus implying that other aspects are solidly based and the rest will eventually be substantiated.
  • "Studies are underway."
If no studies exist, quacks often claim that research is underway. If that is true, they imply that if their method were not effective, reputable researchers would not spend time and money to study it. If a genuine study fails, the quacks invariably claim that it was not properly designed. Moreover, in many cases, the research claim is a complete fabrication.
  • "Take charge of your health!"
This is probably the most powerful slogan in the quack's bag of tricks. People generally like to feel that they are in control of their life. Quacks take advantage of this fact by giving their clients things to do-such as taking vitamin pills, preparing special foods, meditating, and the like. The activity may provide a psychological lift, but believing in false things tends to carry a high price tag. The price may be financial, psychological (when disillusionment sets in), physical (when the method is harmful or the person abandons effective care), or social (diversion from more constructive activities) [3].
  • "Think for yourself."
Quacks urge people to disregard scientific evidence (which they cannot produce) in favor of personal experience (theirs or yours). But personal experience is not the best way to determine whether a method works. When someone feels better after having used a product or procedure, it is natural to give credit to whatever was done. Most ailments are self-limiting, and even incurable conditions can have sufficient day-to-day variation to enable quack methods to gain large followings. In addition, taking action often produces temporary relief of symptoms (a placebo effect). For these reasons, scientific experimentation is almost always necessary to establish whether health methods are really effective. Individual experience rarely provides a basis for separating cause-and-effect from coincidence. Nor can the odds of a treatment working be determined without following participants in a well-designed study and tabulating failures as well as successes—something quacks don't do.
  • "What have you got to lose?"
Quacks and vitamin pushers would like you to believe that their methods are harmless and therefore there is nothing to lose by trying them. With vitamins taken as "nutrition insurance," for example, many people feel as though they are making a bet with very little to lose and a great deal to gain. If a method doesn't work, do the odds of it causing physical harm really matter? Moreover, some quack methods are directly harmful; others harm by diverting people from proven methods. All waste people's time and/or money.
  • "If only you had come earlier."
This phrase is handy when the treatment fails. It encourages patients and their survivors not to face the fact that consulting the quack was a mistake.
  • "Science doesn't have all the answers."
Quacks use this ploy to suggest looking beyond what scientific medicine has to offer; they also imply that since medical care has limitations, they are entitled to have them too. Medical science doesn't claim to have all the answers, but its effectiveness keeps increasing because the scientific method offers ways to find more answers. The idea that people should turn to quack remedies when frustrated by science's inability to control a disease is irrational. Quackery lacks genuine answers and has no method for finding them.
  • "Don't be afraid to experiment."
This advice is typically based on the cliché that "what works for one person may not work for someone else with the same problem." Although this statement is literally true, scientific methods enable us to determine which methods are most likely to work and which ones are not worth trying. If a barrel is full of apples that are obviously rotten, does it make sense to sample all of them to see whether one tastes good?
  • "Let's work together."
This ploy is used to portray quacks as "nice guys" while suggesting that their critics are not. "Since science doesn't have the answers," they may say, "let's put our differences aside and work together for the common good." That would be fine if they had something to offer besides empty promises. Proponents of "complementary medicine" (also called "integrative medicine") claim to integrate scientific and "alternative" medicine, using the best of both. Is it helpful to add ineffective methods to effective ones? Does it make sense to go to someone who uses the "best" ineffective methods? Is someone whose reasoning process is faulty enough to believe in such things as homeopathy likely to deliver high-quality medical care? Do "complementary" practitioners use reliable methods as often as they should? From what we have seen, the answer to each of these questions is no.
  • "Keep an open mind."
Quacks portray themselves as innovators and suggest that their critics are rigid, elitist, biased, and closed to new ideas. Actually, they have things backwards. The real issue is whether a method works. Science provides ways to judge and discard unfounded ideas. Medical science progresses as new methods replace less effective ones. Quack methods persist as long as they remain marketable. Even after they are gone, they still may be glorified. Open-mindedness is the willingness to follow where the evidence leads and should include willingness to defer to impartial investigations rather than one's own predilections [4]. It is not close-minded to reject ideas that are unsubstantiated and lack a scientifically plausible rationale. Nor is it close-minded to rely upon the vast body of accumulated scientific knowledge as a guide to giving advice or making practical decisions.
  • "Why don't you clean your own house!"
This type of statement comes up most often in debates between scientific and "alternative" practitioners, usually when the latter is not a medical doctor. Its aim is to portray the critic as a meddler or as someone with a grudge. The simple answer is that the shortcomings of medical care do not justify any form of quackery. Unnecessary surgery, for example, is an abuse of something that works and is entirely different from quackery, which is the use of things that do not work. Another big difference is that quackery is organized. There is no national organization of "Surgeons Dedicated to Unnecessary Surgery," but there are national organizations dedicated to quackery. Moreover, unlike members of the scientific community, quacks rarely criticize their own methodology or that of their colleagues.
  • "Prove me wrong!"
