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Donald Ian Rankin

(13,598 posts)
Fri Apr 11, 2014, 01:28 PM Apr 2014

It should be legal to claim homeopathy works, but only if you don't sell it.

I believe that the right to be wrong is the cornerstone of freedom of speech.

As such, I think that laws criminalising either providing homeopathy to people, or claiming that it has medicinal value, would be grossly illiberal; I also think it should be legal to sell homeopathy to people to money, if it's done honestly.

However, commercial speech is subject to certain restrictions that normal speech isn't; in particular, I think that false advertising should be a crime.

So if you make all or part of your income from selling homeopathy, it should be illegal to claim it has any medicinal value beyond that of a placebo, or to donate money to organisations or associations whose purpose is to do so. Arguably, you should have an additional legal duty to explain to your customers that all you're selling them is a placebo, but I'm not convinced that restriction is so justifiable - provided you don't do anything to lead them to think that it isn't, I think it should probably be legal to take advantage of their gullibility.

Supporters of homeopathy should be forced to make a decision - either go on claiming it works, join associations of homeopathy, promote it as you see fit, use it, give it to your friends and so on, but don't charge anyone for providing it, or go on trying to make a living from it, but stop pretending it has any value other than a placebo, or paying others to do so.

Anyone who sells homeopathy while claiming it works should be prosecuted for false advertising.


(The "beyond as a placebo" is a serious qualifier, by the way - I think there's a serious case to be made for legitimate physicians supplying homeopathy or other such things to patients who might benefit from placebos, *provided* that they make sure that the patient understands what they're getting is just a placebo).

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It should be legal to claim homeopathy works, but only if you don't sell it. (Original Post) Donald Ian Rankin Apr 2014 OP
First off they already get around the restrictions on calling bullshit medicine... Humanist_Activist Apr 2014 #1
It is unethical to prescribe a placebo. longship Apr 2014 #2
You don't have to lie to prescribe a placebo. Donald Ian Rankin Apr 2014 #3
Try tic-tacs for malaria, or polio, or cancer. longship Apr 2014 #4
 

Humanist_Activist

(7,670 posts)
1. First off they already get around the restrictions on calling bullshit medicine...
Fri Apr 11, 2014, 01:34 PM
Apr 2014

go to an herbal tea shop and there's a lot of bullshit that they peddle as medicine that they charge an arm and a leg for. Everything from aromatherapy to Rieki. That should be illegal, you should not be able to lie about the effectiveness of any product or service, whether for profit or non-profit. It just scams the vulnerable.

longship

(40,416 posts)
2. It is unethical to prescribe a placebo.
Fri Apr 11, 2014, 02:55 PM
Apr 2014

Physicians generally do not lie to their patients. That would be counter to the standard of care as well.

But that is precisely what the SCAM (supplementary, complementary and alternative medicine) adherents do. Meanwhile they rail about BigPharma, who are precisely the companies who are cashing in on the unregulated supplement market. Why market regulated drugs when you can market nostrums that have no regulations requiring efficacy or safety?

If one doesn't like BigPharma, one should look closely at who markets the SCAM treatments.

R&K

Donald Ian Rankin

(13,598 posts)
3. You don't have to lie to prescribe a placebo.
Fri Apr 11, 2014, 05:15 PM
Apr 2014

I quite agree that it's unethical to prescribe a placebo as anything other than a placebo.

But I strongly suspect that placebos would have a positive effect even on people who know they're placebos - especially people who understand how powerful the placebo effect is.

But what's wrong with saying to a patient "this is a placebo; it has no medically active ingredient, but there's a wealth of evidence showing that the placebo effect helps a significant fraction of people"? Obviously, it's not a substitute for "real" medicine, but either used alongside it, or as part of palliative care, or for untreatable things like colds, I bet it could show a measurable improvement in patient outcomes.

One of my goals is to train myself to self-medicate using tic-tacs, for any condition, but I haven't succeeded yet. Possibly I'm just not good enough at positive thinking...

longship

(40,416 posts)
4. Try tic-tacs for malaria, or polio, or cancer.
Fri Apr 11, 2014, 05:36 PM
Apr 2014

Placebos do not work for anything other than things like non-specific symptoms. They are the null hypothesis.

And it is unethical to prescribe them. If my doctor said to me what you posted, I would file a complaint with the medical board.

I get the purpose of your post. But some here might not.

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