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RFK Jr’s ‘Maha’ report found to contain citations to nonexistent studies

Hans Blaster

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Alternative "medicine" is mostly cons and frauds. Why are you talking about "alternative medicine" in reference to basic nutrition?
 
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Desk trauma

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Alternative "medicine" is mostly cons and frauds. Why are you talking about "alternative medicine" in reference to basic nutrition?
Mandatory:

 
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ThatRobGuy

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Alternative "medicine" is mostly cons and frauds. Why are you talking about "alternative medicine" in reference to basic nutrition?

Because (whether through luck or being a broken clock that's right twice a day), it just so happens to shake out that in many cases, the nutritional/dietary advice they give happens to be better than that of most GPs -- even if it's outside of what their supposed "expertise" is supposed to be.

I've shared before that I grew up in a family that was into all that stuff... I'm the outlier in that I'm one of the few in the family that doesn't go to those sorts of "practitioners"

But for example:

Chiropractors believe that all disease its caused by neurological interference cause by "subluxation" and the the removal the "subluxation" will unlock some sort of magical ability for the body to heal itself. -- and they believe that's true for everything from ear infections, to digestive disorders...up to more serious things like cancer. And the whole homeopathy thing is even more laughable.

We know that's hogwash... a "chiropractic adjustment" isn't going to heal an ear infection, and it's downright dangerous to trust that over real oncology care for cancer.


However, on the flip side.

When my uncle was dealing with work-related knee pain, the GP wanted to put him on a regular regiment of high dose Naproxen, and then potentially stronger stuff... whereas, his Chiropractor gave him exercises and stretches to do at home, and put together a little diet plan to help him drop some lbs. (which obviously losing weight can alleviate some knee pain for people)

When my mom found out her cholesterol was high when she was in her early 50's, her doctor wanted to get her on statins ASAP. When she went to a Naturopathic/Homeopathic person, they saw the numbers and said "yeah, it's a little high, but at your age, for women there's not a huge benefit to rushing to get on statins", and then gave a list of certain foods to cut out, and other foods to add, and it ended up helping. She's still in the normal reference range a decade later.


That doesn't change the fact that Chiropractic and Homeopathy are nonsense (in terms of their primary philosophies and what they claim to specialize in), but it just demonstrates that they can be right about a few indirectly related things in areas where actual doctors may have some blind spots.

Which, those blind spots are somewhat predictable when you consider that your average MD only got 15-20 hours of nutrition training across that whole time they spend in med school.
 
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ThatRobGuy

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The dynamic you describe between raw and pasteurized would also exist with regards to beef and cooking temperature as well, would it not?

We're already talking about a quite low relative risk in either case.


A similar risk is being taken when someone opts to get a burger cooked with pink in the middle instead of well-done




Both would be a case where it's a not failure of inspection or testing, but rather of procedure, correct? (as the illness could've been prevented by simply cooking the burger to 160 degrees -- or as I would call it, shoe leather, I don't know how Canadians live with that well-done only rule for burgers in their restaurants when I go up there)


Yet, people don't seem to have the same aversion to the concept of eating a burger with pink in the middle, in fact, a lot of people prefer it that way.

Is there even the slightest possibility that a big media outlet like CBS is putting a spotlight on a story about a single negative outcome from raw milk, less because of the aversion to the practice itself, and more because of the particular health official it involved and the state it occurred in?

Point of reference, Cali is actually one of the states that allows raw milk consumption and has for quite some time. They've have numerous issues with it.
(of which, 70% were children)

Why weren't the pitchforks coming out for that situation?

I think the "raw milk aversion" recently taken up by some people can be explained by this politico piece

Politico even notes that as recently as the mid-late 2000's, raw milk was a "left wing hippie organic" thing, and got favorable write-ups in the New York Times, the Washington Post and the New Yorker defending it.

It wasn't until some right-wingers started making it "a symbol of distrust in mainstream health institutions" that people started turning on it.
 
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Hans Blaster

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Mine was just the opposite, no quack practitioners, no psychics, we were just simple rationalistic rural folk.
Frankly it should be illegal because it is fraudulent. (There seems to be some use of chiropractory for what it actual does, manipulating joints, as a form of physical therapy, but any other claims are clearly garbage.)
Which is just commonly available nutrition advice. They would have been better of just going to a nutritionist.

