Ben Goldacre is a doctor who writes a weekly column in the Guardian exposing bad medicine. He writes, "The hole in our culture is gaping: evidence-based medicine, the ultimate applied science, contains some of the cleverest ideas from the past two centuries, it has saved millions of lives, but there has never once been a single exhibit on the subject in London's Science Museum."
He attacks the idea that social and political problems can be solved by pills, even Patrick Holford's Optimal Nutrition pills, or those of the TV 'nutritionist' Gillian McKeith, with her PhD from a non-accredited correspondence course 'college' in the USA. Their advice is just 'a manifesto of right-wing individualism', blaming people's ill-health on their food choices, not on the social inequality that drives health inequality.
Dr Goldacre writes, "All too often this spurious privatisation of common sense is happening in areas where we could be taking control, doing it ourselves, feeling our own potency and our ability to make sensible decisions; instead we are fostering our dependence on expensive outside systems and people."
He praises the brilliant Cochrane reviews of medical literature. He notes that to say that giving placebos in trials of treatments is unethical is to assume that the treatment is better, which is to assume what is being tested. We don't know the result of the trial before we do it - that is why we do trials.
For example, trials have proven that the painkiller Vioxx caused 80,000-139,000 heart attacks, a third probably fatal, during its five years on the market. Trials have also discredited antioxidants, hormone replacement therapy and calcium supplements.
Dr Goldacre notes that anti-arrhythmia drugs when given to all heart attack patients, not just to those with arrhythmic heartbeats, increased their risk of dying. He reminds us that Benjamin Spock's well-meant but wrong advice - that babies should sleep on their tummies - led to tens of thousands of cot deaths. What counts is the effect, not the intent.
He recounts the media's disgraceful nine-year campaign against the Measles Mumps Rubella vaccine. The campaign caused an epidemic of mumps in Britain, with 5,000 cases in January 2005, and 2008 saw the highest number of measles cases since 1995. Nearly half of all homoeopaths irresponsibly advised against taking the vaccine, as did almost a fifth of chiropractors. Only a few homeopaths and just a quarter of the chiropractors acted professionally and recommended it.
