Death by ‘Slapping Therapy’. The role of the National Institute of Complementary Medicine, and others, in this tragedy.

Death by ‘Slapping Therapy’. The role of the National Institute of Complementary Medicine, and others, in this tragedy.

It is always a sad day when children die at the hands of fake medical practitioners or pseudoscientists. It is so unnecessary and preventable, and yet, it happens every day everywhere around the world. The proverbial snake-oil salesman is not a new phenomenon, it has always been with us, but it is becoming a global epidemic since some universities decided to elevate this type of quackery, to become state-funded and university-supported quackery. This turn of events lends undue credibility and legitimacy to these ineffective and dangerous ‘treatments’ and this translates into more people being fooled, while the snake-oil salesmen and those universities stand to make more money. It is always about money! But let’s have a look at how it works with the following tragic example, followed by some suggestions as to what you can do to help prevent these things from happening.

The controversial ‘Slapping Therapy’

This example involves a complementary therapy within the realm of Traditional Chinese Medicine (TCM), called ‘slapping therapy’ or ‘Paidalajin’. A 6yo boy suffering from type-1 diabetes attended a slapping therapy workshop in Sydney with his parents, but sadly, the boy died in his hotel room shortly afterwards. Although the case is still before the courts, it is believed that he was deprived of medication and food during the workshop. The parents and grandmother have been arrested and faces manslaughter charges while the TCM practitioner, Hongchi Xiao, was only quite recently extradited from the UK, where another person died at one of his workshops. He was not granted bail and faces a maximum sentence of 25 years imprisonment.

But what is this ‘slapping therapy’, and why is it called controversial? It involves the flow of ‘energy’ or a ‘life force’ (chi) through channels (meridians) and by slapping yourself, or being slapped by someone else, you restore the flow of chi and your body starts to expel ‘toxins’. These toxins become visible when your skin turns red, and I guess, purple and blue, depending on how hard you are being hit. The theory was, therefore, that by slapping this boy he would be cured from diabetes, and this belief is so strong, that he was also taken off his medication – a life threatening scenario. But what does science say? Chi does not exist, meridians do not exist, diabetes cannot be cured and especially not by slapping, and the so-called toxins that your body expel are called bruising (the slapping injury causes tiny blood vessels to burst and the blood gets trapped below the skin’s surface, which causes a bruise). Just imagine how many people get hurt or die, due to TCM practitioners using chi, meridians etc. to diagnose and treat disease. Because it does not exist, they cannot really diagnose anything, and hence cannot effectively treat anything!

Here is a photo of the type of bruising that you can expect, posted as a testimonial from a cancer sufferer and devout follower of Master Xiao (I always wonder how many of these testimonials are real). In addition, if you hit a young child to a point of severe bruising it is called child abuse, but in the pseudoscientific world it is apparently called ‘self-healing’.

All of TCM is controversial, or none of it is!

If you promote TCM, in whatever shape or form, you also promote its underlying pseudoscientific principles. Let’s look at acupuncture; You insert needles at specific points (acupoints) that supposedly manipulate the flow of chi through meridians – and this, according to practitioners, cures disease! This acupuncturist (at Western Sydney University – WSU) recently published a case study where she reported that her patient did not recover after receiving an acupuncture treatment. What was her conclusion? “Despite this, I found that my confidence was undermined by being out of touch with my own inner knowing or Yi.” So, what is Yi? It is your intent (yi 意 ), and when your intentions (to cure disease) becomes permanent, then it becomes your will (zhi 志 ). In other words, acupuncture works and nobody should argue with that, the problem, this time, was that her intention for it to work were insufficient. Solution: believe more deeply!  And to think that this was part of the ‘science’ that was reviewed by the Australian Research Council in their Excellence of Research for Australia scheme, which they rewarded with the highest possible ranking (5) “evidence of outstanding performance well above world standard (something is rotten, but more about this in a next article).

But the same goes for herbal TCM, which also aims to manipulate the flow of chi through meridians. As described by ‘Prof’ Alan Bensoussan (director of the NICM at WSU) in a radio interview; “The first patient would receive acupunctural herbs that disperse the accumulation of energy, the second patient would receive acupunctural herbs that strengthen and tonify the low back. It’s a tool like this concept of circulation of energy, that actually allows the Chinese Medicine practitioner to distinguish these patients, and allows the Chinese Medicine practitioner to treat the patients in a way that the patient themselves may understand better,”.

Disease is therefore seen as an imbalance of a non-existent energy that flows through non-existent meridians, and the ‘slapping therapist’ makes use of these ‘fake’ principles to mislead people. In their strange world, bacteria, viruses, pancreatic cells secreting insulin etc. do not exist, but rather disease is caused by your chi clogging your meridians and hence slapping yourself, or inserting needles, or taking herbs, will unclog your meridians and you will be cured of whatever ailment you might suffer from. They are continuing, to this day, to promote these false and dangerous ideas to the Australian public. And again, it is dangerous because if you cannot diagnose a disease, you cannot effectively treat it. Any successful TCM treatment (some herbs might be effective) is therefore purely based on luck. Ever wondered why a TCM practitioner will prescribe a patient a combination of 10-20 different herbs? Because it improves their chances of getting lucky, but also amplifies the many risks, 20-fold.

This is why scientists call TCM, and the many other forms of complementary medicine, belief-based healthcare systems. You only have to believe hard enough that it works and that’s it, there are more than enough gullible people who will fall for your trickery. Sure, you get true believers (delusional) and unscrupulous people (criminals) that only make as if they belief, for the sake of misleading you and to make money out of you. If you fall for them, then, unfortunately, you are on your own. Master Xiao’s comments after his arrest? “This has nothing to do with the workshop. This boy had a lot of diseases, more than we ever know.” It is never their fault.

But now a very unfortunate death has occurred, which means that many of the important role players in this tragedy will disavow the slapping therapy ‘treatment’ in order to absolve themselves of responsibility and to stay out of the news. They do not accept any negative reports because it tends to clash with their Yi and Zhi. And hence they continue to promote acupuncture and TCM, even though many deaths have occurred as a direct result of acupuncture and even more due to herbal TCM remedies. And to think that most deaths, by far, occur as an indirect result after using these pseudoscientific therapies by neglecting a treatable or manageable medical condition, such as malaria or diabetes. The total number of deaths? Nobody knows.

Either all of the above therapies and treatments are controversial and should be stopped, or none of it is. I am fully supportive of the former, but those ‘open-minded’ people whose brains have fallen out, albeit delusional or criminal people, will obviously choose the latter and they will continue to make money out of the misfortunes of others. And with the current support of some universities, this problem will only get bigger.