The problem with this is that "better nutrition" isn't part of the chiropractic or homeopathic fraud. It's just something that individual "practitioners" are adding common knowledge nutrition advice to their clients. It's not like real physicians don't make this kind of advice to their patients.
Which, those blind spots are somewhat predictable when you consider that your average MD only got 15-20 hours of nutrition training across that whole time they spend in med school.
Like anything, nutrition is a specialty.

Back to this MAHA menace...

If they were talking about "Making America Eat Better" and were not dragging along the quackery of things like chiropractry and naturopathy and homeopathy and the anti-vax nonsense there wouldn't be the resistance you see here.

If it comes down to real, science based medicine and ignoring bad nutrition practices or quackery and anti-vax with a focus on better nutrition, I will take the bad nutrition practices every time. (It's not like real medicine and good nutrition can't go together. Nothing, I repeat, nothing can make the quakery and anti vax palatable.)
 
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durangodawood

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When comparing raw milk to Chipotle we should ask: what are the alternatives?

With raw milk problems the alternative is pasteurized milk.

With Chipotle problems the alternative is stronger food safety enforcement and penalties. (Assuming we're not going to shut down the restaurant industry generally.)
 
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RocksInMyHead

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That is a better example, yes. That said, I don't think you'll find any government representatives extolling the health benefits of eating undercooked hamburger.
I would argue that it was government officials pushing it as "beneficial and healthy" that led to the backlash. Generally speaking, I don't really have any problems with people choosing to drink raw milk (or order their burger medium rare). The problem comes when those in positions of supposed authority (e.g. government health officials) start promoting things that are objectively unsafe as "healthy."

Side note - while I wasn't able to read the WaPo article since I don't have a subscription, the NY Times article wasn't really favorable aside from pointing out the economic benefits for small dairy farms, and the New Yorker article was more about "single-origin" milk (e.g. milk from a single cow) than raw milk specifically.
 
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ThatRobGuy

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It's everyone's prerogative as to which thing they'd prefer in terms of the trade-off.

However, there's two ways to look at it.

Anti-vaxx sentiments (but sounder nutrition advice) can leave people woefully unprepared and in a bad place when the next pandemic comes along.


The other vantage point...

Things like measles, even at their peak in the pre-vaccine era, weren't causing a fraction of the deaths and hospitalizations that are caused by metabolic health issues today.

around 18,000 hospitalizations and 500 deaths a year were from measles pre-vaccine.

Meanwhile, cardiovascular disease and diabetes is racking up more than that every day.
 
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ThatRobGuy

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California used to check that box as well (and still does on some of it)




The LA County public health department is not only giving people resources to to help them locate whatever their preferred form of quackery is, they're encouraging people to "do their own research" (which from my understanding was supposed to be a real sticking point)


And UC is advertising quack services through multiple campus locations at their university medical centers



UC touting benefits to things things like Ayurvedic "medicine"

And listing the following as things it's supposedly good for:



I know that people have a certain gut reaction to anything RFK says because he's aligned with a polarizing figure...

But if we take just a step back and think about it objectively....
is RFK saying "I think raw milk is healthy" or "Vitamin A is a great way to boost your immune system" really any more or less "quacky" than the LA public health department touting Chiropractic care (who are and were the main purveyors of the anti-vaxx movement dating back to the smallpox vaccine), the state of California touting that they're now going to license "traditional healers", or UCLA/UCSF saying that there's benefits for Depression, Asthma, and Arthritis from magic herbs and healing gems?
 
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Hans Blaster

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And it isn't a place I would like to go to. (I fear I have no choice. Dumb is going to take me there anyway.)
All of which are completely unnecessary. Not to mention the time lost to work and education by the disruption of millions of sick kids every year. The chicken pox causes even less death and injury, but does cause economic lossses. In both cases the economic cost of the vaccine is easily covered by the economic savings from disease that doesn't happen.

Then there is the HPV vaccine which has wiped out cervical cancer in vaccinated women in places where it has been near universal for a while.

And COVID killed *ONE MILLION* over two years and would have been much worse without a vaccine.
Meanwhile, cardiovascular disease and diabetes is racking up more than that every day.
The amount that it could be reduced by this land where everyone practices the "MAHA" nutritional practices are not quantified and I doubt they could be.

The bottom line is that we have discussed three areas of health:

Vaccines/no-vaccines
Good nutrition/bad nutrition
Scientific medicine/quackery

Two of those we are in a pretty OK position on, the first not so much.