Quacks try to stand science on its head by demanding that their critics prove them wrong. Or they may say, "How do you know it doesn't work if you haven't tried it?" But there are not enough resources to test every idea that is proposed; for this reason, scientists tend to pursue those that seem most promising. Under the rules of science, the burden of proof is on the person who makes the claim. Unproven methods that lack a plausible rationale should be considered worthless until proven otherwise. Personal experience is not a substitute for scientific testing.
  • "We have no money for research."
When challenged about the lack of scientific evidence supporting what they espouse, promoters of quackery often claim that they lack the money to carry out research. However, preliminary research does not require funding or even much effort. The principal ingredients are careful clinical observations, detailed record-keeping, and long-term follow-up "to keep score." Advocates of "alternative" methods almost never do any of these things. Most who clamor for research do so as a ploy to arouse public sympathy. The last thing they want is a scientific test that could prove them wrong. If a scientific study is performed and comes out negative, proponents invariably claim that it was conducted improperly or that the evaluators were biased. Proponents of so-called "natural" products (dietary supplements and herbs) often complain that funding is difficult or impossible to obtain because the products can't be patented and therefore drug companies have little incentive to study them. That may be true for some products, but it is certainly not true for all. Think, for a moment, about plain, ordinary aspirin. Although not patentable, it has been subjected to thousands of published studies.
  • "I'm too busy getting sick people well."
Quacks use this response when asked why they have not tabulated their supposedly good results and submitted them for publication in a scientific journal. The key question, of course, is how can you know whether a method works without keeping careful score. The correct answer is that you can't. Even simple scorekeeping may provide significant information. In 1983, a naturopath named Steve Austin visited the Gerson Clinic and asked about thirty cancer patients to permit him to follow their progress. He was able to track 21 of them through annual letters or phone calls. At the five-year mark, only one was still alive (but not cancer-free); the rest had succumbed to their cancer.
  • "They persecuted Galileo!"
The history of science is laced with instances where great pioneers and their discoveries were met with resistance. William Harvey (nature of blood circulation), Joseph Lister (antiseptic technique) and Louis Pasteur (germ theory) are notable examples. Today's quacks boldly claim that they, too, are scientists ahead of their time. Close examination, however, will show how unlikely this is. The ideas of Galileo, Harvey, Lister, and Pasteur's overcame their opposition because they were demonstrated to be sound.
  • "Health freedom"
Quacks use the slogan "health freedom" to divert attention away from themselves and toward victims of disease with whom we are naturally sympathetic. Quacks who insist that "people should have the freedom to choose whatever treatments they want" would like us to overlook two things. First, no one wants to be cheated, especially in matters of life and health. Victims of disease do not demand quack treatments because they want to exercise their "rights," but because they have been persuaded that they offer hope. Second, the laws that outlaw worthless nostrums are not directed against the victims of disease but at the promoters who attempt to exploit them. These laws simply require that products offered in the health marketplace be both safe and effective. If only safety were required, any substance that would not kill you on the spot could be hawked to the gullible.
  • "We offer alternatives."
Quackery promoters are adept at using slogans and buzzwords. During the 1970s, they popularized the word "natural" as a magic sales word. During the 1980s, the word "holistic" gained similar use. Today's leading buzzword is "alternative." Correctly used, "alternative" refers to methods that have equal value for a particular purpose. (An example would be two antibiotics capable of killing a particular organism.) When applied to questionable methods, however, the term is misleading because methods that are unsafe or ineffective are not reasonable alternatives to proven treatment. For this reason, we place the word "alternative" in quotation marks when it refers to methods not generally accepted by the scientific community and which have no plausible rationale [5].
"More Ploys That Can Fool You,"
Stephen Barrett, M.D.
 Victor Herbert, M.D., J.D.
http://www.quackwatch.com/01QuackeryRelatedTopics/ploys.html

Twenty-Six Ways to Spot
 Quacks and Vitamin Pushers
Stephen Barrett, M.D.
 Victor Herbert, M.D., J.D.
How can quacks and vitamin pushers be recognized? Here are 26 signs that should arouse suspicion.
1. When Talking about Nutrients, They Tell Only Part of the Story.
Quacks tell you all the wonderful things that vitamins and minerals do in your body and/or all the horrible things that can happen if you don't get enough. Many claim that their products or programs offer "optimal nutritional support." But they conveniently neglect to tell you that a balanced diet provides the nutrients most people need and that government guidelines makes balancing your diet simple.
2. They Claim That Most Americans Are Poorly Nourished.
This is an appeal to fear that is not only untrue, but ignores the fact that the main forms of bad nourishment in the United States are obesity in the population at large (particularly the poor) and undernourishment among the poverty-stricken. Poor people can ill afford to waste money on unnecessary vitamin pills. Their food money should be spent on nourishing food.
It is falsely alleged that Americans are so addicted to "junk" foods that an adequate diet is exceptional rather than usual. While it is true that some snack foods are mainly "naked calories" (sugars and/or fats without other nutrients), it is not necessary for every morsel of food we eat to be loaded with nutrients. In fact, no normal person following the Dietary Guidelines for Americans is in any danger of vitamin deficiency.
