001. the Episode 012b2 script and annotations:
Standard Introduction:
Welcome to, as that robot voice says, The Naturocrit Podcast, and thank you for boldly listening.
What ARE we even talking about?
Well, this podcast series is my take on naturopathic medicine, an area I've been studying for about twenty years, including my time in so-called 'scientific nonsectarian naturopathic medical school'.
My approach is a pairing of scientific skepticism and a deep knowledge of naturopathy's intimate details.
In previous episodes of this series, I established that naturopathy is, essentially, a kind of knowledge blending, misrepresentation, and irrationality.
I have termed naturopathy both 'an epistemic conflation falsely posing itself as an epistemic delineation' and 'the naturopathillogical':
the science-exterior is mixed with what is scientific, then that whole muddle is absurdly claimed to be science as an entire category, while particular sectarian science-ejected oath-obligations and -requirements are coded or camouflaged, therein effectively disguising naturopathy's system of beliefs in public view.
Naturopathy's ultimate achievement is a profound erosion of scientific integrity and freedom of belief packaged in the marketing veneers "natural, holistic, integrative and alternative" and improperly embedded in the academic category "science".
Episode Synopsis:
In this Naturocrit Podcast Episode 12, aka s02e02, titled "Preponderant and Universal Medical Ethical Codes and North American Naturopathy's Transgressions", I've been looking at modern medicine's ethical commitments, and comparing those stringencies to naturopathy's 'anything goes' laxity.
In this second half of Part Two, I'll
be looking at the American Medical Association's Code of Ethics, as
well as some pages from the Connecticut State Medical Society, the
Medical Society of the State of New York, and the naturopaths'
mimicking 'society' in New York State and their ND Bongiorno.
I will also cover the recent verdict of the Ezekiel Stephan trial in Alberta, Canada.
I will also cover the recent verdict of the Ezekiel Stephan trial in Alberta, Canada.
Main Text:
Before I get to the AMA Code of ethics
and other things I'd just mentioned, I'd like to touch back on a
label I'd used upon naturopathy from part one of Part One of this
episode:
"required fraudulence."
I'd said then:
'required fraudulence' is FINE within naturopathy.
As an example, let me present ND Shikhman.
I'd said then:
'required fraudulence' is FINE within naturopathy.
As an example, let me present ND Shikhman.
[00.03.40]
ND Shikhman:
Now, as I searched with google.com for New York and
Connecticut naturopathy stuff for this Episode, I got amongst the results placed paid
advertising from regional naturopaths, as a search engine is prone to
do these days.
I must include one particular practice that keeps quite
aggressively appearing, that of ND Shikhman:
There's a certain kind of ADMIRABLE and DIGNIFIED – and I mean that sarcastically in the sense of naturopathy's typical reversal of values -- 'everything is there'-ness about her web pages that cannot be kept secret.
They are
just SO JUICY, VERY succulent in factlessness and lack of historical
knowledge.
The naturopathy practice is in Stamford, Connecticut, a
city which is geographically close to Connecticut's border with New
York State.
The ND cannot help but serve as another MODEL naturopath,
actually, because:
'she do that naturopathy commerce voodoo that she
do so well'.
And obviously, her mainstream advertising means her
stuff is NOT SECRET VOODOO, and has not been secret for several
years:
I guess I'm the fool not getting paid like Google while
mentioning these NDs all the time, likely increasing their Google PageRanks for free.
So, ND Shikhman is a UBCNM graduate (2016 archived), the Connecticut
school, who
was, according to naturopathy's partner, the State of Connecticut,
licensed in 2005.
And her practice, “White Oak Center”, I absolutely LOVE in terms of its contents and my mission's context.
whiteoakmedical.com web pages have
been curated at Archive.org since 2007.
That's roughly ten years of
this naturopathy nonsense in terms of commerce,
'curated for eternity'.
First, of course,
lets see what kind of science claims are made, and then we'll look at
what BELIES that 'of science claim or label or posture'.
In other
words, let's look at 'the naturopathy science that ain't science' aka
'typical naturopathic commerce' that's endorsed by SO MANY:
so many,
so lowly.
ND Shikhman
Science Claims:
On the page “Licensure and Regulations” (2016 archived) we're
told:
“a licensed naturopathic physician (N.D.) attends a four-year
graduate level naturopathic medical school and is educated in all of
the same basic sciences as an M.D.”
That's:
same doctoral-level
science.
But that's not true, as we've seen from the sausage that that
UBCNM factory spits out, as we've seen based on the components inside of the factory:
the science at Naturopathyland University contains abject nonscience.
That is not a matter of opinion.
ND Shikhman, in the flesh, IS the sausage
spit out 'by that so malfunctioning of an educational apparatus', UBCNM.
Ah,
the tree and the apples that fall from it:
perhaps we should somewhat
forgive the ND in the sense of 'dyseducation sectarian brainwashing',
because the supposed science she was taught at Naturopathyland
University truly contains abject nonscience falsely labeled science.
But, I can't forgive:
her words and actions are HER responsibility, as one's
words and actions always are.
Particularly when you have to live up
to a social contract such as 'a supposed physician' has to.
We're also told on that
page:
“Dr. Victoria Shikhman, N.D. is a licensed naturopathic
physician in the State of Connecticut […] a naturopathic physician
takes rigorous national board exams so that he or she may be licensed
by a state or jurisdiction as a primary care general practice
physician. Also, licensed naturopathic physicians must fulfill
state-mandated continuing education requirements annually, and will
have a specific scope of practice defined by their state's
law[s].”
That's a promise of “continuing education” as in 'an
integrity of knowledge'.
What kind of knowledge integrity?
Well, her
alma mater, UB -- by way of their bridgeport.edu, that categorically
terms naturopathy and its contents “health science” -- had this
KIND of continuing education recently:
“Levels of Health” (2016 archived), which,
when you see the details of its contents, is homeopathy as
'continuing education'.
In fact they tell us:
“CEUs: 12 hours for the
weekend”.
That's 'state-mandated continuing education
pseudoscience'.
Ah, that licensed falsehood partnership between North
American naturopathy and the State of Connecticut.
And a supposedly
“rigorous national board exam” that SOCIOPATHICALLY claims
homeopathy is a “core clinical science” (2016 archived).
So,
how “continuing” is naturopathy's education if naturopathy's
false claims about homeopathy and kind persist and persist when so patently science-ejected?
Core education things stopped, me-thinks, in
Naturopathyland, somewhere around two centuries ago because
naturopathy -- the essentially naturopathic -- is mired in the 1800s in terms of thought and consumer
rights.
Naturopathy, in that respect, is archaic at its core, in terms
of the essentially naturopathic:
aka "failed medieval paradigm" (2015 archived).
And there's
the page “Naturopathic Philosophy” (2016 archived), which
states:
“the practice of naturopathic medicine emerges from six
underlying principles of holistic healing. These principles are based
on the objective observation of health and disease, and are
continually re-examined in light of modern medical science.”
So,
there's the VERY BROAD claim that:
naturopathy's essential premises
survive scientific scrutiny, naturopathy's 'core'.
Also there's the page “Complementary and Alternative Medicine” (2016 archived), which
states:
“naturopathic medicine offers scientifically-proven and
evidence-based alternative therapies […] effective treatments for
many acute and chronic conditions.”
Yes, that's what we're told,
affirmatively:
'scientific, evidence, effective'.
Then we're told:
“it
blends centuries-old holistic medicine with modern medical
science.”
Wait, AGAIN how is the 'scientific mixed with' equal to
the 'scientific distinct'?
And we're told:
“therapies that are used
by naturopathic doctors today have been scientifically validated,
especially in the areas of acupuncture, herbal medicine, clinical
nutrition, and homeopathy.”
That's batshit-bullshit-horseshit
CRAZY:
'homeopathy and such'?
No way.
In “Frequently Asked Questions: Acupuncture” (2011 archived), we're
told:
“how does modern science explain acupuncture? The modern
scientific explanation is that needling the acupuncture points
stimulates the nervous system to release chemicals in the muscles,
spinal cord, and brain. These chemicals will either change the
experience of pain, or they will trigger the release of other
chemicals and hormones which influence the body's own internal
regulating system.”
And yet we know acupuncture is an elaborate
placebo:
And
keep in mind, her alma mater UB claims that acupuncture too is a stand-alone “science”, like naturopathy.
