from The Textbook Letter, July-August 1994
Leading Students into the Clutches of Quacks
William J. Bennetta
Part 1: Don't Ask -- Just Swallow
[U]ntil the year 1500 any attempt to get power from nature had
inherent in it the idea that you could only do this if you forced
nature to provide it against her will. Nature had to be
subjugated, and magic was a form of words, actions, and pictures
which forced nature to do something which she wouldn't of herself
do.
Let me note here that science does exactly the opposite. But it
is important to realize that the subjugation of nature is the
theme of all magical practice. We must get her to do something
for us which she wouldn't do for everybody else -- which means we
must make her disobey her own laws. Of course, people before
1500 didn't really have much of an idea of what a law of nature
was. But insofar as they conceived of nature following a natural
course, magic was something which reversed it.
Jacob Bronowski in Magic, Science and Civilization,
published in 1978 by the Columbia University Press
One of the grim spectacles created by the recent tribal war in
Rwanda was the plight of the Hutu refugees who, during a few
chaotic days in July, fled from Rwanda into northeastern Zaire.
More than a million Hutus swarmed to a makeshift camp near the
Zairian town of Goma -- and there they were overrun by a fierce
epidemic of cholera.
Cholera is a bacterial infection. Its effects include severe,
continual diarrhea, which entails such a massive loss of water
that a typical victim soon suffers fatal dehydration. For as
long as the victim survives, however, he discharges copious feces
that are laden with cholera bacteria; and if such feces get into
a source of drinking water, the bacteria can spread rapidly and
can infect many new victims. This is how most cholera epidemics
arise, and this is what happened, with fearsome results, in the
Goma refugee camp. At its peak, the Goma epidemic -- which was
aggravated by outbreaks of measles -- took hundreds of lives each
day.
The United Nations, several national governments, and some
private organizations quickly began efforts to stop the spread of
diseases at the camp, and those efforts involved various tactics.
To control the propagation of cholera, relief workers built
latrines that would sequester the feces of infected individuals
and keep the feces out of local water supplies; they also used
reverse-osmosis equipment to provide drinking water that was free
of bacteria. To treat individual victims of cholera, they used
oral or intravenous rehydration. And to control measles, they
administered vaccines.
All of that was straightforward and comprehensible, because all
of it was based on knowledge of the relevant organisms (i.e.,
humans, cholera bacteria, and measles viruses) and on physical,
chemical and biological methods of dealing with those organisms.
In short, all of it was based on natural science, an
intellectual enterprise, developed in Europe during the 1500s and
1600s, that is quite unique: Natural science is the one and only
intellectual system that lets us understand nature, make
reliable predictions about nature, and use the laws of nature in
attaining our own goals.
All educated persons are aware of natural science, aware of its
unique status, and aware of how the practical use of scientific
information has changed much of human life during the past 500
years or so. Hence no educated observer could have been
surprised to learn that the disease-control campaign at Goma was
a multifaceted application of science, and no educated observer
could have been surprised to see the particular things that were
done as that campaign took shape.
Similarly, no educated observer could have been surprised to see
that a lot of things were not done. The relief agencies did not
import any squads of shamans, witch doctors, faith healers or
mojo men. There were no global appeals for chiropractors,
acupuncturists, homeopaths, naturopaths, Eddyists, crystal
mystics, or practitioners of "color therapy." There were no
airborne deliveries of magical herbs, magical magnets, magical
candles, magical pictures or magical crucifixes. And there was
no international attempt to thwart the cholera epidemic by
singing mystical chants or by manipulating some desiccated
scraps of departed holy men.
That, too, was straightforward. The notion of promoting health
or curing disease by using magic and mumbo jumbo is a relic from
the distant past, when the prevalent approach to dealing with
nature was to seek formulas that would override or reverse
nature's laws. It was tried for millennia, in countless forms,
and it is still employed by ignorant people today, but to no
avail. The only approach that has worked is medicine based on
science -- and science is the very antithesis of magic.
I have been appalled and disgusted, therefore, to find that a
high-school "health" book issued by Holt, Rinehart and Winston
teaches the student that science and magic are interchangeable.