Who is now really to blame for these tragic events? The role of Tasly Healthpac and the NICM.

No real doctor or scientist or any decent person with ethics and morals would allow a slapping therapist to give a workshop on their premises. Especially not to children suffering from serious medical conditions. What you should do, especially if you are an evidence-based healthcare practitioner, is to explain to this person that what he does is dangerous and that he should please stop doing it. And then you report him to the police. But this did not happen. So, the workshop was held at the ‘Tasly Healthpac Centre of Excellence in Integrative Medicine’. According to a Tasly spokesperson, the slapping therapist “Mr Xiao rented a room from our centre to conduct what was described to us as a series of health seminars. The boy and his mother were participants in the seminar.” Apparently, they did not know about the slapping therapy, but is this true?

It is telling that Tasly have deleted their website or they have changed their name to Medicentral, where they continue to provide TCM and acupuncture alongside conventional treatments. No information can be found on their new website regarding the workshop, but from the internet archives, it is clear that they themselves advertised this workshop. Their old website received up to 538 daily visitors, and hence their marketing efforts via their website reached many people in Australia (I would not be surprised if the parents of the deceased became aware of this workshop via Tasly’s website). On Master Xiao’s website he also states that his workshop was co-organised by an Australian medical institution. Therefore, Tasly’s statement is false. Slapping, acupuncture, herbal TCM – it is all the same thing, and that is why they allowed this workshop to be held on their premises.

A key person at Tasly is the founder, Dr Ven Tan, who started the practice more than 20 years ago and ‘through his own practice he has come to realise the limitations of conventional Western medicine and to worship the merit of Traditional Chinese Medicine’. Having a well-established practice and making statements such as above will draw the attention of pseudoscientists at some Australian Universities. WSU in Sydney (and they are by no means the only Australian university who have decided to put money before science and ethics) used public money to convert TCM practitioners into ‘Professors’ and hence, it is to be expected that they will seek funding from, or collaborate with Tasly in exchange for providing extra credibility and legitimacy for Tasly’s pseudoscientific services. ‘Integrating’ TCM with conventional therapies, with the involvement of WSU, creates trust and a sense of security in patients that all of the provided services at Tasly’s are underpinned by science, and thus more and more people will be misled.

Here (second photo on the left) is the signing of a Memorandum of Understanding between the Chinese and Australian governments ‘aimed at promoting TCM in Australia through a collaborative initiative’ witnessed by Dr Ven Tan (Tasly) and Prof Alan Bensoussan (NICM at WSU). Another MoU was signed between Tasly and the NICM in 2011 which states that the NICM will provide “Assistance in the development of an Integrative Care Model: to assist the Tasly Healthpac Centre of Excellence in Integrative medicine so that its structure aims to integrate TCM and western medical diagnostics and treatments in an integrated, patient centred way.” The result of doing just that, speaks tragically for itself.

It is well known that the Chinese government wants to internationalise TCM, it is, after all, a $170 billion industry. An excellent article about this issue, a real eye-opener, was recently published in the Economist “State-funded Quackery. China is ramping up its promotion of its ancient medical arts. That is dangerous for humans as well as rhinos.” The NICM has played a crucial role in the national registration of TCM practitioners in 2012, which elevated TCM to the same level as conventional healthcare, lending undue credibility to TCM. This extra legitimacy was used by the NICM to facilitate China’s plans for internationalisation of TCM via Australia. They lobbied various Ministers and managed to get TCM into the Australia-China Free Trade Agreement in 2015, shortly after the boy’s death from slapping. In 2016 a trade delegation of the Minister of Health (Jillian Skinner – now retired) visited China, accompanied by Dr Ven Tan and Prof Alan Bensoussan. Part of the mission was “To assist the University of Western Sydney’s National Institute of Complementary Medicine (NICM) secure investor and donor support for the NICM’s integrative Chinese medicine facility medicine/treatment on the Westmead Campus“.

Yes, they are building a large integrative TCM facility in Sydney, which will open in 2018. They will obviously sell this as a ‘research’ facility, but in truth, it will be operated like a commercial facility. All of this is good news for China, Tasly and the NICM, but it is definitely not good news for the Australian public.

Tasly and NICM should therefore also be held responsible for these tragic events.

The role of the regulator, the TGA, and the NICM’s influence

In Australia, this very important function to protect the public against the sort of quackery described above, is being done by the Therapeutic Goods Administration (TGA). Pseudoscientists also know that the TGA is a potential key hurdle that must be overcome. They therefore lobby intensely, and some infiltrate the TGA (Alan Bensoussan has served many years on the TGA panel for complementary medicines), where they actually managed to get the job done. Even though the golden rule is that you really do not need to be a pseudoscientist in order to know what pseudoscience is, or to adequately regulate it. And yet, there are a number of TCM practitioners currently involved with regulating TCM at the TGA.

The NICM, and others, have managed to convince the TGA that almost all of these products and services are ‘low risk’, meaning low direct risk. Unfortunately, the high indirect risk is being ignored. You are probably not going to die after being slapped, but if you stop taking your real medicine it can lead to your death (the possible cause of the boy’s death). And this is exactly what this slapping therapist says. Medicine is poison so let’s slap your medical condition out of you.  What is my evidence for the bold statement regarding the TGA? They recently published their draft list of ‘permitted indications’, or the ‘medical’ claim that manufacturers can make for their products. Included in this list is 140 TCM indications. For example: “Harmonise middle burner (Spleen and Stomach)”, “Unblock/open/relax meridians”, “Balance Yin and Yang”. When a regulator allows pseudoscientists a foot in the door, then the above is the only logical outcome and now the TGA accepts the notion that meridians, chi, Yin and Yang etc. is real. And here again, the NICM is assisting Chinese companies to help them get past the TGA bureaucracy in order for them to register and sell their products in Australia. Having a partner such as the NICM in Australia, obviously makes a lot of Chinese companies very happy. Shouldn’t the TGA also be blamed when people get hurt after using these pseudoscientific healthcare treatments?

In a nutshell. The bereaved parents of the deceased are in trouble, while the slapping therapist is in jail where he will hopefully stay for a long time. But what about Tasly’s which promoted and hosted this workshop as part of their integrative medicine approach, or the NICM who collaborated with this clinic and facilitated their ‘integrative’ approach and who promoted TCM for decades and probably have misled thousands of people over the years, or the regulators who have opened their doors for pseudoscientists and who are continuing to allow this to happen? (I’ve actually volunteered my services to the TGA, but they were not interested.) Not even to speak about the politicians who could actually do something about this, but apparently have little interest to go in against the zhi (will) of the industry.