3. They Recommend "Nutrition Insurance" for Everyone.
Most vitamin pushers suggest that everyone is in danger of deficiency and should therefore take supplements as "insurance." Some suggest that it is difficult to get what you need from food, while others claim that it is impossible. Their pitch resembles that of the door-to-door huckster who states that your perfectly good furnace is in danger of blowing up unless you replace it with his product. Vitamin pushers will never tell you who doesn't need their products. Their "be wary of deficiency" claims may not be limited to essential nutrients. It can also include nonessential chemicals that nobody needs to worry about because the body makes its own supply.
4. They Say That Most Diseases Are Due to Faulty Diet  and Can Be Treated with "Nutritional" Methods.
This simply isn't so. Consult your doctor or any recognized textbook of medicine. They will tell you that although diet is a factor in some diseases (most notably coronary heart disease), most diseases have little or nothing to do with diet. Common symptoms like malaise (feeling poorly), fatigue, lack of pep, aches (including headaches) or pains, insomnia, and similar complaints are usually the body's reaction to emotional stress. The persistence of such symptoms is a signal to see a doctor to be evaluated for possible physical illness. It is not a reason to take vitamin pills.
5. They Allege That Modern Processing Methods and
 Storage Remove all Nutritive Value from Our Food.
It is true that food processing can change the nutrient content of foods. But the changes are not so drastic as the quack, who wants you to buy supplements, would like you to believe. While some processing methods destroy some nutrients, others add them. A balanced variety of foods will provide all the nourishment you need.
Quacks distort and oversimplify. When they say that milling removes B-vitamins, they don't bother to tell you that enrichment puts them back. When they tell you that cooking destroys vitamins, they omit the fact that only a few vitamins are sensitive to heat. Nor do they tell you that these vitamins are easily obtained by consuming a portion of fresh uncooked fruit, vegetable, or fresh or frozen fruit juice each day. Any claims that minerals are destroyed by processing or cooking are pure lies. Heat does not destroy minerals.
6. They Claim That Diet Is a Major Factor in Behavior.
Food quacks relate diet not only to disease but to behavior. Some claim that adverse reactions to additives and/or common foods cause hyperactivity in children and even criminal behavior in adolescents and adults. These claims are based on a combination of delusions, anecdotal evidence, and poorly designed research.
7. They Claim That Fluoridation Is Dangerous.
Curiously, quacks are not always interested in real deficiencies. Fluoride is necessary to build decay-resistant teeth and strong bones. The best way to obtain adequate amounts of this important nutrient is to augment community water supplies so their fluoride concentration is about one part fluoride for every million parts of water. But quacks usually oppose water fluoridation, and some advocate water filters that remove fluoride. It seems that when they cannot profit from something, they may try to make money by opposing it.
8. They Claim That Soil Depletion and the Use of Pesticides and
 "Chemical" Fertilizers Result in Food That Is Less Safe and Less Nourishing.
These claims are used to promote the sale of so-called "organically grown" foods. If an essential nutrient is missing from the soil, a plant simply doesn't grow. Chemical fertilizers counteract the effects of soil depletion. Quacks also lie when they claim that plants grown with natural fertilizers (such as manure) are nutritionally superior to those grown with synthetic fertilizers. Before they can use them, plants convert natural fertilizers into the same chemicals that synthetic fertilizers supply. The vitamin content of a food is determined by its genetic makeup. Fertilizers can influence the levels of certain minerals in plants, but this is not a significant factor in the American diet. The pesticide residue of our food supply is extremely small and poses no health threat to the consumer. Foods "certified" as "organic" are not safer or more nutritious than other foods. In fact, except for their high price, they are not significantly different.
9. They Claim You Are in Danger of Being "Poisoned"
 by Ordinary Food Additives and Preservatives.
This is another scare tactic designed to undermine your confidence in food scientists and government protection agencies as well as our food supply itself. Quacks want you to think they are out to protect you. They hope that if you trust them, you will buy their "natural" food products. The fact is that the tiny amounts of additives used in food pose no threat to human health. Some actually protect our health by preventing spoilage, rancidity, and mold growth.
10. They Charge That the Recommended Dietary Allowances (RDAs)
 Have Been Set Too Low.
The RDAs have been published by the National Research Council approximately every five years since 1943. They are defined as "the levels of intake of essential nutrients that, on the basis of scientific knowledge, are judged by the Food and Nutrition Board to be adequate to meet the known nutrient needs of practically all healthy persons." Neither the RDAs nor the Daily Values listed on food labels are "minimums" or "requirements." They are deliberately set higher than most people need. The reason quacks charge that the RDAs are too low is obvious: if you believe you need more than can be obtained from food, you are more likely to buy supplements.
11. They Claim That under Everyday Stress, and in Certain Diseases,
 Your Need for Nutrients Is Increased.
Many vitamin manufacturers have advertised that "stress robs the body of vitamins." One company has asserted that, "if you smoke, diet, or happen to be sick, you may be robbing your body of vitamins." Another has warned that "stress can deplete your body of water-soluble vitamins . . . and daily replacement is necessary." Other products are touted to fill the "special needs of athletes."
