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{{short description|Promotion of fraudulent or ignorant medical practices}}
{{unreferenced}}
] poster, 1936–38]]
{{Wiktionary}}
{{Alternative medical systems|general}}
{{Use dmy dates|date=April 2020}}
'''Quackery''', often synonymous with '''health fraud''', is the promotion<ref name="Barrett2009" /> of ]ulent or ] ]. A '''quack''' is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a ] or ] salesman".<ref>{{Dictionary.com|quack|access-date=7 February 2007}}</ref> The term ''quack'' is a ] of the archaic term ''{{linktext|quacksalver}}'', derived from {{langx|nl|kwakzalver}} a "hawker of salve"<ref>{{OEtymD|quack|accessdate=6 November 2015}}</ref> or rather somebody who boasted about their salves, more commonly known as ointments.<ref>{{Cite web|url=https://thackraymuseum.co.uk/from-potions-to-pills-a-short-history-of-the-apothecary/|title=From Potions to Pills: a short history of the apothecary - Thackray Museum of Medicine|website=thackraymuseum.co.uk}}</ref> In the ] the term ''quack'' meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention.<ref>{{cite web|title=German–English glossary of idioms|website=accurapid.com|location=Poughkeepsie, New York|publisher=Accurapid|url=http://accurapid.com/journal/german-glossary.htm|archive-url=https://web.archive.org/web/20101204150028/http://www.accurapid.com/journal/german-glossary.htm|archive-date=4 December 2010|url-status=dead|at=quacksalber}}</ref>


Common elements of general quackery include ] using ], as well as untested or refuted treatments, especially for serious diseases such as ]. Quackery is often described as "health fraud" with the salient characteristic of aggressive promotion.<ref name="Barrett2009" />
'''Quackery''' is a term used to describe the unethical practice of promising health-related benefits for which there is none or little basis.


== Definition ==
The word derives from ''quacksalver,'' an archaic word originally of ] origin (spelled ''kwakzalver'' in contemporary Dutch), meaning "boaster who applies a ]."
]'s '']'', the third canvas in his '']'' (''The Visit to the Quack Doctor'')]]
]: The Charlatan, 1757]]
]'s ''The Charlatan'' (1757)]]


Psychiatrist and author ] of ] defines quackery as "the promotion of unsubstantiated methods that lack a scientifically plausible rationale" and more broadly as:
==Definition of quackery==
{{Blockquote|"anything involving overpromotion in the field of health." This definition would include questionable ideas as well as questionable products and services, regardless of the sincerity of their promoters. In line with this definition, the word "fraud" would be reserved only for situations in which deliberate deception is involved.<ref name="Barrett2009">{{cite web|last=Barrett|first=Stephen|date=2009-01-17|title=Quackery: how should it be defined?|website=quackwatch.org|url=http://www.quackwatch.org/01QuackeryRelatedTopics/quackdef.html|access-date=2013-08-09|archive-url=https://web.archive.org/web/20090225154248/http://www.quackwatch.org/01QuackeryRelatedTopics/quackdef.html|archive-date=2009-02-25|url-status=live}}</ref>}}


In addition to the ethical problems of promising benefits that are not likely to occur, quackery might cause people to forego treatments that are more likely to help them, in favor of ineffective treatments given by the "quack".<ref name=Tabish2008>{{cite journal|last=Tabish|first=Syed Amin|date=January 2008|title=Complementary and alternative healthcare: is it evidence-based?|journal=International Journal of Health Sciences|volume=2|issue=1|pages=v–ix|pmc=3068720|issn=1658-3639|pmid=21475465}}</ref><ref name=Angell1998>{{cite journal|last1=Angell|first1=Marcia|last2=Kassirer|first2=Jerome P.|title=Alternative Medicine – The Risks of Untested and Unregulated Remedies|journal=New England Journal of Medicine|date=17 September 1998|volume=339|issue=12|pages=839–841|doi=10.1056/NEJM199809173391210|pmid=9738094|citeseerx=10.1.1.694.9581}}</ref><ref name=Cassileth2012>{{cite journal|last1=Cassileth|first1=Barrie R.|last2=Yarett|first2=I.R.|title=Cancer quackery: the persistent popularity of useless, irrational 'alternative' treatments.|journal=Oncology|date=2012|volume=28|issue=8|pages=754–758|pmid=22957409}}</ref>
Since there is no exact standard for what constitutes quackery, and how to differentiate it from experimental medicine, protoscience, religious and spiritual beliefs, etc., accusations of quackery are often part of polemics against one party or other, and sometimes in polemic exchanges.


American pediatrician ] has proposed four ways in which ] "becomes quackery":<ref name=Offit2013>{{cite book|last=Offit|first=Paul A.|year=2013|title=Do you believe in magic? : the sense and nonsense of alternative medicine|location=New York|publisher=HarperCollins|isbn=978-0-06-222296-1|url=https://books.google.com/books?id=Ll8PNoPB0poC}} Also titled {{cite book|year=2013|title=Killing us softly: the sense and nonsense of alternative medicine|location=London|publisher=Fourth Estate|isbn=978-0-00-749172-8}}</ref>
In determining whether a person is committing quackery, the central question is what is acceptable evidence for the efficacy and safety the alleged quack is representing. Because there is some level of uncertainty with all medical treatments, it is common ethical practice for pharmaceutical companies and many medical practitioners to explicitly state the promise, risks, and limitations of a medical choice.


# "by recommending against conventional therapies that are helpful."
Since it is difficult to distinguish between those who knowingly promote unproven medical therapies and those who are mistaken as to their effectiveness, ] cases in ] courts have resulted in rulings that accusing someone of quackery or calling him a ''quack'' does automatically mean that he or she is committing medical fraud &mdash; in order to be both a quack and a fraud, the quack has to know that he/she is misrepresenting the benefits and risks of the medical services offered{{fact}}.
# "by promoting potentially harmful therapies without adequate warning."
# "by draining patients' bank accounts&nbsp;..."
# "by promoting ]&nbsp;..."