In “Frequently Asked Questions: Naturopathic Medicine” (2016 archived) we're
told:
“naturopathic medicine is as old as healing itself and as new
as the latest discoveries in medical sciences [obviously it's a kind of blending...] is naturopathic medicine
scientific? Naturopathic medicine incorporates scientific medical
advances with its own unique body of knowledge that has evolved and
was refined over centuries. Most of the therapies that are used by
naturopathic doctors have been scientifically validated, especially
in the areas of acupuncture, botanical medicine, clinical nutrition,
homeopathy, and hydrotherapy. Research departments at naturopathic
medical schools conduct extensive clinical studies to evaluate
existing methods and develop new alternative therapies. These studies
are published in peer-reviewed scientific journals.”
So science:
again 'affirmatively declared BROADLY'.
again 'affirmatively declared BROADLY'.
And we're told there:
“what is the
education of a naturopathic physician? Naturopathic physicians['...]
rigorous academic curriculum includes training in the medical
sciences such as anatomy, physiology, biochemistry and neuroscience.
They are trained in clinical diagnosis, pathology and such specific
topics as pediatrics, gynecology, oncology, dermatology and
gastroenterology. Overall, academic training in medical sciences of
NDs and MDs is similar. Additionally, NDs are trained in natural
therapeutic techniques and holistic treatment principles. In order to
get licensed, NDs have to graduate from an accredited naturopathic
medical school and pass two national board examinations.”
Promises,
promises; assurance, assurances.
That's the
assurance, by way of “accredited”, that naturopathy has
INTEGRITY, has lofty standards.
That with accreditation, naturopathy
is DIGNIFIED!
I'm
reminded of a Bob Dylan lyric:
“hollow man looking in a cotton field...for dignity.”
You won't
find dignity in Naturopathyland, you'll find the undignified.
Such as:
[00.14.30]
ND Shikhman
Woofulness Activities That Belie Her Science Categorical
Labeling:
First, lets search for 'the most wooful of stuff', homeopathy,
'to show how unlimited the boundaries here are'.
The ND has a dedicated page,
“Homeopathy” (2016 archived), which
states:
“homeopathy simply means 'like cures like' […] in the
1790's, Samuel Hahnemann, a German doctor […] proposed the practice
called homeopathy […] homeopathy uses animal, vegetable and mineral
preparations to cure a person's illness and is practiced by millions
of people around the world. When prescribing the remedy, Dr.
Shikhman needs to study the whole person. Characteristics such as
their temperament, personality, emotional and physical responses are
taken into consideration. Dr. Shikhman looks at each patient and
develops a remedy or treatment plan individually for him or her. So,
she may treat different persons exhibiting the same symptom
differently. There are over 2000 types of homeopathic remedies, all
of which are recognized and regulated by the Food and Drug
Administration (FDA) and are manufactured by established
pharmaceutical companies under strict guidelines. Homeopathic
remedies are diluted to such an extent that there can be no possible
side effects from even the most toxic substances. Homeopathic
remedies have no side effects and are perfectly safe, non-toxic and
non-addictive. To learn more about benefits of homeopathy, please
call [...] to schedule a free consultation or make an
appointment.”
So, homeopathy as an activity, government approval of these magic beans, claimed benefits for what we know to be placebos, an 'as if there's a there there'.
So, homeopathy as an activity, government approval of these magic beans, claimed benefits for what we know to be placebos, an 'as if there's a there there'.
And that so often lean upon FALSE POSTURE
that this stuff is somehow VALIDATED, in partnership with the U.S.
Federal Government.
It not validated, it is actually treated with a kind of
charity that exempts.
Homeopathy is truly THOROUGHLY
science-ejected, yet WHERE is that information on this ND's page?
I guess we
don't we deserve to KNOW, so we can then make an informed decision.
On the page “Frequently Asked Questions: Naturopathic Medicine” (2016 archived), we're
told:
“naturopathic physicians use therapies such as botanical
medicine, Chinese medicine, acupuncture, clinical nutrition,
lifestyle modifications, counseling, homeopathy, hydrotherapy,
physiotherapy, exercise therapy, natural childbirth, minor surgery,
and limited drug therapy […] naturopathic doctors are trained in
homeopathy and utilize it as one of many different treatments. Many naturopathic doctors choose to specialize in homeopathy and use it as
their primary modality of choice […] most of the therapies that are
used by naturopathic doctors have been scientifically validated,
especially in the areas of acupuncture, botanical medicine, clinical
nutrition, homeopathy, and hydrotherapy.”
Again a broad science claim
which is a PURE misrepresentation.
Her practice's homepage
states (2016 archived):
“at
White Oak Center, we specialize in treatment of acute and chronic
conditions utilizing the most advanced naturopathic therapies,
including acupuncture and Chinese medicine, herbal medicine,
homeopathy, nutritional counseling, and aromatherapy. Our
preventative and wellness care program includes detoxification,
anti-aging protocols, and facial rejuvenation.“
The ND's bio. page
“Dr. Victoria Shikhman, ND” (2016 archived) states:
“Dr.
Shikhman's extensive experience in naturopathic medicine, acupuncture
and Chinese medicine, botanical medicine, homeopathy, and clinical
nutrition allows her to successfully treat many acute and chronic
diseases.”
Now all these therapies are presented as equals, in terms of their efficacy, usually, and since we know homeopathy is completely nothing it's rather interesting to think how that is equal to all the other therapies that are presented.
On the page
“Licensure and Regulations” (2016 archived), we're
told:
“the naturopathic physician is required to complete four years
of training in clinical nutrition, acupuncture, homeopathic medicine,
botanical medicine, psychology, and counseling.”
On the page
“Alternative Therapies” (2016 archived), we're
told:
“White Oak Center offers effective scientifically-proven and
evidence-based alternative therapies. We specialize in treatment of
acute and chronic conditions with acupuncture and Chinese medicine,
botanical medicine, homeopathy, nutritional counseling, and
aromatherapy.”
In “Health Conditions and Concerns” (2016 archived), we're
told:
“at White Oak Center, we effectively use advanced naturopathic
therapies including acupuncture and Chinese medicine, botanical
medicine, homeopathy, and clinical nutrition to treat many acute and
chronic health conditions.”
'Effective homeopathy':
roll out the Nobel.
roll out the Nobel.
In “Complementary and Alternative Medicine” (2016 archived), we're
told the DOUBLE science whammy again:
“naturopathic medicine offers
scientifically-proven and evidence-based alternative therapies. [...]
most of the therapies that are used by naturopathic doctors today
have been scientifically validated, especially in the areas of
acupuncture, herbal medicine, clinical nutrition, and
homeopathy.”
Now, let's be clear:
to label homeopathy in a
therapeutic context “science” is to label homeopathy
'effective'.
This is as an activity, as a behavior.
So, what kind of
results do I get for “effective” at the ND's practice pages?
Well,
in sum, we're told, and I'll hypertext link these excerpts to the
pages they come from:
“while acupuncture may be most popular for its
effectiveness in alleviating pain […] acupuncture can be effective
as the only treatment used […] a positive attitude toward wellness
may reinforce the effects of the treatment received, just as a
negative attitude may hinder the effects of acupuncture or any other
treatment [talk about an admission of placebo…] substance abuse (drugs and alcohol) especially in the
week prior to treatment will seriously interfere with the
effectiveness of acupuncture treatments
[here...] there are many
effective holistic therapies that could treat our existing medical
conditions, prevent occurrence of new diseases, and help us achieve
and maintain a state of optimal health
[here...] prior to designing a treatment
plan that would be the most effective for your case, our
acupuncturist will review your [...] in-take form and conduct an
extensive analysis of your health condition
[here...] herbs
are powerful medicines. They are effective and safe when used
properly [here...] many
medical conditions can be treated with diet improvements and
nutritional supplements more effectively and with fewer side effects
than when treated with
pharmaceuticals [here...] only
recently their effectiveness was scientifically proven as
complimentary treatment to in vitro fertilization, IUI and ICSI
[here].”
If
something as 'stark raving mad as homeopathy, though, is considered
effective,' how are any of these efficacy claims to be
believed?
Beware:
how can these claims be trusted when the ND's
'effective homeopathy' categorization is PATENTLY false,
scientifically speaking.
So in terms of ethics, as an activity, as a
behavior, the typically naturopathic is WRONG, is UNETHICAL in the
grossest of senses.
[00.22.20]
White Oak
Vitalism:
Now, ideas lead to activities, so we can also check for that
'vitalism idea and article of faith' which is at the core of
naturopathy.
And this ND does not disappoint.
This is a by-oath obligation, by the way.
There is no “vital force” through
google.com, but there is “life force.”