The book -- Holt Health, dated in 1994 -- explicitly endorses
superstitions and magical rubbish, and it depicts magic as an
equivalent alternative to scientific medicine. I consider this
to be a grave matter indeed, for I believe that Holt's claptrap
is dangerous not only to the student's intellectual development
but to his health as well.
Let me acknowledge immediately that Holt Health is not the first
health text to be written by charlatans, nor is it the first to
use falsity, unsupported claims and double-talk to sell
superstition and quackery. But I can't recall any earlier book
that endorsed the utterly nonsensical notions that are promoted
in Holt Health, nor can I recall any earlier book that tried so
hard to confuse and deceive the student. The Holt writers have
gone to unprecedented lengths in their efforts to attack
rationality and to undermine the student's ability to think
rationally about biomedical matters.
These efforts are embodied in two feature articles printed under
the rubric "Cultural Diversity." One of the articles appears on
pages 6 and 7, the other on pages 578 and 579. In both cases,
Holt's writers promote ignorant fallacies, cast superstition in
the guise of fact, and pointedly refuse to tell what they really
are talking about. They load their prose with bafflegab and
unexplained terms, including quackish words and phrases that are
entirely meaningless, and they lead the student to think that
such inane stuff should be taken as information about "health."
Their essential message to the student is this: Don't think,
don't try to understand, don't ask -- just swallow.
The student who learns that lesson, I assert, will be prey for
quacks of every sort.
Tricking the Student
The article on pages 6 and 7 is called "Being Healthy -- What
Does It Mean?" After stating that "Health -- like beauty --
means different things to different cultures," the writers soon
begin to sling tommyrot. Their first item is merely stupid:
"Before the fall of the Soviet Union, those who opposed the
ruling government were considered insane, and many political
dissidents were sent to mental hospitals." False. Dissidents
were committed to hospitals after being labeled as insane, but
the label was a pretext, not a diagnosis.
Now the writers start to use "cultural" nonsense for endorsing
magic and tricking the student:
A bank clerk in Milwaukee who hears voices makes an appointment
with a mental health therapist, but an Inuit shaman expects to
hear voices and relies on sage advice from the invisible world.
That comparison is bogus. The clerk's hallucinations are
presumably spontaneous and pathological; the shaman's are
induced, by well established techniques, during the shaman's
magical doings. But what is more important here is that the
writers don't define shaman and don't disclose that they are
talking about magic. They present the "invisible world" as if it
were a matter of fact rather than superstition, and they leave
the student to imagine that claims about "sage advice" from "the
invisible world" should be accepted as information. This is
unconscionable, but there is worse to come.
Turning their attention to something relatively mundane, the
writers of Holt's "health" text tell the student that garlic has
been "relied upon as a medicine" and that the use of garlic as a
"medical remedy" spans many cultures. A "medical remedy" for
what? -- and to what effect? Is there any evidence that garlic
serves any therapeutic purpose? The writers refuse to say; they
evidently want the student to imagine that garlic must be a
valuable, universal curative agent simply because many people
believe in it. Here the writers are promoting one of the grand
fallacies on which superstition thrives: the notion that if
something is widely believed, it must be valid (or "there must be
something to it"). That is nonsense, of course, and health
textbooks should take pains to refute it. Holt Health does the
opposite. The writers' attack on rationality is well under way
now.
As the attack continues, the writers begin the outright promotion
of magical quackery: They present the use of "ginseng root" as an
alternative to taking vitamins or to consulting a physician.
They do not, however, tell what "ginseng root" is. They don't
even give a hint; nor do they disclose that ginseng root is
medically worthless, or that belief in the therapeutic powers of
ginseng root is based on a long-discredited superstition. I
can't imagine that this performance is due to mere ignorance and
incompetence. I conclude that the writers are engaging in
calculated deception, and I decline to let them get away with
it. In Part 2 of this article, therefore, I'll quote their
entire passage about ginseng, analyze it, and give essential
information about ginseng quackery.
Next, Holt's writers take a stab at promoting acupuncture.
Acupuncture is a kind of Oriental nonsense that involves
sticking needles into a person's body to influence his "life
force" -- but the writers don't mention any of that. They
dispense bunkum, and they try to boost acupuncture by making
bogus claims, but they never say what acupuncture is. Again,
they simply refuse to say what they are talking about. What they
are talking about is quackery; this too will be explained in Part
2, where I'll quote their entire acupuncture passage and show how
deceptive it is.