Since it is difficult to distinguish between those who knowingly promote unproven medical therapies and those who are mistaken as to their effectiveness, United States courts have ruled in ] cases that accusing someone of quackery or calling a practitioner a ''quack'' is not equivalent to accusing that person of committing medical fraud. However, the FDA makes little distinction between the two. To be considered a fraud, it is not strictly necessary for one to know they are misrepresenting the benefits or risks of the services offered.<ref>{{Cite journal |last=Affairs |first=Office of Regulatory |date=2022-11-30 |title=Warning Letters - Health Fraud |url=https://www.fda.gov/consumers/health-fraud-scams/warning-letters-health-fraud |journal=FDA |language=en |quote=The FDA defines health fraud as the deceptive promotion, advertising, distribution, or sale of a product represented as being effective to prevent, diagnose, treat, cure or lessen an illness or condition, or provide another beneficial effect on health, but that has not been scientifically proven safe and effective for such purposes.}}</ref><ref>{{Cite journal |last1=Shrivastava |first1=Saurabh Ram BihariLal |last2=Shrivastava |first2=Prateek Saurabh |last3=Ramasamy |first3=Jegadeesh |date=2014 |title=Public health measures to fight counterfeit medicine market |journal=International Journal of Preventive Medicine |volume=5 |issue=3 |pages=370–371 |issn=2008-7802 |pmc=4018649 |pmid=24829724}}</ref>
]: ]: ''The Visit to the Quack Doctor'']]


== Quacksalver ==
In addition to the ethical problems of promising benefits that can not reasonably be expected to occur, quackery also includes the risk that patients may choose to forego treatments that are more likely to help them.


Unproven, usually ineffective, and sometimes dangerous medicines and treatments have been peddled throughout human history. Theatrical performances were sometimes given to enhance the credibility of purported medicines. Grandiose claims were made for what could be humble materials indeed: for example, in the mid-19th century '']'' was advertised as having extraordinary restorative virtues as an empirical diet for invalids; despite its impressive name and many glowing testimonials it was in truth only ordinary ] flour, sold to the gullible at many times the true cost.
Stephen Barrett, who runs several websites dedicated to exposing what he considers quackery, defines the practice this way:


Even where no fraud was intended, quack remedies often contained no effective ingredients whatsoever. Some remedies contained substances such as ], alcohol and honey, which would have given symptomatic relief but had no curative properties. Some would have ] qualities to entice the buyer to return. The few effective remedies sold by quacks included emetics, laxatives and diuretics. Some ingredients did have medicinal effects: ], ] and ] compounds may have helped some infections and infestations; ] ] contains ], chemically closely related to ]; and the ] contained in ] was an effective treatment for ] and other fevers. However, knowledge of appropriate uses and dosages was limited.
:To avoid semantic problems, quackery could be broadly defined as "anything involving overpromotion in the field of health." This definition would include questionable ideas as well as questionable products and services, regardless of the sincerity of their promoters. In line with this definition, the word "fraud" would be reserved only for situations in which deliberate deception is involved.


== Criticism of quackery in academia ==
==History==
The ] community has criticized the infiltration of ] into mainstream academic medicine, education, and publications, accusing institutions of "diverting research time, money, and other resources from more fruitful lines of investigation in order to pursue a theory that has no basis in biology."<ref name="Gorski2010">{{cite web|last=Gorski|first=David|date=3 August 2010|title=Credulity about acupuncture infiltrates the ''New England Journal of Medicine''{{thinsp}}|website=sciencebasedmedicine.org|publisher=Science-Based Medicine|url=http://www.sciencebasedmedicine.org/?p=6381|archive-url=https://web.archive.org/web/20101210043145/http://www.sciencebasedmedicine.org/?p=6381|archive-date=10 December 2010|url-status=live}}</ref><ref>{{cite web|last=Novella |first=Steven|author-link=Steven Novella|date=4 August 2010|title=Acupuncture pseudoscience in the ''New England Journal of Medicine''{{thinsp}}|website=sciencebasedmedicine.org|publisher=Science-Based Medicine|url=http://www.sciencebasedmedicine.org/?p=6391|archive-url=https://web.archive.org/web/20100807053720/http://www.sciencebasedmedicine.org/?p=6391|archive-date=7 August 2010|url-status=live}}</ref>
Quackery, the peddling of unproven, and sometimes dangerous, medicines, cures or treatments, has existed throughout human history. In ancient times, theatrics were sometimes mixed with actual medicine to provide entertainment as much as healing.
Quack medicines often had little in the way of active ingredients, or had ingredients which made a person feel good, such as what came to be known as ]. ] and related chemicals were especially common, being legal and unregulated in most places at the time. ] and other poisons were also included.