While it is true that the need for vitamins may rise slightly under physical stress and in certain diseases, this type of advertising is fraudulent. The average American—stressed or not—is not in danger of vitamin deficiency. The increased needs to which the ads refer are not higher than the amounts obtainable by proper eating. Someone who is really in danger of deficiency due to an illness would be very sick and would need medical care, probably in a hospital. But these promotions are aimed at average Americans who certainly don't need vitamin supplements to survive the common cold, a round of golf, or a jog around the neighborhood! Athletes get more than enough vitamins when they eat the food needed to meet their caloric requirements.
Many vitamin pushers suggest that smokers need vitamin C supplements. Although it is true that smokers in North America have somewhat lower blood levels of this vitamin, these levels are still far above deficiency levels. In America, cigarette smoking is the leading cause of death preventable by self-discipline. Rather than seeking false comfort by taking vitamin C, smokers who are concerned about their health should stop smoking. Suggestions that "stress vitamins" are helpful against emotional stress are also fraudulent.
12. They Recommend "Supplements" and "Health Foods" for Everyone.
Food quacks belittle normal foods and ridicule the food-group systems of good nutrition. They may not tell you they earn their living from such pronouncements—via public appearance fees, product endorsements, sale of publications, or financial interests in vitamin companies, health-food stores, or organic farms.
The very term "health food" is a deceptive slogan. Judgments about individual foods should take into account how they contribute to an individual's overall diet. All food is health food in moderation; any food is junk food in excess. Did you ever stop to think that your corner grocery, fruit market, meat market, and supermarket are also health-food stores? They are—and they generally charge less than stores that use the slogan.
By the way, have you ever wondered why people who eat lots of "health foods" still feel they must load themselves up with vitamin supplements? Or why so many "health food" shoppers complain about ill health?
13. They Claim That "Natural" Vitamins are Better than "Synthetic" Ones.
This claim is a flat lie. Each vitamin is a chain of atoms strung together as a molecule. With minor exception, molecules made in the "factories" of nature are identical to those made in the factories of chemical companies. Does it make sense to pay extra for vitamins extracted from foods when you can get all you need from the foods themselves?
14. They Suggest That a Questionnaire Can Be Used
 to Indicate Whether You Need Dietary Supplements.
No questionnaire can do this. A few entrepreneurs have devised lengthy computer-scored questionnaires with questions about symptoms that could be present if a vitamin deficiency exists. But such symptoms occur much more frequently in conditions unrelated to nutrition. Even when a deficiency actually exists, the tests don't provide enough information to discover the cause so that suitable treatment can be recommended. That requires a physical examination and appropriate laboratory tests. Many responsible nutritionists use a computer to help evaluate their clients' diet. But this is done to make dietary recommendations, such as reducing fat content or increasing fiber content. Supplements are seldom necessary unless the person is unable (or unwilling) to consume an adequate diet.
Be wary, too, of questionnaires purported to determine whether supplements are needed to correct "nutrient deficiencies" or "dietary inadequacies" or to design "customized" supplements. These questionnaires are scored so that everyone who takes the test is advised to take supplements. Responsible dietary analyses compare the individual's average daily food consumption with the recommended numbers of servings from each food group. The safest and best way to get nutrients is generally from food, not pills. So even if a diet is deficient, the most prudent action is usually diet modification rather than supplementation with pills.
15. They Say It Is Easy to Lose Weight.
Diet quacks would like you to believe that special pills or food combinations can cause "effortless" weight loss. But the only way to lose weight is to burn off more calories than you eat. This requires self-discipline: eating less, exercising more, or preferably doing both. There are about 3,500 calories in a pound of body weight. To lose one pound a week (a safe amount that is not just water), you must eat about 500 fewer calories per day than you burn up. The most sensible diet for losing weight is one that is nutritionally balanced in carbohydrates, fats, and proteins. Most fad diets "work" by producing temporary weight loss—as a result of calorie restriction. But they are invariably too monotonous and are often too dangerous for long-term use. Unless a dieter develops and maintains better eating and exercise habits, weight lost on a diet will soon return.
The term "cellulite" is sometimes used to describe the dimpled fat found on the hips and thighs of many women. Although no medical evidence supports the claim, cellulite is represented as a special type of fat that is resistant to diet and exercise. Sure-fire cellulite remedies include creams (to "dissolve" it), brushes, rollers, "loofah" sponges, body wraps, and vitamin-mineral supplements with or without herbs. The cost of various treatment plans runs from a few dollars for a bottle of vitamins to many hundreds of dollars at a salon that offers heat treatments, massage, enzyme injections, and/or treatment with various gadgets. The simple truth about "cellulite" is that it is ordinary fat that can be lost only as part of an overall reducing program.
16. They Promise Quick, Dramatic, Miraculous Results.
Often the promises are subtle or couched in "weasel words" that create an illusion of a promise, so promoters can deny making them when the "feds" close in. False promises of cure are the quacks' most immoral practice. They don't seem to care how many people they break financially or in spirit—by elation over their expected good fortune followed by deep depression when the "treatment" fails. Nor do quacks keep count—while they fill their bank accounts—of how many people they lure away from effective medical care into disability or death.