I can only hope that the courts will also look at the other players in this scenario who are partly responsible for this boy’s death, because it is time that the underlying problems be addressed, otherwise more and more people, including children, will get hurt.

What can you do about it?

Well, if you are not a politician, VC or work for the regulators, then, to be honest, not much. One obvious thing that anyone can easily do, is to stop supporting complementary, alternative and integrative therapies and medicines. Even if it look harmless and you use it for a very minor condition, because the sales figures and the number of practitioner visits are being used as evidence of efficacy, and they use these numbers to lobby politicians, regulators etc. and hence the problem will not only stay with us, it will get bigger.

The best, and probably safest thing to do, is to inform yourself, because you, or a member of your extended family or friends, will sometime during your lifetime be confronted with fake medicine or fake medical practitioners. The problem is that these people are so good that they can mislead anyone, your age, level of education etc. does not matter, and hence, to be well informed will be your only defence.

To inform yourself you can continue to read about my attempts to explain how science is being abused by following my blog at (frankvanderkooy.com) or on Twitter (@frank_kooy) or connect on LinkedIn. A simple thing to do is to use the ‘like’ function, because algorithms pick up on the number of likes, and that means that the article will be made available to more people.

Another source of valuable information, with an Australian focus, is a group called ‘Friends of Science in Medicine’ (FSM). They are doing excellent work by providing accurate information regarding healthcare, but they are also doing much more than that. They are trying very hard to persuade Australian universities, politicians and regulators to stop their support of pseudoscientific healthcare systems. To join the 1100 scientists and concerned academics/healthcare professionals you can add your voice by becoming a friend of FSM or follow them on Twitter (@FriendsOfSciMed) or FaceBook. Their newsletters detailing all their efforts with universities, regulators and politicians also comes highly recommended. You can subscribe here. And again, use the ‘Like’ function because it actually does mean something.

And then, finally, the website of Prof. Edzard Ernst in the UK. Prof Ernst was the first professor of complementary medicine and he has many decades of experience which he now shares via his website. This information is invaluable and deals with specific complementary medicines but also with how people around the globe are being misled by pseudoscientists. He has also written many books (info on his website) dealing with this subject – it comes highly recommended. Twitter @EdzardErnst

Stopping your support of these products and services, by informing yourself and by creating awareness about these issues, are pretty much the only things you can do in order to prevent these needless deaths. It is just such a pity that the VC’s, regulators and politicians (all paid by the tax payer!) don’t have much interest in this, or just can’t seem to get the job done because of vested interests.  I’ll end with the wise, but somewhat empty, words of Prof Barney Glover (VC of WSU) “universities must stand up for facts and the truth – if we don’t, who will!” – Clearly Prof. Glover will not stand up for the truth, hopefully, the public will!

Acupuncture for infertility is pointless! Adding a veneer of ‘research integrity’, only goes skin deep.

Acupuncture for infertility is pointless! Adding a veneer of ‘research integrity’, only goes skin deep.

“We understand conflict of interest concerns, but this is why we have strict guidelines and ethics committees …..” – Prof Alan Bensoussan, director of the National Institute of Complementary Medicine (NICM), Western Sydney University (WSU). All academics, including Alan, are fully aware of the importance of research integrity, in which, potential or perceived conflicts of interests play an integral part. As such, WSU does indeed have many rules and regulations to safeguard research integrity in order to ensure that one thing remains intact – summed up in one word: trust.

These guidelines should ensure that the trust between taxpayer and scientist (or the scientific system) remains undamaged, because once it is broken or damaged it can have very serious consequences. We can notice all around us that the trust in the scientific system has been eroded over time. Just look at the number of people who do not ‘believe’ in vaccinations or climate change, then clearly, many people have grown a very healthy distrust in scientists and in the scientific system. It is therefore extremely important that universities act swiftly and decisively when a scientist endangers this trust, because the public does not necessarily look at the specific field of science where a transgression has occurred, they tend to distrust the whole academic system – and remember they keep the system afloat, financially.

So, what is this all about? About a year ago I noticed that in a large number of published peer-reviewed acupuncture papers, authored by the NICM, they failed to declare a conflict of interest. This was quite interesting because they clearly had, and probably still have, a glaring conflict of interest. For example; both Alan Bensoussan and Caroline Smith is (was) listed as consultants, for many years, of commercial acupuncture clinics (they deleted this information as soon as they became aware that I am investigating this issue – you can find an archived page here), the director of these clinics is part of the advisory board of the NICM, students of the NICM find employment at these clinics, the NICM is actively doing research where a positive outcome will clearly benefit these clinics, and the clinics have donated $20 000 to the NICM for the “IVF project” – clearly something that needed to be declared.  You can find more details about this very obvious conflict of interest here and here. But what is this IVF project? An independent journalist called it “Universities in a wacky waste of cash” whilst the NICM called it “Acupuncture to Improve Live Birth Rates for Women Undergoing IVF”, approved by a WSU ethics committee and funded to the tune of $600 000.

This is what an IVF expert had to say about this project: “IVF expert Professor Colin Matthews was outraged the National Health and Medical Research Council had allocated more than $600,000 for a study into acupuncture’s effect on IVF.” The WSU ethics committee that approved this study is fully aware that acupuncture has been shown to be nothing more than a placebo and that it is based on fake scientific principles – hence it is called a pseudoscience. This is now a problem because not only have they abandoned science but they also, seemingly, abandoned their ‘strict guidelines’ to ensure scientific integrity.

But let’s argue that the ethics committee simply did not know about this. Surely, when they are notified about this they will certainly take action to ensure that the trust between the public and academics do not further erode? So, I notified the WSU ethics committee, the advisors to the ethics committee and a number of other people at WSU regarding this issue over a number of months. And now I can reveal their response, and I will quote them; “………………………………..”. Nothing, they did not even acknowledge that they have received this information. After six months, it might be safe to assume that WSU do not plan to do anything about this issue. But then again, I am not at all surprised, as science adheres to the laws of nature (chemistry, physics, biology, etc.), pseudosciences are above those laws. Scientists are held accountable by enforcing these strict guidelines to ensure scientific integrity, sadly, these guidelines do not seem to apply to a pseudoscientist – they are just above it!