For example, ] criticized ], founder of the University of Maryland Center for Integrative Medicine, for writing that "There evidence that both real acupuncture and sham acupuncture more effective than no treatment and that acupuncture can be a useful supplement to other forms of conventional therapy for low back pain." He also castigated editors and peer reviewers at the '']'' for allowing it to be published, since it effectively recommended deliberately misleading patients in order to achieve a known ].<ref name="Gorski2010" /><ref>{{cite journal|last1=Berman|first1=Brian M.|last2=Langevin|first2=Helene M.|author-link2=Helene Langevin|last3=Witt|first3=Claudia M.|last4=Dubner|first4=Ronald|date=29 July 2010|title=Acupuncture for chronic low back pain|journal=New England Journal of Medicine|volume=363|issue=5|pages=454–461|doi=10.1056/NEJMct0806114|pmid=20818865|s2cid=10129706}} Correction of an author name in {{cite journal|date=26 August 2010|title=Acupuncture for chronic low back pain|journal=New England Journal of Medicine|volume=363|issue=9|page=893|doi=10.1056/NEJMx100048|doi-access=free}}</ref>
== Quackery in the United States ==
Widely marketed quack medicines (as opposed to locally produced and locally used remedies), often referred to as ], first came to prominence in Britain and the British colonies, including North America, in the 17th and 18th centuries. Nostrums such as Duffy's Elixir and Turlington's Balsam, which first came into use in this period, were among the first products to make use of branding (for example, by the use of highly distinctive containers) and mass marketing, in order to create and maintain markets (Styles 2000). A similar process occurred in other countries of Europe around the same time, for example with the marketing of ] as a cure-all medicine by Johann Maria Farina and his imitators.
]
The later years of the 18th century saw a huge increase in the number of quack medicines being internationally marketed, the majority of which were British in origin (Griffenhagen & Young 1957), and which were exported throughout the British Empire as well as by the then independent United States. So popularly successful were these treatments that by 1830 British parliamentary records list over 1,300 different ‘proprietary medicines’ (House of Commons Journal, 8 April 1830 ), the majority of which can be described as ‘quack’ cures.
British patent medicines started to lose their dominance in the United States when they were denied access to the American market during the ], and lost further ground for the same reason during the ]. From the early 19th century 'home-grown' American brands started to fill the gap, reaching their peak in the years after the ] (Griffenhagen & Young 1957, Young 1961). British medicines never regained their previous dominance in North America, and the subsequent era of mass marketing of American ]s is usually considered to have been a "golden age" of quackery in the United States. This was mirrored by similar growth in marketing of quack medicines elsewhere in the world.
In the United States, false medicines in this era were often denoted by the slang term ]. The quacks who sold them were called "snake oil peddlers", and usually sold their medicines with a fervent pitch similar to a ] religious sermon. They often accompanied other theatrical and entertainment productions that travelled as a road show from town to town, leaving quickly before the falseness of their medicine could be discovered. Not all quacks were restricted to such small-time businesses however, and a number, especially in the United States, became enormously wealthy through national and international sales of their products.
One among many possible examples is that of ], a German immigrant to the USA who, in the 1880s, started to sell his ‘Microbe Killer’ throughout the United States and, soon afterwards, in Britain and throughout the British colonies. His concoction was widely advertised as being able to ‘Cure All Diseases’ (W. Radam, 1890) and this phrase was even embossed on the glass bottles the medicine was sold in. In fact, Radam's medicine was a therapeutically useless (and in large quantities actively poisonous) dilute solution of sulphuric acid, coloured with a little red wine (Young 1961). Radam's publicity material, particularly his books (see for example Radam, 1890), provide an illuminating insight into the role that ] started to play in the development and marketing of 'quack' medicines towards the end of the 19th century.
Similar advertising claims to those of Radam can be found throughout the 18th, 19th and 20th centuries. ‘Dr’ Sibley, an English patent medicine seller of the late 18th and early 19th centuries, even went so far as to claim that his Reanimating Solar Tincture would, as the name implies, ‘restore life in the event of sudden death’. Another English quack, ‘Dr Solomon’ claimed that his Cordial Balm of Gilead cured almost anything, but was particularly effective against all venereal complaints, from ] to ]. Although it was basically just brandy flavoured with herbs, it retailed widely at 33 shillings a bottle in the period of the ], the equivalent of over $100 per bottle today.
Not all patent medicines were without merit. Turlingtons Balsam of Life, first marketed in the mid 18th century, did have genuinely beneficial properties. This medicine continued to be sold under the original name into the early 20th century, and can still be found in the British and American ]s as ‘Compound tincture of benzoin’.
The end of the road for the quack medicines now considered grossly fraudulent in the nations of North America and Europe came in the early 20th century. February 21st 1906 saw the passage into law of the ] in the United States. This was the result of decades of campaigning by both government departments and the medical establishment, supported by a number of publishers and journalists (one of the most effective of whom was ], whose series ‘The Great American Fraud’ was published in Colliers Weekly starting in late 1905). This American Act was followed three years later by similar legislation in Britain, and in other European nations. Between them, these laws began to remove the more outrageously dangerous contents from patent and proprietary medicines, and to force quack medicine proprietors to stop making some of their more blatantly dishonest claims.


== History in Europe and the United States ==
== Quackery today ==
] (1555)]]
With little understanding of the causes and mechanisms of illnesses, widely marketed "cures" (as opposed to locally produced and locally used remedies), often referred to as ]s, first came to prominence during the 17th and 18th centuries in Britain and the British colonies, including those in North America. ] and ] were among the first products that used branding (e.g. using highly distinctive containers) and mass marketing to create and maintain markets.<ref name="Styles2000">{{cite journal|last=Styles|first=John|year=2000|title=Product innovation in early modern London|journal=Past & Present|issue=168|pages=124–169|doi=10.1093/past/168.1.124}}</ref> A similar process occurred in other countries of Europe around the same time, for example with the marketing of ] as a cure-all medicine by ] and his imitators. Patent medicines often contained ] or ], which, while presumably not curing the diseases for which they were sold as a remedy, did make the imbibers feel better and confusedly appreciative of the product.


The number of internationally marketed quack medicines increased in the later 18th century; the majority of them originated in Britain<ref name="GriffenhagenYoung1959">{{cite journal|last1=Griffenhagen|first1=George B.|last2=Young|first2=James Harvey|year=1959|orig-year=first published in 1929|title=Old English patent medicines in America|journal=Pharmacy in History|series=Contributions from the museum of history and technology|volume=10|issue=4|location=|publisher=|id=Project Gutenberg, 30162|oclc=746980411|pages=155–183|publication-date=2009|url=http://www.gutenberg.org/ebooks/30162|via=Project Gutenberg|pmid=11612887}}</ref> and were exported throughout the British Empire. By 1830, British parliamentary records list over 1,300 different "proprietary medicines",<ref>{{cite web|url=http://www.british-history.ac.uk/report.asp?compid=16220 |title=House of Commons Journal, 8 April 1830 |publisher=British-history.ac.uk |date=22 June 2003 |access-date=9 August 2013}}</ref> the majority of which were "quack" cures by modern standards.
Considered by many an archaic term, quackery is most often used to denote the peddling of the "cure-alls" described above. To use the term today is to level a serious objection to a medical practice which is not generally accepted by the medical community at large. This can mean that the practice under question is unproven according to ], though it does not necessarily mean that the technique does not produce the intended effects (see ] for an example of how this might work). Quackery, in this context, is intended to mean a practice which, if studied comprehensively, would prove ultimately groundless. Many object to the application of this label to particular practices, often citing anecdotal evidence, faith-based reasons, or studies that some might call dubious.


A ] organisation that opposes quackery, ''{{lang|nl|]}}'' (VtdK), was founded in 1881, making it the oldest organisation of this kind in the world.<ref name="Lewis2009">{{cite web|date=3 August 2009 |title=Dutch sceptics have 'bogus' libel decision overturned on human rights grounds|website=quackometer.net|type=blog|publisher=Andy Lewis|url=http://www.quackometer.net/blog/2009/08/dutch-sceptics-have-bogus-libel.html|access-date=16 May 2014|archive-url=https://web.archive.org/web/20140213174338/http://www.quackometer.net/blog/2009/08/dutch-sceptics-have-bogus-libel.html|archive-date=13 February 2014|url-status=live}} {{Self-published source|date=November 2015}}</ref> It has published its magazine ''{{lang|nl|Nederlands Tijdschrift tegen de Kwakzalverij}}'' (''Dutch Magazine against Quackery'') ever since.<ref>{{Cite book|last=De Kort|first=Marcel|year=1995|title=Tussen patient en delinquent: geschiedenis van het Nederlandse drugsbeleid|language=nl|trans-title=Between patient and delinquent: the history of drug policy in the Netherlands|series=Publikaties van de Faculteit der Historische en Kunstwetenschappen|volume=19|location=Hilversum|publisher=Verloren|isbn=978-9065504203|pages=25–26}}</ref> In these early years the {{abbr|VtdK|Vereniging tegen de Kwakzalverij}} played a part in the professionalisation of medicine.<ref>{{cite conference|last=De Kort|first=Marcel|year=1993|chapter=Drug policy: medical or crime control? Medicalization and criminalization of drug use, and shifting drug policies|editor-last=Binneveld|editor-first=Hans|title=Curing and insuring: essays on illness in past times: the Netherlands, Belgium, England and Italy, 16th–20th centuries|conference=Illness and History, Rotterdam, 16 November 1990|series=Publikaties van de Faculteit der Historische en Kunstwetenschappen|volume=9|location=Hilversum|publisher=Verloren|pages=207–208|isbn=978-9065504081}}</ref> Its efforts in the public debate helped to make the Netherlands one of the first countries with governmental drug regulation.<ref name=Oudshoorn1993>{{cite journal|last=Oudshoorn|first=Nelly|year=1993|title=United we stand: the pharmaceutical industry, laboratory, and clinic in the development of sex hormones into scientific drugs, 1920–1940|journal=Science, Technology, & Human Values|volume=18|issue=1|pages=5–24|doi=10.1177/016224399301800102|jstor=689698|s2cid=73330109}}</ref>
Quackery can be found in any culture and in every medical tradition. Advertisements for "miracle cures" and "]", as well as many natural remedies sold in ] stores, or certain ] and ] regimes, are considered to be quackery by many conventional medical specialists.