Quacks will tell you that "megavitamins" (huge doses of vitamins) can prevent or cure many different ailments, particularly emotional ones. But they won't tell you that the "evidence" supporting such claims is unreliable because it is based on inadequate investigations, anecdotes, or testimonials. Nor do quacks inform you that megadoses may be harmful. Megavitamin therapy (also called orthomolecular therapy) is nutritional roulette; and only the house makes the profit.
17. They Routinely Sell Vitamins and Other
 "Dietary Supplements" as Part of Their Practice.
Although vitamins are useful as therapeutic agents for certain health problems, the number of such conditions is small. Practitioners who sell supplements in their offices invariably recommend them inappropriately. In addition, such products tend to be substantially more expensive than similar ones in drugstores—or even health-food stores. You should also disregard any publication or Web site whose editor or publisher sells dietary supplements.
18. They Use Disclaimers Couched in Pseudomedical Jargon.
Instead of promising to cure your disease, some quacks will promise to "detoxify," "purify," or "revitalize" your body; "balance" its chemistry or "electromagnetic energy"; bring it in harmony with nature; "stimulate" or "strengthen" your immune system; "support" or "rejuvenate" various organs in your body; "unlock your body's healing ability"; or stimulate your body's power to heal itself. Of course, they never identify or make valid before-and-after measurements of any of these processes. These disclaimers serve two purposes. First, since it is impossible to measure the processes quacks allege, it may be difficult to prove them wrong. Moreover, if a quack is not a physician, the use of nonmedical terminology may help to avoid prosecution for practicing medicine without a license—although it shouldn't.
Some approaches to "detoxification" are based on notions that, as a result of intestinal stasis, intestinal contents putrefy, and toxins are formed and absorbed, which causes chronic poisoning of the body. This "autointoxication" theory was popular around the turn of the century but was abandoned by the scientific community during the 1930s. No such "toxins" have ever been found, and careful observations have shown that individuals in good health can vary greatly in bowel habits. Quacks may also suggest that fecal material collects on the lining of the intestine and causes trouble unless removed by laxatives, colonic irrigation, special diets, and/or various herbs or food supplements that "cleanse" the body. The falsity of this notion is obvious to doctors who perform intestinal surgery or peer within the large intestine with a diagnostic instrument. Fecal material does not adhere to the intestinal lining. Colonic irrigation is done by inserting a tube into the rectum and pumping up to 20 gallons of water in and out. This type of enema is not only therapeutically worthless but can cause fatal electrolyte imbalance. Cases of death due to intestinal perforation and infection (from contaminated equipment) have also been reported.
19. They Use Anecdotes and Testimonials to Support Their Claims.
We all tend to believe what others tell us about personal experiences. But separating cause and effect from coincidence can be difficult. If people tell you that product X has cured their cancer, arthritis, or whatever, be skeptical. They may not actually have had the condition. If they did, their recovery most likely would have occurred without the help of product X. Most single episodes of disease end with just the passage of time, and most chronic ailments have symptom-free periods. Establishing medical truths requires careful and repeated investigation—with well-designed experiments, not reports of coincidences misperceived as cause-and-effect. That's why testimonial evidence is forbidden in scientific articles, is usually inadmissible in court, and is not used to evaluate whether or not drugs should be legally marketable. (Imagine what would happen if the FDA decided that clinical trials were too expensive and therefore drug approval would be based on testimonial letters or interviews with a few patients.)
Never underestimate the extent to which people can be fooled by a worthless remedy. During the early 1940s, many thousands of people became convinced that "glyoxylide" could cure cancer. Yet analysis showed that it was simply distilled water! [1] Many years before that, when arsenic was used as a "tonic," countless numbers of people swore by it even as it slowly poisoned them.
Symptoms that are psychosomatic (bodily reactions to tension) are often relieved by anything taken with a suggestion that it will work. Tiredness and other minor aches and pains may respond to any enthusiastically recommended nostrum. For these problems, even physicians may prescribe a placebo. A placebo is a substance that has no pharmacological effect on the condition for which it is used, but is given to satisfy a patient who supposes it to be a medicine. Vitamins (such as B12 shots) are commonly used in this way.
Placebos act by suggestion. Unfortunately, some doctors swallow the advertising hype or become confused by their own observations and "believe in vitamins" beyond those supplied by a good diet. Those who share such false beliefs do so because they confuse coincidence or placebo action with cause and effect. Homeopathic believers make the same error.
20. They Claim That Sugar Is a Deadly Poison.
Many vitamin pushers would have us believe that refined (white) sugar is "the killer on the breakfast table" and is the underlying cause of everything from heart disease to hypoglycemia. The fact is, however, that when sugar is used in moderation as part of a normal, balanced diet, it is a perfectly safe source of calories and eating pleasure. Sugar is a factor in the tooth decay process, but what counts is not merely the amount of sugar in the diet but how long any digestible carbohydrate remains in contact with the teeth. This, in turn, depends on such factors as the stickiness of the food, the type of bacteria on the teeth, and the extent of oral hygiene practiced by the individual.