On the page “Naturopathic Philosophy” (2016 archived) we're
told:
“the practice of naturopathic medicine emerges from six
underlying principles of holistic healing.”
So, that's us being told
that naturopathy's activities come from naturopathy's ideas about the
world and how it works, including most especially the human body.
The
ND goes on:
“[principle #1] vis medicatrix naturae, the healing power of
nature: the body has the inherent ability to establish, maintain, and
restore health. The healing process is ordered and intelligent;
nature heals through the response of the life force. The physician's
role is to facilitate and augment this process […] illness is a
purposeful process of the organism. The process of healing includes
the generation of symptoms which are, in fact, an expression of the
life force attempting to heal itself. Therapeutic actions should be
complimentary to and synergistic with this healing process [....because] the
physician's actions can support or antagonize the actions of the vis
medicatrix naturae.”
So, that's vitalism – red in tooth and claw
-- falsely labeled on that page as able to survive scientific
scrutiny.
And there's also the qi version of vitalism.
In “Frequently Asked Questions: Acupuncture” (2011 archived), we're told:
In “Frequently Asked Questions: Acupuncture” (2011 archived), we're told:
“the
ancient Chinese believed that there is a universal life energy called
qi [...] present in every living creature. This energy
is said to circulate throughout [oops, I say 'through'] the body along specific pathways that
are called meridians. As long as this energy flows freely throughout
the meridians, health is maintained, but once the flow of energy is
blocked, the system is disrupted and pain and illness occur.
Acupuncture works to restore normal functions by stimulating certain
points on the meridians in order to free up the chi energy and
reestablish its natural flow through the meridians. Acupuncture
treatments can therefore help the body's internal organs to correct
imbalances in their digestion, absorption, and energy production
activities, and in the circulation of their energy through the
meridians.”
And we're also told
in “Acupuncture and Chinese Medicine” (2016 archived):
“the
ancient Chinese believed that there is a universal life energy called qi [...] present in every living creature. This
energy is said to circulate throughout the body along specific
pathways that are called meridians. As long as this energy flows
freely throughout the meridians, health is maintained, but once the
flow of energy is blocked, the system is disrupted and pain and
illness occur.”
And we're also told:
“the modern scientific explanation
is that needling the acupuncture points stimulates the nervous system
to release chemicals in the muscles, spinal cord, and brain. These
chemicals will either change the experience of pain, or they will
trigger the release of other chemicals and hormones which influence
the body's own internal regulating system.”
That's interesting:
qi as
an explanation is considered “ancient” and not “modern” and
not mentioned 'when talking scientifically about acupuncture',
and in that sense it is extramundane or beyond or metaphysical.
and in that sense it is extramundane or beyond or metaphysical.
It's an interesting preference of the ND.
Yet, why is her preference that
“life force”, qi's synonym, claimed to survive scientific scrutiny
in naturopathy's main principles on her web page,
'as if that article of faith figmentation is some kind of mundane thing not like qi as is here and physical'?
'as if that article of faith figmentation is some kind of mundane thing not like qi as is here and physical'?
Naturopathy's contradictions abound, because in
Naturopathythought:
2+2 equals anything you want it to.
So, in sum, I find ND Shikhman to be a delightfully unfiltered example of naturopathy's "required fraudulence."
What junk thought!
In action, as behavior, as commerce.
In action, as behavior, as commerce.
This is the sausage doing it, what it was trained to do in ND school.
She is rare in that you get it all:
the beliefs that are science-exterior yet claimed to survive scientific scrutiny, the activities that are pseudoscientific.
And the ND is not an exception in terms of this content and context:
all this stuff is IN the Textbook of Natural Medicine by NDs Murray and Pizzorno,
and IN UBCNM's curated archive.org pages, all as what is ESSENTIALLY naturopathy.
As I'd said:
required fraudulence is FINE within naturopathy.
It is, actually, DEFINITIVE of 'the essentially naturopathic.'
Onward...
all this stuff is IN the Textbook of Natural Medicine by NDs Murray and Pizzorno,
and IN UBCNM's curated archive.org pages, all as what is ESSENTIALLY naturopathy.
As I'd said:
required fraudulence is FINE within naturopathy.
It is, actually, DEFINITIVE of 'the essentially naturopathic.'
Onward...
[00.27.29]
The American Medical Association's Code of Ethics:
Wikipedia tells us in “American Medical Association”:
“the
American Medical Association (AMA) [was] founded in 1847 […and] is
the largest association of physicians […] and medical students in
the United States. The AMA's stated mission is to promote the art and
science of medicine for the betterment of the public health, to
advance the interests of physicians and their patients, to promote
public health, to lobby for legislation favorable to physicians and
patients, and to raise money for medical education. The Association
also publishes the Journal of the American Medical Association
(JAMA), which has the largest circulation of any weekly medical
journal in the world."
Also, as background specifically regarding
ethics, the AMA tells us in their web page “History of AMA Ethics” (2016 archived):
“for
the more than 160 years [...] the AMA's Code of Medical Ethics has
been the authoritative ethics guide for practicing physicians […]
the Code articulates the enduring values of medicine as a profession.
As a statement of the values to which physicians commit themselves
individually and collectively, the Code is a touchstone for medicine
as a professional community. It defines medicine’s integrity and
the source of the profession’s authority to self-regulate."
Now, even
so, AMA membership is not mandatory.
We're told, at ama-assn.org, in
“Frequently Asked Questions in Ethics” (2016 archived):
“approximately
30% or 300,000 of American physicians are members of the AMA […]
the AMA serves as an umbrella organization of state medical
associations and national specialty societies. Because of this role,
the AMA is not in a position to investigate allegations of
unprofessional or unethical conduct at the local level. Instead, we
defer to state medical societies and national specialty societies to
conduct fact-finding investigations when such allegations are made.
If the physician in question is a member of the AMA, the
investigative body will forward its findings to the AMA for review by
the AMA’s Council on Ethical and Judicial Affairs (CEJA) […the
CEJA] does not review complaints submitted by the general public. At
the conclusion of its proceedings [...the CEJA] has the authority to acquit, admonish, censure, or
place on probation the accused physician or suspend or expel him or
her from AMA membership […] however, the AMA is not in a position
to take action against a physician’s license to practice medicine."
So there's mention of State medical societies:
So there's mention of State medical societies:
that's why, in this part two of Part 2 of Episode 12, I'm citing some CT and New York medical societies pages and naturopathy's New York impersonation of such.
The VOLUNTARINESS of AMA membership is very interesting:
a minority quantity of
American physicians DIRECTLY committed to a preponderant ethical
code.
That's quite a kind of contradiction.
Though I take it that, in sum, in terms of
all that the Physician's Charter and the AMA Code cover, a medical
practitioner cannot escape 'modern medicine's ethical preponderance'
because the State medical licensing boards must defer to such a
preponderance.
But it all seems rather tangled / composite.
Also, at ama-assn.org, there's a handy table of contents to the AMA Code titled “AMA's Code of Medical Ethics” (2016 archived) which, of course, I'll provide a hypertext link to in the transcript.
Also, at ama-assn.org, there's a handy table of contents to the AMA Code titled “AMA's Code of Medical Ethics” (2016 archived) which, of course, I'll provide a hypertext link to in the transcript.
From
that live online link, we are directed to the page “Principles of Medical Ethics” (2016 archived), which
details 9 central ethical principles.
The AMA Code's “Preamble”
states:
“the medical profession has long subscribed to a body of
ethical statements developed primarily for the benefit of the
patient. As a member of this profession, a physician must recognize
responsibility to patients first and foremost, as well as to society,
to other health professionals, and to self. The following Principles
adopted by the American Medical Association are not laws, but
standards of conduct which define the essentials of honorable
behavior for the physician.”
And these are the 9 principles of
'honorable medical behavior', which all start “a physician
shall”:
“[#1] be dedicated to providing competent medical care,
with compassion and respect for human dignity and rights
[...#2]
uphold the standards of professionalism, be honest in all
professional interactions, and strive to report physicians deficient
in character or competence, or engaging in fraud or deception, to
appropriate entities [ah, the 'snitch clause'...
#3] respect the law
and also recognize a responsibility to seek changes in those
requirements which are contrary to the best interests of the patient
[…
#4] respect the rights of patients, colleagues, and other health
professionals, and [...] safeguard patient confidences and privacy
within the constraints of the law […
#5] continue to study, apply,
and advance scientific knowledge, maintain a commitment to medical
education, make relevant information available to patients,
colleagues, and the public, obtain consultation, and use the talents
of other health professionals when indicated […
#6] be free to
choose whom to serve, with whom to associate, and the environment in
which to provide medical care […
#7] recognize a responsibility to
participate in activities contributing to the improvement of the
community and [to] the betterment of public health […
#8] while caring
for a patient, regard responsibility to the patient as paramount
[…
#9] support access to medical care for all people.”