], Daffy's Elixir and ] of Life bottles dating to the late 18th and early 19th centuries. These "typical" patent or quack medicines were marketed in very different, and highly distinctive, bottles. Each brand retained the same basic appearance for more than 100 years.]]
A variety of medicines with heavy marketing campaigns may fall under the term "quackery". Full-page ads in magazines are popular places to sell these products or services, as well as web sites with exaggerated medical claims.
In 1909, in an attempt to stop the sale of quack medicines, the ] published ''Secret Remedies, What They Cost And What They Contain''.<ref name="BMA1909">{{cite book|author=British Medical Journal|year=1909|title=Secret remedies, what they cost and what they contain|location=London|publisher=British medical association|oclc=807108391|hdl=2027/uc1.b5254294}}</ref>{{efn|The British Medical Association estimated that, based on ] revenues from patent medicines for the fiscal year ending 31 March 1908, the British public spent about £{{Format price|2422800}} on patent medicines.<ref name="BMA1909" />{{rp|182–184}} This is equivalent to about £{{Format price|{{Inflation|UK|2422800|1908|2014}}}} (${{Format price|{{To USD|{{Inflation|UK|2422800|1908|2014}}|GBR}}}}) in 2014.{{Inflation-fn|UK}}}} This publication was originally a series of articles published in the ''British Medical Journal'' between 1904 and 1909.<ref>{{cite journal|title=The Composition of Certain Secret Remedies: I.-Some Remedies for Epilepsy.|journal= BMJ|date=10 Dec 1904|volume=2|issue=2293|pages=1585–1586|doi=10.1136/bmj.2.2293.1585|pmid=20761810|pmc=2356119}}</ref> The publication was composed of 20 chapters, organising the work by sections according to the ailments the medicines claimed to treat. Each remedy was tested thoroughly, the preface stated: "Of the accuracy of the analytical data there can be no question; the investigation has been carried out with great care by a skilled analytical chemist."<ref name="BMA1909" />{{rp|at=vi}} The book did lead to the end of some of the quack cures, but some survived the book by several decades. For example, ], which according to the British Medical Association contained in 1909 only aloes, ginger and soap, but claimed to cure 31 medical conditions,<ref name="BMA1909" />{{rp|page=175}} were sold until 1998. The failure of the medical establishment to stop quackery was rooted in the difficulty of defining what precisely distinguished real medicine, and in the appeals that quackery held out to consumers.


British patent medicines lost their dominance in the United States when they were denied access to the ] markets during the ], and lost further ground for the same reason during the ]. From the early 19th century "home-grown" American brands started to fill the gap, reaching their peak in the years after the ].<ref name="GriffenhagenYoung1959" /><ref name="Young1961">{{cite book|last=Young|first=James H.|year=1961|title=The toadstool millionaires: a social history of patent medicines in America before federal regulation|location=Princeton, New Jersey |publisher=Princeton University Press|oclc=599159278|url=http://www.quackwatch.org/13Hx/MM/00.html|via=quackwatch.org|archive-url=https://web.archive.org/web/20021010055456/http://www.quackwatch.org/13Hx/MM/00.html|archive-date=10 October 2002|url-status=live}}</ref> British medicines never regained their previous dominance in North America, and the subsequent era of mass marketing of American ]s is usually considered to have been a "golden age" of quackery in the United States. This was mirrored by similar growth in marketing of quack medicines elsewhere in the world.
Most people with an ] account have experienced the marketing tactics of ] &mdash; the current trend for miraculous ], weight-loss remedies and unprescribed medicines of dubious quality sold on the ] are perhaps the most common current form of quackery. Quackery has also become a serious problem in the field of ], where medical sciences have made limited progress in the face of intractable neurodevelopmental disorders.


]
In the field of ], many practitioners prescribe natural remedies which they sell at a profit. This common practice could be viewed as a ] which is conducive to quackery (though this argument could be leveled at any profitable medical practice).
In the United States, false medicines in this era were often denoted by the slang term ], a reference to sales pitches for the false medicines that claimed exotic ingredients provided the supposed benefits. Those who sold them were called "snake oil salesmen", and usually sold their medicines with a fervent pitch similar to a ] religious sermon. They often accompanied ], leaving quickly before the falseness of their medicine was discovered. Not all quacks were restricted to such small-time businesses however, and a number, especially in the United States, became enormously wealthy through national and international sales of their products.


In 1875, the ''Pacific Medical and Surgical Journal'' complained: {{blockquote|If Satan has ever succeeded in compressing a greater amount of concentrated mendacity into one set of human bodies above every other description, it is in the advertising quacks. The coolness and deliberation with which they announce the most glaring falsehoods are really appalling. A recent arrival in San Francisco, whose name might indicate that he had his origin in the Pontine marshes of Europe, announces himself as the "Late examining physician of the Massachusetts Infirmary, Boston." This fellow has the impudence to publish that his charge to physicians in their own cases is $5.00! Another genius in Philadelphia, of the bogus diploma breed, who claims to have founded a new system of practice and who calls himself a "Professor," advertises two elixers of his own make, one of which is for "all male diseases" and the other for "all female diseases"! In the list of preparations which this wretch advertises for sale as the result of his own labors and discoveries, is ''ozone''! |source=''Pacific Medical and Surgical Journal'' Reprinted in the '']'', vol. 91, }}
In the field of ], many professions exist outside government regulation. Unregulated areas of medical practice are viewed to lend themselves to quackery, since ] is an important component of establishing effective techniques.


