Shame on Canadian Blood Services

Canadian Blood Services is a non-profit organization charged with the responsibility of collecting and managing the blood supply for Canadians (except Québécois). They have a website called What's Your Type: Find out what your blood type says about you ...

Here are the answers.

• Type A: So, you’re an A. You already know that having type A blood suggests that you are reliable, a team player and may benefit from a vegetarian diet*. Did you also know that anthropologists believe that type A blood originated in Asia or the middle east between 25,000 and 15,000 BC?


• Type B: So, you’re a B. You already know that having type B blood suggests that you are independent, a self-starter and may benefit from a wholesome well-balanced diet*. Did you also know that anthropologists believe that type B blood appeared between 15,000 and 10,000 BC in the Himalayas?


• Type AB: So, you’re an AB. You already know that having type AB blood suggests that you are organized, friendly and may enjoy a vegetarian or wholesome well-balanced diet*. Did you also know that anthropologists believe that type AB blood did not originate until 900-1000 years ago and came into existence when eastern Mongolian invaders overran the last of European civilization?


• Type O: So, you’re an O. You already know that having type O blood suggests that you might be competitive, goal oriented and a real meat eater*. Did you also know that anthropologists believe that type O is the oldest and most common blood type, originating in Southern Africa?

I bet there's lots of stuff there that you didn't know. I was particularly intrigued by the genetic data. Did you know that humans were originally Type O—the null allele? Only later did mutations arise that created the active N-acetylaminogalactosyltransferase enzyme (Type A).¹


Theme

ABO Blood TypesI was shocked to learn that Mongolians overran the last of European civilization in 1000 AD. I'm a bit of a history buff, especially European history, and this nasty little fact completely escaped my notice. How come the citizens of Western Europe didn't notice that they were overrrun by Mongolians? And how come the history books say the main Mongolian invasions were in about 1220 AD?

---

1. All knowledgeable scientists agree that this is the primitive allle, present in all primates. Subsequent mutations created the null allele (O) and the B allele, which is a modified version of the wild-type allele. I assume that Canadian Blood Services must be in possession of very recent information that overthrows all those previous scientific papers.

Non-Allopathic (Non-Conventional) Therapies in Medical Practice

The College of Physicians and Surgeons of Ontario has produced a draft policy on Non-Allopathic (Non-Conventional) Therapies in Medical Practice. The document is flawed from the beginning because it gives credence and respectability to "alternative medicine," otherwise known as non-evidence based medicine or quackery.

The policy is designed to provide guidelines for physicians who are: (1) tempted to employ non-evidence based medicine, (2) tempted to condone non-evidence based medicine in situations where it might harm patients. We all recognize that front-line physicians face these issues all the time and they often find themselves in a position where they disagree with the choices their patients are making.

However, most physicians don't hesitate to tell you that you should stop smoking. They seem to enjoy lecturing you on the benefits of diet and exercise even when it's clear that a patient prefers a different lifestyle. Why should it be any different when a patient reveals that they are taking homeopathic concoctions or when they refuse to vaccinate their children. Don't physicians have a professional responsibility to inform their patients that they are making unwise decisions?

The draft policy address these issues but it does so in a way that's far too lenient toward quack medicine. To begin with, it defines allopathic medicine as,

Different operative terms have been adopted that were deemed to be value-neutral: ‘Allopathic medicine’ refers to traditional or conventional medicine (as taught in medical schools) and ‘non-allopathic therapies’ refer to complementary or alternative medicine.

This is idiotic. "Allopathic" medicine is NOT a value-neutral term. It's the term used by homoepathic quacks to describe medicine that uses drugs to treat patients. By adopting this terminology, the College of Physicians and Surgeons is playing right into the hands of the quacks.

Allopathic Medicine: refers to the type of treatment, diagnostic analysis and conceptualization of disease or ailment that is the primary focus of medical school curricula and which is generally provided in hospitals and specialty or primary care practice.

Non-Allopathic Therapies (Non-Conventional Therapies): refers to a broad range of procedures or treatments that are not commonly used in allopathic medicine; this includes those referred to as complementary or alternative. Non-allopathic therapies tend to differ from allopathic medicine in terms of diagnostic techniques, theories of illness and disease, and treatment paradigms. The categorization of specific therapies as non-allopathic is fluid: as clinical evidence regarding efficacy is accumulated, certain non-allopathic therapies may gain broad acceptance and thus be accepted in allopathic medicine.

