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Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term ''quack'' is a clipped form of the archaic term ', from nl, kwakzalver a "hawker of salve". In the
Middle Ages In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire ...
the term ''quack'' meant "shouting". The quacksalvers sold their wares on the market shouting in a loud voice. Common elements of general quackery include questionable diagnoses using questionable diagnostic tests, as well as untested or refuted treatments, especially for serious diseases such as
cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...
. Quackery is often described as "health fraud" with the salient characteristic of aggressive promotion.


Definition

Psychiatrist and author
Stephen Barrett Stephen Joel Barrett (; born 1933) is an American retired psychiatrist, author, co-founder of the National Council Against Health Fraud (NCAHF), and the webmaster of Quackwatch. He runs a number of websites dealing with quackery and health frau ...
of
Quackwatch Quackwatch is a United States-based website, self-described as a "network of people" founded by Stephen Barrett, which aims to "combat health-related frauds, myths, fads, fallacies, and misconduct" and to focus on "quackery-related information th ...
defines quackery "as the promotion of unsubstantiated methods that lack a scientifically plausible rationale" and more broadly as: In addition to the ethical problems of promising benefits that can not reasonably be expected to occur, quackery also includes the risk that patients may choose to forego treatments that are more likely to help them, in favor of ineffective treatments given by the "quack". American pediatrician
Paul Offit Paul Allan Offit (born March 27, 1951) is an American pediatrician specializing in infectious diseases, vaccines, immunology, and virology. He is the co-inventor of a rotavirus vaccine. Offit is the Maurice R. Hilleman Professor of Vaccinology, ...
has proposed four ways in which alternative medicine "becomes quackery": Also titled # "by recommending against conventional therapies that are helpful." # "by promoting potentially harmful therapies without adequate warning." # "by draining patients' bank accounts ..." # "by promoting magical thinking ..." Since it is difficult to distinguish between those who knowingly promote unproven medical therapies and those who are mistaken as to their effectiveness, United States courts have ruled in defamation cases that accusing someone of quackery or calling a practitioner a ''quack'' is not equivalent to accusing that person of committing medical fraud. To be both quackery and fraud, the quack must know they are misrepresenting the benefits and risks of the medical services offered (instead of, for example, promoting an ineffective product they honestly believe is effective).


Quacksalver

Unproven, usually ineffective, and sometimes dangerous medicines and treatments have been peddled throughout human history. Theatrical performances were sometimes given to enhance the credibility of purported medicines. Grandiose claims were made for what could be humble materials indeed: for example, in the mid-19th century '' revalenta arabica'' was advertised as having extraordinary restorative virtues as an empirical diet for invalids; despite its impressive name and many glowing testimonials it was in truth only ordinary lentil flour, sold to the gullible at many times the true cost. Even where no fraud was intended, quack remedies often contained no effective ingredients whatsoever. Some remedies contained substances such as opium, alcohol and honey, which would have given symptomatic relief but had no curative properties. Some would have addictive qualities to entice the buyer to return. The few effective remedies sold by quacks included emetics, laxatives and diuretics. Some ingredients did have medicinal effects: mercury,
silver Silver is a chemical element with the symbol Ag (from the Latin ', derived from the Proto-Indo-European ''h₂erǵ'': "shiny" or "white") and atomic number 47. A soft, white, lustrous transition metal, it exhibits the highest electrical ...
and
arsenic Arsenic is a chemical element with the symbol As and atomic number 33. Arsenic occurs in many minerals, usually in combination with sulfur and metals, but also as a pure elemental crystal. Arsenic is a metalloid. It has various allotropes, ...
compounds may have helped some infections and infestations; willow bark contains salicylic acid, chemically closely related to
aspirin Aspirin, also known as acetylsalicylic acid (ASA), is a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain, fever, and/or inflammation, and as an antithrombotic. Specific inflammatory conditions which aspirin is used to treat inc ...
; and the quinine contained in
Jesuit's bark Jesuit's bark, also known as cinchona bark, Peruvian bark or China bark, is a former remedy for malaria, as the bark contains quinine used to treat the disease. The bark of several species of the genus ''Cinchona'', family Rubiaceae indigenous t ...
was an effective treatment for
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
and other fevers. However, knowledge of appropriate uses and dosages was limited.


Criticism of quackery in academia

The evidence-based medicine community has criticized the infiltration of alternative medicine into mainstream academic medicine, education, and publications, accusing institutions of "diverting research time, money, and other resources from more fruitful lines of investigation in order to pursue a theory that has no basis in biology." For example, David Gorski criticized
Brian M. Berman Brian M. Berman is a tenured professor of family medicine at the University of Maryland School of Medicine. Education Berman received his medical degree from the Royal College of Surgeons in Ireland. He completed his residencies at the University ...
, founder of the University of Maryland Center for Integrative Medicine, for writing that "There sevidence that both real acupuncture and sham acupuncture remore effective than no treatment and that acupuncture can be a useful supplement to other forms of conventional therapy for low back pain." He also castigated editors and peer reviewers at the ''
New England Journal of Medicine ''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. It is among the most prestigious peer-reviewed medical journals as well as the oldest continuously published one. His ...
'' for allowing it to be published, since it effectively recommended deliberately misleading patients in order to achieve a known placebo effect.