Let me try to put all of this into perspective. Most people do not consider infertility to be a life threatening medical condition.  It does, however, have a severe impact on a person’s life, causing broken relationships, severe depression and in extreme cases, even suicide. The more treatment methods a person tries in order to conceive without a positive outcome, the more prone a person is to fall into severe depression (maybe it should be considered as a life threatening condition?). And this is where a pseudoscientist strike, they feed off desperation. If a researcher knows that the method that they recommend is only a placebo, then the project is unethical by default, and it should never have been approved. And oh boy, don’t they know this. There is a reason why they want to ‘integrate’ acupuncture with IVF (which has a success rate of around 45% at 35 years of age or younger, and around 5% when 42 or older), because they know acupuncture is nothing more than a theatrical placebo, and therefore they need to piggy back on something that actually works. If acupuncture worked that well, why don’t they use it as a standalone treatment option? Why did they start these commercial clinics in 2008 and only in 2013 are they doing a ‘scientific’ study to test if it is actually effective or not – wrong way round, maybe?  And if the study turns out to be negative, will they close their clinics? For some reason, I don’t think so!

Having said that, I do not expect to receive any response from WSU. In a previous article I have written about the dishonest type of people that you need at the NICM, this article illustrates that the WSU management themselves are not much better – they are just as dishonest. Hence, the Vice Chancellor, Prof Barney Glover, who is aware of this and many other issues at the NICM, was also nominated for the Bent Spoon award in 2016. Oh, and did they try to squash this nomination, but to no avail – you can read about their hilarious attempts here. But, maybe it is a good idea if a couple of readers can email the ethics committee at WSU, just to ask what is going on with this issue. This might even prompt them to respond (email Steve Hannan at  s.hannan@westernsydney.edu.au).

This brings me to their scientific publications. Journals are usually independent of universities, and as such, they might be able to perform the important job of being the ‘gatekeepers’ of scientific integrity. I have contacted the editors of four scientific journals regarding only five of the NICMs scientific publications, where they intentionally did not declare their obvious conflicts of interest. Here I will discuss the response that I got from one editor (I’ll report separately on the response from the other editors, and the other organisations investigating this issue).

Here is my original message to the editor of the ‘European Journal of Integrative Medicine’:

“Dear Prof. Robinson

 I am contacting you in regard to a recently published article in a special issue in the European Journal of Integrative Medicine of which you are the Editor, “Participation in a randomised controlled trial of acupuncture as an adjunct to in vitro fertilisation: the views of study patients and acupuncturists. Kylie Barr, Caroline A. Smith, Sheryl L. de Lacey. 8 (2016) 48–54”

The authors state under Conflicts of Interest that “There are no known conflicts of interest and no competing financial relationships exist”

 Senior author Caroline A. Smith is a Consultant for a chain of acupuncture fertility clinics in Australia who in turn has donated a substantial amount of money to her research group. The information regarding her consultant capacity for these acupuncture clinics has since been removed from their website but can still be found on the internet archive which you can access here. The reason for this removal appears to be based on an article that I’ve written regarding this matter.

This is not an isolated case, with four articles published in 2016 on acupuncture and fertility related issues where their conflict of interest is intentionally omitted. The editors of the other journals have also been contacted.

 I hereby request that this matter be investigated.

Thank you in advance.”

And here is her response dated 17/01/2017:

“Dear Dr Van der Kooy

I have contacted my Elsevier publisher and she is investigating as you requested and will get back to you in due course.

Regards

Prof Nicola Robinson”

This was unfortunately also the only response that I received from this editor and needless to say, nobody from Elsevier contacted me. As this is now more than 6 months ago, with all my subsequent follow-up emails being ignored, I believe it is safe to assume that this editor never intended to do anything about this issue. So, I had a look at this editor and it turns out that Prof Robinson happens to be an acupuncturist and that she has co-published with the research group in question – and the title of the research paper? “Does acupuncture improve the outcome of in vitro fertilization? Guidance for future trials”. So, she knows the people at the NICM quite well, she know the project quite well, and hence she is also aware that pseudoscience does not abide by the laws of nature nor does pseudoscientists abide by the laws that should ensure scientific integrity. They just need to remain quiet and ignore any complaints, and hopefully everything will blow over and they can happily continue to mislead the public. So, in this case, don’t expect anything from this ‘gatekeeper’ of science – she apparently has way too many vested interests.

In a next article, I will report on the feedback from the other editors, the NICMs attempts to mislead one editor and a couple of corrections to their ‘scientific’ publications that they have been forced to publish.

“All I do is satisfy a public demand”- Al Capone and the Complementary Medicine Empire. Part 2: The profitable political and regulatory connections.  

“All I do is satisfy a public demand”- Al Capone and the Complementary Medicine Empire. Part 2: The profitable political and regulatory connections.  

Al Capone’s “…mutually profitable relationships with mayor William Hale Thompson and the city’s police meant that Capone seemed safe from law enforcement.” If you want to build, maintain and expand a dubious empire, then this is the way to do it. Popularity and a positive public image alone won’t do it, you need strong ties, with mutual benefits, with politicians and regulators.

In Part 1 of the Capone series of articles, the well-known ‘appeal to popularity’ was discussed with Capone’s famous quote “All I do is satisfy a public demand”. Capone was very popular and improved his already positive public image by opening up soup kitchens during the great depression. This is strikingly similar to what the Complementary, Alternative and Integrative Medicine (CAIM) Empire is doing by ‘only satisfying a public demand’ while their proverbial soup kitchen is to provide some very good advice such as a balanced diet, exercise etc.  To understand the context of the current article Part 1 should first be read.

Political and regulatory connections

Capone was big buddies with the mayor, as well as with key figures in the police force (the regulators). To such a degree that he basically got away with murder. The CAIM empire achieve the same feat via organisations such as Complementary Medicines Australia (CMA), Australasian Integrative Medicine Association (AIMA), the National Institute of Complementary Medicine (NICM) etc. Every country has similar organisations, which again link up on an international level. These organisations lobby endlessly to achieve further legitimisation of disproven therapies, for example, through mandatory registration of disproven CAIM practices and therapists (TCM, Osteopathy, Chiropractic etc.). They aggressively defend against any negative scientific evidence and advertise their proverbial soup kitchens via ‘friendly’ journalists – to name but a few things.

But let’s focus on Australia; the deputy mayor of Sydney, Kerryn Phelps, has very strong ties with the NICM and is currently listed as an adjunct, she was the former president of the AIMA and, of course, she operates two integrative medicine clinics in Sydney. The NICM provides the ‘scientific evidence’ and she puts it in practice via her clinics. So, what type of political protection will she wield over the Sydney branch of the Empire, including the NICM? How will they further legitimise disproven therapies? But this is only the deputy mayor of Sydney, here is list of other Australian politicians that have been approached. Here is one senator that has clearly fallen for it – resulting in gems such as genital acupuncture that cures infertility.