I work in a medical school. The operative phase is "evidence-based medicine" and I suspect that's a term used in most medical schools in Ontario. That's what is taught in medical schools and hospitals and that's how you describe proper medicine.

The opposite of evidence-based medicine is "non-evidence-based treatment." Those are not "value-neutral" terms. They are something different—it's called "truth," and truth is not neutral. The College of Physicians and Surgeons needs to acquire some gumption and stand up for what's being taught in the medical schools and stand up for science. This draft policy is ridiculous, it announces that the College is abandoning science and evidence in favor of condoning quackery.

Here's how the draft policy would read if we substitute the true definitions.

Respect Patient Autonomy

Patients are entitled to make treatment decisions and to set health care goals that accord with their own wishes, values and beliefs. This includes decisions to pursue or to refuse evidence-based or non-evidence based therapies.

The College expects physicians to respect patients’ treatment goals and decisions, even those which physicians deem to be unfounded or unwise. In doing so, physicians should state their best professional opinion about the goal or decision, but must refrain from expressing non-clinical judgements.

Nothing has been lost by using "evidence-based" instead of "allopathic." Now, let's look at the meaning of this policy statement.

It's classic gobbledygook because it confuses "respect" with "responsibility." Physicians are not obliged to "respect" parents who refuse to give their child a life-saving blood transfusion. They aren't obliged to "respect" parents who deny their children vaccinations. They certainly don't "respect" parents who abuse their children. And I've never encountered a physician who "respects" smokers and drug users, have you?

Lots of patients don't earn respect and don't deserve it.

Read the guideline carefully as I amended it. If they were adhered to, then no physician could possibly recommend non-evidence based therapies since that would conflict with their professional opinion (or, at least it should). But later on we read,

Providing Non-Allopathic Therapies

When providing non-allopathic therapies, physicians are expected to demonstrate the same commitment to clinical excellence and ethical practice, as they would when providing allopathic care.

What the heck is that all about? The policy should read ...

Any physician who provides non-evidence based therapies (especially for a fee) will be subject to charges of professional misconduct and may lose his/her license to practice medicine in Ontario.

That's the only sensible policy that's consistent with what's written elsewhere in the document. You simply can't provide non-evidence-based therapies while maintaining "a commitment to clinical excellence and ethical practice." That's oxymoronic.

The Committee for the Advancement of Scientific Skepticism (CASS) is very interested in this issue. Read what Michael Kruse has to say on his blog Skeptic North: Ontario Doctors Given Green Light to Promote Quackery.

I would not be writing this if I thought we could do nothing to oppose and change the viewpoint of the CPSO. That is why CASS is calling on members of both the public and the medical field to read the policy and comment on it. There is strong representation in the current comments of supporters of alternative medicine and we do not want all of the feedback to be pro-pseudoscience. Please visit the CPSO policy site above and fill out the comment form available at the bottom of the page. The deadline for this consultation is September 1st 2011, so we must move quickly and let the CPSO know the safety of Ontarians depends upon sound medical opinion based on modern scientific evidence.

Please voice your opinion at Feedback: Non-Allopathic Therapies draft policy. Your response has to sent by email to ThirdPartyProcesses@cpso.on.ca. I have no idea how much censorship is applied to the responses they post—I suspect it's considerable so don't expect criticisms to appear on the website.

---

Do Not Vote for the Anti-Science Green Party

There is no party platform that perfectly reflects my views on all issues. However, there is one thing I look for when deciding to support a political party and that's how they arrive at a particular policy. Is it scientific? Does the policy depend on evidence, healthy skepticism, and rational thinking?

The Green Party of Canada has outlined their platform in a document called Vision Green. Here's what they say in the introduction ...

Vision Green presents a well-researched analysis of critical environmental, economic and social challenges facing Canadians from coast to coast to coast, and presents practical solutions that can be achieved if there is the political will and leadership to take forward-looking action. It was developed by our Green Cabinet and was informed by experts, activists and citizens who participated in policy workshops held across Canada. Our vision is based on policies approved by the membership of the Green Party.

Sound promising. They don't actually say that their policies are based on sound scientific reasoning but it sounds like "well-researched" might be a synonym for "good science."

