A friend of mine is an orthopedic surgeon, and they explained to me that for mild problems, which would normally heal on their own, it's cheaper to cover a placebo rather than real medication.
While I hear this argumentation a lot, I still struggle with this:
If you have "mild problems, which would normally heal on their own", buying no medication at all would be even cheaper.
And from an ethical point of view, the idea of financing a whole (homeopathic) industry that uses your money to produce fake science, even with a single cent, should make one shudder, shouldn't it?
The Chinese Communist Party had billions being raised out of incredible poverty and that populace started demanding medical care. There was no possible way to supply enough clinics, doctors, nurses, etc - and not just because Mao whipped the Red Guard into an anti-intellectual froth than then slaughtered much of China's academic/scientific community.
So Mao waved his hands and invented TCM, which basically said "oh yeah, most of these traditional Chinese medicines work. We did some research and figured out which ones and how to apply them!"
Hilariously people argue TCM doesn't work not because it's complete bullshit, but because it's a modified, corrupted version of actual Chinese medicine...
In France they were funded by the social security up to 15%, but luckily this stopped in 2021. I had some as a kid and my mom is still a strong "believer" in them. I don't see any harm in selling them IF and only if they don't prevent people from taking other "real" treatments. But other than this it's just placebo.
> and only if they don't prevent people from taking other "real" treatments
This is the dominant harm, yeah. As we know from infosec, few things are more dangerous than a false sense of security, and that's exactly what ineffective drugs provide.
Because every bottle is clearly labeled “The FDA has not evaluated this for treating any condition”. There are a great many products that the FDA hasn’t evaluated that are still sold, why should these be any different?
The reason that these get to make health claims and stuff without regulation, and get special treatment, is lobbying resulting in that act. Otherwise they would have been regulated.
Because a lot of those bottles also make claims that are in violation of the FDA rules. The label is not sufficient.
They need to avoid making claims that they can treat or diagnose some condition. They do their best to hint at it without crossing the line, and frequently blatantly do cross it. The FDA does not have anywhere near the manpower to enforce it. And when they do finally get around to it, the brand vanishes, and a new one appears with exactly the same product lineup.
The sector has long lost any entitlement to benefit of the doubt. They are knowingly making illegal claims and using a disclaimer as a fig leaf even though everything else on the package contradicts it.
What should not be allowed to sold in pharmacy? Or should that even be asked. I think this is pretty relevant question. Should pharmacies have some extra regulation that limits them from selling anything but exactly approved products? Or specific models of such? Like only certain toothbrushes?
This is an incorrect summary of the placebo effect. The placebo effect does require the patient to either believe it is effective, or at least not knowing clearly it is ineffective.
This is why clinical studies don't tell neither group (neither the treated group nor the control group) who is in which group, to not spoil the results.
And also, this is why homeopathy puts so much effort into spreading the belief they are effective despite all odds, up to the point of trying to convince people to abandon basic scientific principles.
Placebos work even if users know it's a placebo. I don't for a second believe in any of homeopathy claims, but I still buy and use it, because placebo works. Especially so when price and all other medicine-looking rituals around it are maintained.
It's considered a dietary supplement, which is governed by the dietary supplement health enforcement act, which in turn classifies dietary supplements as a food product.
Unless we want to make people accountable for running their own sophisticated clinical studies for every single product we buy, we should probably have some rules in place around false claims and false advertising.
I might be downvoted for this, but I tend to have a kind of libertarian take on this. I absolutely do not believe in homeopathy beyond placebo effects, and I understand the harm they do by opportunity costs in pursuing other treatments.
But at the end of the day I feel like all medications should basically be handled like homeopathy products. They should be available to anyone, barring some kind of competency ruling or disagreement by the pharmacy over what they want to sell to whom, and the FDA should basically ensure that they are what they say they are on the label.
I'm glad there's skeptics out there calling BS on homeopathy but where I diverge from them is in somehow preventing it from being available. It's water, it's labeled accurately, so let people do what they're going to do. If they weren't doing this I doubt they'd be doing something more "mainstream" anyway, or complying with it. They might even be doing something even more actively harmful.