One among many examples is William Radam, a German immigrant to the US, who, in the 1880s, started to sell his "Microbe Killer" throughout the United States and, soon afterwards, in Britain and throughout the British colonies. His concoction was widely advertised as being able to "cure all diseases",<ref name="Radam1895">{{cite book|last=Radam|first=William|year=1895|orig-year=1890|title=Microbes and the microbe killer|url=https://archive.org/details/microbesmicrobek00radauoft|edition=Rev.|location=New York|publisher=The author|oclc=768310771|pages=, 180, 205|quote=I offer to cure all diseases with but one remedy, and to stop children dying of disease, for of course I cannot prevent accidents in all cases that are taken in time, and where my instructions are faithfully followed.|hdl=2027/uc2.ark:/13960/t9862f811}}</ref> and this phrase was even embossed on the glass bottles the medicine was sold in. In fact, Radam's medicine was a therapeutically useless (and in large quantities actively poisonous) dilute solution of ], coloured with a little red wine.<ref name="Young1961" /> Radam's publicity material, particularly his books,<ref name="Radam1895" /> provide an insight into the role that ] played in the development and marketing of "quack" medicines towards the end of the 19th century.
==Reasons quackery persists==
Opponents of quackery have suggested several reasons why quackery is accepted by patients in spite of its lack of effectiveness:
*'''Ignorance''': Those who perpetuate quackery may do so to take advantage of ignorance about conventional medical treatments versus alternative treatments.
*The ''']'''. Medicines or treatments known to have no effect on a disease can still affect a people's perception of their illness. People report reduced pain, increased well-being, improvement, or even total alleviation of symptoms. For some, the presence of a caring practitioner and the dispensation of medicine is curative in itself.
*'''Side effects''' from mainstream medical treatments. A great variety of ] can have very distressing side effects, and many people fear ] and its consequences, so they may opt to shy away from these mainstream treatments.
*'''Distrust of conventional medicine.''' Many people, for various reasons, have a distrust of conventional medicines (or of the regulating organizations themselves such as the FDA or the major drug corporations), and find that alternative treatments are more trustworthy.
*'''Cost'''. There are some people who simply cannot afford conventional treatment, and seek out a cheaper alternative. Nonconventional practitioners can often dispense treatment at a much lower cost.
*'''Desperation''' on the part of people with a serious or terminal disease, or who have been told by their practitioner that their condition is "untreatable". These people may seek out treatment, disregarding the availability of scientific proof for its effectiveness.
*'''Pride'''. Once a person has endorsed or defended a cure, or invested time and money in it, they may be reluctant to admit its ineffectiveness, and therefore recommend the cure that did not work for them to others.
*'''Fraud'''. Some practitioners, fully aware of the ineffectiveness of their medicine, may intentionally produce fraudulent scientific studies and medical test results, thereby confusing any potential consumers as to the effectiveness of the medical treatment.
*'''The ]'''. Certain "self-limiting conditions", such as ] and the ], almost always improve, in the latter case in a rather predictable amount of time. A patient may associate the usage of alternative treatments with recovering, when recovery was inevitable.


]Advertising claims similar<ref name=Cure_for_All_Diseases>{{cite book|last=Clark|first=Hulda Regehr|author-link=Hulda Regehr Clark|year=1995|title=The cure for all diseases: with many case histories of diabetes, high blood pressure, seizures, chronic fatigue syndrome, migraines, Alzheimer's, Parkinson's, multiple sclerosis, and others showing that all of these can be simply investigated and cured|location=San Diego, CA|publisher=ProMotion|isbn=978-1-890035-01-3|url=https://archive.org/details/isbn_9781890035013|url-access=registration}}</ref> to those of Radam can be found throughout the 18th, 19th, 20th and 21st centuries. "Dr." Sibley, an English patent medicine seller of the late 18th and early 19th centuries, even went so far as to claim that his Reanimating Solar Tincture would, as the name implies, "restore life in the event of sudden death". Another English quack, "Dr. Solomon" claimed that his Cordial Balm of Gilead cured almost anything, but was particularly effective against all venereal complaints, from ] to ]. Although it was basically just brandy flavoured with herbs, the price of a bottle was a ] (] system) in 1800,<ref name="Helfand1989">{{cite journal|last=Helfand|first=William H.|author-link=William H. Helfand|year=1989|title=President's address: Samuel Solomon and the Cordial Balm of Gilead|journal=Pharmacy in History|volume=31|issue=4|pages=151–159|jstor=41111251|issn=0031-7047}}</ref>{{rp|page=155}}{{efn|The price of a bottle of Cordial Balm of Gilead was {{citation needed span|text=33 shillings in the period of the ],|date=November 2015}} equivalent to over £{{Format price|{{Inflation|UK|1.65|1815|2014}}|0}} (${{Format price|{{To USD|{{Inflation|UK|1.65|1815|2014}}|GBR}}|0}}) in 2014.{{Inflation-fn|UK}}}} equivalent to over £{{Format price|{{Inflation|UK|0.525|1800|2014}}|0}} (${{Format price|{{To USD|{{Inflation|UK|0.525|1800|2014}}|GBR}}|0}}) in 2014.{{Inflation-fn|UK}}
==References==


Not all patent medicines were without merit. Turlingtons Balsam of Life, first marketed in the mid-18th century, did have genuinely beneficial properties. This medicine continued to be sold under the original name into the early 20th century, and can still be found in the British and American ]s as "Compound ]". In these cases, the treatments likely lacked empirical support when they were introduced to the market, and their benefits were simply a convenient coincidence discovered after the fact.
Griffenhagen, George B.; James Harvey Young, "Old English Patent Medicines in America," Contributions from the Museum of History and Technology (U.S. National Museum Bulletin 218, Smithsonian Institution: Wash., 1959), 155-83.