History in Europe and the United States

With little understanding of the causes and mechanisms of illnesses, widely marketed "cures" (as opposed to locally produced and locally used remedies), often referred to as patent medicines, first came to prominence during the 17th and 18th centuries in Britain and the British colonies, including those in North America. Daffy's Elixir and Turlington's Balsam were among the first products that used branding (e.g. using highly distinctive containers) and mass marketing to create and maintain markets. A similar process occurred in other countries of Europe around the same time, for example with the marketing of Eau de Cologne as a cure-all medicine by Johann Maria Farina and his imitators. Patent medicines often contained alcohol or opium, which, while presumably not curing the diseases for which they were sold as a remedy, did make the imbibers feel better and confusedly appreciative of the product. The number of internationally marketed quack medicines increased in the later 18th century; the majority of them originated in Britain and were exported throughout the British Empire. By 1830, British parliamentary records list over 1,300 different "proprietary medicines", the majority of which were "quack" cures by modern standards. A
Dutch Dutch commonly refers to: * Something of, from, or related to the Netherlands * Dutch people () * Dutch language () Dutch may also refer to: Places * Dutch, West Virginia, a community in the United States * Pennsylvania Dutch Country People E ...
organisation that opposes quackery, ' (VtdK), was founded in 1881, making it the oldest organisation of this kind in the world. It has published its magazine ' (''Dutch Magazine against Quackery'') ever since. In these early years the played a part in the professionalisation of medicine. Its efforts in the public debate helped to make the Netherlands one of the first countries with governmental drug regulation. In 1909, in an attempt to stop the sale of quack medicines, the British Medical Association published ''Secret Remedies, What They Cost And What They Contain''. This publication was originally a series of articles published in the ''British Medical Journal'' between 1904 and 1909. The publication was composed of 20 chapters, organising the work by sections according to the ailments the medicines claimed to treat. Each remedy was tested thoroughly, the preface stated: "Of the accuracy of the analytical data there can be no question; the investigation has been carried out with great care by a skilled analytical chemist." The book did lead to the end of some of the quack cures, but some survived the book by several decades. For example,
Beecham's Pills __NOTOC__ Beecham's Pills were a laxative first marketed about 1842 in Wigan, Lancashire. They were invented by Thomas Beecham (1820–1907), grandfather of the conductor Sir Thomas Beecham (1879–1961). Commercial history The pills themselves ...
, which according to the British Medical Association contained in 1909 only aloes, ginger and soap, but claimed to cure 31 medical conditions, were sold until 1998. The failure of the medical establishment to stop quackery was rooted in the difficulty of defining what precisely distinguished real medicine, and in the appeals that quackery held out to consumers. British patent medicines lost their dominance in the United States when they were denied access to the
Thirteen Colonies The Thirteen Colonies, also known as the Thirteen British Colonies, the Thirteen American Colonies, or later as the United Colonies, were a group of British colonies on the Atlantic coast of North America. Founded in the 17th and 18th cent ...
markets during the
American Revolution The American Revolution was an ideological and political revolution that occurred in British America between 1765 and 1791. The Americans in the Thirteen Colonies formed independent states that defeated the British in the American Revoluti ...
, and lost further ground for the same reason during the
War of 1812 The War of 1812 (18 June 1812 – 17 February 1815) was fought by the United States, United States of America and its Indigenous peoples of the Americas, indigenous allies against the United Kingdom of Great Britain and Ireland, United Kingdom ...
. From the early 19th century "home-grown" American brands started to fill the gap, reaching their peak in the years after the
American Civil War The American Civil War (April 12, 1861 – May 26, 1865; also known by other names) was a civil war in the United States. It was fought between the Union ("the North") and the Confederacy ("the South"), the latter formed by states ...
. British medicines never regained their previous dominance in North America, and the subsequent era of mass marketing of American patent medicines is usually considered to have been a "golden age" of quackery in the United States. This was mirrored by similar growth in marketing of quack medicines elsewhere in the world. In the United States, false medicines in this era were often denoted by the slang term snake oil, a reference to sales pitches for the false medicines that claimed exotic ingredients provided the supposed benefits. Those who sold them were called "snake oil salesmen", and usually sold their medicines with a fervent pitch similar to a
fire and brimstone Fire and brimstone ( ''gofrit va’esh'', grc, πυρὸς καὶ θείου) is an idiomatic expression referring to God's wrath found in both the Hebrew Bible and the Christian New Testament. In the Bible, it often appears in reference t ...
religious sermon. They often accompanied other theatrical and entertainment productions that traveled as a road show from town to town, leaving quickly before the falseness of their medicine was discovered. Not all quacks were restricted to such small-time businesses however, and a number, especially in the United States, became enormously wealthy through national and international sales of their products. In 1875, the ''Pacific Medical and Surgical Journal'' complained: One among many examples is William Radam, a German immigrant to the US, who, in the 1880s, started to sell his "Microbe Killer" throughout the United States and, soon afterwards, in Britain and throughout the British colonies. His concoction was widely advertised as being able to "cure all diseases", and this phrase was even embossed on the glass bottles the medicine was sold in. In fact, Radam's medicine was a therapeutically useless (and in large quantities actively poisonous) dilute solution of sulfuric acid, coloured with a little red wine. Radam's publicity material, particularly his books, provide an insight into the role that pseudoscience played in the development and marketing of "quack" medicines towards the end of the 19th century. Similar advertising claims to those of Radam can be found throughout the 18th, 19th, 20th and 21st centuries. "Dr." Sibley, an English patent medicine seller of the late 18th and early 19th centuries, even went so far as to claim that his Reanimating Solar Tincture would, as the name implies, "restore life in the event of sudden death". Another English quack, "Dr. Solomon" claimed that his Cordial Balm of Gilead cured almost anything, but was particularly effective against all venereal complaints, from
gonorrhea Gonorrhea, colloquially known as the clap, is a sexually transmitted infection (STI) caused by the bacterium ''Neisseria gonorrhoeae''. Infection may involve the genitals, mouth, or rectum. Infected men may experience pain or burning with u ...
to onanism. Although it was basically just brandy flavoured with herbs, the price of a bottle was a half guinea (
£sd £sd (occasionally written Lsd, spoken as "pounds, shillings and pence" or pronounced ) is the popular name for the pre-decimal currencies once common throughout Europe, especially in the British Isles and hence in several countries of the ...
system) in 1800, equivalent to over £ ($) in 2014. Not all patent medicines were without merit. Turlingtons Balsam of Life, first marketed in the mid-18th century, did have genuinely beneficial properties. This medicine continued to be sold under the original name into the early 20th century, and can still be found in the British and American
pharmacopoeia A pharmacopoeia, pharmacopeia, or pharmacopoea (from the obsolete typography ''pharmacopœia'', meaning "drug-making"), in its modern technical sense, is a book containing directions for the identification of compound medicines, and published by ...
s as "Compound tincture of benzoin". In these cases, the treatments likely lacked empirical support when they were introduced to the market, and their benefits were simply a convenient coincidence discovered after the fact. The end of the road for the quack medicines now considered grossly fraudulent in the nations of North America and Europe came in the early 20th century. 21 February 1906 saw the passage into law of the
Pure Food and Drug Act The Pure Food and Drug Act of 1906, also known as Dr. Wiley's Law, was the first of a series of significant consumer protection laws which was enacted by Congress in the 20th century and led to the creation of the Food and Drug Administratio ...
in the United States. This was the result of decades of campaigning by both government departments and the medical establishment, supported by a number of publishers and journalists (one of the most effective was Samuel Hopkins Adams, who wrote "The Great American Fraud" series in '' Collier's'' in 1905). This American Act was followed three years later by similar legislation in Britain and in other European nations. Between them, these laws began to remove the more outrageously dangerous contents from patent and proprietary medicines, and to force quack medicine proprietors to stop making some of their more blatantly dishonest claims. The Act, however, left advertising and claims of effectiveness unregulated as the Supreme Court interpreted it to mean only that ingredients on labels had to be accurate. Language in the 1912 Sherley Amendment, meant to close this loophole, was limited to regulating claims that were false and fraudulent, creating the need to show intent. Throughout the early 20th century, the American Medical Association collected material on medical quackery, and one of their members and medical editors in particular, Arthur J. Cramp, devoted his career to criticizing such products. The AMA's Department of Investigation closed in 1975, but their only archive open to non-members remains, the American Medical Association Health Fraud and Alternative Medicine Collection. "Medical quackery and promotion of nostrums and worthless drugs were among the most prominent abuses that led to formal self-regulation in business and, in turn, to the creation of the"
Better Business Bureau Better Business Bureau (BBB) is a private, 501(c)(6) nonprofit organization founded in 1912. BBB's self-described mission is to focus on advancing marketplace trust, consisting of 97 independently incorporated local BBB organizations in the Unite ...
.