What they want is protection, they want to be safe from prosecution, while continuing with their dubious activities. So who better to ask than the big champion of the CAIM Empire, HRH Prince Charles, to join the Sydney club.  Who will dare to touch you when you have the big guns on your side. But we have to be fair. Some politicians and other high profile people will reject the advances of the Empire, problem is, many might not. Be as it may, political connections are of utmost importance making them pretty much untouchable – same as with Capone.

As for the regulators; they have a very strong presence and even chaired the ‘Advisory Committee on Complementary Medicine’ advising and influencing the Australian regulator on CAIM issues. Currently a tremendous effort goes towards further relaxing the already extremely lax regulations governing CAIMs in Australia; “….excessive regulatory burden from the Therapeutic Goods Administration (TGA) as the biggest challenge affecting their business” They want to be able to make it easier and cheaper to sell the public whatever they fancy.

As for their global aspirations. There is one document that seems to have had a major impact on their credibility and expansion drift more than any other, and it is used to defend against any scientific evidence that a specific CAIM does not work. A respected global authority clearly gave them the thumbs up and a green light to go.

“….on the stance that Australia’s peak medical science authority takes towards the aspirations and commitment of the WHO 2014-2023 Traditional Medicines Strategy” (letter from the Australian Homeopathic Society in response to the negative NHMRC Homeopathy report).

The recent release of the World Health Organisation (WHO) Traditional Medicine Strategy 2014-2023 provides an important message to all world Governments that TM is an important and underestimated part of health care found in almost every country in the world, and community demand for it is increasing.”

“…will be in line with the World Health Organization’s strategy of increasing public awareness and strengthening the role traditional (indigenous) and complementary medicine plays in keeping populations healthy.”

The WHO Traditional Medicine Strategy 2014-2023 recommends member states, in effect, to integrate disproven and unproven CAIM therapies with conventional healthcare. This is, surprise surprise, exactly what the CAIM Empire wants and now they use this document as an ‘order’ from the WHO to aggressively expand their operations – because who can argue with the well-respected WHO? Does this report say anything regarding the horrific trade and use of human body parts, ‘harvested’ from children while alive, or the use of endangered animals in their products? (apparently, donkeys are being skinned alive nowadays for their purported ‘medicinal’ value). The NICM approved a thesis in 2008 where the lifesaving properties of Rhino horn was being promoted and currently they direct consumers on their website under the ‘CM resources’ tap, to a site where Rhino horn is listed as a ‘herb’ for when ‘your blood feels hot’! Just 1-2 grams will do the job.

What is their strategy to root out these horrific practices? You would expect at least a chapter on this issue, but no, it is completely ignored and instead a lovely ‘soup kitchen’ strategy is presented. This WHO strategy clearly has the fingerprints of the CAIM Empire all over it, and lo and behold, it was indeed compiled by another adjunct (a naturopath) of the NICM. Anyone that raises serious concerns? Well, it is not us that want to integrate CAIM, the command comes straight from the WHO (they just fail to tell you that they have written it) – and they just continue as before.

Politicians and regulators; it worked wonders for Capone, but the CAIM empire makes him look like a boy scout. They are indeed a very clever, although unethical, bunch of people. Part 3 will deal with breaking the law –  another similarity between the Capone and CAIM Empires.

The mystical ‘energy’ at the heart of TCM – has the NICM made any progress in this ‘important’ area of research?

The mystical ‘energy’ at the heart of TCM – has the NICM made any progress in this ‘important’ area of research?

“….the concept of circulation of energy is paramount in Chinese Medicine. The Chinese physicians have always said there’s more than just blood circulating in the body, there’s also energy, human energy of some sort circulating in the body. We don’t know how to measure that yet.”

This is a quote from a radio interview where the wonderful and mysterious world of TCM was explained to the unsuspecting Australian public – this interview took place about 16 years ago. You can find more details regarding this very interesting interview here. From the above quote, it is clear that the circulation of “energy” is paramount to TCM and that, at the time, it could not be measured nor could its existence be shown. The quote, however, ends with the word ‘yet’, indicating there is full support for the notion that this energy field do indeed exist and that it is only a matter of time before it will be detected.

Now, just imagine if someone do indeed discover this energy field with a simple experiment that can be independently reproduced by others. As soon as you can measure it, you can influence it and hence control it, which implies that you will be able to significantly improve and personalise your TCM treatment – and this will almost certainly lead to a Nobel prize in medicine and you might even become stinking rich as well. Fame and fortune up for grabs. It therefore stands to reason that TCM researchers worldwide including those at the National Institute of Complementary Medicine (NICM), the latter who are well funded and have excellent research facilities, would have had more than enough incentive and would’ve spent a significant amount of research effort to study this energy field in the 16 years since they gave the interview.

So, have they done any research on this very fundamental issue? They can vindicate TCM and for that matter most of complementary medicine if they did, never mind the major improvements in healthcare that might flow from this. The short answer is, no, they haven’t. I am not aware of any study done by any TCM researcher, or anyone at the NICM, past or present, investigating this extremely important issue. So, no progress, but also absolutely no interest in studying this extremely important aspect of TCM. But why is this?

The answer is really quite simple: As soon as you conduct a well-designed experiment you are bound to end up with a yes/no answer – or at least this is what you want. Yes, my hypothesis is correct or no, it is incorrect. Granted, you can also design an experiment that will almost always give you a positive result such as the A + B vs B clinical trial (well known to integrative medicine researchers). But for argument sake, let’s assume that they did study this aspect in a well-designed experiment and that they came up empty handed – which is quite likely because you cannot detect something if it does not exist – this will then be further evidence that the fundamental principles of TCM is absolutely rubbish. And this is of course something that they cannot publish or admit, so it is far better for the TCM researchers and the NICM to completely ignore this issue.

A second reason is that they know damn well that this energy field do not exist but they have to continue to sell this idea to the public in order to import more and more TCM modalities into Australia –  for them it is all about business (it is that $170 billion TCM market that they want to tap into). This is the most likely explanation for their failure to investigate this fundamental principle of TCM.