So,
mentioned there was:
fiduciary duty, honorable behavior, competence,
compassion and respect, human dignity and rights and patient rights,
professionalism, honesty,
reporting those “deficient in character
or competence or engaging in fraud or deception”,
scientific
knowledge as the knowledge type,
transparency as “making relevant
information available”,
access, and “the improvement of the
community and the betterment of public health.”
And that's the AMA
Code.
[00.34.20]
The AMA Journal of Ethics:
There are a
couple search results for “naturopathic” in the AMA Journal of Ethics online.
There's 2009's “When Patient and Physician Disagree on Patient’s 'Best Interest'“ (2016 archived) and
Dr. Atwood bio. shows up in another hit, in a June 2011 contributors section to this Journal's CAM issue.
We're
told:
"Kimball C. Atwood, MD, practices anesthesiology at the
Newton-Wellesley Hospital in Newton, Massachusetts, and is an editor
and regular author at the Science-Based Medicine blog, a fellow of
the Committee for Skeptical Inquiry, a member of the boards of
Citizens for Responsible Care and Research [...] and the
Institute for Science in Medicine [...] from 2001 to 2003 he served
on the Massachusetts Special Commission to Study Complementary and
Alternative Medical Practitioners and wrote its minority report
opposing licensure for naturopaths."
His article is titled "'CAM' Education in Medical Schools — A Critical Opportunity Missed",
which I'll likely cite from later in this Episode.
CSMS and
FCMA:
Now, I live in the State of Connecticut, and there's a
Connecticut State Medical Society, CSMS.
On their page “CSMS: Our Medical Heritage” (2016 archived) we're
told:
“the Connecticut State Medical Society […was] chartered by
the State legislature in 1792 […by way of] the first private
charter granted by the state […back then] the General Assembly of
Connecticut saw fit to grant to physicians a charter [...providing]
self-regulation and continuing education […] the Society is
believed to be the third oldest such group in continuous operation
[…and] has begun its third century as the voice and focus in our
state for the men and women who inhabit the ever-changing world of
medicine. All this time, the mission of the Connecticut State Medical
Society has been to serve both these physicians and their patients,
the citizens of our state […] over the years, medicine has changed,
and the Society has faced new issues never dreamed of by our
forebears, but one thing has never changed: the perennial necessity
to foster and preserve the independence and freedom of physicians to
render to each and every patient the best care possible […]
physicians still have this responsibility. The professionalism it
implies is demonstrated every time a patient is treated, every time a
colleague’s credentials or treatment is reviewed by his or her
peers, every time a continuing medical education [...] program is
planned or attended, and every time the physicians of this state and
of its several counties claim their ancient heritage to gather
together, to speak with one voice, and to take concerted action on
behalf of their profession and of their patients […actually] a CSMS
physician, Jonathan Knight, was the president of the two national
medical conventions that succeeded in the founding of the American
Medical Association in 1847 […such] membership and participation in
medical societies is the key to preserving the integrity and
independence of physicians for their professional descendants
centuries hence. This is the way physicians perpetuate the legacy
that gives devoted practitioners a meaningful life well spent in
learning and service.”
So that's:
integrity, and self-regulation, and staying up to date.
In terms of medicine's ethical preponderance,
CSMS hosts the page “AMA Principles of Medical Ethics” (2016 archived).
They
DO include 'the snitch clause', and what I'll call the 'continuing scientific education
integrity clause'.
And CSMS does have the page “Health Equity” (2016 archived), which
states:
“Healthy People 2020 defines health equity as 'attainment of
the highest level of health for all people. Achieving health equity
requires valuing everyone equally with focused and ongoing societal
efforts to address avoidable inequalities, historical and
contemporary injustices, and the elimination of health and health
care disparities'.”
That is laudable.
On the CSMS page “A Word About the AMA” (2016 archived), we're
told:
“the American Medical Association is a national organization
of medical professionals – doctors, who have dedicated themselves
to the health care of all people. To meet the multiple
responsibilities with which the profession is entrusted, the AMA was
founded in 1847 as a non-profit, public service institution.
Connecticut physicians, in particular, long ago realized that
physicians should speak out together in a strong voice in order to
prevent the erosion of professional independence and to promote the
public health. A CSMS officer was the president of the two national
medical conventions in 1846 and 1847 that resulted in the founding of
the AMA […] the AMA is a federation of constituent state medical
societies and national medical specialty associations. Its membership
includes physicians from every segment of medicine and representing
every form of practice. The AMA House of Delegates is the body that
determines policy and elects the trustees and other national
officers. The AMA is, in fact, a member-oriented organization where
the majority prevails, according to the best standards of
representative democracy […] CSMS delegates have watched ideas of
individual members, first proposed at the county association level,
go on to receive support at the state meeting, and then be carried by
the delegates to the AMA, where they are aired, argued, and actually
adopted as policy for action at the national level, all in a matter
of months […] it assures an organizational vehicle by which the
best ideas and attitudes of the individual members can, by common
agreement, quickly become effective in the national forum […] as
monitor of educational standards, guardian of professional ethics,
publisher of scientific information, and in many other ways,
physician members of the AMA have exerted a major influence in
creating the environment and providing the tools for medical
progress. Nothing is more important to the integrity of medicine
than the freedom of its learned practitioners to exercise independent
judgment, in accordance with informed standards democratically
imposed by the profession upon itself, not dictated by others, and to
act in the patient’s best interest.”
So we have mention there of scientific information, integrity, informed standards and fiduciary duty.
There is a CSMS page titled
“Ethics Committee” (2016 archived), which
states:
“the CSMS Ethics Committee is an advisory committee that
studies and makes recommendations on medical ethical issues that are
of immediate or long-term concern to the medical profession. The
Ethics Committee makes recommendations to CSMS on how to best educate
and inform its members on matters of ethical concern for physicians
in Connecticut.”
I get a lot of hits for naturopathy when I search
the CSMS online.
For instance, there's the page "2016 Bills and Testimony" (2016 archived), which
states:
"House Bill 5534 Advanced Naturopathy [...with the link
to the PDF] CSMS Testimony."
That testimony (2016 archived), dated
March 7, 2016, states:
"Senator Gerratana, Representative Ritter
and members of the Public Health Committee, on behalf of the
physicians and physicians in training of the Connecticut State
Medical Society (CSMS), thank you for the opportunity to provide this
testimony to you today in opposition to House Bill 5534 An Act
Concerning the Practice Of Naturopathy [...] if naturopathic
principles are sound and effective, it should not be necessary for
the naturopaths to seek to transform themselves into something they
are not [as in MDs] simply by seeking legislation to expand into the practice of
medicine [as in MDs and DOs] without the proper training. We urge the Committee to
reject HB 5534."
So, CSMS is opposing the expansion of
naturopathy's scope in CT.
In fact, in Connecticut Medicine, the Journal
of the Connecticut State Medical Society, there's the article “Trust
Me, I’m a Doctor” by [then] CSMS president MD Russo in their 10-2015 issue [rb] wherein he states not so subtly:
"it seems
everyone who has taken a course in some pseudoscience is now applying
for the right to practice medicine. Homeopaths, naturopaths and
others claim that they should have the right to provide patient care,
because there aren’t enough doctors. You can’t make this stuff
up."
Now that is candor:
'pseudoscience subset homeopathy and naturopathy', from the Connecticut State Medical Society.
It is interesting that CSMS apparently WON'T say these words directly to the Legislators, which actually contains fans of alternative medicine.
For instance, there's the State Representative Gayle Mulligan who was featured recently in a YouTube video on the CTHouseRepublicans account.
It is interesting that CSMS apparently WON'T say these words directly to the Legislators, which actually contains fans of alternative medicine.
For instance, there's the State Representative Gayle Mulligan who was featured recently in a YouTube video on the CTHouseRepublicans account.
In a Naturocrit post titled "Licensed Falsehood's Boosters: Connecticut's Representative Mulligan Supports Naturopathy (video)", I included her language that's in support of the bill the CSMS opposes expanding naturopathic licensure:
"I stand in support of this amendment / bill [...] I have been going to a naturopath / homeopathic medicine for a long time."
I seriously doubt evidence will sway her:
too much has already been invested.