Contemporary culture

"Quackery is the promotion of false and unproven health schemes for a profit. It is rooted in the traditions of the marketplace", with "commercialism overwhelming professionalism in the marketing of alternative medicine". ''Quackery'' is most often used to denote the peddling of the "cure-alls" described above. Quackery continues even today; it can be found in any culture and in every medical tradition. Unlike other advertising mediums, rapid advancements in communication through the Internet have opened doors for an unregulated market of quack cures and marketing campaigns rivaling the early 20th century. Most people with an
e-mail Electronic mail (email or e-mail) is a method of exchanging messages ("mail") between people using electronic devices. Email was thus conceived as the electronic (digital) version of, or counterpart to, mail, at a time when "mail" meant ...
account have experienced the marketing tactics of spamming – in which modern forms of quackery are touted as miraculous remedies for "weight loss" and "sexual enhancement", as well as outlets for medicines of unknown quality.


India

''
Hindustan Times ''Hindustan Times'' is an Indian English-language daily newspaper based in Delhi. It is the flagship publication of HT Media, an entity controlled by the KK Birla family, and is owned by Shobhana Bhartia. It was founded by Sunder Singh Ly ...
'' reported in 2008 that there were more than 40,000 quacks practicing in Delhi. Many of them engaged in the trading of human organs including kidneys. The president of the
Indian Medical Association The Indian Medical Association (IMA) is a national voluntary organisation of physicians in India. It was established in 1928 as the All India Medical Association, and was renamed the Indian Medical Association in 1930. It is a society registered ...
(IMA) in 2008 stated "The central government does not appear serious about the problem of quackery. The state governments too are not framing any laws against them." In 2017, IMA again asked for an antiquackery law with stringent action against those practicing without a license. As of 2021 the government of India is yet to pass an anti-quackery law.


Ministry of Ayush

In 2014, the
Government of India The Government of India (ISO: ; often abbreviated as GoI), known as the Union Government or Central Government but often simply as the Centre, is the national government of the Republic of India, a federal democracy located in South Asia, ...
formed a
Ministry of AYUSH The Ministry of Ayush, a ministry of the Government of India, is responsible for developing education, research and propagation of traditional medicine systems in India. Ayush is a name devised from the names of the alternative healthcare syst ...
that includes the seven traditional systems of healthcare. The Ministry of Ayush (expanded form
Ayurveda Ayurveda () is an alternative medicine system with historical roots in the Indian subcontinent. The theory and practice of Ayurveda is pseudoscientific. Ayurveda is heavily practiced in India and Nepal, where around 80% of the population rep ...
,
Yoga Yoga (; sa, योग, lit=yoke' or 'union ) is a group of physical, mental, and spiritual practices or disciplines which originated in ancient India and aim to control (yoke) and still the mind, recognizing a detached witness-consci ...
, Naturopathy, Unani, Siddha, Sowa-Rigpa and Homoeopathy), is purposed with developing education, research and propagation of indigenous alternative medicine systems in
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
. The ministry has faced significant criticism for funding systems that lack biological plausibility and are either untested or conclusively proven as ineffective. Quality of research has been poor, and drugs have been launched without any rigorous pharmacological studies and meaningful clinical trials on Ayurveda or other alternative healthcare systems. There is no credible efficacy or scientific basis of any of these forms of treatment.Sources that criticize the entirety of AYUSH as a pseudo-scientific venture: * * * * * * A strong consensus prevails among the scientific community that homeopathy is a pseudo-scientific, unethical and implausible line of treatment.UK Parliamentary Committee Science and Technology Committee �
"Evidence Check 2: Homeopathy"
/ref> Ayurveda is deemed to be pseudoscientific. Much of the research on postural yoga has taken the form of preliminary studies or clinical trials of low methodological quality; there is no conclusive therapeutic effect except in back pain. Naturopathy is considered to be a form of pseudo-scientific quackery,Sources documenting the same: * * * * * * ineffective and possibly harmful, with a plethora of ethical concerns about the very practice. Unani lacks biological plausibility and is considered to be pseudo-scientific quackery, as well.