After peddling their Oriental magic, the writers uncork a long
paragraph that can properly be described as a quack's delight.
Here is the paragraph, in full:
Good health is a matter of mind, body, and spirit working
together in balance and harmony. Hozro, or harmony, is the aim
of the Navajo hataali. The Blessing Way ceremony to bring
patients back into balance using chants and meditation. Harmony
is also the aim of holistic healing methods, in which all levels
of an individual are brought into balance. Thus, health becomes
a connecting flow of vitality throughout all parts of an
individual's life and thought.
"Mind, body, and spirit working together in balance and harmony"?
What does that mean? The answer is: Nothing at all. The words
"balance" and "harmony" have no meaning in medicine or biology,
and claims dealing with "balance" and "harmony" are pure mumbo
jumbo -- a style of mumbo jumbo that turns up regularly in
advertisements used by quacks. By putting such stuff into a
schoolbook, and by treating it as if it were meaningful
information, Holt's writers are setting the student up for
crystal-peddlers, "psychic healers" and all of the other quacks
who invoke "balance" and "harmony" in promotions for useless
products and services.
The rest of Holt's paragraph is more of the same: ". . . . Hozro,
or harmony, is the aim of the Navajo hataali." [Whether it's
called "hozro" or "harmony," it's still mumbo jumbo. And why
don't the writers tell that a "hataali" is a Navajo witch
doctor?] ". . . . The Blessing Way ceremony to bring patients
back into balance using chants and meditation." [A verb isn't
the only thing that's missing from that pseudosentence. Just
what is this ceremony that brings patients "back into balance"?
And how can we observe this "balance"? Again, the writers tell
nothing. Again, they require the student to accept goofy
bafflegab as if it were information.] ". . . . Harmony is also
the aim of holistic healing methods, in which all levels of an
individual are brought into balance." [That word "holistic" is
another favorite of quacks, and another that shows up often in
quacks' advertisements. It is meaningless.] ". . . . Thus,
health becomes a connecting flow of vitality throughout all parts
of an individual's life and thought." [That is pure quacktalk,
of course. If it means anything at all, it means that Holt is
promoting vitalism -- a moldy doctrine which asserts that living
things have preternatural properties and faculties, transcending
the laws of physics and chemistry. There has never been any
evidence to support that notion, but there is a huge body of
knowledge, including the entire discipline of organic chemistry,
to refute it. Vitalism was definitively rejected by science
during the 19th century. Today it persists only among the
ignorant.]
The article on pages 6 and 7 ends in utter absurdity:
Cultural diversity can add a rich, new dimension to your view of
health and wellness. But you must remain open to new ideas.
"New ideas"? There is nothing new about the grubby magic that
the Holt writers are peddling, and there is nothing new about
deceiving students and teaching them to be dupes.
Mysterious "Power"
Holt's "Cultural Diversity" article on pages 578 and 579 is
titled "Native Americans and Health Care," and it starts by
telling that some people seek "sources of treatment" known as
"alternative" health-care systems. Not surprisingly, Holt's
writers refuse to define alternative. Let me give the
information that they've omitted: The term alternative, in
phrases such as alternative health-care or alternative medicine
or alternative treatment, means unproven or fanciful or just
bogus. An "alternative" treatment is one that has not been shown
to be safe and effective; it doesn't possess the basic features
that rational people demand in any therapeutic procedure.
To promote such fanciful stuff in their "health" book, Holt's
writers drag out some unspecified American Indians (whom they
call "Native Americans," in accordance with a fashionable
pretension). They use these nameless Indians as the focus for an
astonishing exhibition of bafflegab, complete with witch doctors,
"harmony," mysterious "power" and animism! Here it is:
Native American cultures are examples of cultures that provide
alternative health systems for their people.
According to the philosophy of these cultures, all elements of
the world -- inanimate objects as well as living things -- have
life, spirit, power, and specific roles to play. Each element is
related to the others, and each affects the entire universe.
When there is harmony among these elements, a state of well-being
results. But an imbalance among the elements can cause illness.
When such an imbalance occurs, a Native American may seek the
help of a traditional healer. Healers are trained men and women
who perform ceremonies to right the imbalance and in so doing
heal the illness. Such healing ceremonies may include prayers,
rituals, special medicines, and the use of visual symbols.
