 HAVEN FOR UNTRUSTWORTHY PRACTITIONERS
Part of homeopathy’s appeal is the personal attention paid to patients (Avina and Schneiderman, 1978). In practice, classical homeopaths emphasize taking 30 to 45 minutes with each patient, paying careful attention to the emotional state and administering only one remedy at a time. Classical homeopathy’s close personal attention to patients, benign remedies, and special appeal to a select clientele make it seem innocuous if practitioners have the competence and good sense to recognize serious disorders and readily refer to other physicians. This, however, is not always the case. Pseudosciences such as homeopathy, even if relatively benign, are magnets for cranks and charlatans. This poses a serious problem because untrustworthy or incompetent practitioners should not be granted the privilege of administering health care. True believing cranks may pose a more serious threat than con men because of their devotion to homeopathy’s ideology. Their sincerity may make them more socially tolerable, but it can add to their potential danger. Irrational health care is never harmless, and it is irresponsible to create patient confidence in pseudomedicine. Although homeopathy may not pose a significant risk for a basically healthy patient, at some future time that same patient could face a situation where a life-or-death decision may swing on just such unwarranted confidence.
Some practitioners do not practice in homeopathy’s classical manner, but use its “benign” reputation as a cover. A well-documented example occurred in Nevada. According to an expose by the Las Vegas Review-Journal, several maverick MDs who had been in serious legal difficulty in other states descended on Nevada and managed to get the State Legislature to set up a homeopathic licensing board with themselves in charge. However, none was actually practicing homeopathy. Rather, using an unapproved electronic device they practiced “energy medicine.” When faced with the fact that they had deceived the State Legislature, proponents stated that they had used the more familiar term “homeopathy” because they feared that the legislators would not be able to grasp the new concept of “bioenergetics.” The Nevada legislature rewrote the homeopathic practice act in 1987, specifically stating that Nevada homeopaths were limited to using substances prepared according to “the methods of Hahnemannian dilution and succussion, magnetically energized geometric pattern as defined in the official homeopathic pharmacopeia of the United States” (Hayslett, 1987).
It is difficult to believe that a physician could simultaneously sustain confidence in both homeopathy and scientific health care. It is common for homeopaths to misrepresent regular medicine as misguided to justify their unusual practices. Of special concern to NCAHF is the substitution of homeopathic preparations for standard immunizations. In 1989, an Idaho naturopath was prosecuted for selling homeopathic “immunization kits,” which contained alcohol-and-water solutions and sugar pills. Defenders claimed that the homeopathic immunization products would “stimulate the immune system;” and that the FDA laboratory could not detect the active ingredients because they were so highly diluted with sugar.
NCAHF is primarily concerned with homeopathy in the marketplace. It believes that marketing unproven homeopathic products and services precisely fits the definition of quackery: “A quack is anyone who promotes medical schemes or remedies known to be false, or which are unproven, for a profit’’ (Quackery, 1984). Dr. Kenneth Milstead, then Deputy Director of the FDA Bureau of Enforcement, stated (Young, 1968):
It matters not whether the article is harmless or whether it gives some psychosomatic relief; whether it is cheap or whether it has value for other purposes; whether it is produced by an obscure firm or whether it is produced by a “reputable” firm — the promotion of it is still quackery.
Regulators Fiddle While Consumers Are Burned
For many years homeopathic product marketing was quiescent, bu