United States

While quackery is often aimed at the aged or chronically ill, it can be aimed at all age groups, including teens, and the FDA has mentioned some areas where potential quackery may be a problem: breast developers, weight loss, steroids and growth hormones, tanning and tanning pills, hair removal and growth, and look-alike drugs. In 1992, the president of The National Council Against Health Fraud, William T. Jarvis, wrote in '' Clinical Chemistry'' that: For those in the practice of any medicine, to allege quackery is to level a serious objection to a particular form of practice. Most developed countries have a governmental agency, such as the
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
(FDA) in the US, whose purpose is to monitor and regulate the safety of medications as well as the claims made by the manufacturers of new and existing products, including drugs and nutritional supplements or vitamins. The Federal Trade Commission (FTC) participates in some of these efforts. To better address less regulated products, in 2000, US President Clinton signed Executive Order 13147 that created the White House Commission on Complementary and Alternative Medicine. In 2002, the commission's final report made several suggestions regarding education, research, implementation, and reimbursement as ways to evaluate the risks and benefits of each. As a direct result, more public dollars have been allocated for research into some of these methods. Individuals and non-governmental agencies are active in attempts to expose quackery. According to John C. Norcross et al. less is consensus about ineffective "compared to effective procedures" but identifying both "pseudoscientific, unvalidated, or 'quack' psychotherapies" and "assessment measures of questionable validity on psycho-metric grounds" was pursued by various authors. The evidence-based practice (EBP) movement in mental health emphasizes the consensus in psychology that psychological practice should rely on empirical research. There are also "anti-quackery" websites, such as
Quackwatch Quackwatch is a United States-based website, self-described as a "network of people" founded by Stephen Barrett, which aims to "combat health-related frauds, myths, fads, fallacies, and misconduct" and to focus on "quackery-related information th ...
, that help consumers evaluate claims. Quackwatch's information is relevant to both consumers and medical professionals.


China

Zhang Wuben, a quack who posed as skilled in
traditional Chinese medicine Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China. It has been described as "fraught with pseudoscience", with the majority of its treatments having no logical mechanism of acti ...
in the
People's Republic of China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
, based his operation on representations that raw eggplant and mung beans were a general cure-all. Zhang, who has escaped legal liability as he portrayed himself as a nutritionist, not a doctor, appeared on television in China and authored a best-selling book, ''Eat Away the Diseases You Get from Eating''. Zhang, who charged the equivalent of $450 for a 10-minute examination, had a two-year waiting list when he was exposed. Investigations launched after a run on mung beans revealed that contrary to his representations, he did not come from a family of accomplished traditional practitioners (中医世家) and never had the medical degree from Beijing Medical University he claimed to have. His only education was a brief correspondence or night school course, completed after he was laid off from a textile factory. Zhang, despite negative publicity on the national level, continues to practice but has committed himself to finding a cheaper cure-all than mung beans. His clinic, Wuben Hall, adjacent to Beijing National Stadium, was torn down as an illegal structure. Much of Zhang Wuben's success was due to the efforts of Chinese entrepreneurs, including one government-owned company, who promoted him. Hu Wanlin, who did hold himself out as a doctor, was exposed in 2000 and sentenced to 15 years in prison. He adulterated his concoctions with sodium sulfate, Glauber's salt, a poison in large doses. That case resulted in creating a system of licensing medical doctors in China. In 1992, Li Hongzhi, a former grain clerk from
Jilin Jilin (; alternately romanized as Kirin or Chilin) is one of the three provinces of Northeast China. Its capital and largest city is Changchun. Jilin borders North Korea ( Rasŏn, North Hamgyong, Ryanggang and Chagang) and Russia (Prim ...
, introduced a new version of
Falun Gong Falun Gong (, ) or Falun Dafa (; literally, "Dharma Wheel Practice" or "Law Wheel Practice") is a new religious movement.Junker, Andrew. 2019. ''Becoming Activists in Global China: Social Movements in the Chinese Diaspora'', pp. 23–24, 33, 119 ...
exercises which soon turned into a cult with a mass following. One of its controversial tenets was its quack belief that its followers need not take any medicines for any diseases and illnesses. As a number of followers began to refuse medical treatment, fall ill and die, the government began to pay more attention to it. Falun Gong was banned in China, but Li escaped to the United States, with his followers. Falun Gong continued to thrive in the United States as an alternative therapy.