An "imbalance among the elements" indeed! I needn't point out
that the writers have again presented superstition as if it were
fact, but I must note that the whole passage is rather unfair to
the Indians. The writers haven't told that purveyors of
"alternative" treatments can be found as easily in urban shopping
centers as in Indian communities. In most big cities you can
take your pick of from a veritable regiment of quacks who will
offer to tweak your "elements" and correct your "imbalance"
(though they won't be able to tell you how the "elements" can be
detected, or how the "imbalance" can be measured). You can even
find magic-makers who will promise to adjust your "life energy"
and fix your "aura"!
The nadir of Holt's article on "alternative" health-care comes as
the writers make their final, outrageous attempt to convince the
student that magic-makers and practitioners of scientific
medicine are comparable: "Like medical doctors," they say,
"Native American healers must undergo years of special training.
. . ." Of all the writers' efforts to delude the student through
false analogies and false implications, that one may be the
worst. When I recited it to a physician friend of mine, she
commented: "Pianists have to undergo lengthy training, too. I
guess that means that when you are sick, you should just have
somebody play Chopin at you."
Responsible educators will never lead students to believe that
magic is interchangeable with scientific medicine, nor will they
promote the superstitions and fallacies that are endorsed in
Holt Health. On the contrary, responsible educators will try to
ensure that students can see through the very kinds of nonsense
that the Holt hacks are promoting. Here are some basic points
that students should understand:
- The mere fact that a belief or practice arose in a distant
land or in an unfamiliar culture does not mean that it has any
validity.
- The mere fact that a belief or practice has persisted for a
long time, or enjoys great popularity, does not mean that it has
any validity. Even after a superstition has been scientifically
discredited, it can persist indefinitely among the ignorant.
- The fact that a medical claim is couched in undefined terms
and inscrutable lingo does not mean that the claim is valid. In
fact, the occurrence of murky phrases is a rather good indicator
that quackery is afoot. Contemporary quacks are especially fond
of claims that include the word "holistic," or refer to
unidentified, undetectable forms of "energy," or promise to
create some undefined, unexplained sort of "balance."
- "Alternative" treatments are, by definition, practices that
have not been shown to be safe and effective. Indeed, many
practices that go under the "alternative" label are known to be
worthless, harmful or both.
- Among "alternative" treatments, the use of herbal
concoctions imported from the Orient is especially dangerous.
Far Eastern governments do little or nothing to regulate the
manufacture of such products, and the concoctions may contain
heavy-metal compounds or other poisons.
- Some proponents of herbal quackery like to tell stories about
botanical materials that were used in folk medicine before their
pharmacologic activity was demonstrated scientifically. These
stories often are false, and even those that are true can be
highly misleading if the listener does not know about the
folk-medicine picture as a whole: Of the folk botanicals that have
been tested pharmacologically, most are worthless or even
harmful.
There is one more thing that students should understand, and it
is the most important point of all. We have learned much in the
500 years since the advent of science, and we should rejoice in
this. We have come a long way in comprehending nature and in
liberating ourselves from ignorance, and we should be proud of
this. We have no need to pretend that superstition is anything
but superstition, or that rubbish is anything but rubbish --
whether it is dispensed by witch doctors, by street-corner
quacks, or by hacks who write "health" books.
Part 2: Secrets Revealed
Holt Health endorses acupuncture and strives to dignify the use
of ginseng root, but it never tells what "acupuncture" means or
what "ginseng root" is. The answers are interesting and will
give educators some insights into two classic forms of quackery.
Ginseng Root
Here is what the Holt hacks say about ginseng root. I quote
their passage in full:
An accountant in Arizona might buy a bottle of vitamin tablets or
make an appointment with her doctor for a checkup if she is
feeling run-down, while her Chinese counterpart might rely solely
on ginseng root as a tonic. A housewife in West Virginia has her
choice of these, but might choose the ginseng because her mother
and grandmother both dug the roots themselves and prepared them
for use by relying on an old family recipe.