Your proposal/position is fix the worst performing one by allowing the repairman to trash the other two. There is absolutely no need to do that. There is no reason that better nutrition can't be sought without trashing all of medicine. None at all.

But "RFKJr" is *the* prime anti-vax force in this country. He was not the guy to "fix food" nor was his perch at the top of the US government health apparatus the place to make this fix. Appoint him (or one of his MAHA accolytes more known on nutrition) as "Food Führer" (it just works better as an autocratic title on food than the all to common "Tsars".) or a couple food related posts in USDA or HHS and I don't think anyone would care that much if they were anti-vaxxers. But instead Trump puts the biggest and worst anti-vaxxer in the whole country to supervise the CDC and NIH.
 
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RocksInMyHead

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I think they're equally quacky. Unfortunately, not everyone can be aware of everything occurring at all times though, so certain things - especially those things said in interviews and put into press releases and executive orders - tend to draw more attention than others.
 
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durangodawood

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Theres loads of capable scientists or administrators who would love to take on diet and metabolic disease issues without bringing aboard all the absurd and dangerous RFK baggage.

Totally. USDA would be the right place RFK to flex his diet issue chops if thats the real reason we "need" him so badly. I still wouldnt like it that hes a part time antivaxxer on the side. But at least he wouldnt be in communicable disease world doing his current damage
 
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ThatRobGuy

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But some of this stuff has been in plain sight for quite some time.


It was pretty well-known that the "against vaccines, no GMO, here's my salt lamp and healing crystals, everything's gotta be natural" was pretty prevalent in the hippie community.

Of the States that had philosophical / non-medical vaccine exemptions in the 2010's and previous, it includes states like the following:

California
Colorado
Maine
Oregon
Vermont
Washington State

(the areas were there was more of the "crunchy granola" communities)

Which is why it's no surprise that the 3 of largest measles outbreaks in the 2010's occurred in Oregon, Washington State, and California.



I would argue that this was common knowledge among the rest of the left-leaning voters, but it was "tolerated" to a degree because they would end up voting the same way on matters like marijuana legalization, gun control, gay rights, etc... People often forget that this isn't the first time RFK has been in the picture for a cabinet position. He's was on Obama's shortlist for a position as well to head up the EPA...RFK started down the anti-vaxx path back in 2005.

It wasn't until rejection of mainstream medical science became a more pronounced feature of the right instead of a mixed bag (mid-late 2010's) that it all of the sudden became a red-line showstopper issue for democrats.

So it comes across as sort of a "Okay, we checked the updated numbers, the right definitely has way more anti-vaxxers than we do now...so now we'll proclaim that an anti-vaxxer is the worst thing you can be"
 
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Bradskii

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However, on the flip side...
If you had a gastric problem then your plumber might suggest a remedy. Which, as it turns out, might work. Do you then say that your plumber has zero credibility as a medical practitioner, but 'however, on the flip side...'
 
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Bradskii

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So it comes across as sort of a "Okay, we checked the updated numbers, the right definitely has way more anti-vaxxers than we do now...so now we'll proclaim that an anti-vaxxer is the worst thing you can be"
Vaccines were something a lot of people had just because they were recommended. I doubt if many people really examined the risk v benefits. People who were recognised experts (like my doctor) said that they were a good thing, so hey, it's no big deal getting a needle jabbed in your arm. 'Apparently it'll help prevent me getting sick and I don't like getting sick.'

Then covid. Then the 'freedom-for-me-to-decide-what's-best-for-me' crowd started up. But millions upon millions were dying. So a lot of us, including me, said 'In this situation, where it is obviously a matter of life and death, being an anti vaxxer is a moronic position to hold.' I could care less what political position anyone held. It doesn't actually surprise me in the slightest that those on the right comprise the vast majority of anti vaxxers, but they are morons whoever they vote for.

That's not a political position. And it's beyond nonsensical for you to say so

around 18,000 hospitalizations and 500 deaths a year were from measles pre-vaccine.

Meanwhile, cardiovascular disease and diabetes is racking up more than that every day.
If you could prevent cardiovascular disease and diabetes with a vaccine and people weren't taking it then you'd have a point. You can't, so you don't.
 
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ThatRobGuy

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The history of that movement may have been different in Australia, but here in the US, but the anti-vaxxers actually used to be somewhat evenly distributed in the form of what's called a political horseshoe (as opposed to a political spectrum)

If a person was anti-vaxx, they were either
A right wing prepper with a bunker and 15,000 rounds of ammo in their basement who thought that the government was spying on them.
or
A white person with dreadlocks who crocheted their own hemp bracelets, had salt lamps to "remove negative energy", and talked about their chakras.