Presence and acceptance

There have been several suggested reasons why quackery is accepted by patients in spite of its lack of effectiveness: * ''Ignorance'': Those who perpetuate quackery may do so to take advantage of ignorance about conventional medical treatments versus alternative treatments, or may themselves be ignorant regarding their own claims. Mainstream medicine has produced many remarkable advances, so people may tend to also believe groundless claims. * ''
Placebo effect A placebo ( ) is a substance or treatment which is designed to have no therapeutic value. Common placebos include inert tablets (like sugar pills), inert injections (like Saline (medicine), saline), sham surgery, and other procedures. In general ...
'': Medicines or treatments known to have no pharmacological effect on a disease can still affect a person's perception of their illness, and this belief in its turn does indeed sometimes have a therapeutic effect, causing the patient's condition to improve. This is ''not'' to say that no real cure of biological illness is effected – "though we might describe a placebo effect as being 'all in the mind', we now know that there is a genuine neurobiological basis to this phenomenon." People report reduced pain, increased well-being, improvement, or even total alleviation of symptoms. For some, the presence of a caring practitioner and the dispensation of medicine is curative in itself. * '' Regression fallacy'': Lack of understanding that health conditions change with no treatment and attributing changes in ailments to a given therapy. * '' Confirmation bias'': The tendency to search for, interpret, or prioritize information in a way that confirms one's beliefs or hypotheses. It is a type of cognitive bias and a systematic error of inductive reasoning. * ''Distrust of conventional medicine'': Many people, for various reasons, have a
distrust Distrust is a formal way of not trusting any one party too much in a situation of grave risk or deep doubt. It is commonly expressed in civics as a division or balance of powers, or in politics as means of validating treaty terms. Systems based ...
of conventional medicine, or of the regulating organizations such as the FDA, or the major drug corporations. For example, "
CAM Calmodulin (CaM) (an abbreviation for calcium-modulated protein) is a multifunctional intermediate calcium-binding messenger protein expressed in all eukaryotic cells. It is an intracellular target of the secondary messenger Ca2+, and the bin ...
may represent a response to disenfranchisement iscriminationin conventional medical settings and resulting distrust". * ''
Conspiracy theories A conspiracy theory is an explanation for an event or situation that invokes a conspiracy by sinister and powerful groups, often political in motivation, when other explanations are more probable.Additional sources: * * * * The term has a nega ...
'': Anti-quackery activists ("quackbusters") are often falsely accused of being part of a huge "conspiracy" to suppress "unconventional" and/or "natural" therapies, as well as those who promote them. It is alleged that this conspiracy is backed and funded by the pharmaceutical industry and the established medical care system – represented by the AMA, FDA, ADA, CDC,
WHO Who or WHO may refer to: * Who (pronoun), an interrogative or relative pronoun * Who?, one of the Five Ws in journalism * World Health Organization Arts and entertainment Fictional characters * Who, a creature in the Dr. Seuss book '' Horton He ...
, etc. – for the purpose of preserving their power and increasing their profits. This idea is often held by people with antiscience views. * ''Fear of side effects'': A great variety of pharmaceutical medications can have very distressing side effects, and many people fear surgery and its consequences, so they may opt to shy away from these mainstream treatments. * ''Cost'': There are some people who simply cannot afford conventional treatment, and seek out a cheaper alternative. Nonconventional practitioners can often dispense treatment at a much lower cost. This is compounded by reduced access to healthcare. * ''Desperation'': People with a serious or terminal disease, or who have been told by their practitioner that their condition is "untreatable", may react by seeking out treatment, disregarding the lack of scientific proof for its effectiveness, or even the existence of evidence that the method is ineffective or even dangerous. Despair may be exacerbated by the lack of palliative non-curative end-of-life care. Between 2012 and 2018 appeals on UK crowdfunding sites for cancer treatment with an alternative health element have raised £8 million. This is described as "a new and lucrative revenue stream for cranks, charlatans, and conmen who prey on the vulnerable." * ''Pride'': Once people have endorsed or defended a cure, or invested time and money in it, they may be reluctant or embarrassed to admit its ineffectiveness and therefore recommend a treatment that does not work. * ''Fraud'': Some practitioners, fully aware of the ineffectiveness of their medicine, may intentionally produce fraudulent scientific studies and medical test results, thereby confusing any potential consumers as to the effectiveness of the medical treatment.


