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Healthy Skepticism Library item: 15281

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Bud R.
Take this with a pinch of salt
BMJ 2009 Mar 18; 338:b1098
http://www.bmj.com/cgi/content/extract/338/mar18_1/b1098


Abstract:

An account of the lack of evidence behind many of the renowned discoveries of medical science, and indeed for their effectiveness, is reviewed by Robert Bud

This sceptical history of medicine and drugs is both serious in intent and entertaining in delivery. It is also provocative, unbalanced in its choice of examples, and occasionally inaccurate. The serious message is lurking throughout but is only expressed near the end: “The moral is not that doctors once did foolish things. The moral is that even the best of people let themselves down when they rely on untested theories, and that these failures kill people and stain history.”

Most of the rest of the book is made up of well told stories chosen to persuade the reader of the truth of this conclusion. These stories are best read as a myth cycle-not in the sense of myth as untruth but as interpretations of often well known events, with meaning and a moral for the present. The message that many drugs have been used without evidence is an important one. . . .

r.bud@ntlworld.com

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909