As you scan this document you encounter many positions that seem somewhat dogmatic and considerably beyond what the scientific evidence actually says. The Green Party is opposed to genetically engineered organisms, for example, and they propose to, "Phase out the use of genetically modified food products and ‘terminator’ seeds" (p. 74).

The Green Party is opposed to nuclear power and advocates a ban on new nuclear power plants and a shut-down of existing ones. The party proposes to ban uranium mining and refining. While some of their arguments are valid, the overall tone does not sound scientific.

But the real give-away comes when the document discusses health care. Here's one of the promises from page 70.

Provide funds to expand provincial health insurance to cover proven alternative therapies that are less expensive and invasive such as chiropractic, massage, acupuncture.

It is simply not true that these "alternative therapies" are proven in any scientific sense. What this tells me is that the Green Party platform is not based on scientific reasoning.

That's disappointing.

Everybody wants to promote good health. It's a motherhood issue. What's important is whether a political party has a realistic policy to achieve this goal. Most don't but the Green Party actually makes things worse ...

Health promotion is about more than health care or health education. It is about recognizing the profound health impacts of determinants of health outside the formal healthcare system and working with many stakeholders (policy-makers, NGOs, health agencies, multiple levels of government, the private sector, and most important, affected communities themselves) to reduce, eliminate, or overcome those factors that harm health or act as barriers to health enhancement, and to promote those factors that enhance the health, well-being and quality of life of all Canadians.

We will promote complimentary health care – through support of chiropractic, naturopathic, homeopathic, and other non-western practices. The Green Party of Canada recognizes the value of good health as a fundamental human right, and also the key to the most vibrant, inclusive and sustainable Canadian society possible.

I will never vote for a political party that promotes naturopathy and homeopathy in such a prominent manner. Naturopathy and homeopathy are examples of anti-science quack medicine. The fact that the leaders of the party would even include this in their platform tells me that scientific thinking is not part of their worldview and it calls into question their positions on everything else.

The Green Party wants to use my tax dollars to support these quacks.

Expand healthcare coverage to include qualified complementary/alternative health professionals such as naturopaths, acupuncturists, homeopaths, licensed massage therapists, chiropractors, and dietitians.

This is very wrong.

Do not vote for the Green Party. If you want to cast a protest vote then spoil your ballot or vote for some other party that cannot be elected in your riding. Every vote for the Green Party is a vote against science.

---

[Hat Tips: Zak at Canadian Atheist: The Green Party Platform and Mitchell Gerskup at Skeptic North: Voting Green? Read This.]

The Lost Art of Wit and Sarcasm

PZ Myers on Salon reviews a book that I'm never going to read [David Brooks' dream world for the trust-fund set]. Unfortunately he uses language and style that's probably far above the heads of those who need convincing. But it's loads of fun.

I made it almost a third of the way through the arid wasteland of David Brooks' didactic novel, "The Social Animal: The Hidden Sources of Love, Character, and Achievement," before I succumbed. I had begun reading it determined to be dispassionate and analytic and fair, but I couldn't bear it for long: I learned to loathe Harold and Erica, the two upscale avatars of upper-middle-class values that Brooks marches through life in the story. And then I began to resent the omniscient narrator who narrates this exercise in unthinking consumption and privilege that is, supposedly, the ideal of happiness; it's like watching a creepy middle-aged man fuss over his Barbie and Ken dolls, posing them in their expensive accessories and cars and houses and occasionally wiggling them in simulated carnal relations (have no worries, though: Like Barbie and Ken, no genitals appear anywhere in the book), while periodically pausing to tell his audience how cool it all is, and what is going on inside his dolls' soft plastic heads.

I did manage to work my way through the whole book, however, by an expediency that I recommend to anyone else who must suffer through it. I simply chanted to myself, "Die, yuppie scum, die," when I reached the end of each page, and it made the time fly by marvelously well. In addition, there is a blissful moment of catharsis when you reach the last page and one of the characters does die, although it isn't in a tragic explosion involving a tennis racket, an overdose of organic fair-trade coffee, and an assassination squad of rogue economists at Davos, as I was hoping. That's not a spoiler, by the way; the book is supposed to be all about the happy, productive life histories of Harold and Erica, from birth to death, so it's no surprise that at least one dies. It is incomplete, in that the other one survives ... an unsatisfying ending that I could happily resolve with one more bloody page, and that represents the only case I can imagine in which I'd ever ask David Brooks to write another word.