Now, there is also a more local Fairfield County Medical Association, fcma.org, which is where, coincidentally, the CT naturopathy college is because Fairfield County contains the University of Bridgeport and its College of Naturopathic Medicine.
Now, there is also a more local Fairfield County Medical Association, fcma.org, which is where, coincidentally, the CT naturopathy college is because Fairfield County contains the University of Bridgeport and its College of Naturopathic Medicine.
FCMA's page “Membership Eligibility” (2016 archived) states:
“if you are a
Fairfield County physician and not yet a member of the Fairfield
County Medical Association, we invite you to join approximately 80% of
your colleagues who are members and who rank among the 7,200
Connecticut physicians in the Connecticut State Medical Society […]
all members must subscribe to the Principles of Medical Ethics of the
American Medical Association, and must not hold themselves out as
practitioners of sectarian medicine.”
Very interesting:
because
sectarian is the kind medicine that naturopathy is.
And sectarian is
such an infrequently used label in terms of health care.
The word always reminds me of the
late-great MD Wallace Sampson.
I think most people have heard the word as:
'fights within Islam in the Middle East', or 'fights within Christianity in Northern Ireland' and such kinds of conflicts.
And there's little scholarship that employs that language.
There is a JAMA 1987 article by Gevitz, “Sectarian Medicine” that I've been aware of for quite some time.
In that
article, Gevitz writes:
“dominant groups in religion, politics, and
medicine have often used the term 'sectarian' to describe one who
subscribes to a 'false' doctrine. However, those practitioners so
labeled usually prefer more positive terms to characterize their
ideas and organizational structure. In medicine, such movements seek
to be referred to as the 'reformed' or 'new' practice, or more
generally as a 'school' or 'philosophy,' with the regulars in turn
being called the 'old' practice or the 'majority school,' but
never 'scientific medicine' without the modification 'so-called.'
Some academicians analyzing the relationship between these
oppositional [oops, I say opposing] forces have sought to devise less value-laden
terminology. However, the term 'sectarian medicine' will be employed
here, for it more fully describes the deviant social status and
social movement participation of such practitioners so covered. Of
the numerous major and minor sects that have flourished in the United
States, the most important in both numbers of exponents and the
degree to which they paralleled the role and services of the regulars
are homeopathy [...] and osteopathy.”
Now, coincidentally, homeopathy
is a major mandatory part of naturopathy and the ND-granting school in
Connecticut UB is self-described as:
ironically “nonsectarian.”
So naturopathic medicine at UB is about as nonsectarian as it is scientific.
I'll also include a link to the CTDH CT Medical Examining Board, though here in
this Episode I'm more so interested in medical societies'
commitments.
[00.48.00]
The Medical Society of the State of New York:
[00.48.00]
The Medical Society of the State of New York:
You will later her of NY naturopaths' complaining that the
MSSNY is standing in the way of ND New York
licensure for NDs.
So, let's take a look online at that medical society.
Their homepage is mssny.org.
We're
told in “About MSSNY” (2016 archived):
“welcome to the website of the Medical Society of the State of New
York, representing the interests of patients and physicians in an
ongoing effort to assure quality health care services for all New
Yorkers.The Medical Society of the State of New York (MSSNY) is an
organization of approximately 30,000 licensed physicians, medical
residents, and medical students in New York State. Members
participate in both the state society and in their local county
medical societies. MSSNY is a non-profit organization committed to
representing the medical profession as a whole and advocating health
related rights, responsibilities and issues. MSSNY strives to promote
and maintain high standards in medical education and in the practice
of medicine in an effort to ensure that quality medical care is
available to the public.”
Generally, regarding “Alternative Medicine” (2016 archived), MSSNY has this to
say, in a position statement:
“MSSNY
has adopted policy that maintains that all physicians, including
practitioners of alternative medicine, should be held to the same
standards of practice and that this policy be utilized in educating
our legislators and the general public regarding the
problem.”
Wow:
'alternative medicine, a problem'.
A search of the MSSNY
online ACTUALLY results in a few pages about 'naturopathy or
naturopathic'.
There's a MSSNY PDF titled “S.4828-A (LAVALLE) A.7860 (PERRY)” (2016 archived) which
is named for the current naturopathy licensure bills.
Overall, we're
told:
“this measure would license doctors of naturopathic medicine
and allow them to administer, diagnose, and treat patients […] the
Medical Society of the State of New York strongly opposes this
bill.”
I think we've heard this before.
There's also “Enhancing Quality Of Care” (2016 archived) which
states:
“some specific examples of legislative proposals relating to
expansion of scope of practice which we oppose are […] licensing or
certifying naturopathic providers as naturopathic physicians or
doctors of naturopathy.”
And there are a couple other similar
results.
What's interesting is that I don't have any hits with the
search “code of ethics.”
And I don't get any discrete explanations
of the ethical obligations of New York medical doctors from mssny.org.
Oh, ethics.
I forgot: this is New York.
How many politicians are in jail so far, over the last few years?
There ARE current bylaws at mssnybylaws.org, but overall
reading the MSSNY's online material in terms of its content and
format is quite annoying and uninformative.
Considering the fact that
they claim to have 30,000 members, I'm actually quite DISAPPOINTED in
their web presence.
But at least they have a position statement
AGAINST naturopathy.
Another interesting thing is that in searching
for the terms “homeopathy” or “homeopathic”, they only show
up as cited language inside the naturopathy bill.
And the New York county
society on the boarder with Connecticut, believe it or not, has no
hit on its site for “ethics.”
The “About” page of the
Westchester County Medical Society, at wcms.org,
states:
“since
1797, the WCMS has dedicated itself to 'improvements in the healing
arts as well as the general good of mankind.' Specifically, the
Society is committed to: the advancement of medical science in
Westchester County […] the protection and improvement of the public
health […] the establishment and enforcement of the highest
standards of medical competency and character among the physicians of
the County […] the proper and ethical education of the public in
matters of medicine and public health.”
That was the good of mankind, science, public health protection and improvement, high standards, and ethical education of the public.
Naturopaths claim to be educating about naturopathy all the time:
in a misrepresentation kind of way, the sort of unethical education of the public which seems to be opposed by the WCMS.
And at WCMS, I don't find any
'naturopathy or naturopathic' there.
Again, another rather disappointing web presence...lost opportunity.
The NYANP, recently on Facebook,
pointed to a washingtonpost.com article titled "Researchers:
Medical Errors Now Third Leading Cause of Death in United States".
And NYANP wrote:
"let your representatives know how important it is to
license NDs in NY – that there is a healthcare crisis and people
should be able to have a choice when it comes to their healthcare.
This is a great article to reference when writing or calling your
representatives in Albany. It's time New York! #LicenseNYNDs."
What's the thinking here?
Because medicine has errors, naturopathy
with its hugely erroneous premises and methods should be
licensed, because there's a crisis.
Yet I don't see the New York State medical society's presence providing direct responses to the naturopaths' push.
Because I don't see any responses for naturopathy or naturopathic on the Facebook page of MSSNY.
The naturopaths are winning on social media and likely in terms of legislators:
they will wear down eventually.
That's how the naturopaths eventually get licensed usually.
[00.53.55]
The NYANP and ND Bongiorno:
For several
years now, the AANP-AANMC-CAND type NDs have been lobbying for
licensure in New York State.
I include the Canadian national ND
association because, of course, New York shares its border with
Canada.
The NYANP homepage has been curated at archive.org since
2001 and
a bill is even mentioned then:
"A7109 Naturopathic Title Bill:
the Bill known as 'The Naturopathic Title Bill' has been introduced
in the New York State Assembly. Bill A7109 has been referred to the
Higher Education Committee for review. A7109 will set educational
standards for people calling themselves a naturopath in the State of
New York. The purpose of this article is to provide standards for the
title of naturopathic medicine, to educate the public health, safety
and welfare and to provide a means of identifying qualified
naturopaths. We strongly support this bill and you should to […]
naturopathic physicians (ND's) are primary care physicians that use
natural treatments. Naturopathic physicians treat disease and restore
health-using therapies from the sciences of clinical nutrition,
herbal medicine, homeopathy, physical medicine, exercise therapy,
counseling, natural childbirth and hydrotherapy."
The sciences
that aren't categorically science:
like homeopathy there.
This fraud has been going on for an awful long time.