The end of the road for the quack medicines now considered grossly fraudulent in the nations of North America and Europe came in the early 20th century. 21 February 1906 saw the passage into law of the ] in the United States. This was the result of decades of campaigning by both government departments and the medical establishment, supported by a number of publishers and journalists (one of the most effective was ], who wrote "The Great American Fraud" series in '']'' in 1905).<ref name="Adams1912">{{cite book|last=Adams|first=Samuel Hopkins|year=1912|orig-year=1905|title=The great American fraud: articles on the nostrum evil and quackery reprinted from ''Collier's''|edition=5th|location=Chicago|publisher=American Medical Association|oclc=894099555|url=https://archive.org/details/greatamericanfra00adamuoft/}}</ref> This American Act was followed three years later by similar legislation in Britain and in other European nations. Between them, these laws began to remove the more outrageously dangerous contents from patent and proprietary medicines, and to force quack medicine proprietors to stop making some of their more blatantly dishonest claims. The Act, however, left advertising and claims of effectiveness unregulated as the Supreme Court interpreted it to mean only that ingredients on labels had to be accurate. Language in the 1912 Sherley Amendment, meant to close this loophole, was limited to regulating claims that were false and fraudulent, creating the need to show intent. Throughout the early 20th century, the ] collected material on medical quackery, and one of their members and medical editors in particular, Arthur J. Cramp, devoted his career to criticizing such products. The AMA's Department of Investigation closed in 1975, but their only archive open to non-members remains, the American Medical Association Health Fraud and Alternative Medicine Collection.<ref>{{cite journal |last1=Blaskiewicz |first1=Robert |last2=Jarsulic |first2=Mike |title=Arthur J. Cramp: The Quackbuster Who Professionalized American Medicine |journal=] |date=2018 |volume=42 |issue=6 |pages=45–50 |url=https://www.csicop.org/si/show/arthur_j._cramp_the_quackbuster_who_professionalized_american_medicine |access-date=24 December 2018|archive-url=https://web.archive.org/web/20181224153813/https://www.csicop.org/si/show/arthur_j._cramp_the_quackbuster_who_professionalized_american_medicine |archive-date=24 December 2018 }}</ref>
Radam, W. (1890) Microbes and the microbe killer. Privately published. New York. 369pp.


"Medical quackery and promotion of nostrums and worthless drugs were among the most prominent abuses that led to formal self-regulation in business and, in turn, to the creation of the ]."<ref name="Ladimer1965">{{cite journal|last=Ladimer|first=Irving|date=August 1965|title=The Health Advertising Program of the National Better Business Bureau|journal=American Journal of Public Health|volume=55|issue=8|pmc=1256406|pmid=14326419|url=http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1256406&blobtype=pdf|pages=1217–1227|doi=10.2105/ajph.55.8.1217}}</ref>{{rp|page=1217}}
Styles, J (2000). Product innovation in early modern London. In: Past & Present 168, 124 – 169.


== Contemporary culture ==
Young, J. H. (1961) . The Toadstool Millionaires: A social history of patent medicines in America before federal regulation. Princeton University Press. 282pp.
], St. Paul, Minnesota, US]]


"Quackery is the promotion of false and unproven health schemes for a profit. It is rooted in the traditions of the marketplace", with "commercialism overwhelming professionalism in the marketing of alternative medicine".<ref name=jarvis_rdcna>{{Cite journal |author=Jarvis WT |pmid=10573757 |title=Quackery: the National Council Against Health Fraud perspective |journal=] |date=November 1999 |volume=25|issue=4 |pages=805–814 |doi=10.1016/S0889-857X(05)70101-0}}</ref> ''Quackery'' is most often used to denote the peddling of the "cure-alls" described above. Quackery is an ongoing problem that can be found in any culture and in every medical tradition. Unlike other advertising mediums, rapid advancements in communication through the Internet have opened doors for an unregulated market of quack cures and marketing campaigns rivaling the early 20th century. Most people with an ] account have experienced the marketing tactics of ]&nbsp;– in which modern forms of quackery are touted as miraculous remedies for "weight loss" and "sexual enhancement", as well as outlets for medicines of unknown quality.


===India===
In 2008, the '']'' reported that some officials and doctors estimated that there were more than 40,000 quacks practicing in ], following outrage over a "multi-state racket where unqualified doctors conducted hundreds of illegal kidney transplants for huge profits."<ref name=":0" /> The president of the ] (IMA) in 2008 criticized the central government for failing to address the problem of quackery and for not framing any laws against it.<ref name=":0">{{cite news |last=Ranjan Roy |first=Rajeev |date=3 February 2008 |title=After kidney scam, India eyes anti-quackery bill |language=en |work=Hindustan Times |agency=] |url=https://www.hindustantimes.com/delhi/after-kidney-scam-india-eyes-anti-quackery-bill/story-ABqyzaVBDLI7MMbU3cheiI.html |access-date=19 September 2021}}</ref>


In 2017, IMA again asked for an antiquackery law with stringent action against those practicing without a license.<ref>{{cite news |title=Introduce a central anti-quackery law, urges IMA |url=https://tennews.in/introduce-central-anti-quackery-law-urges-ima/ |work=tennews.in: National News Portal |date=10 June 2017}}</ref> As of 2024, the government of India is yet to pass an anti-quackery law.<ref>{{Cite web |last=Massa |first=Annie |date=February 28, 2024 |title=Medicine Gets Political in India as Ayurveda Booms Under Modi |url=https://www.bloomberg.com/news/features/2024-02-28/medicine-gets-political-in-india-as-modi-supports-ayurveda-resurgence |access-date=March 22, 2024 |website=Bloomberg}}</ref>
==External links==
* &mdash; 19th century miracle cures
* "'' &mdash; Episode 265''". , ].
*
*
* An anti-'quackbuster' site
* &mdash; Website with selected information about alleged quackery and ], operated by ], M.D. (retired psychiatrist)


====Ministry of Ayush====
]
In 2014, the ] formed a ] that includes the seven traditional systems of healthcare.
] <!--"quack"-->
The Ministry of Ayush (expanded from ], ], ], ], ], Sowa-Rigpa and ]), is purposed with developing education, research and propagation of indigenous alternative medicine systems in ]. The ministry has faced significant criticism for funding systems that lack ] and are either untested or conclusively proven as ineffective. Quality of research has been poor, and drugs have been launched without any rigorous pharmacological studies and meaningful ] or other alternative healthcare systems.<ref name="Rathee2018">{{cite news|title=What is AYUSH and the controversy around it?|last=Rathee|first=Pranshu|work=]|url=https://www.deccanherald.com/specials/what-ayush-and-controversy-703993.html|url-status=live|access-date=2021-04-04|date=2018-11-20|archive-date=2020-11-22|archive-url=https://web.archive.org/web/20201122144706/https://www.deccanherald.com/specials/what-ayush-and-controversy-703993.html|publisher=The Printers (Mysore)}}</ref><ref name="Narayanan2020">{{cite news|work=]|url=https://www.firstpost.com/india/patanajali-covid-19-ayush-ministry-weak-response-ramdevs-coronil-stunt-endangers-people-jeopardises-ayurveda-homeopathy-8529151.html|archive-url=https://web.archive.org/web/20201121014011/https://www.firstpost.com/india/patanajali-covid-19-ayush-ministry-weak-response-ramdevs-coronil-stunt-endangers-people-jeopardises-ayurveda-homeopathy-8529151.html|archive-date=2020-11-21|date=2020-07-01|last=Narayanan|first=Kavya|title=AYUSH Ministry is endangering people, jeopardising Ayurveda with lax response to Patanjali's Coronil and COVID-19, warn experts}}</ref>

