Various people have been discussing medicine on Twitter, and I had some thoughts that don't fit into the 140 character, half-a-conversation format.
Let's say that I have a slight fever and a headache.
Firstly, if I
do nothing, this will probably get better. Or it might be meningitis (unlikely), in which case I could die.
If I go to
the doctor, they'll work along established principles:
They'll ask a bunch of questions to see if I have any thing that might indicate a specific and maybe serious illness, like meningitis. If not, then it's probably flu, another viral infection or a bacterial infection. For the first two, there isn't really a treatment, so they'll suggest some sort of symptomatic relief like Codral and send me home. To identify a bacterial infection, they'd need to do a bunch of tests (which might not come back before the illness is over). So if nagged, they might prescribe an antibiotic blind. Of course, that won't work unless it is a bacterial infection for which the antibiotic is effective, and it will have negative effects on both the specific patient and the broader community (antibiotic resistance).
The upshot of that is that I'll come away with no definite statement as to what I have wrong and nothing that'll cure it.
So thirdly, what happens if I go to an
"alternative" therapist like a homeopath, or indeed an utterly unqualified pharamcy assistant.
They'll ask a few cursory questions and, unrestrained by science or ethics, immediately suggest a diagnosis - "you've got a run-down immune system" is a good one. They'll then "prescribe" a remedy, which might be a bottle of expensive distilled water
1, or a dose of vitamins large enough to give me rather expensive urine for a bit.
They will leave me, however, with a clear diagnosis and a proposed treatment. So (if I'm gullible enough) I'll be happy. Being happy might make me feel better, and at least I'm not taking unneccesary antibiotics.
So, for the typical patient, they get a better "result" from ineffective treatment than from best medical practice. Of course, part of the reason for this is that they have had a grossly inadequate education in science, and have been convinced by their friends that doctors are a bunch of malevolent incompetents.
1. Homeopathic remedies typically involve dilution of a substance 10^100 times. This pretty much ensures that if a single atom of the original substance persists, it got there by random chance.Tags: science