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PROFESSOR Michael Baum, who laid into alternative
medicine yesterday, is right to be concerned about wasting scarce NHS funds
on "unproven or disproved" treatments. But he has the wrong
target in his sights. If he wants to root out hype dressed up as science,
he would do far better to focus on conventional drugs.
Far too many prescription drugs are marginally effective and carry risks
out of proportion to the conditions they are designed to treat. Drug side-
effects kill around 10,000 people a year in the UK — three times the number
killed on the roads — and cost the NHS more than £4 billion. Patients are
being perfectly rational in seeking alternatives and it is simply outdated
medical arrogance to condemn them for it.
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Only last week it emerged that one of the antidepressant SSRI drugs
increased the risk of young adults committing suicide — a possibility that
the companies had always strenuously denied even though in 2003 doctors had
been advised not to give these drugs to anyone under 18 because of a
suicide link. The evidence for that official ruling dated to 1996 but had
never been published. During the intervening years British doctors were
prescribing more SSRIs to children than any other country in Europe and yet
there was no proper evidence base for this at all. Treating those children
by changing their diet or with acupuncture seems sane by comparison.
The scandal surrounding the anti-inflammatory drug Vioxx — withdrawn
from the market in 2004 because it doubled the risk of developing heart
disease — is another example of a heavily hyped drug prescribed to millions
for whom it was not appropriate. Evidence that there was a danger was once
again downplayed or ignored; one expert estimate puts the number of
Americans killed or harmed by a drug they took to ease aching joints at
140,000.
Professor Baum demonstrates no understanding of why people are searching
for alternatives to his remedies. In any other business, blaming your
customers for deserting you would be regarded as self-defeating. If he's
serious about safety and cutting costs, he could start by demanding that
drug disasters are followed by an official inquiry and that testing of
promising non-drug therapies is properly funded.
Jerome Burne is author of the forthcoming book Food
is Better Medicine than Drugs
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