Persons accused of quackery


Deceased

*
Thomas Allinson Thomas Richard Allinson (29 March 1858 – 29 November 1918) was an English physician, dietetic reformer, businessman, journalist and vegetarianism activist. He was a proponent of wholemeal ( whole grain) bread consumption. His name is still u ...
(1858–1918), founder of naturopathy. His views often brought him into conflict with the
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
of Edinburgh and the General Medical Council, particularly his opposition to doctors' frequent use of drugs, his opposition to vaccination and his self-promotion in the press. His views and publication of them led to him being labeled a quack and being struck off by the General Medical Council for ''infamous conduct in a professional respect''. * Lovisa Åhrberg (1801–1881), the first Swedish female doctor. Åhrberg was met with strong resistance from male doctors and was accused of quackery. During the formal examination she was acquitted of all charges and allowed to practice medicine in Stockholm even though it was forbidden for women in the 1820s. She later received a medal for her work. * Johanna Brandt (1876–1964), a South African naturopath who advocated the " Grape Cure" as a cure for cancer. * John R. Brinkley (1885–1942), a nonphysician and xenotransplant specialist in Kansas, US, who claimed to have discovered a method of effectively transplanting the testicles of
goats The goat or domestic goat (''Capra hircus'') is a domesticated species of goat-antelope typically kept as livestock. It was domesticated from the wild goat (''C. aegagrus'') of Southwest Asia and Eastern Europe. The goat is a member of th ...
into aging men. After state authorities took steps to shut down his practice, he retaliated by entering politics in 1930 and unsuccessfully running for the office of Governor of Kansas. * Hulda Regehr Clark (1928–2009), was a controversial naturopath, author, and practitioner of alternative medicine who claimed to be able to cure all diseases and advocated methods that have no scientific validity. *
Max Gerson Max Gerson (October 18, 1881 – March 8, 1959) was a German-born American physician who developed the Gerson Therapy, a dietary-based alternative cancer treatment that he claimed could cure cancer and most chronic, degenerative diseases. ...
(1881–1959), was a German-born American physician who developed a dietary-based alternative cancer treatment that he claimed could cure cancer and most chronic, degenerative diseases. His treatment was called The Gerson Therapy. Most notably, Gerson Therapy was used, unsuccessfully, to treat Jessica Ainscough and
Garry Winogrand Garry Winogrand (January 14, 1928 – March 19, 1984) was an American street photographer, known for his portrayal of U.S. life and its social issues, in the mid-20th century. Photography curator, historian, and critic John Szarkowski called Wino ...
. According to
Quackwatch Quackwatch is a United States-based website, self-described as a "network of people" founded by Stephen Barrett, which aims to "combat health-related frauds, myths, fads, fallacies, and misconduct" and to focus on "quackery-related information th ...
, Gerson Institute claims of cure are based not on actual documentation of survival, but on "a combination of the doctor's estimate that the departing patient has a 'reasonable chance of surviving', plus feelings that the Institute staff have about the status of people who call in". The American Cancer Society reports that " ere is no reliable scientific evidence that Gerson therapy is effective ..." *
Samuel Hahnemann Christian Friedrich Samuel Hahnemann (; 10 April 1755 – 2 July 1843) was a German physician, best known for creating the pseudoscientific system of alternative medicine called homeopathy. Early life Christian Friedrich Samuel Hahnemann was ...
(1755–1843), founder of homeopathy. Hahnemann believed that all diseases were caused by " miasms", which he defined as irregularities in the patient's vital force. He also said that illnesses could be treated by substances that in a healthy person produced similar symptoms to the illness, in extremely low concentrations, with the therapeutic effect increasing with dilution and repeated shaking. reprinted in * Lawrence B. Hamlin (in 1916), was fined under the 1906 US
Pure Food and Drug Act The Pure Food and Drug Act of 1906, also known as Dr. Wiley's Law, was the first of a series of significant consumer protection laws which was enacted by Congress in the 20th century and led to the creation of the Food and Drug Administratio ...
for advertising that his Wizard Oil could kill cancer. * L. Ron Hubbard (1911–1986), was the founder of the Church of Scientology. He was an American
science fiction Science fiction (sometimes shortened to Sci-Fi or SF) is a genre of speculative fiction which typically deals with imaginative and futuristic concepts such as advanced science and technology, space exploration, time travel, parallel uni ...
writer, former
US Navy The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage ...
officer, and creator of Dianetics. He has been commonly called a quack and a con man by both critics of Scientology and by many psychiatric organizations in part for his often extreme anti-psychiatric beliefs and false claims about technologies such as the
E-meter The E-meter, originally the electropsychometer, is an electronic device for displaying the electrodermal activity (EDA) of a human being. It is used for auditing in Scientology and divergent groups. The efficacy and legitimacy of Scientology's ...
. * Linda Hazzard, (1867–1938), was a self-declared doctor and fasting specialist, which she advertised as a panacea for every medical ailment. Up to 40 patients may have died of starvation in her "sanitarium" in Olalla, Washington, US. Imprisoned for one death in 1912, Hazzard was paroled in 1915 and continued to practice medicine without a license in
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...
(1915–1920) and Washington, US (1920–1935). Died in 1938 while attempting a fasting to cure herself. * William Donald Kelley, (1925–2005), was an
orthodontist Orthodontics is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, and misaligned bite patterns. It may also address the modification of facial growth, known as dentofacial ...
and a follower of Max Gerson who developed his own alternative cancer treatment called Nonspecific Metabolic Therapy. This treatment is based on the unsubstantiated belief that "wrong foods ausemalignancy to grow, while proper foods llownatural body defenses to work". It involves, specifically, treatment with pancreatic enzymes, 50 daily vitamins and minerals (including
laetrile Amygdalin (from Ancient Greek: ' "almond") is a naturally occurring chemical compound found in many plants, most notably in the seeds (kernels) of apricots, bitter almonds, apples, peaches, cherries, and plums. Amygdalin is classified as a ...
), frequent body shampoos, coffee enemas, and a specific diet. According to
Quackwatch Quackwatch is a United States-based website, self-described as a "network of people" founded by Stephen Barrett, which aims to "combat health-related frauds, myths, fads, fallacies, and misconduct" and to focus on "quackery-related information th ...
, "not only is his therapy ineffective, but people with cancer who take it die more quickly and have a worse quality of life than those having standard treatment, and can develop serious or fatal side-effects. Kelley's most famous patient was actor Steve McQueen. *
John Harvey Kellogg John Harvey Kellogg (February 26, 1852 – December 14, 1943) was an American medical doctor, nutritionist, inventor, health activist, eugenicist, and businessman. He was the director of the Battle Creek Sanitarium in Battle Creek, Michigan. The ...
(1852–1943), was a medical doctor in Battle Creek, Michigan, US, who ran a sanitarium using
holistic Holism () is the idea that various systems (e.g. physical, biological, social) should be viewed as wholes, not merely as a collection of parts. The term "holism" was coined by Jan Smuts in his 1926 book '' Holism and Evolution''."holism, n." OED On ...
methods, with a particular focus on nutrition,
enema An enema, also known as a clyster, is an injection of fluid into the lower bowel by way of the rectum.Cullingworth, ''A Manual of Nursing, Medical and Surgical'':155 The word enema can also refer to the liquid injected, as well as to a device ...
s and exercise. Kellogg was an advocate of vegetarianism and invented the corn flake breakfast cereal with his brother, Will Keith Kellogg. * John St. John Long (1798–1834) was an Irish artist who claimed to be able to cure tuberculosis by causing a sore or wound on the back of the patient, out of which the disease would exit. He was tried twice for manslaughter of his patients who died under this treatment. * Franz Anton Mesmer (1734–1815), was a German physician and astrologist, who invented what he called '' magnétisme animal''. * Theodor Morell (1886–1948), a German physician best known as
Adolf Hitler Adolf Hitler (; 20 April 188930 April 1945) was an Austrian-born German politician who was dictator of Nazi Germany, Germany from 1933 until Death of Adolf Hitler, his death in 1945. Adolf Hitler's rise to power, He rose to power as the le ...
's personal doctor. Morell administered approximately 74 substances, in 28 different mixtures to Hitler, including heroin,
cocaine Cocaine (from , from , ultimately from Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly used recreationally for its euphoric effects. It is primarily obtained from the leaves of two Coca species native to South Ameri ...
, Doktor Koster's Antigaspills, potassium bromide,