The NYANP
2001 "Mission" page
states:
"the
primary objectives and purposes of the New York Association of
Naturopathic Physicians shall be to promote the philosophy, art, and
practice of naturopathy; to support and strengthen the standards of
naturopathic practice; and to promote ethical conduct in the practice
of naturopathy in the state of New York. Also: to promote the
science and art of medicine and health care throughout the United
States; and, to improve the public health; and, to encourage
scientific research in natural medicine; and, to improve, promote and
maintain high standards in naturopathic medical colleges, and to
promote licensing of naturopathic physicians for the protection of
the public and allow for freedom of choice in alternative medicine
practitioners."
That's:
high standards in ND colleges, ethical conduct, science, public health and protection.
That's:
high standards in ND colleges, ethical conduct, science, public health and protection.
Yet, in "Related Links" from
2001, we're
told:
"Bastyr University [of] Natural Health Sciences."
That's
'science subset naturopathy', which is directly in conflict with the NYANP
mission purposes and objectives:
of high standards in ND colleges,
ethical conduct, science, public health and protection.
The 2001 "Fact Sheet On Naturopathic Medicine In New York" states:
"licensure
would be the ultimate goal with title protection as a first step to
ensure that standards of training are maintained and qualified
naturopathic physicians are available to people who choose them […]
why do naturopaths need title protection? […] title protection will
offer the public a way to find qualified naturopaths […] all
qualified naturopathic physicians have doctorates of Naturopathic
Medicine (N.D.) and have graduated from four-year, graduate level,
federally accredited naturopathic medicine colleges […which
includes] the same basic and clinical sciences as orthodox medical
students […] natural therapies include clinical nutrition,
botanical medicine, homeopathy, lifestyle counseling, naturopathic
physical medicine, natural childbirth and basic training in Oriental
medicine […] why should the citizens of New York not have access to
properly trained Naturopathic physicians.”
Because, overall, the ND
qualification is 'accredited pseudoscience'.
And the bill, even back
then and even now, coded and codes the vitalism at the heart of
naturopathy, of course.
But, at NYANP historically speaking, you can
find 'naturopathy's vitalism essential premise'.
In 2004's
"Naturopathy" (2004 archived) we're
told:
"naturopathic medicine encourages the self-healing process,
the vis medicatrix naturae [...] the healing power of nature (vis
medicatrix naturae) naturopathic medicine recognizes in the body an
inherent ability, which is ordered and intelligent. Naturopathic
doctors identify and remove obstacles to recovery and facilitate and
augment this healing ability [...with such things as] homeopathic medicine. This
powerful system of medicine is more than 200 years old and is widely
accepted in many countries. Homeopathic medicines, when properly
prescribed, affect the body’s 'vital force' and strengthen its
innate ability to heal".
It's that 'proper kind of pseudotherapeutic aimed at a proper kind of figmentation'.
Currently, the only hit at NYANP for
"vital force" is a PowerPoint presentation by ND Lytle
titled "Facilitating Self-Healing" (2016 archived) which
states:
"to facilitate the body’s innate ability to heal itself
is a principle of NM [...] through nutrition (nutrigenomics), not
only homeopathy, we can change the vital force and follow Herring’s
Law [...it's] a tool for improving vital force to overcome
drug-induced disease.”
If you're not familiar with Hering's Law, well, Hering's Law is complete homeopathic bunk.
Recently, this April, a short video was
put up at Vimeo.com by the New York Association of Naturopathic Physicians, which is a 'plea for support' NYANP's
President and Bastyr ND graduate Bongiorno [bio. also here, and here].
The
video is titled “Support Naturopathic Medicine Being Licensed in New York, Dr. Peter Bongiorno” [uploaded on the NYANP account
2016-04-03; vsc 2016-04-03].
In the video, the ND
states:
"I'm Dr. Peter Bongiorno and I'm President of the New
York Association of Naturopathic Physicians [...] I'm here to talk to
you about healthcare and how you and I can change it for the better
[…] together, you and I can change health care in the State of New
York and in the country […] we really need your support [...] you
can support the NYANP to work with lobbyists and educate the
legislature so we can pass the licensing of naturopathic medicine in
the State of New York.”
Now, knowing all I know about naturopathy,
and hopefully also with what I have shared through this podcast and
will continue to share:
for healthcare to 'go naturopathic' is NOT to improve healthcare “for the better” when you truly are educated about naturopathy.
for healthcare to 'go naturopathic' is NOT to improve healthcare “for the better” when you truly are educated about naturopathy.
The changes would be quite RETROGRADE:
in the sense of
ethics, epistemics, and consumer protection both clinically and
academically.
But 'crazy can't see its crazy, it just wants support in
its crazy to spread its crazy'.
He goes on with his pitch:
“according
to the New York State Department of Health, 60% of New Yorkers will
die of chronic but preventable disease [...] according to the Centers
for Disease Control, 75% of our healthcare dollars go to treat
chronic preventable disease [...] now that's not curing those
diseases, that simply maintaining them [...] in 2005, the New England
Journal of Medicine published a paper stating that in that year,
children who were born would not live as long as their parents [...]
it's interesting because, if you go to the NYS Department of Health
web site, they say one of their top priorities is to bring in
preventative healthcare and wellness to the healthcare system in New
York and yet they will not license naturopathic doctors.”
I think
you can see where this is going:
ND Bongiorno and the NYANP are
positioning themselves as the SOLUTION to these diseases, by way of
“preventative healthcare”.
It's not a bad rhetorical device,
actually, on its surface, and lawmakers are quite shallow in their
diligence, I've noticed, concerning naturopathy.
But, as I've said
often, anything useful and helpful in naturopathy already exists in
other parts of healthcare without absurdity, deception and
irrationality tagging along.
Those areas should be bolstered instead, IMHO.
We should
support areas of healthcare that BETTER things, and at the same time
don't bring along 'sociopathical baggage'.
He affirms:
“naturopathic doctors are
the answer to the healthcare crisis.”
Oh, my.
So, filling healthcare
up with magic beans, unicorn tears, and flying carpets will solve a
very serious crisis.
Talk about magical, superstitious, LAME
thinking.
And here's the connection with the ND educational
apparatus.
We're told:
“naturopathic doctors are trained in four-year, post
graduate medical schools [...and] are trained in both conventional
care and at the highest level in holistic and natural care
modalities.”
Yes, “holistic and natural” like:
'homeopathic pseudoscience pseudotherapeutic pseudopharmacy and kind'.
'homeopathic pseudoscience pseudotherapeutic pseudopharmacy and kind'.
Not “high”
unless you mean STONED.
We're told:
“even the Federal Government
recognizes naturopathic physicians [...] I want to read to you a
resolution of the 113th Congress of the United States from 2013 [...]
I quote: naturopathic doctors are skilled at preventing and treating
chronic disease.”
Now, 'a political decree by ignorant legislators' does not confer upon
naturopathy epistemic integrity.
He also
affirms:
“naturopathic medicine is safe, effective and an affordable
means of healthcare.”
HOW?
Look at what they tout as therapies:
empty
placebos are NOT 'effective, safe, or affordable' while such is lumped
in with other naturopathics that are posed as equal.
Such is
OBVIOUS.
Paying for 'empty pills under false pretenses' is harmful, not
safe, in terms of consumer rights, in terms of trade.
Not only is
what's being offered obviously NOT safe or effective, it's not
affordable, because it is ineffective and therein wasteful.
And keep
in mind, naturopaths have dispensaries because they make, I'll
roughly estimate, half their monthly income from selling supplements,
herbs, and homeopathics directly to their patients.
The NYANP
President emphasizes:
“the licensure of naturopathic doctors helps
address the shortage of primary care physicians in the United States
while also providing consumers with more choice in healthcare'.”
I
HIGHLY discourage anyone from using an ND as a PCP:
NDs are so poorly
trained compared to physicians that comparatively it ISN'T a choice,
a legitimate choice.
Unless, of course, you think you have a choice
when you are offered 'an airplane and a flying carpet'.
And we're
told:
“18 states are licensed for naturopathic doctors […] so,
many citizens of the United States can see and visit naturopathic
doctors [...] but New Yorkers are being held back.”
As if there's
something GOOD overall in:
'licensed falsehood, in accredited pseudoscience.'
'licensed falsehood, in accredited pseudoscience.'
It is New York
naturopaths who are being “held back”, obviously.
Which is good.
And we're
told by whom:
“the Medical Society of the State of New York [MSSNY...] the
representatives of the medical doctors […] will not allow
naturopathic medicine to be licensed [...] we've had a bill for about
ten years that has gone fairly far in the legislature but keeps
getting blocked by the Medical Society.”
And I hope they keep successfully blocking it.