21. They Display Credentials Not Recognized
 by Responsible Scientists or Educators.
The backbone of educational integrity in America is a system of accreditation by agencies recognized by the U.S. Secretary of Education or the Council on Higher Education Accreditation (CHEA), which is a nongovernmental coordinating agency. "Degrees" from nonaccredited schools are rarely worth the paper they are printed on. In the health field, no nonaccredited school can qualify people to give trustworthy advice.
Unfortunately, possession of an accredited degree does not guarantee reliability. Some schools that teach unscientific methods (chiropractic, naturopathy, acupuncture, and even quack nutritional methods) have achieved accreditation. Worse yet, a small percentage of individuals trained in reputable institutions (such as medical or dental schools or accredited universities) have strayed from scientific thought.
Since quacks operate outside of the scientific community, they also tend to form their own "professional" organizations. In some cases, the only membership requirement is payment of a fee. We and others we know have secured fancy "professional member" certificates for household pets by merely submitting the pet's name, address, and a check for $50 [2]. Don't assume that all groups with scientific-sounding names are respectable. Find out whether their views are scientifically based.
Some quacks are promoted with superlatives like "the world's foremost nutritionist" or "America's leading nutrition expert." There is no law against this tactic, just as there is none against calling oneself the "World's Foremost Lover." However, the scientific community recognizes no such titles. The designation "Nobel Prize Nominee" is also bogus and can be assumed to mean that someone has either nominated himself or had a close associate do so.
Some entrepreneurs claim to have degrees and/or affiliations to schools, hospitals, and/or professional that actually don't exist. The modern champion of this approach appears to be the late Gregory E. Caplinger, who claimed to have acquired a medical degree, specialty training, board certification, and scores of professional affiliations—all from bogus or nonexistent sources.
Even legitimate credentials can be used to mislead. The American Medical Association's "Physician's Recognition Award" requires participation in 150 hours of continuing education over a three-year period and payment of a small fee. Most practicing physicians meet this educational standard because it is necessary to study to keep up-to-date. Accredited hospitals require this amount of continuing education to maintain staff privileges, and some states require it for license renewal. However, most physicians who do this don't bother to get the AMA certificate. Since the award reflects no special accomplishment or expertise, using it for promotional purposes is not appropriate behavior.
22. They Offer to Determine Your Body's Nutritional State
 with a Laboratory Test or a Questionnaire.
Various health-food industry members and unscientific practitioners utilize tests that they claim can determine your body's nutritional state and—of course—what products you should buy from them. One favorite method is hair analysis. For $35 to $75 plus a lock of your hair, you can get an elaborate computer printout of vitamins and minerals you supposedly need. Hair analysis has limited value (mainly in forensic medicine) in the diagnosis of heavy metal poisoning, but it is worthless as a screening device to detect nutritional problems [3]. If a hair analysis laboratory recommends supplements, you can be sure that its computers are programmed to recommend them to everyone. Other tests used to hawk supplements include amino acid analysis of urine, muscle-testing (applied kinesiology), iridology, live-cell analysis (also called dark-field video analysis, nutritional blood analysis, vital hematology, and biocytonics), genetic testing, blood typing, "nutrient-deficiency" and/or lifestyle questionnaires, and "electrodiagnostic" gadgets.
23. They Diagnose Their Favorite Diseases in Virtually Everyone Who Consults.
At least 25 diagnostic labels classifiable as fads have been in vogue during the past fifty years [4]. Some unscientific practitioners apply one or more of these diagnoses to almost every patient they see. The common ones include adrenal fatigue, candidiasis hypersensitivity, hypothyroidism, "leaky gut," chemical sensitivity, electrical hypersensitivity, amalgam toxicity, Lyme disease, "parasites," hypoglycemia, vertebral subluxation complex, and even "magnetic deficiency." [5] Some refer to actual disease (which the patients do not have), whereas others are not recognized by the scientific community. In many cases, nonstandard tests are used to "diagnose" them and recommend "dietary supplements," "detoxification," and/or various procedures to treat them. A small percentage of physicians and large percentages of chiropractors, naturopaths, and bogus "nutritionists" are involved in this process. Others may also profit by selling educational materials promoting these alleged conditions and supplement concoctions claimed to help them.
24. They Claim They Are Being Persecuted by Orthodox Medicine
 and That Their Work Is Being Suppressed Because It's Controversial.
The "conspiracy charge" is an attempt to gain sympathy by portraying the quack as an "underdog." Quacks typically claim that the American Medical Association is against them because their cures would cut into the incomes that doctors make by keeping people sick. Don't fall for such nonsense! Reputable physicians are plenty busy. Moreover, many doctors engaged in prepaid health plans, group practice, full-time teaching, and government service receive the same salary whether or not their patients are sick—so keeping their patients healthy reduces their workload, not their income.