I guess I see it as a slippery slope from banning homeopathy to something much murkier where reasonable experts disagree. Real medical science can get very grey really fast and I'm not sure I trust regulatory authority figures to always make the best decisions about what to do. Better to leave it to the consumer and whichever provider they trust most.
Demand product purity, prevent health claims on the label, whatever, but I think my question is "why aren't more medications sold in American pharmacies?"
its not about banning availability, its about making them required to prove the health claims theyre making. If you didn't have any requirements to prove your drug worked before selling it, youd take away a pretty huge market incentive to make drugs that work (health is about as far from a perfect full information free market as you can get -- homeopathy doesn't work at all and those companies are making plenty of money). These regulations also force research into and labeling of side effects, and skimping on that led to an opiod crisis.
Honestly don't really see the economic or societal argument for deregulating medicine. If you want a system where to get an fda stamp you have to prove it works but can sell whatever otherwise with no consequences until you kill someone or destroy their gallbladders (https://www.foodsafetynews.com/2024/05/fda-determines-that-t...) - well that's what we already have now so given it hasn't changed in decades, even with recent attempts to do so after all the strip mall stem cell clinics and GRAS issues and all, I don't think your opinion is that out of the mainstream.
And in terms of why aren't more sold in pharmacies - no clue what you're talking about there lol. Have you not seen the A-Z supplement whatever aisles full of all this unregulated crap? You can buy whatever you want unless the DEA has an issue with it.
If the homeopathic remedies don't harm anyone (I know that some have, this comment only references the remedies that don't), what is the problem with them being sold and used?
Many cold medicines have side effects, some are even abused recreationaly. Given that human bodies tend to recover with or without cold medicine (and given the shaky legs that Phenylephrine stands on), what is the issue with people using "fake medicine"?
Homeopathic remedies cannot be abused recreationaly. They aren't precursors to meth. They are better in every way (except the don't work better than a placebo). But, if all a patient needs is a placebo (people recover from the common cold just fine without medicine), homeopathic remedies are perfect.
Remember the hippocrattic oath: First of all, do no harm. Safe, well prepared homeopathic remedies shouldn't do harm. Many cold medicines do.
Why not just prescribe a crystal and some essential oils instead? Maybe have them sacrifice a chicken tomorrow evening at dusk? Actually, if they send me $400 in Bitcoin I will simply cure them with the power of prayer. Nobody is making meth off of my well wishes either.
pizza234|1 year ago
A friend of mine is an orthopedic surgeon, and they explained to me that for mild problems, which would normally heal on their own, it's cheaper to cover a placebo rather than real medication.
vog|1 year ago
If you have "mild problems, which would normally heal on their own", buying no medication at all would be even cheaper.
And from an ethical point of view, the idea of financing a whole (homeopathic) industry that uses your money to produce fake science, even with a single cent, should make one shudder, shouldn't it?
everybodyknows|1 year ago
KennyBlanken|1 year ago
The Chinese Communist Party had billions being raised out of incredible poverty and that populace started demanding medical care. There was no possible way to supply enough clinics, doctors, nurses, etc - and not just because Mao whipped the Red Guard into an anti-intellectual froth than then slaughtered much of China's academic/scientific community.
So Mao waved his hands and invented TCM, which basically said "oh yeah, most of these traditional Chinese medicines work. We did some research and figured out which ones and how to apply them!"
Hilariously people argue TCM doesn't work not because it's complete bullshit, but because it's a modified, corrupted version of actual Chinese medicine...
Waterluvian|1 year ago
TheRoque|1 year ago
andrewflnr|1 year ago
This is the dominant harm, yeah. As we know from infosec, few things are more dangerous than a false sense of security, and that's exactly what ineffective drugs provide.
explaininjs|1 year ago
vikramkr|1 year ago
The reason that these get to make health claims and stuff without regulation, and get special treatment, is lobbying resulting in that act. Otherwise they would have been regulated.
calvinmorrison|1 year ago
jfengel|1 year ago
They need to avoid making claims that they can treat or diagnose some condition. They do their best to hint at it without crossing the line, and frequently blatantly do cross it. The FDA does not have anywhere near the manpower to enforce it. And when they do finally get around to it, the brand vanishes, and a new one appears with exactly the same product lineup.