papaverine Papaverine (Latin '' papaver'', "poppy") is an opium alkaloid antispasmodic drug, used primarily in the treatment of visceral spasms and vasospasms (especially those involving the intestines, heart, or brain), occasionally in the treatment of e ...
,
testosterone Testosterone is the primary sex hormone and anabolic steroid in males. In humans, testosterone plays a key role in the development of male reproductive tissues such as testes and prostate, as well as promoting secondary sexual characteristi ...
, vitamins and animal enzymes. directed and produced by Chris Durlacher. A Waddell Media Production for Channel 4 in association with National Geographic Channels, MMXIV. Executive Producer Jon-Barrie Waddell. Despite Hitler's dependence on Morell, and his recommendations of him to other Nazi leaders,
Hermann Göring Hermann Wilhelm Göring (or Goering; ; 12 January 1893 – 15 October 1946) was a German politician, military leader and convicted war criminal. He was one of the most powerful figures in the Nazi Party, which ruled Germany from 1933 to 1 ...
,
Heinrich Himmler Heinrich Luitpold Himmler (; 7 October 1900 – 23 May 1945) was of the (Protection Squadron; SS), and a leading member of the Nazi Party of Germany. Himmler was one of the most powerful men in Nazi Germany and a main architect of th ...
, Albert Speer and others quietly dismissed Morell as a quack. * Daniel David Palmer (1845–1913), was a
grocery store A grocery store ( AE), grocery shop ( BE) or simply grocery is a store that primarily retails a general range of food products, which may be fresh or packaged. In everyday U.S. usage, however, "grocery store" is a synonym for supermarket, a ...
owner that claimed to have healed a janitor of deafness after adjusting the alignment of his back. He founded the field of
chiropractic Chiropractic is a form of alternative medicine concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially of the spine. It has esoteric origins and is based on several pseudosci ...
based on the principle that all
disease A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that a ...
and ailments could be fixed by adjusting the alignment of someone's back. His hypothesis was disregarded by medical professionals at the time and despite a considerable following has yet to be scientifically proven. Palmer established a magnetic healing facility in Davenport, Iowa, styling himself 'doctor'. Not everyone was convinced, as a local paper in 1894 wrote about him: "A crank on magnetism has a crazy notion that he can cure the sick and crippled with his magnetic hands. His victims are the weak-minded, ignorant and superstitious, those foolish people who have been sick for years and have become tired of the regular physician and want health by the short-cut method … he has certainly profited by the ignorance of his victims … His increase in business shows what can be done in Davenport, even by a quack." * Louis Pasteur (1822–1895), was a French
chemist A chemist (from Greek ''chēm(ía)'' alchemy; replacing ''chymist'' from Medieval Latin ''alchemist'') is a scientist trained in the study of chemistry. Chemists study the composition of matter and its properties. Chemists carefully describe t ...
best known for his remarkable breakthroughs in microbiology. His experiments confirmed the
germ theory of disease The germ theory of disease is the currently accepted scientific theory for many diseases. It states that microorganisms known as pathogens or "germs" can lead to disease. These small organisms, too small to be seen without magnification, invade ...
, also reducing mortality from puerperal fever (childbed), and he created the first vaccine for rabies. He is best known to the general public for showing how to stop milk and wine from going sourthis process came to be called '' pasteurization''. His hypotheses initially met with much hostility, and he was accused of quackery on multiple occasions. However, he is now regarded as one of the three main founders of microbiology, together with Ferdinand Cohn and
Robert Koch Heinrich Hermann Robert Koch ( , ; 11 December 1843 – 27 May 1910) was a German physician and microbiologist. As the discoverer of the specific causative agents of deadly infectious diseases including tuberculosis, cholera (though the bacteri ...
. * Linus Pauling (1901–1994), a
Nobel Prize The Nobel Prizes ( ; sv, Nobelpriset ; no, Nobelprisen ) are five separate prizes that, according to Alfred Nobel's will of 1895, are awarded to "those who, during the preceding year, have conferred the greatest benefit to humankind." Alfr ...
winner in chemistry, Pauling spent much of his later career arguing for the treatment of somatic and psychological diseases with
orthomolecular medicine Orthomolecular medicine is a form of alternative medicine that aims to maintain human health through nutritional supplementation. The concept builds on the idea of an optimal nutritional environment in the body and suggests that diseases reflect ...
. Among his claims were that the common cold could be cured with massive doses of vitamin C. Together with Ewan Cameron he wrote the 1979 book ''Cancer and Vitamin C'', which was again more popular with the public than the medical profession, which continued to regard claims about the effectiveness of vitamin C in treating or preventing cancer as quackery. A biographer has discussed how controversial his views on megadoses of Vitamin C have been and that he was "still being called a 'fraud' and a 'quack' by opponents of his 'orthomolecular medicine'".Thomas Blair
Linus Pauling: Nobel Laureate for Peace and Chemistry 1901–1994
* Doctor John Henry Pinkard (1866–1934) was a
Roanoke, Virginia Roanoke ( ) is an independent city in the U.S. state of Virginia. At the 2020 census, the population was 100,011, making it the 8th most populous city in the Commonwealth of Virginia and the largest city in Virginia west of Richmond. It is ...
businessman and "Yarb Doctor" or "Herb Doctor" who concocted quack medicines that he sold and distributed in violation of the
Food and Drugs Act The ''Food and Drugs Act'' (the ''Act'') (formal title ''An Act respecting food, drugs, cosmetics and therapeutic devices'') is an act of the Parliament of Canada regarding the production, import, export, transport across provinces and sale of f ...
and the earlier
Pure Food and Drug Act The Pure Food and Drug Act of 1906, also known as Dr. Wiley's Law, was the first of a series of significant consumer protection laws which was enacted by Congress in the 20th century and led to the creation of the Food and Drug Administratio ...
. He was also known as a "clairvoyant, herb doctor and spiritualist." Some of Pinkard's Sanguinaria Compound, made from bloodroot or bloodwort, was seized by federal officials in 1931. "Analysis by this department of a sample of the article showed that it consisted essentially of extracts of plant drugs including sanguinaria, sugar, alcohol, and water. It was alleged in the information that the article was misbranded in that certain statements, designs, and devices regarding the therapeutic and curative effects of the article, appearing on the bottle label, falsely and fraudulently represented that it would be effective as a treatment, remedy, and cure for pneumonia, coughs, weak lungs, asthma, kidney, liver, bladder, or any stomach troubles, and effective as a great blood and nerve tonic." He pleaded guilty and was fined. * Wilhelm Reich (1897–1957), Austrian-American Psychoanalyst. Claimed that he had discovered a primordial cosmic energy called Orgone. He developed several devices, including the
Cloudbuster A cloudbuster is a device designed by Austrian psychoanalyst Wilhelm Reich (1897–1957), which Reich claimed could produce rain by manipulating what he called " orgone energy" present in the atmosphere. The cloudbuster was intended to be used i ...
and the Orgone Accumulator, that he believed could use orgone to manipulate the weather, battle space aliens and cure diseases, including cancer. After an investigation, the
US Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food ...
concluded that they were dealing with a "fraud of the first magnitude". On 10 February 1954, the
US Attorney United States attorneys are officials of the U.S. Department of Justice who serve as the chief federal law enforcement officers in each of the 94 U.S. federal judicial districts. Each U.S. attorney serves as the United States' chief federal ...
for Maine filed a complaint seeking a permanent injunction under Sections 301 and 302 of the Federal Food, Drug, and Cosmetic Act, to prevent interstate shipment of orgone accumulators and to ban some of Reich's writing promoting and advertising the devices. Reich refused to appear in court, arguing that no court was in a position to evaluate his work. Reich was arrested for contempt of court, and convicted to two years in jail, a US$10,000 fine, and his Orgone Accumulators and work on Orgone were ordered to be destroyed. On 23 August 1956, six tons of his books, journals, and papers were burned in the 25th Street public incinerator in New York. On 12 March 1957 he was sent to Danbury Federal Prison, where Richard C. Hubbard, a psychiatrist who admired Reich, examined him, recording paranoia manifested by delusions of grandiosity, persecution, and ideas of reference. On 18 November 1957 Reich died of a heart attack nine months later while he was in the federal penitentiary in
Lewisburg, Pennsylvania Lewisburg is a borough in Union County, Pennsylvania, United States, south by southeast of Williamsport and north of Harrisburg. In the past, it was the commercial center for a fertile grain and general farming region. The population was 5,1 ...
. * William Herbert Sheldon (1898–1977), who created the theory of somatotypes corresponding to intelligence.