---

The Problem with Evolutionary Psychology

Jesse Bering is an evolutionary psychologist at Queen's University, Belfast, Northern Ireland (UK). He blogs at Bering in Mind on the Scientific American website. Read his latest post: Natural homophobes? Evolutionary psychology and antigay attitudes.

In that post, Bering takes seriously the idea that homophobia could be a character that evolved in our ancestors. The idea is that parents who were homophobic were more likely to be concerned about the sexual orientation of their children. If this led to more heterosexual children then the parents would have more grandchildren and the allele for homophobia would increase in the population.

To my mind this idea is so ridiculous it doesn't even merit discussion and it certainly should never be published in a "scientific" journal. Why is it that respected evolutionary psychologists think these just-so stories are an important part of their discipline? Does this mean that the entire discipline is suspect?¹

Jesse Bering is the author of The God Instinct. I haven't read this book but I'm going to order a copy. Here's what he says on his website.

Why does even the most committed atheist turn to God when a family member falls seriously ill, or they find themselves in close personal danger? Using the latest scientific evidence, Jesse Bering explores how people's everyday thoughts, behaviours and emotions betray an innate tendency to reason as though God were deeply invested in their public lives and secret affairs.

In this entertaining and thought-provoking book, he argues that this religious reflex is not an irrational aberration, and that God is not a cultural invention or an existential band-aid, but an intrinsic human trait, developed over millennia, that carries powerful evolutionary benefits.

Breaking new ground, The God Instinct uses hard science to show that God is not a delusion, but a sophisticated cognitive illusion. Bering reveals the roots of religion in our ability to think beyond our immediate surroundings, and explains why this capacity for belief sets us apart from other animals.

Jesse Bering sounds like a complicated person with interesting perspectives on evolution and religion. Here's what he says about himself on the website.

Jesse Bering is Director of the Institute of Cognition and Culture at the Queen's University, Belfast. An evolutionary psychologist, he is one of the principal investigators on the Explaining Religion Project.

The Institute's research focuses primarily on human social behaviour, and current topics range from people's belief in the afterlife to moral disgust over social offences. Funded by the EU, the John F Templeton Foundation and the US Air Force, it has projects running all over the world, including India, Mali and Cyprus.

Jesse writes a weekly column for Scientific American, ‘Bering in Mind’. The members of The International Academy of Digital Arts and Sciences named the column an official 2010 Webby Honoree in the “blog­cultural” category.

As well as being an acknowledged expert in his field, Jesse Bering is well known for his approachable and engaging popular writing. Born in the USA, he now lives in Northern Ireland.

---

1. Perceptive readers will see a connection between evolutionary psychology and adaptationism.

[Hat Tip: Joe at Canadian Atheist]

A Challenge to Homeopathy

---

Extraordinary Claims: Psychics, Homeopathy and Christ

 

This Friday night at 7:30 p.m. CFI Canada launches the much awaited Extraordinary Claims campaign with three lectures, a panel discussion and an audience question-and-answer session, for a critical analysis of Psychics, Homeopathy and Christ. The invitation has also been respectfully extended to hundreds in the Toronto area who support one or more of these claims. The night promises to be an exciting and fascinating experience. Don't miss out!

Professor James Alcock of York University will address Psychics, Dr. Iain Martel of the Committee for the Advancement of Scientific Skepticism (CASS) will analyze Homeopathy and John Loftus, a former Christian Minister and apologist, will take on Christ. The night will be moderated by Michael Kruse, co-chair of CASS.

Date and time: Friday, January 21, 7:30 p.m. to 10:00 p.m. CFI members have advance access to seating beginning at 6:45 p.m. Non-members will be seated shortly before the presentation begins.

Location: University of Toronto - MacLeod Auditorium - 1 King's College Circle, Room 2158 Google Map

Admission prices: $8 general, $5 students and FREE for CFI members. Become a CFI member or renew.

Prepaying admission by PayPal is offered HERE. Please print out your PayPal receipt and bring it with you.