The sector has long lost any entitlement to benefit of the doubt. They are knowingly making illegal claims and using a disclaimer as a fig leaf even though everything else on the package contradicts it.
Tagbert|1 year ago
Ekaros|1 year ago
BugsJustFindMe|1 year ago
vikramkr|1 year ago
jxy|1 year ago
It works even when you know it's a placebo.
vog|1 year ago
This is why clinical studies don't tell neither group (neither the treated group nor the control group) who is in which group, to not spoil the results.
And also, this is why homeopathy puts so much effort into spreading the belief they are effective despite all odds, up to the point of trying to convince people to abandon basic scientific principles.
Apreche|1 year ago
Angostura|1 year ago
pfdietz|1 year ago
golergka|1 year ago
underseacables|1 year ago
EForEndeavour|1 year ago
1. Under the Federal Food, Drug, and Cosmetic Act, homeopathic products are subject to the same requirements related to approval, adulteration and misbranding as other drug products. https://www.fda.gov/drugs/information-drug-class/homeopathic...
2. Homeopathic products are "classified as either over-the-counter (OTC) or prescription medicines." https://www.chpa.org/about-consumer-healthcare/faqs/faqs-abo...
spenczar5|1 year ago
slibhb|1 year ago
whamlastxmas|1 year ago
derbOac|1 year ago
But at the end of the day I feel like all medications should basically be handled like homeopathy products. They should be available to anyone, barring some kind of competency ruling or disagreement by the pharmacy over what they want to sell to whom, and the FDA should basically ensure that they are what they say they are on the label.
I'm glad there's skeptics out there calling BS on homeopathy but where I diverge from them is in somehow preventing it from being available. It's water, it's labeled accurately, so let people do what they're going to do. If they weren't doing this I doubt they'd be doing something more "mainstream" anyway, or complying with it. They might even be doing something even more actively harmful.
I guess I see it as a slippery slope from banning homeopathy to something much murkier where reasonable experts disagree. Real medical science can get very grey really fast and I'm not sure I trust regulatory authority figures to always make the best decisions about what to do. Better to leave it to the consumer and whichever provider they trust most.
Demand product purity, prevent health claims on the label, whatever, but I think my question is "why aren't more medications sold in American pharmacies?"
vikramkr|1 year ago
Honestly don't really see the economic or societal argument for deregulating medicine. If you want a system where to get an fda stamp you have to prove it works but can sell whatever otherwise with no consequences until you kill someone or destroy their gallbladders (https://www.foodsafetynews.com/2024/05/fda-determines-that-t...) - well that's what we already have now so given it hasn't changed in decades, even with recent attempts to do so after all the strip mall stem cell clinics and GRAS issues and all, I don't think your opinion is that out of the mainstream.
And in terms of why aren't more sold in pharmacies - no clue what you're talking about there lol. Have you not seen the A-Z supplement whatever aisles full of all this unregulated crap? You can buy whatever you want unless the DEA has an issue with it.
blendergeek|1 year ago
Many cold medicines have side effects, some are even abused recreationaly. Given that human bodies tend to recover with or without cold medicine (and given the shaky legs that Phenylephrine stands on), what is the issue with people using "fake medicine"?
Homeopathic remedies cannot be abused recreationaly. They aren't precursors to meth. They are better in every way (except the don't work better than a placebo). But, if all a patient needs is a placebo (people recover from the common cold just fine without medicine), homeopathic remedies are perfect.
Remember the hippocrattic oath: First of all, do no harm. Safe, well prepared homeopathic remedies shouldn't do harm. Many cold medicines do.
evilduck|1 year ago
dymk|1 year ago
Because people are being tricked into thinking they’re taking medicine, preventing them from seeking out medical care.