Information Age quackery

A form of quackery common in the 21st Century is laypeople using online sites, such as WebMD to find diagnoses. The best way to avoid falling victim to this is to make an appointment with a certified physician at a local hospital. Writing in ''The New York Times Magazine'',
Virginia Heffernan Virginia Heffernan (born August 8, 1969) is an American journalist and cultural critic. Since 2015, she has been a political columnist at the ''Los Angeles Times'' and a cultural columnist at ''Wired (magazine), Wired''. From 2003 to 2011, she w ...
criticized WebMD for biasing readers toward drugs that are sold by the site's pharmaceutical sponsors, even when they are unnecessary. She wrote that WebMD "has become permeated with pseudomedicine and subtle misinformation."


See also

* Association for Science in Autism Treatment * Confidence trick * Crystal healing * Detoxification foot baths * Health care fraud *
List of topics characterized as pseudoscience This is a list of topics that have, either currently or in the past, been characterized as pseudoscience by academics or researchers. Detailed discussion of these topics may be found on their main pages. These characterizations were made in the ...
* Medical error * Medicines and Healthcare products Regulatory Agency *
Osteopathy Osteopathy () is a type of alternative medicine that emphasizes physical manipulation of the body's muscle tissue and bones. Practitioners of osteopathy are referred to as osteopaths. Osteopathic manipulation is the core set of techniques in ...
*
Psychic A psychic is a person who claims to use extrasensory perception (ESP) to identify information hidden from the normal senses, particularly involving telepathy or clairvoyance, or who performs acts that are apparently inexplicable by natural laws ...
* Quackdown


Notes


References


Works cited

* Carroll, 2003
"The Skeptics Dictionary"
New York: Wiley. * Della Sala, 1999. ''Mind Myths: Exploring Popular Assumptions about the Mind and Brain''. New York: Wiley. * Eisner, 2000. ''The Death of Psychotherapy; From Freud to Alien Abductions''. Westport, CT: Praegner. * Lilienfeld, SO., Lynn, SJ., Lohr, JM. 2003. ''Science and Pseudoscience in Clinical Psychology''. New York: Guildford *


External links

* *
Quackwatch



'Miracle' Health Claims: Add a Dose of Skepticism
Article at the Federal Trade Commission {{Authority control Pejorative terms Health fraud Alternative medicine Unnecessary health care Health care quality Social problems in medicine Ignorance Deception