There is however a couple of other general issues: There is a true believe that this energy field exist because in the TCM world all modalities work – evidence for this concept is that close to a 100% of TCM clinical trials conducted in China gives a positive result. That the NICM and TCM practitioners believe this (either because they truly believe it or they make as if they believe it for the sake of their business interests) can be seen if you look at the long list of medical conditions for which something like Rhino horn is considered to be an effective treatment; “High fever, sun stroke, trauma, mania, convulsion, sore throat, epilepsy, febrile disease, infectious disease, macula, bad skin conditions, subcutaneous bleeding.”  It works for just about everything. And this goes for all TCM modalities. TCM researchers are completely happy to entertain this notion because they are actively trying to sell the energy concept to the public, and once accepted by the public, they will flood the market with TCM modalities.

It is also remarkable to think, and please correct me if I am wrong, that there are still people in China that die due to any medical condition after receiving a specific TCM treatment – if this energy field exist this should not really happen. Granted, due to logistical issues, some people might not receive their lifesaving TCM modalities in time but surely there are people who died even after timely administration of a TCM remedy?  And for that matter, if TCM works so well, why would China import or use modern conventional medicine which is, according to the TCM proponents, ineffective, toxic, expensive etc. Surely, you are not going to replace something that works (TCM) with something that doesn’t work (conventional medicine)! Or is maybe the other way around?

Another interesting aspect regarding TCM is that it seems to be impossible to make a mistake (is it even possible to misdiagnose a patient?). Take acupuncture for example: the theory, or should I say, hypothesis, is that pain is caused by either an excess or deficiency of energy (as explained by the NICM in the very interesting radio interview). Acupuncture restores this energy balance and hence your back pain, which might have been diagnosed as an excess of energy, will now dissipates. But what will happen if an inexperienced acupuncturist use too many, or too few needles and maybe even insert them at the wrong acupoints?  According to the hypothesis, too much energy will now flow from your lower back and this will cause an excess of energy somewhere else (causing pain in that region), but your backpain will still be there because you now have a deficiency of energy in your lower back.  Is this sort of treatment ‘mistakes’ known to happen in acupuncture? Puncturing of an organ or infection due to dirty needles is well known but I am not aware of any examples where the above-mentioned treatment ‘mistakes’ have been documented. If these energy fields do exist this should happen quite regularly. The only explanation that this doesn’t really happen is that these energy fields simply do not exist.

TCM researchers including the NICM have no interest in studying the “energy” aspect of TCM and their only purpose is to sell these pseudoscientific principles to the public. More TCM products means more profit. For the NICM this should pave the way to open their very own TCM hospital in Sydney where the Australian population will be used as guinea pigs. I truly feel sorry for Australians because it appears that it is not only their cricket team that is struggling at the moment, some of their universities are in real trouble because they decided to put profits and pseudoscience, before science, scientific education and the welfare of the public.

(this article appeared as a guest post on Prof Edzard Ernst’s blog site)

The NICM’s undeclared conflicts of interest. Is there some ministerial interest in this? An update.

‘Competing interests: The authors declare that they have no competing interests

-‘Conflict of interest: There are no known conflicts of interest and no competing financial relationships exist.’

-‘Competing interests: The authors of this article do not have any financial and personal relationships with other people or organisations that could inappropriately influence their work.’

Three examples (of the many that do exist) where no Conflicts of Interests (COI) were declared. In my previous post, it was made clear that being involved as consultants, with a ‘for profit’ organisation who donated a substantial amount of money to the National Institute of Complementary Medicine (NICM), is a clear COI. Something that has to be declared and yet this is intentionally not being done. You can read about it here.

This COI information was send to three journal editors where the NICM published some of their acupuncture papers. It was also send to the Director of the acupuncture clinics to ask for clarification regarding the NICM’s role and any (financial) benefits coming from this – past and present. And to find an answer to a relatively simple question; is there anyone working at Western Sydney University (WSU), who hosts the NICM, that understands the problem at hand (pseudoscience being promoted and protected at WSU and the subsequent detrimental impact on science and on society) and who are willing to do something about this? The only way to find out is to ask. Therefore, this COI information was also send to about 1500 employees of WSU to ask for their opinions.

So, what happened since?

Only one journal responded, first by telling me that the info has been passed on to their ‘production team’, and a second message; that this matter is being investigated and the outcome of the investigation will be passed on to me – and hopefully the NICM and WSU. No response has yet been received from the two other journals and as for the Director of the acupuncture clinics – no response from either the director, who was send this information twice, nor from the clinics general email address.

That leaves us with the employees of WSU – but first a bit of stats. The number of views that a particular post generates is logged, as well as the country where these views originates from. Another interesting aspect is when you send this large number of emails, approximately 10-20% will immediately bounce back with an automatic out of office reply. Using these two parameters it is possible to see if the emails have actually been send and how many people (you don’t know their identities) have actually read it – or at least clicked on the article link. So, you can make a rough estimate of the number of people at WSU who have accessed your article. So, of the roughly 1500 emails (of the 4000 that I have), about 300 unique visitors viewed, on average, two articles each. The remaining 2500 emails could not be send because the out of office responses suddenly and completely dried up and the number of views from Australia flattened out. And this can only mean one thing; my email address has been blocked. This has happened before but at least a couple of hundred WSU employees have seen this information. So, the question is; did anyone respond?

A grand total of five people responded whereas four of the responses was a simple ‘please remove me from this email list’. The remaining response contained useful and thoughtful comments on this particular issue. Thus, there is at least one person, of those who have accessed this information, that was prepared to give this issue some thought. Is there anyone else out there at WSU who has some thoughts on this matter?

Great, so one might argue that it is mainly silence as usual with not that many people appearing to care much about this or all other issues raised in this blog. But there is some good news. Some journalists made contact, granted not solely because of this COI issue, but rather because of the bigger issues facing Australia regarding complementary medicine. Hopefully this will lead to something happening. But then there is a potential humdinger. Normally one would not expect the minister of health to just send you a letter out of the blue and yet this happened. Again, granted I have send all ministers of health letters regarding the NICM’s modus operandi, but that was almost a year ago – at the time some replied but most did not. So, what is going on here? Why now?

Any politician will be (or should be) concerned if the government dished out more than $600 000 to conduct another controversial acupuncture study. This particular study was even called a ‘wacky waste of cash’ in the media when it was announced. If it now turns out that this study, and most other acupuncture studies conducted at the NICM, has serious COI issues, then this has the potential to make headlines (there is a lot of taxpayers’ money involved).