Both parties knew that element existed within their own base, but didn't seem to care much about it.

When the anti-vaxx movement started gaining more traction in the tea party crowd, and became more pronounced on the right, then all of the sudden Democrats were shocked and appalled that anyone could be anti-vaxx, despite tolerating these folks in their camp for 20 years




So it does have a political element.

When there were larger scale measles outbreaks in California, Washington State, and Oregon in the 2010's, nobody on the left bashed hippies for it or said "stupid hippies don't care if they get someone else sick"


That's a common pattern in US politics...when a "problematic" ideology exists somewhat equally in both camps, most don't say a peep...as soon as it's more pronounced on a particular side, then the other side adjusts the script and that problematic ideology all of the sudden gets labelled as "unacceptable" and "the worst thing ever" in no uncertain terms.


The same pattern happened on the topics of gun control, abortion, drug, and immigration laws as well.

Gun control measures and attitudes towards them weren't always a "Democrat vs. Republican" thing...there were pro and anti well represented on both teams, and nobody portrayed the issue as a "deal breaker"

However, once the Democrats got a little more 'anti' and the republicans got a little more 'pro', then all of the sudden we have democrats saying if you don't support their proposals, you don't care about kids dying.

Same goes for abortion...it didn't use to be a huge wedge issue. You had a lot people from both sides who were both for and against it. As soon as a partisan trend started to present itself, then all of the sudden it was "you think it's okay to murder babies" vs. "you don't care about women and rape victims"


All I'm saying is that there's no reason to think this issue would be any different in terms of partisan perceptions and PR spin.
 

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RocksInMyHead

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When there were larger scale measles outbreaks in California, Washington State, and Oregon in the 2010's, nobody on the left bashed hippies for it or said "stupid hippies don't care if they get someone else sick"
No, because people bashed those who didn't get vaccinated in general, which led to the repeal of California's personal exemption law and a general increase in the vaccination rate.

What changed to make it more partisan was right-wing influencers and politicians making anti-vaccination rhetoric a key part of their messaging in the middle of the biggest global pandemic in over a century. (ETA: Remember how you pointed out that people make decisions and judgements based on what's visible and what provokes emotional response - e.g. RFK Jr looks healthy/ripped, therefore he must know about health? This is the same concept. If a huge percentage of the population is concerned about a disease and you make not getting the vaccine for that disease a core component of your political identity and spend a considerable amount of time crowing about it on social media and in speeches, then it should not come as a shock when that huge percentage of the population has some beef with your political identity.)

Also, we've gone from raw milk to alternative medicine to vaccines in this conversation, as you desperately scramble to find something you can pin on "both sides." It's, frankly, kind of amusing. But also counterproductive. Can we stay on topic please?
 
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Bradskii

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The history of that movement may have been different in Australia, but here in the US, but the anti-vaxxers actually used to be somewhat evenly distributed in the form of what's called a political horseshoe (as opposed to a political spectrum)
If someone is an anti vaxxer then they're an idiot. Their politics, whether they're a tree hugging hippy or a MAGA supporter doesn't interest me in the slightest.
 
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Pommer

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...but that's the point I was making, for a big chunk of the population, they view "looking fit" as "knows what they're talking about".
So glad that we can agree.
 
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ThatRobGuy

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If someone is an anti vaxxer then they're an idiot. Their politics, whether they're a tree hugging hippy or a MAGA supporter doesn't interest me in the slightest.
...the reason why it's important (and should interest people) is because sincerity is key with regards to determining whether or not a particular political team actually "takes something seriously" or if they're just doing it for political expediency.


If I claimed to be absolutely shocked and disgusted with drunk driving (just because the current stats indicate that people from the other side are currently doing it at a higher rate, despite never really complaining about it before)...do you trust me to take the same hard stance if the partisan trend changes? Or would there be the distinct concern that I'd revert back to the "meh" blasé attitude towards it?


In other words, do people dislike RFK because of his anti-vaxx positions?, or are the anti-vaxx positions just the "public facing" reason being given, but the real reason they dislike him is because he aligned with the president they don't like?

Because if it's the latter, then I have zero confidence that they uphold the position if another new vaccine comes up where the opposition is non-partisan.
 
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