Quacks also claim there is a "controversy" about facts between themselves and "the bureaucrats," organized medicine, or "the establishment." They clamor for medical examination of their claims, but ignore any evidence that refutes them. The gambit "Do you believe in vitamins?" is another tactic used to increase confusion. Everyone knows that vitamins are needed by the human body. The real question is "Do you need additional vitamins beyond those in a well-balanced diet?" For most people, the answer is no. Nutrition is a science, not a religion. It is based upon matters of fact, not questions of belief.
Any physician who found a vitamin or other preparation that could cure sterility, heart disease, arthritis, cancer, or the like, could make an enormous fortune. Patients would flock to such a doctor (as they now do to those who falsely claim to cure such problems), and colleagues would shower the doctor with awards—including the extremely lucrative Nobel Prize! And don't forget, doctors get sick, too. Do you believe they would conspire to suppress cures for diseases that also afflict them and their loved ones? When polio was conquered, iron lungs became virtually obsolete, but nobody resisted this advancement because it would force hospitals to change. And neither will scientists mourn the eventual defeat of cancer.
25. They Warn You Not to Trust Your Doctor.
Quacks, who want you to trust them, suggest that most doctors are "butchers" and "poisoners." They exaggerate the shortcomings of our healthcare delivery system, but completely disregard their own—and those of other quacks. For the same reason, quacks also claim that doctors are nutrition illiterates. This, too, is untrue. The principles of nutrition are those of human biochemistry and physiology, courses required in every medical school. Some medical schools don't teach a separate required course labeled "Nutrition" because the subject is included in other courses at the points where it is most relevant. For example, nutrition in growth and development is taught in pediatrics, nutrition in wound healing is taught in surgery, and nutrition in pregnancy is covered in obstetrics. In addition, many medical schools do offer separate instruction in nutrition.
A physician's training, of course, does not end on the day of graduation from medical school or completion of specialty training. The medical profession advocates lifelong education, and some states require it for license renewal. Physicians can further their knowledge of nutrition by reading medical journals and textbooks, discussing cases with colleagues, and attending continuing education courses. Most doctors know what nutrients can and cannot do and can tell the difference between a real nutritional discovery and a piece of quack nonsense. Those who are unable to answer questions about dietetics (meal planning) can refer patients to someone who can—usually a registered dietitian. Like all human beings, doctors sometimes make mistakes. However, quacks deliver mistreatment most of the time.
26. They Encourage Patients to Crusade for Their Treatment Methods.
A century ago, before scientific methodology was generally accepted, valid new ideas were hard to evaluate and were sometimes rejected by a majority of the medical community, only to be upheld later. But today, treatments demonstrated as effective are welcomed by scientific practitioners and do not need a group to crusade for them. Quacks seek political endorsement because they can't prove that their methods work. Instead, they may seek to legalize their treatment and force insurance companies to pay for it. One of the surest signs that a treatment doesn't work is a political campaign to protect the practitioners who are using it.
"Twenty-Six Ways to Spot
 Quacks and Vitamin Pushers
Stephen Barrett, M.D.
 Victor Herbert, M.D., J.D.
http://www.quackwatch.com/01QuackeryRelatedTopics/spotquack.html
Proponents of alternative therapies are largely winning the public relations war with their hopeful, uplifting messages,
whereas proponents of scientific biomedicine have so often assumed that the superiority of their product was self-evident
(while underestimating the strength of the "antidoctor backlash" in society).
Modern quacks can reach people emotionally via:
-Appeals To Vanity
Then an appeal to MissLed women's vanity to convince them to disregard scientific evidence in favor of
personal experience — to think for themselves. "Do it yourself—be your own doctor. "
-Turning Customers into Salespeople
Most people who think they have been helped by an unorthodox method enjoy sharing
their success stories with their friends. People who give such testimonials are usually
motivated by a sincere wish to help their fellow humans. Rarely do they realize how
difficult it is to evaluate a "health" product on the basis of personal experience.
- The Use of Fear
Another slick way for quackery to attract customers is the invented disease. Virtually everyone
has symptoms of one sort or another—minor aches or pains, reactions to stress or hormone
variations, effects of aging, etc. Labeling these ups and downs of life as symptoms of disease
enables the quack to provide "treatment."
- Hope for Sale
Since ancient times, people have sought at least four different magic potions: the love potion,
the fountain of youth, the cure-all, and the athletic superpill. Quackery has always been
willing to cater to these desires...Even reputable products are promoted as though they are
potions. Toothpastes and colognes will improve our love life. Hair preparations and skin
products will make us look "younger than our years."

Some practitioners claim to detect "deficiencies" (or "imbalances" or "toxins," etc.) before any symptoms appear or before they can be detected by conventional means. Then they can sell you supplements (or balance you, or remove toxins, etc.). And when the terrible consequences they warn about don't develop, they can claim success.





Ten Ways to Avoid Being Quacked
Stephen Barrett, M.D.
Promoters of quackery know how to appeal to every aspect of human vulnerability. What sells is not the quality of their products but their ability to influence their audience. Here are ten strategies to avoid being quacked:
1. Remember that quackery seldom looks outlandish.
 Its promoters often use scientific terms and quote (or misquote) from scientific references. Some actually have reputable scientific training but have gone astray.