Now here are the facts that health educators should know:
The word ginseng has two meanings: It is the common name for any
of several herbs that belong to the genus Panax, and it is the
commercial name for the root of any such herb. Panax roots are
used in making solutions and powders that are sold as magical
remedies, and various species of Panax are cultivated, in various
parts of the world, to supply roots for the remedy trade.
The idea that a ginseng root has magical, therapeutic powers is
one of many beliefs based on the old notion that there are
mystical correspondences among parts of the cosmos. This notion
has given rise to a superstition called the doctrine of
"signatures" or "signs," which holds that there is a
correspondence between an object's physical appearance and the
object's usefulness in curing disease: If a plant (or some part
of the plant) resembles a human liver, it can be used for
relieving liver disorders; if a plant (or some part of the plant)
looks like a human stomach, it can be used for curing stomach
trouble; and so on. According to this superstition, ginseng root
is a sort of cure-all, because the root resembles (to some
extent) an entire human body. A typical root has ramifications
that can be interpreted as arms or legs, and it may even have
excrescences that can be interpreted as a head and a penis.
Ginseng roots play a prominent role in "Oriental medicine," and a
root that looks especially man-like can command an exceptionally
high price. Oriental quacks dispense ginseng concoctions as
remedies for specific illnesses, as aphrodisiacs, and as panaceas
that allegedly improve overall health. The commercial use of
ginseng is not limited to the Orient, however, for ginseng
products are promoted to superstitious customers in other parts
of the world as well. In the United States, such products are
sold widely in "health food" stores and are advertised on radio,
on television, and in mass-market "health" magazines.
There is no evidence that ginseng concoctions have any
therapeutic value. At best, a ginseng extract may act as a mild
stimulant, comparable to coffee or tea. If the sale or
promotion of a ginseng product involves a claim that the product
can produce a specific therapeutic result, such sale or
promotion constitutes quackery.
Because ginseng products have no therapeutic value, the writers
of Holt Health are engaging in gross deception when they lead the
student to believe that taking a ginseng "tonic" is similar to
taking vitamins. Ginseng products are medically worthless.
Vitamins, on the other hand, are known to be necessary to health,
and specific vitamins are known to have specific preventive and
therapeutic effects. (Laymen, of course, may use vitamins in
frivolous, superstitious, and even harmful ways, but that is
another matter.)
When Holt's hacks depict the use of a ginseng "tonic" as an
alternative to consulting a physician, they further deceive the
student and they promote a hideous misperception that can
directly endanger the student's health and life. Any person who
imagines that ginseng is a substitute for a medical checkup is
entertaining a dangerous fantasy, whether the person is a
superstitious Chinese accountant, an ignorant housewife in West
Virginia, or an unfortunate student who has believed the tommyrot
in Holt Health.
Acupuncture
In attempting to promote acupuncture, Holt's hacks combine
obscurity with delusion. Here is their acupuncture passage, in
full:
The ancient Chinese healing art of acupuncture is now being used
in the West to relieve pain. Many western physicians and
scientists refused to accept acupuncture as anything more than
mind over matter until first-hand observations of the results
changed their opinions. Now several kinds of treatment apply the
meridians and pressure points of acupuncture for pain relief.
And here is what health educators should know about that ancient
"healing art":
Acupuncture is a Chinese craft whose practitioners allege that
they can manipulate a person's physiology by sticking needles
into various sites on the person's body. These sites, or
"acupuncture points," are said to lie along pathways, called
"meridians," that carry a "life force." Acupuncturists claim
that their needles alter the flow of the "life force" and produce
various physiological effects, from anesthesia to the curing of
specific diseases.
The whole thing is, and always has been, nonsense. Acupuncture
arose as an outgrowth of astrology, and it originally recognized
365 acupuncture points -- a point for each day in the year.
Since then, many new ones have been dreamed up, and there are now
more than 2,000 sites that supposedly can be jabbed to influence
the "life force."
That "life force" is completely imaginary. Belief in such a
force is a vestige of vitalism, a doctrine that was discredited
long ago. (See Part 1 of this article.)
Of course, the "meridians" that bear the "life force" are
imaginary too. They were contrived by people who knew nothing
about internal anatomy, who did not try to study internal
anatomy, and who relied on utterly fanciful conceptions of how
the human body worked. When we view the meridians in the light
of our modern knowledge of anatomy and physiology, we find that
the meridians have no anatomical or physiological basis
whatsoever.