And if that happens, then it is usually the minister of health that will be grilled. Hence, a simple way of avoiding this would be to say that the matter is under investigation, or that they are still gathering more info or that the matter has been deferred to a different department who can, or should be able to, better deal with this issue – importantly, this needs to be done before it makes headlines. But, the good news is that they might actually be investigating this matter. Hopefully, the investigation will not be limited to this COI issue but the whole modus operandi of the NICM and WSU and the subsequent impact on science, scientific education and the impact on society. Only time will tell.

So, no concrete progress yet, but the ball is starting to role. Let’s see if anything happens in the next week or so.

The NICM and their undeclared conflict of interest. An example of scientific misconduct!

Let’s say you are a highly experienced scientist. You’ve been an academic for decades, you’ve supervised many students and published hundreds of scientific papers. Due to your experience, you’re also on the editorial board of scientific journals, involved in your university’s management structures and you act as a consultant for, or are involved with, various governmental bodies and even with different companies and industries.

Because of your experience you are also well aware that it is of critical importance that your involvement with any company from any industry has to be declared. All scientific journals ask authors to declare any possible, financial or otherwise,  conflicts of interests (COI) that they  might have. Most universities also require academics to publicly declare any type of possible COI’s. There is nothing strange about this – everything has to be transparent and above board.

But what will happen if you intentionally fail to declare that you have a COI? For example: you publish numerous scientific research papers on products or services sold by a company, and you intentionally omit to declare that you are also a consultant for this company? Well, if people find out about this, all of your research results will suddenly become highly questionable because you intentionally did not declare your COI. To be clear, there is nothing wrong with being a consultant but there is a problem if you don’t declare it. The problem gets even bigger if you receive consultation fees or donations from this company – if this goes undeclared, then you are in serious trouble.

Unfortunately, this type of thing does happen and usually the scientists involved will be found guilty of scientific misconduct and depending on the severity of the case they might even lose their jobs. It should however be about the principle and not the amount of money involved, but having said that, a $10 dollar infringement will typically be ignored whilst a million dollar undeclared donation will get you into serious trouble.

The example given above is not hypothetical –  it is a real. It is just another example of how the National Institute of Complementary Medicine (NICM) operates. A recent article explained the issue, that as an acupuncturist turned researcher you have a COI by default – but let’s ignore that for the moment. The acupuncture gurus at the NICM, Alan Bensoussan and Caroline Smith, never seem to declare their COI’s in their acupuncture publications – and they have been publishing quite a lot of them lately. This is interesting for a number of reasons.

-They are both highly experienced scientists and therefore they are fully aware of what a COI is and hence they intentionally omit to declare a COI,

-They are both consultants for a chain of acupuncture clinics in Australia (they tend to delete this kind of information from the website when they are caught out – you can find a screenshot here),

-The NICM did receive a substantial donation from these clinics (so there is financial gain),

Students of the NICM/WSU find employment at these clinics (info used to attract new students?),

-WSU, in all likelihood, know about this COI because donations have to go through their research office,

-Neither of the two researchers have declared involvement with these clinics in the researcher portal under ‘Consultancy’ (you can find it here and here) or in their staff profiles,

-The clinics use their research publications as well as their presence on the team as a marketing tool (Here is a wonderful example. First read how they describe it on their website and then the paper – obviously missing that important declaration of having a COI),

-WSU will probably do zilch about this, because the NICM is one of the Institutes that generates the highest amount of external income for the university – it is after all, all about money.

-WSU is known to delete information once they are exposed and are therefore brothers in crime with the NICM.

So, a clear case of a COI which was intentionally not declared. Now the question needs to be asked; why didn’t they just simply declare to have this COI?

The reason is rather simple. Scientists know that acupuncture is a pseudoscience – it doesn’t really work for the treatment of anything. As soon as the NICM publish an acupuncture paper and they include their COI with these clinics, scientists, and for that matter, anyone reading the paper will question the results – and rightfully so. Therefore, they have to look as if they are conducting their research completely independently – it is supposed to give their results a bit more credibility. But even without this COI issue, they will struggle because external scientists looked at some of their acupuncture publications and the statement was made that it constitutes scientific misconduct – and this was based only on their experimental design, results and how they market their results in an overly positive way to the public. Add the COI issue to this mix, and all their acupuncture publications becomes highly questionable.

The risk that they took by not declaring their COI is, of course, once people find out about it they will lose their credibility – or what is left of it. But then again, who will now actually go and study the modus operandi of the NICM – well, that is what we are here for!

This brings us to the current large acupuncture clinical trial at the NICM, funded by the NHMRC to the tune $ 600 000, focusing on acupuncture and IVF (this also happens to be the ‘speciality’ of the clinics for which they are consultants). When this funding was awarded to the NICM in 2013 this study was labelled “Universities in a wacky waste of cash”. That pretty much sums it up, but will the NICM declare their COI when they publish these results? Highly unlikely – for some reason they consider themselves to be above the law.

We have written a letter to the editors of three different journals where they’ve published some of their acupuncture research to ask them for their thoughts on this matter. We have also written a letter to the director of these clinics to clarify what kind of (financial) benefits the NICM receive in return for their consultation services. No response from anyone yet, but let’s give it a week or so.

A horror movie called “traditional and complementary medicine”

A group of burly men surrounds a delightful three-year-old toddler playing in the park. Out of nowhere, the one man rips off the one arm from the unsuspecting toddler while the other man starts to cut off the other arm. The trembling legs follow and the bloody, unconscious, dismembered body is thrown into the bush to die. In this movie, the bone chilling screams from the toddler is needed as this enhances and strengthens the medicinal properties of the blood-spattered limbs.

A scene from a Hollywood horror movie? No, this horrific scene is not from a movie, it is everyday life in some parts in the world. We are living this movie, although not many people want to talk about it. This horrifying slaying of a toddler happened just the other day – you can read about it here. The reason that this incident barely made the news is because this is not a unique case, it happens way more often than most people would think (for those who can stomach it – you can find more examples here and here – or google “muti killings” or “muti murders”).

How can human beings do something like this to an innocent child? Because most traditional, complementary, alternative and integrative medicines are belief based medicines underpinned by pseudoscientific principles. It is based on “magic”, something that modern science cannot explain nor confirm – or at least that is what advocates of these medicines claim. These people truly belief that a toddler’s limbs, and other body parts, have medicinal value. That many people from all cultures in the world continue to belief, and use their respective traditional health care systems, is due to many different factors.  It ranges from lack of knowledge, distrust of modern medicine (advocates love to promote this aspect), inaccessibility to modern healthcare especially in rural areas in Africa, Asia and maybe even outback Australia, costs involved etc. Another aspect, and a growing cause of concern, is that trusted institutes such as universities defend and promote these pseudoscientific principles in order to balance their books.