2. Ignore any practitioner who says that most diseases are caused
 by faulty nutrition or can be remedied by taking supplements.
 Although some diseases are related to diet, most are not. Moreover, in most cases where diet actually is a factor in a person's health problem, the solution is not to take vitamins but to alter the diet.
3. Be wary of anecdotes and testimonials.
 If someone claims to have been helped by an unorthodox remedy, ask yourself and possibly your doctor whether there might be another explanation. Most single episodes of disease recover with the passage of time, and most chronic ailments have symptom-free periods. Most people who give testimonials about recovery from cancer have undergone effective treatment as well as unorthodox treatment, but give credit to the latter. Some testimonials are complete fabrications.
4. Be wary of pseudomedical jargon.
 Instead of offering to treat your disease, some quacks will promise to "detoxify" your body, "balance" its chemistry, release its "nerve energy," or "bring it in harmony with nature," or to correct supposed "weaknesses" of various organs. The use of concepts that are impossible to measure enables success to be claimed even though nothing has actually been accomplished.
5. Don't fall for paranoid accusations.
 Unconventional practitioners often claim that the medical profession, drug companies, and the government are conspiring to suppress whatever method they espouse. No evidence to support such a theory has ever been demonstrated. It also flies in the face of logic to believe that large numbers of people would oppose the development of treatment methods that might someday help themselves or their loved ones.
6. Forget about "secret cures."
 True scientists share their knowledge as part of the process of scientific development. Quacks may keep their methods secret to prevent others from demonstrating that they don't work. No one who actually discovered a cure would have reason to keep it secret. If a method works—especially for a serious disease—the discoverer would gain enormous fame, fortune and personal satisfaction by sharing the discovery with others.
7. Be wary of herbal remedies.
 Herbs are promoted primarily through literature based on hearsay, folklore and tradition. As medical science developed, it became apparent that most herbs did not deserve good reputations, and most that did were replaced by synthetic compounds that are more effective. Many herbs contain hundreds or even thousands of chemicals that have not been completely cataloged. While some may turn out to be useful, others could well prove toxic. With safe and effective treatment available, treatment with herbs rarely makes sense.
8. Be skeptical of any product claimed to be effective against a wide
 range of unrelated diseases—particularly diseases that are serious.
 There is no such thing as a panacea or "cure-all."
9. Ignore appeals to your vanity.
 One of quackery's most powerful appeals is the suggestion to "think for yourself" instead of following the collective wisdom of the scientific community. A similar appeal is the idea that although a remedy has not been proven to work for other people, it still might work for you.
10. Don't let desperation cloud your judgment!
 If you feel that your doctor isn't doing enough to help you, or if you have been told that your condition is incurable and don't wish to accept this fate without a struggle, don't stray from scientific health care in a desperate attempt to find a solution. Instead, discuss your feelings with your doctor and consider a consultation with a recognized expert.
"Ten Ways to Avoid Being Quacked,"
Stephen Barrett, M.D.
http://www.quackwatch.org/01QuackeryRelatedTopics/avoid.html

The majority of quackery's victims are merely unsuspecting. People tend to
believe what they hear the most. And quack ideas -- particularly about
nutrition -- are everywhere.
Quacks  do not need to observe the restraints of reputable medicine. Where true
medical science is complex, the quack can oversimplify. All diseases are "imbalances," and
whatever the quack does restores "balance." Where ailments are self-limiting, the quack
makes nature his secret ally, crediting his tonic with curing tuberculosis when in fact
nature has alleviated the patient's postnasal drip. Where the placebo effect may operate,
the quack prescribes it adeptly. It may be something for arthritis as ancient as a copper
bracelet or as modern as "moon dust."
The quack pays more attention to the person than to the ailment, seeking to convince the
patient that the treatment is necessary. A dose of fright can be an effective persuader.
Ralph Lee Smith, in his book At Your Own Risk, tells of infiltrating a school run by a
Texas chiropractor aimed at teaching other chiropractors how to increase their incomes.
"If the patient has a pain in his left shoulder," the professor said, his pupils should
ask, "Has the pain started in your right shoulder yet?" [The so-called "Yet Disease."]
Along with fright go tenderness and self-confidence. Most quacks manage a superb "bedside
manner." Since they can't really provide a cure if major disease is present, they specialize
 in promises, sympathy, consideration, concern, and reassurance. The patient responds to
such attention. This helps explain one of the odd paradoxes relating to quackery—that
failure seldom diminishes patient loyalty. When regulatory agencies seek to prosecute
quacks, the agencies have a difficult task getting hapless patients to testify in court.
Partly this results from the desire to avoid public exposure as a dupe; but often this
objection to testifying rests on an inability to realize that deception has taken place.
Many quacks do such a good job of exuding sincerity that their explanations seem all too
plausible. Even patients faced with death believe in the "kindly" person who says the
special remedy would have worked if treatment had only begun a little sooner.
.




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