CFI members please bring your membership card and check the expiration date to ensure you can get in for FREE. If you are unsure then call Centre for Inquiry Ontario at (416) 971-5676 or e-mail info@cficanada.ca

A members-only reception is being held at 5:30 p.m. at CFI Ontario (216 Beverly St.).

---

Homeopathy: Cue or Con?

 
Check out the Marketplace show. If you live in Canada, go to Cure or Con?, otherwise watch it on YouTube (below). Our Center for Inquiry friends in Vancouver overdose at the beginning of the show. Will they survive?

---

Homeopathy on Marketplace

 
We've known about this upcoming show for several months because the producers have been contacting skeptical groups to get both sides of the story. Watch it tonight on CBC (Canada) at 8 PM.

Our Vancouver members of the Centre for Inquiry get to have all the fun!

Cure or Con?

Erica Johnson investigates one of the fastest growing alternative health treatments in the country: homeopathy. Ontario homeopaths are about to become the first province in Canada to regulate homeopathy — lending credibility to this unproven practice.

Canada's leading consumer ally takes a long hard look at the theories, and the remedies. For the first time in Canada, we conduct a test of homeopathic medicines, investigating the science behind these so-called medicines. In light of our results, we ask both the Ontario government and Health Canada why they are lending credibility to the homeopathic industry. Johnson also meets up with a rep from the world's leading manufacturer of homeopathic medicines, who admits that even the company doesn't know how homeopathy is supposed to work.

Watch, as we witness a Vancouver group of skeptics taking part in a group overdose of homeopathic remedies. Perhaps most disturbing we learn that some homeopaths are treating cancer patients with homeopathic remedies — this despite a leading cancer specialist saying there is no role for homeopathy in the treatment of cancer, that it is a "scam that is not evidence-based".

---

Let Oprah know that Kim Tinkham died of cancer

 
Kim Tinkham died of cancer today. Orac wants you to Let Oprah know that Kim Tinkham died of cancer. I've already sent my message to Oprah. Why don't you send one?

Watch the video. Oprah sends very mixed messages. On the one hand she advises following the advice of doctors but at the same time she supports The Secret.

---

HuffPost Heatlh?

 
I don't read the Huffington Post but Orac over at Respectful Insolence does. He notes that it is about to start a new section called HuffPost Health. Here's how it's going to work.

HuffPost Health will be a clear and balanced resource to provide a comprehensive view of the state of health and health news in a given day. It will provide a forum for intelligent discourse and divergent but respectful points of view. HuffPost Health will empower you with state of the art information you can use to make informed and intelligent decisions that affect your life in meaningful ways.

In this spirit, HuffPost Health's articles and videos will include the best of evidence-based allopathic Western medicine (including drugs and surgery), lifestyle and functional medicine (including nutrition, fitness, stress management, supplements, and love and support), mind/body medicine (including mental and emotional health), women's and men's health issues, and integrative medicine (including complementary and alternative medicine).

I bet you can hardly wait! Neither can Orac 'cause "there'll be a lot of new blogging material." More importantly, Orac notes that HuffPost Health might soon become a handy source of all quackery: HuffPost Health: A soon-to-be one-stop shop for quackery. We're going to need something like this once the Oprah Show and Larry King Live go off the air.

---

What Is Naturopathy?

 
A lot of people have asked me about naturopathy and what I think of it. I've usually said that some of it might be okay since it's based on herbs and things that might actually contain real medicine. In fact, I really don't know much at all about the differences between "naturopathic medicine" and quackery.

So I decided to look at an authoritative source, the Canadian College of Naturopathic Medicine right here in Toronto. The college, "offers a rigorous four-year, full-time doctor of naturopathic medicine program."

Here's how CCNM describes naturopathy.

Naturopathic medicine is:

... a distinct system of primary health care that addresses the root causes of illness, and promotes health and healing using natural therapies. It supports your body's own healing ability using an integrated approach to disease diagnosis, treatment and prevention that includes:

o acupuncture/Asian medicine
o botanical medicine
o physical medicine (massage, hydrotherapy, etc.)
o clinical nutrition
o homeopathic medicine
o lifestyle counseling

Good. Now I know the difference between naturopathy and other forms of non-evidence based medicine (i.e. alternative medicine, quackery).

There isn't any.

---

[Hat Tip: Respectful Insolence: A highly revealing quote from a naturopath]