The trade in body parts for medicinal purposes, called the ‘muti’ trade, is obviously banned and any perpetrator faces stiff penalties, and yet this heinous practice is not declining it is actually on the increase. Harvesting body parts from people (if you suffer from albinism you are a prime target) and children who are alive, as opposed to corpses, because this augments the medicinal properties makes it all the more horrific. Similarly, the banned trade and use of endangered animals in Traditional Chinese Medicine (TCM) does not seem to have much of an effect, looking at the exponential rise in the number of rhinos that has being blasted to smithereens over the last couple of years. And here again you have people who belief in the magical healing powers of Rhino horn and people at respected universities who promote and support the underlying pseudoscientific principles which dictates that rhino horn, and everything that they fancy, is “lifesaving medicine”. This is the wisdom of traditional medicine! But can we, in western countries, point a finger to Africa with their muti murders or to Asia with their use of endangered animals, bodily fluids and parts and tell them that they are completely bonkers?

I wish I could, but unfortunately I can’t. They can point a finger right back at the West because most western countries have embraced and are increasingly promoting their own pseudoscientific medicines such as homeopathy and chiropractic, and to some degree, TCM and acupuncture. They use clever marketing strategies and fake scientific terminology to achieve this and at the end of the day, children also die horrific deaths as more and more people are being misled or persuaded to use these modalities (deaths occur mainly due to a failure to provide effective treatments in time). But it gets worse in Western countries. Whilst the people harming their children with these “medicines” receive jail time the professors who defend and promote these practices are handsomely rewarded.  Scientists complaining about these practices are ostracised whilst scientists promoting these practices are seen as local hero’s at these universities simply because they bring in loads of money from the CAM industry. So you find these pseudoscientific healthcare systems all over the world and in all cultures.  The golden thread that runs through all of them; a superstitious belief that every single modality works for its intended purpose and nearly zero scientific evidence that any of it works. In a previous article I have written about the opposing and irreconcilable worlds of pseudoscience vs science.

But how to create a happy ending to this horror movie? Most cultures used body parts in one way or the other albeit for sacrificial purposes, for medicinal purposes or even cannibalism – it is (or was) a common occurrence. Whilst this practice is still lingering on in some African (and maybe Asian) countries, the main current aim should be to take the magic out of it. So what better than expert advice and guidance from an independent and truly global organisation such as the respected World Health Organisation (WHO). They should work towards taking the magic out of it and the only way to do this is to convince governments to provide mass education regarding modern healthcare. Other issues that the WHO should focus on is to come up with strategies to overcome the logistical problems hampering modern medicine reaching rural areas and to make it affordable and accessible to all. They should even work towards an exit strategy to provide for the thousands of people making a living from traditional healthcare systems.  To name but a few things.

So in 2013 the WHO stepped up to the plate and published its much anticipated “Traditional Medicine Strategy 2014-2023”. This 76-page report, funded by China and the WHO Collaborating Centre for Traditional Medicine in Hong Kong, unfortunately contains very little or even no scientific information. No discussion on the trade and use of body parts or the pseudoscientific principles on which these “medicines” are based. No discussion of any science stuff such as promoting education, improved accessibility and cost effectiveness of science based effective medicines. There is an  inability to accept that a specific CM is ineffective and should not be used. Instead the whole report revolves around the words “integrate” or “integrative”. This is what this WHO strategy calls for – how to better integrate T&CM, which is based on magic, with mainstream conventional medicine which is based on science. And this goes for homeopathy, chiropractic, acupuncture, TCM – disproven complementary medicines! It is as if the Australian based National Institute of Complementary Medicine (NICM) hosted at Western Sydney University has written this report.  The agenda of the NICM? Accept millions of dollars from the CAM industry, lobby regulators including the WHO to give blanket support for all T&CMs, integrate pseudoscience with science and this in turn increase the sales figures of the CAM industry. So did the NICM write or influence this WHO report?

Who do we find in the acknowledgements section?  Michael Smith, an adjunct of the NICM and a registered naturopath (a.k.a. a pseudoscientist). The NICM would not be the NICM if they didn’t have a finger in the pie in compiling this WHO report and as stated on the NICM’s website “He was one of the primary technical drafters of the WHO Global Strategy for Traditional & Complementary Medicine (2014-2023) and continues to participate in WHO projects, working groups and consultations notably dealing with the regulation and policy setting related to traditional and complementary medicines.” And Michael is not the only one at the NICM who is intricately involved with the WHO. You can find more examples here, here and here. Lobbying and promoting T&CM – that is all that the NICM does.

For the NICM this WHO report is extremely important because now they have a directive from the authoritative WHO and who can argue with that – they can use it to silence their critics. So they proudly follow the WHO’s directive, which they have pretty much written themselves, to; “promote universal health coverage by integrating T&CM services appropriately into health service delivery and self-health care.” That very few of these T&CM’s are effective does not seem to bother anyone, that supporting these pseudoscientific underlying principles is causing untold harm and death to many, including endangered animals, is flat out ignored. But the WHO rather chose to be politically correct, to be sensitive to cultural differences and to be influenced by institutes such as the NICM – who has a financial agenda. They use the logical fallacy, an appeal on popularity, as evidence for effectiveness and based on this the pseudoscientific T&CM needs to be integrated with conventional healthcare.

So this horror movie does not have a happy ending – yet. As long as organisations such as the WHO can be influenced by the NICM and similar institutes there will be a continued, and dare I say, a growing support for the underlying pseudoscientific principles of these T&CM healthcare systems on a global level. This implies that you can go and ban the trade in human body parts or rhino horn all you want, if the underlying principles are not addressed, and people educated accordingly, these atrocious practices will continue unabated.

So what is my issue. I hold anyone of any culture or from any country, and especially experienced scientists such as at the NICM, who promotes and defends pseudosciences responsible for these atrocities. I don’t care if you are involved directly or indirectly or intentionally or unintentionally, if you promote it you are responsible.  And the consumers of all of these pseudoscientific products? Just remember, these companies use their sales figures, even if it is for “harmless” water as in homeopathic medicines, as main justification of effectiveness – an appeal to popularity! Buying their products leads to you unintentionally promoting a pseudoscience with the subsequent atrocities committed in far flung regions of the world. The WHO report might be music to the ears of the NICM and the CAM and TCM industry but spare a thought for the children whose ears are being cut off because of its purported “medicinal” value – they can’t hear the music.