Along with many other absurd, traditional practices that figure
in "Oriental medicine," acupuncture lost favor in China when the
Chinese learned about scientific medical and surgical techniques
developed in the West. The traditional practices were revived,
however, for political and economic reasons, under the Communist
regime led by Mao Zedong. This revival included some bizarre
"demonstrations" that were staged during the 1960s and 1970s to
convince visitors from the West that acupuncture could be used to
anesthetize patients during surgery. We now know that the
demonstrations were shams: In typical cases the patients were
decorated with acupuncture needles but were anesthetized,
secretly, by chemical methods. When gullible Western observers
went home and told about the demonstrations, acupuncture gained a
specious credibility and became a prominent and fashionable form
of quackery in the United States and some other Western
countries.
All of that information is useful in analyzing the deceptive
passage about acupuncture in Holt Health. Consider Holt's last
claim first: "Now several kinds of treatment apply the meridians
and pressure points [i.e., acupuncture points] . . . for pain
relief." Horseflop! No one can "apply" the meridians, because
the meridians are fictions; no one can "apply" the pressure
points either, because they too are fictions -- as Holt's hacks
surely know, if they have looked into acupuncture at all.
Next, consider Holt's claim that "Many western physicians and
scientists refused to accept acupuncture as anything more than
mind over matter until first-hand observations of the results
changed their opinions." I assume that "many western physicians
and scientists" is Holt's name for those gullible persons whom
the Chinese fooled with phony demonstrations, and I hasten to
report what Holt's hacks have concealed: No study of acupuncture
has shown that acupuncture produces any medical result other than
a placebo effect. This brings me to Holt's opening claim, the
claim that "acupuncture is now being used in the West to relieve
pain." To the extent that acupuncture may function at all in the
relief of pain, it merely functions as a placebo.
I have been interested in quackery for some years, and my files
contain various articles that deal with acupuncture in one way
or another. Among my favorites is a story that appeared in the
Los Angeles Times for 14 January 1989. Written by a reporter
named Ashley Dunn, it was a pathetically credulous account of how
two California acupuncturists, Cho Sheng-gung and Wu Li-hsia,
claimed to have used acupuncture to cure a skin infection that
afflicted some goldfish! Ashley Dunn swallowed their nonsense
whole. He informed his readers that "Acupuncture involves
harmonizing life forces in the body through the insertion of
needles at strategic points," and then he recounted the tale of
how Wu Li-hsia was able to "stimulate" each goldfish's immune
system:
In human beings, the treatment to stimulate the body's immune
system involves three points . . . . The first, on the shin,
about three inches below the kneecap, is called zu san li, or
"three measures of the leg." The problem, of course, is that
fish have no shins. So, Wu picked a spot near the fish's tail
and hoped for the best.
So much for all those notions about meridians and precisely
located insertion points!
To top his story off, Dunn quoted a comment by one Hwang
San-hong, president of something called the Acupuncture Medicine
Association of Southern California. This luminary said there was
no reason why acupuncture shouldn't work on fishes, and he
explained this by invoking his deep knowledge of biology: "Most
animals," he said, "have a spine and nerves and a blood system.
They're almost the same as humans."
Maybe Hwang San-hong really believed that. But even if he
didn't, his silly pronouncement was no worse than the rest of
the twaddle that acupuncturists serve up.
To learn more about acupuncture, and to read about some of the
dangers that it entails, educators may consult Arthur Taub's
essay "Acupuncture: Nonsense with Needles." The essay appears in
The Health Robbers: A Close Look at Quackery in America, issued
in 1993 by Prometheus Books (Buffalo, New York).
I thank William T. Jarvis, Paula Benedict and Earl Hautala for
providing information that I have used in writing both parts of
this article. William T. Jarvis is a professor of preventive
medicine (at Loma Linda University, in Loma Linda, California)
and the president of The National Council Against Health Fraud.
Paula Benedict is the Council's secretary. Earl Hautala is the
Textbook League's manager of research.
William J. Bennetta is a professional editor, a fellow of the
California Academy of Sciences, the president of The Textbook
League, and the editor of The Textbook Letter. He writes
frequently about the propagation of quackery, false "science" and
false "history" in schoolbooks.
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