There is no credible efficacy or scientific basis of any of these forms of treatment.<ref name="AYUSHPseudo">Sources that criticize the entirety of AYUSH as a pseudo-scientific venture:
* {{Cite news|url=https://www.thehindu.com/sunday-anchor/medicine-wars-homeopathy-allopathy-ayurveda-unani-in-india/article10792873.ece|title=Questions over science swirl, but AYUSH stands firm|last=Shrinivasan|first=Rukmini|date=2015-04-26|work=The Hindu|access-date=2019-01-22|language=en-IN|issn=0971-751X}}
* {{Cite news|url=http://www.thehindu.com/sci-tech/health/policy-and-issues/ayush-ministry-rails-against-global-study-on-homeopathy/article8561466.ece|title=AYUSH Ministry rails against global study on homeopathy|last=Krishnan|first=Vidya|work=The Hindu|access-date=2017-05-24|language=en}}
* {{Cite web|url=http://www.thehansindia.com/posts/index/National/2018-01-08/Bridge-course-for-AYUSH--the-seed-of-destruction/350752/amp|title=Bridge course for AYUSH – the seed of destruction|date=2018-01-08|website=The Hans India|language=en|access-date=2018-09-17}}
* {{Cite web|url=https://undark.org/article/indian-scientists-confront-pseudoscience/|title=The Threat of Pseudoscience in India|website=Undark|language=en-US|access-date=2019-01-31|date=10 December 2018}}
* {{Cite web|url=https://qz.com/india/1492838/how-scientists-are-fighting-fake-news-and-superstition-in-india/|title=Indian academia is fighting a toxic mix of nationalism and pseudoscience|last1=Kumar|first1=Ruchi|website=Quartz India|date=13 December 2018 |language=en|access-date=2019-01-31}}
* {{Cite book|url=https://books.google.com/books?id=dwFKDwAAQBAJ|page=293|title=Pseudoscience: The Conspiracy Against Science|last1=Kaufman|first1=Allison B.|last2=Kaufman|first2=James C.|year=2018|publisher=MIT Press|isbn=978-0262037426|language=en}}</ref> A strong consensus prevails among the scientific community that ] is a pseudo-scientific,<ref name="Tuomela2">{{cite book|author=Tuomela, R|title=Rational Changes in Science |chapter=Science, Protoscience, and Pseudoscience |publisher=Springer|year=1987|isbn=978-94-010-8181-8|veditors=Pitt JC, Marcello P|series=Boston Studies in the Philosophy of Science|volume=98|pages=83–101|doi=10.1007/978-94-009-3779-6_4|author-link=Raimo Tuomela}}</ref><ref name="Smith20122">{{cite journal|author=Smith K|year=2012|title=Homeopathy is Unscientific and Unethical|journal=Bioethics|volume=26|issue=9|pages=508–512|doi=10.1111/j.1467-8519.2011.01956.x|s2cid=143067523|url=https://zenodo.org/record/1035885}}</ref><ref name="Baran20142">{{cite book|vauthors=Baran GR, Kiana MF, Samuel SP|title=Healthcare and Biomedical Technology in the 21st Century |chapter=Science, Pseudoscience, and Not Science: How do They Differ? |publisher=Springer|year=2014|isbn=978-1-4614-8540-7|pages=19–57|doi=10.1007/978-1-4614-8541-4_2|quote=within the traditional medical community it is considered to be quackery}}</ref><ref name="Ladyman2">{{cite book|title=Philosophy of Pseudoscience: Reconsidering the Demarcation Problem|author=Ladyman J|publisher=University of Chicago Press|year=2013|isbn=978-0-226-05196-3|veditors=Pigliucci M, Boudry M|pages=48–49|chapter=Chapter 3: Towards a Demarcation of Science from Pseudoscience|quote=Yet homeopathy is a paradigmatic example of pseudoscience. It is neither simply bad science nor science fraud, but rather profoundly departs from scientific method and theories while being described as scientific by some of its adherents (often sincerely).}}</ref> unethical<ref name="unethical">{{cite journal|last1=Shaw|first1=DM|year=2010|title=Homeopathy is where the harm is: Five unethical effects of funding unscientific 'remedies'|journal=Journal of Medical Ethics|volume=36|issue=3|pages=130–131|doi=10.1136/jme.2009.034959|pmid=20211989|doi-access=free}}</ref><ref>{{cite news|url=https://www.theguardian.com/science/2008/jul/21/pharmacists.homeophathy|title=Pharmacists urged to 'tell the truth' about homeopathic remedies|author=Sample I|date=21 July 2008|newspaper=]|location=London}}</ref> and implausible line of treatment.<ref>{{cite web|url=http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/pharmacologicalandbiologicaltreatment/homeopathy|title=Homeopathy|publisher=American Cancer Society|access-date=12 October 2014|archive-date=16 March 2013|archive-url=https://web.archive.org/web/20130316003948/http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/pharmacologicalandbiologicaltreatment/homeopathy|url-status=dead}}</ref><ref name="inquiry_cfm">UK Parliamentary Committee Science and Technology Committee – </ref><ref name="GrimesFACT">{{cite journal|last1=Grimes|first1=D.R.|year=2012|title=Proposed mechanisms for homeopathy are physically impossible|journal=Focus on Alternative and Complementary Therapies|volume=17|issue=3|pages=149–155|doi=10.1111/j.2042-7166.2012.01162.x}}</ref><ref name="EASAC2017">{{cite web|url=http://www.easac.eu/fileadmin/PDF_s/reports_statements/EASAC_Homepathy_statement_web_final.pdf|title=Homeopathic products and practices: assessing the evidence and ensuring consistency in regulating medical claims in the EU|date=September 2017|work=European Academies' Science Advisory Council|page=1|access-date=1 October 2017|quote=... we agree with previous extensive evaluations concluding that there are no known diseases for which there is robust, reproducible evidence that homeopathy is effective beyond the placebo effect.}}</ref> Ayurveda is deemed to be pseudoscientific.