So, have you thought about whether any of the health care bills would require that insurance plans cover alternative or complementary medical treatments? No? Check out this story from Newsweek magazine, which suggests that the CAM lobby has already made its arguments to the Hill.
Requiring insurers to cover therapies with unknown outcomes runs counter to the White House's push for medicine with a proven track record. The basic idea behind evidence-based medicine is that doctors ought to use treatments that have the best possible evidence that they work. What counts as the best possible evidence? Randomized clinical trials.... Clinical trials work fine for drugs, where trials can quantify and compare outcomes. But for alternative treatments, things like prayer or even yoga, the evidence gets much less clear; randomized trials are more difficult to conduct. "For drugs you have placebos and double-blinded studies," says Timmermans. "But you cannot have a placebo for testing behavioral interventions." So alternative treatments are essentially on an uneven playing field when it comes to evidence-based medicine. Timmermans admits that "it's not an equal-opportunity methodology."
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Requiring insurers to cover prayer treatment may be a bit too extreme for health-care reform. More interesting to explore though, are other forms of nontraditional medicine, floated in reform bills, that have a stronger claim to an evidence base. Take, for example, complementary and alternative medicine, a field often criticized for unproven therapies. Some 38 percent of Americans use some form of it. Moreover, the field has increasingly embraced traditional research methods. Just a decade ago, the government established a National Center for Complementary and Alternative Medicine. The center studies "alternative healing practices"—anything from the use of echinacea to treat colds, to acupuncture for irritable bowel syndrome—"in the context of rigorous science." They use that gold standard Timmermans mentioned: randomized, clinical trials.
Here's a link to the National Center for Complementary and Alternative Medicine.
Now, I admit to practicing yoga, off and on, and I think (I think) it helps me feel less stress and it helps me calm down after a long day of magical legalizing. I know it helps my flexibility, but then so would, I suspect, going back to my ballet exercises. I do feel better when I downward dog and make like a tree, even though I don't Om. It annoys the felines. But I don't try to bill my health insurance company for my trips to the yoga studio. I'm not certain there's cause and effect there. Hey, I tried feverfew for my migraines, too, but I didn't see any amelioration there. Zippo. One of my primary care physicians explained that outcome--there's no quality control in the feverfew you buy OTC. Better to rely on the meds the neurologist prescribes, and mirabile dictu, my migraines have decreased significantly over the past few years. Hooray for modern medicine and Big Pharma (waving imaginary flag).
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