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THE BEST ALTERNATIVE?

December 1998 
Alternative Medicine More than four out of ten people in the United States visited alternative medicine practitioners last year. Dr. George Lundberg of the Journal of the American Medical Association and Dr. Marcia Angell of the New England Journal of Medicine answer your questions.

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Dan Rogers of St. Petersberg, FL, asks:

Are doctors and scientists mostly supportive of alternative medicine?

Dr. Marcia Angell responds:

There is a difference between clinicians and scientists. Doctors who are clinicians have had some training in the scientific method, but it may have been minimal. Many clinicians are supportive of alternative medicine, often on the theory that it may work, or at least make patients feel better, and it cannot do much harm. I believe scientists are more critical. They demand verifiable evidence before accepting a treatment, and they should.

Dr. George Lundberg responds:

Up to now most US scientists have done little work with alternative medicine. Few funds have been available to stimulate and support research and many of the alternative medicine modalities have been an object of derision scientifically. We are hoping that such will change now and that much good research will be done and published so we can settle some of these issues. US physicians have been taught little about alternative medicine so they have been largely ignorant of much of it and naturally opposed to much. This is rapidly changing now that physicians understand that many of their patients use alternative medicine and that they must communicate with each other about that.

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