Now, I find it
fascinating that in New York, the unlicensed NDs are posing
themselves as SAVIORS for healthcare:
“skilled” saviors, being
“held back […though] the answer” with naturopathy's “safe,
effective, affordable” such and such.
My dear ND Bongiorno, need I
remind you that your essential therapeutics are junk:
like HOMEOPATHY, like acupuncture?
like HOMEOPATHY, like acupuncture?
Junk 'such and such' does not save the day.
Let's look at
your junk, for a moment.
Not anatomically, of course, but your authored
junk.
[01.06.44]
ND Bongiorno's Web Pages and a 2015
Book:
Web Pages:
ND Bongiorno is both an ND and a licensed
acupuncturist, an LAc.
He is a 2003 ND Bastyr graduate, and his LAc is
from Bastyr as well.
His current bio. web page “Dr. Peter Bongiorno ND, LAc” (2016 archived) in
fact states:
"Dr. Peter Bongiorno graduated from Bastyr University,
the leading accredited university for science-based natural medicine
[…where] he completed five years of training in naturopathic
medicine and acupuncture"
[the “science-based” claim is repeated here] (2016 archived).
[the “science-based” claim is repeated here] (2016 archived).
He
has a 7-page CV up online I'll link
to (2016 archived).
It
tells us he was the “Physician of the Year 2008 - New York
Association of Naturopathic Physicians.”
It tells us “Masters of
Science in Acupuncture.”
In some states, NDs don't need to get that
separate LAc and can practice acupuncture as an ND.
I usually consider
acupuncture and traditional Chinese medicine as within naturopathy's
cornucopia, like homeopathy is, because Oriental medicine is a required course in an ND program.
For instance, in Connecticut, it seems
that NDs can practice acupuncture under their ND license.
Or at least,
at this time, they are not bothered if they do so by
regulators.
acufinder.com states, in “Connecticut Laws & Details”:
“medical
doctors, chiropractors, dentists, physical therapists, podiatrists,
homeopaths, naturopaths, optometrists and veterinarians may practice
acupuncture in Connecticut without any specific training.
Acupuncture may be practiced by a physician assistant or nurse under
the supervision of a licensed medical doctor. A physician assistant
must have graduated from an accredited physician assistant program
and passed the national physician assistant examination. A physical
therapist may practice acupuncture provided he or she is licensed as
a physical therapist.”
So, apparently Connecticut doesn't have the
stringencies regarding QUACKupuncture that I think happens in other
states with a strong TCM / acupuncture lobby.
I was taught acupuncture
while in UB's ND program, though as I've said, UB offers a Masters in Science in that pseudoscience.
The ND LAc, a 1987 NCNM ND graduate,
who was my teacher, is in fact at UB as “the founding director of the UB Acupuncture Institute” (2016 archived) within
UB's pseudo ”health science center.”
You'd think that with such a
“science” label, nonscience wouldn't be the basis of Bongiorno's
activities.
But...
Vitalism:
We're told in "Naturopathic Medicine and Acupuncture" (2006 archived) at the ND's practice:
"the
term naturopathy refers to the idea of 'nature cure,' which uses the
healing power of nature in an effort to allow the patient to cure
theft own illness by stimulating the body's vital force or qi [...]
the healing power of nature (vis medicatrix naturae): nature works
through innate systems of healing in the body, and it is the NDs job
to access this vital healing energy [...] both naturopathic and
Chinese medicine thinking are generally very supportive of the vital
qi energy [...aiming] for the patient to gain nourishment and build
their qi."
We're told in "Naturopathic Medicine: A New York State of Mind" (2006 archived), also at his practice:
"a new type of doctor has emerged
at the forefront of integrative and holistic thinking, the
naturopathic doctor [...] the term 'naturopathic' refers to the
healing power of nature that allows the patient to cure one's own
illness by stimulating the body's vital force [...] the foundation of
naturopathy rests on seven principles shared by all naturopathic
doctors [...first of all] access nature's vital healing energy."
We're
told in "The Doctors P Talk to the Nation" (2007 archived), also at that practice:
"with
naturopathic medicine and the vital force each one of us possesses,
there is healing that can take place that may not always be apparent
with conventional views of medicine."
That's quite a promise that, by way of a figmentation, 'we will do so much better than regular medicine and its rigorous science'.
So there's the PRESIDENT of
the NYANP stating 'science subset nonscience vitalism', in sum.
Naturopaths:
NOT an
answer, please hold them back, until they pass K-12 science
class.
Because vitalism is described in the Next Generation Science
Standards as an epitome of the science-discarded!
Funny how, in the
book I'm about to talk about, ND Bongiorno writes:
“if I had
handed in an experiment and write-up like this in my high school
science class, I would have failed.”
You can't make this stuff up.
[01.11.30]
ND Bongiorno's Book:
Now, I recently bought and
OCR'd the 2015 ND Bongiorno book “Put Anxiety Behind You: The
Complete Drug-Free Program”, which is ISBN 1573246301 9781573246309.
The
back cover says “you don't have to feel this way”, and has an
endorsement by Bastyr's ND Pizzorno.
Pizzorno states:
"'everyone
wanting to develop healthy emotional status through nutrition, herbal
medicine, and lifestyle will find Dr. Peter's latest book an
indispensable resource' Joe Pizzorno Jr., ND, author of Total
Wellness.”
I've cited from Total Wellness before because in it the
ND claims “life force” is “spirit” and a “system” of the
body.
With all that being “science-based”.
So the book is about a
psychological disorder but I don't see, on that ND Bongiorno CV, any
psychiatry-expertise or psychology-expertise academically
speaking, clinically-speaking.
Interesting.
I don't see any science-expertise either, except
for a 1990 B.S. in Biology from, ironically nearby to me, Fairfield
University and a talk of doing research.
Nothing outstanding has been
published scientifically speaking either.
But we're assured:
“there's a
whole lot of information about natural health out there.
Unfortunately, you cannot always trust it. Sometimes the science
isn't very strong, or the motivation is more about money than health.
The below list represents the best places to find good information
and the right practitioners [...and first up are] naturopathic physicians
and naturopathic medicine naturopathic doctors (NDs).”
How ironic:
"you cannot always trust it [...] sometimes the science isn't very strong."
We're
also told, cryptically:
“NDs are trained in postcollege four-year
medical programs. NDs learn all basics of primary care medicine at
the same level as conventional medical doctors (MDs). NDs learn about
anatomy, physiology, biochemistry, physical exams, minor surgery,
blood draws, pharmacology [...] and so on. In a naturopathic
curriculum […] the underlying tenet is to help the body to heal
itself.”
That's coded vitalism.
And using 'postcollege' is a strange word choice:
I attended
the College of Naturopathic Medicine at UB, it wasn't postcollege if it was a College.
It was doctoral-level, supposedly, but it wasn't 'postcollege'.
And a naturopathic program isn't a medical
program, it's a naturopathic program.
Otherwise, a graduate would be
able to use the M.D. credential.
And there is no mention of medicatrix
in my OCR search of the book at all, by the way.
And we're ASSURED:
“naturopathic
doctors are the perfect primary care physicians."
Really, "perfect".
What kind of 'fucking crazy' is this?
And he goes on:
"since there is a
shortage of primary care doctors, naturopaths are needed more than
ever […and we're told] I am [the] president of the New York State
Association of Naturopathic Physicians."
ND Bongiorno Science-Claims:
Here's my favorite quote
about science from the book:
“while this may sound a bit far out to
you, the Chinese have thousands of years of scientific observation to
back up these associations.”
That's BULLSHIT, because science isn't that
old.
Again for naturopaths, science is whatever they want it to
be.
That is delusion, that is hubris, that is incompetence.
And with
such nonstandards, it is any wonder we've got...
[01.15.13]
Homeopathy in the Book:
The root 'homeop' occurs in the book at least 52
times.
We're told:
“antianxiety homeopathics [...] homeopathy is a
system of remedies that will help bring physiologic change to the body
when used in minute, or even infinitesimally diluted doses […]
below, I have listed the top homeopathic anxiety remedies I use […]
with a reputation for efficacy […] homeopathy is considered a
cheap, safe way to effect great changes in a person's underlying
energetic patterns to bring healing [...] homeopathic treatments have
remained a part of successful care.”
And listed are about 16
so-called remedies in their Latin splendor.
So that was:
successful homeopathy, change from homeopathy, use of homeopathy by ND Bongiorno, efficacy, great changes.
So that was:
successful homeopathy, change from homeopathy, use of homeopathy by ND Bongiorno, efficacy, great changes.
Now, this is a 2015
book:
you'd think it would mention two definitive collective highly rigorous studies
on homeopathy that dismiss the therapy outright.
Especially this ND, whose school says "science-based."
Especially this ND, whose school says "science-based."
There's the UK's House of
Commons 2009 Science and Technology Committee's “Evidence Check 2: Homeopathy” which states:
“the Government’s position on
homeopathy [...] it accepts that homeopathy is a placebo treatment.
This is an evidence-based view […] the Government should stop
allowing the funding of homeopathy on the NHS. We conclude that
placebos should not be routinely prescribed on the NHS. The funding
of homeopathic hospitals, hospitals that specialize in the
administration of placebos, should not continue [...the] NHS doctors
should not refer patients to homeopaths.”
Oh, snap!
Oh, snap!
That's 2009, PATENTLY conveniently
ignored by Naturopathyland and ND Bongiorno.
And there's Australia's National Health and Medical Research Council's 2015 summary “NHMRC Statement: Statement on Homeopathy“ which
states:
“based
on the assessment of the evidence of effectiveness of homeopathy,
NHMRC concludes that there are no health conditions for which there
is reliable evidence that homeopathy is effective.”
Again,
unmentioned by Naturopathyland and ND Bongiorno.
Maybe he can get a little bit of forgiveness here, since it's the same year as the publication of his book.
Maybe he can get a little bit of forgiveness here, since it's the same year as the publication of his book.
And the ND tells us in the book:
“for now, it is unclear whether
homeopathy may work for you […] my clinical experience tells me it
is quite safe and certainly worth trying.”
NO.
It is QUITE clear
NOW, in this day and age that homeopathy is certainly WORTHLESS.
This is 'science-denialism on
the part of the ND and his supposed profession, while claiming to be science-based'.
Oh the reversal of
values by Naturopathyland.
And we're also told:
“it is highly
possible that studying homeopathy using a more holistic,
systems-based paradigm might show better results.”
Aka:
lower the bar.
lower the bar.
That's the only way to get homeopathy through:
poke holes in the filter.
[01.18.30]
Vitalism in the Book:
There aren't piles of vitalism in this book,
actually.
Here's one instance:
“the life energy force known as
qi.”
Ah, the science words 'energy and force', abused.
ND Bongiorno
actually recently did a 28 minute audio interview
(2016 archived) for this book at
the podcast
Healthwatch.
He
was interviewed by an LAc, Ellen Goldsmith.
She
called him an “expert.”
ND Bongiorno talked of his own psychological history of anxiety.
I'd be anxious too, or I'd have to spend a lot of time managing my anxiety, if I was involved in the organized racket known as the naturopathillogical...
Regarding the Energy of ND Bongiorno:
So, we were told by ND Bongiorno “the life energy force known
as qi” and “the body's vital force, or qi [...] the healing
power of nature (vis medicatrix naturae).”
I've always liked Bob
Novella's year 2000 article up at the New England Skeptical Society “Energy Crisis: Vitalism Pseudoscience”.
We're
told:
“of all the scientific terms that have been usurped by
pseudoscientists, the word 'energy' would have to be the most abused.
This word has a very specific meaning to physicists, but the lay
press, and many people who are not familiar with its proper usage,
distort its meaning and use it in misleading ways. This is especially
true when the term is applied to organic matter such as the human
body. This erroneous belief exists, in part, as a remnant of ancient
beliefs in vitalism and chi in which a mysterious animating life
energy pervades the human body, distinguishing it from non-living
matter. Modern concepts of biology and energy, however, are
diametrically opposed to this belief, exposing it for what it is, an
ancient superstition with no place in modern scientific
society.”
Hear, hear.
Historically, we're told also:
“the concept of vitalism dates back to
the 1600’s. It is part of the philosophy of idealism that contends
that abstract immaterial aspects of the universe give rise to the
material world. Proponents of the vitalism theory believe that the
primary distinguishing factor between animate matter and inanimate
matter is a 'vital force' or 'energy' that suffuses organic matter,
rendering it 'alive.' So widespread was the belief in vitalism in
the scientific community, that Isaac Newton himself spent years
fruitlessly searching for evidence of this energy in his many
alchemical experiments […] the concept of a 'life energy' itself,
however, is not a mere four centuries old. Many ancient cultures have
had similar beliefs since recorded time. China’s version, chi or
qi, is probably the most well known […] belief in chi is not
limited to China, however. The concept exists in many countries and
goes by many names such as prana in India and ki in Japan. Franz
Anton Mesmer called it animal magnetism, and to philosopher Henri
Bergson it was the élan vital (vital force). Many alternative health
practices employ the concept of a vital life-energy (or in modern
parlance, bio-energetic fields) as the cornerstone of their belief
systems […] chiropractic, developed by Daniel David Palmer in 1895,
is entirely based on the vitalistic, chi-like belief that an energy
or spiritual life-force pervades the human body. This energy,
referred to as 'innate-intelligence' is said to emanate from the
brain, travel through the spinal cord and peripheral nerves to all
the organs of the body.”
And finally Mr. Novella tells us:
"there are no experiments, observations or even viable hypotheses
that require the fundamental change in our conceptions that chi or
the HEF would demand. No proponents of acupuncture, chiropractic,
therapeutic touch or any of the others have ever produced the proper
double blind, placebo controlled, reproducible scientific evidence to
support their energy claims [...and quoting physicist Victor Stenger] 'the bioenergetic field plays no role
in the theory or practice of biology or scientific medicine. Vitalism
and bioenergetic fields remain hypotheses not required by the data,
to be rejected by Occam’s razor until the data demand otherwise'”.
Hear, hear, hear.
[01.22.51]
The Recent Verdict of the Ezekiel Stephan Trial in Alberta,
Canada:
The parents of ES were found guilty by
a jury.
The New York Daily News, of all places, at
nydailynews.com, wrote on April 27, 2016 in "Canadian
Couple Found Guilty in 18-Month-Old's Death for Treating His
Meningitis with Homemade Remedies":
“a Canadian couple has been found
guilty of their son’s death after homemade remedies failed to cure
his meningitis [...] the Stephans are expected to return to court in
June to set a date for sentencing, and face up to five years in
prison.”
We're told at Canada's theglobeandmail.com, in
"Parents
Can’t Put Science Aside When Their Children are in Danger" from
April 28th:
"all the time Ezekiel was slowly dying, his parents were
convinced they were giving him the best possible treatment, according
to their beliefs. But that’s not good enough, the court has ruled.
It remains unreasonable to rely on a selective course of unproved
treatments for a sick child simply because your faith-based
principles are deeply held and fatally consistent. Science and the
law are both designed to distinguish right from wrong within
rational, evidence-based systems that elevate objective facts over
personal prejudice and discredited beliefs. It is not just arrogant
for parents to assume that they alone have all the answers – it can
also be dangerous and wrong."
There's also, at Canada's cbc.ca from the same date, "Alberta
to Review Naturopathic Regulations in Light of Toddler Death"
(2016-04-28), which states:
"Alberta's health minister wants
to know if the rules governing naturopathic practitioners in the
province are tough enough, after the high-profile death of a toddler
[...] 'I think it's important for us to know whether or not the
regulations for the naturopathic college [as in regulatory body] could have prevented this
from happening if they were in place at the time that Ezekiel did
die,' Hoffman said. 'I think it's important for us to look at what
has been established through having a college and if that code of
conduct that is part of a professional governing body [...] would have
provided more assurance that the individual would have done a
referral in this situation, because certainly I think it's really
important that if you do require medical support that you get it'
[...] Hoffman has asked her department to review the regulations that
are in place to see if anything can be done to strengthen them. The
province will also review the college's standards of practice and
code of ethics."
So, let me get this straight:
the health minister doesn't know, on-hand, what the rules governing naturopaths and whether or not they're stringent enough.
Naturopaths certainly have been quite left to their own devices.
Well, if I'm to take the CNDA response on face-value, which I spoke of in part one, wherein I was told the rules don't basically exist yet, by email:
what is the health minister looking for?
The rules that aren't there?
'Are the rules strong enough'?
'What rules'?
CNDA told me there aren't any rules yet in terms of practice and ethics...
And naturopaths are still practicing fully in Alberta anyway!
what is the health minister looking for?
The rules that aren't there?
'Are the rules strong enough'?
'What rules'?
CNDA told me there aren't any rules yet in terms of practice and ethics...
And naturopaths are still practicing fully in Alberta anyway!
This has been the end of Part Two of the Naturocrit Podcast Episode 012, aka s02e12.
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