<ref name="psych2013">{{cite book|chapter-url=https://books.google.com/books?id=LiJKseis6OYC&pg=PA20|chapter=Chapter 1: Psychomythology|vauthors=Semple D, Smyth R|title=Oxford Handbook of Psychiatry|publisher=Oxford University Press|year=2013|isbn=978-0-19-969388-7|edition=3rd|page=20}}</ref><ref name=":13">{{Cite book|url=https://books.google.com/books?id=dwFKDwAAQBAJ&pg=PA293|title=Pseudoscience: The Conspiracy Against Science|last1=Kaufman|first1=Allison B.|last2=Kaufman|first2=James C.|year=2018|publisher=MIT Press|isbn=978-0262037426|language=en}}</ref><ref>{{Cite web |last=Carrier |first=Marc |year=2011 |title=Ayurvedic Medicine |url=https://www.skeptic.com/eskeptic/13-10-09/ |access-date=2019-01-31 |website=Skeptic |series=Volume 16 Number 2 |language=en-US}}</ref> Much of the research on postural yoga has taken the form of preliminary studies or clinical trials of low methodological quality;<ref name="Krisanaprakornkit2010">{{cite journal|last1=Krisanaprakornkit|first1=T.|last2=Ngamjarus|first2=C.|last3=Witoonchart|first3=C.|last4=Piyavhatkul|first4=N.|year=2010|title=Meditation therapies for attention-deficit/hyperactivity disorder (ADHD)|journal=]|volume=2010 |issue=6|pages=CD006507|doi=10.1002/14651858.CD006507.pub2|pmid=20556767|pmc=6823216}}</ref><ref>{{cite journal|last1=Ospina|first1=M. B.|last2=Bond|first2=K.|last3=Karkhaneh|first3=M.|display-authors=etal|year=2008|title=Clinical trials of meditation practices in health care: characteristics and quality|journal=Journal of Alternative and Complementary Medicine|volume=14|issue=10|pages=199–213|doi=10.1089/acm.2008.0307|pmid=19123875|s2cid=43745958}}</ref><ref>{{cite journal|last1=Uebelacker|first1=L. A.|last2=Epstein-Lubow|first2=G.|last3=Gaudiano|first3=B. A.|last4=Tremont|first4=G.|last5=Battle|first5=C. L.|last6=Miller|first6=I. W.|year=2010|title=Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research|journal=Journal of Psychiatric Practice|volume=16|issue=1|pages=22–33|doi=10.1097/01.pra.0000367775.88388.96|pmid=20098228|s2cid=205423922}}</ref> there is no conclusive therapeutic effect except in back pain.<ref>{{Cite journal|last1=Wieland|first1=L. Susan|last2=Skoetz|first2=Nicole|last3=Pilkington|first3=Karen|last4=Vempati|first4=Ramaprabhu|last5=D'Adamo|first5=Christopher R|last6=Berman|first6=Brian M|date=2017-01-12|title=Yoga treatment for chronic non-specific low back pain|journal=The Cochrane Database of Systematic Reviews|volume=2017|issue=1|pages=CD010671|doi=10.1002/14651858.CD010671.pub2|issn=1469-493X|pmc=5294833|pmid=28076926}}</ref> Naturopathy is considered to be a form of pseudo-scientific quackery,<ref name="NaturoUnaniPesudo">Sources documenting the same:
* {{cite journal|last=Atwood|first=Kimball C. IV|year=2003|title=Naturopathy: A critical appraisal|url=http://www.medscape.com/viewarticle/465994|journal=Medscape General Medicine|volume=5|issue=4|page=39|pmid=14745386}}{{registration required}}
* {{cite journal|last=Atwood|first=Kimball. C. IV|date=26 March 2004|title=Naturopathy, pseudoscience, and medicine: Myths and fallacies vs truth|journal=Medscape General Medicine|volume=6|issue=1|page=33|pmc=1140750|pmid=15208545}}
* {{cite web|url=http://www.quackwatch.org/01QuackeryRelatedTopics/Naturopathy/naturopathy.html|title=A close look at naturopathy|last=Barrett|first=Stephen|date=26 November 2013|work=]|access-date=2015-03-21}}
* {{cite news|url=http://www.dailytelegraph.com.au/news/opinion/claire-harvey-dont-duck-the-law-by-sending-kids-to-quacks/news-story/6ee0fc3e8309651cad4c7bca9ca3ff06|title=Don't duck the law by sending kids to quacks|last1=Harvey|first1=Claire|date=11 July 2015|work=The Daily Telegraph|access-date=2 September 2015}}
* {{cite news|url=http://health.spectator.co.uk/how-does-naturopathy-work-a-bit-like-a-flying-vacuum-cleaner-to-mars/|title=How does naturopathy work? A bit like a flying vacuum-cleaner to Mars|last1=Chivers|first1=Tom|date=10 November 2014|work=Spectator|access-date=2 September 2015|archive-url=https://web.archive.org/web/20170905094710/https://health.spectator.co.uk/how-does-naturopathy-work-a-bit-like-a-flying-vacuum-cleaner-to-mars/|archive-date=5 September 2017|url-status=dead}}
* {{cite book|title=American Cancer Society Complete Guide to Complementary and Alternative Cancer Therapies|date=2009|publisher=American Cancer Society|editor1-last=Russell|editor1-first=Jill|edition=Second|location=Atlanta|pages=116–119|editor2-last=Rovere|editor2-first=Amy}}</ref> ineffective and possibly harmful,<ref name="SkepDic_natural">{{cite web|url=http://skepdic.com/natural.html|title=Natural|last=Carroll|first=Robert|date=26 November 2012|work=The Skeptic's Dictionary|access-date=2013-09-08}}</ref><ref name="NCAHF_herb">{{cite web|url=http://www.ncahf.org/pp/herbal.html|title=NCAHF Position Paper on Over the Counter Herbal Remedies (1995)|year=1995|publisher=National Council Against Health Fraud|access-date=2009-04-17}}</ref> with a plethora of ] about the very practice.<ref name="atwood2003">{{cite journal|last=Atwood|first=Kimball C. IV|year=2003|title=Naturopathy: A critical appraisal|url=http://www.medscape.com/viewarticle/465994|journal=Medscape General Medicine|volume=5|issue=4|page=39|pmid=14745386}}{{registration required}}</ref><ref>{{cite journal|last1=Gorski|first1=David H.|date=18 September 2014|title=Integrative oncology: really the best of both worlds?|journal=Nature Reviews Cancer|volume=14|issue=10|pages=692–700|doi=10.1038/nrc3822|pmid=25230880|s2cid=33539406|ref=Gorski Nature}}</ref><ref name="tot">{{cite book|chapter-url=https://books.google.com/books?id=nWnR1JI7G6gC&pg=PT197|chapter=Naturopathy|vauthors=Singh S, Ernst E|title=Trick or Treatment?: Alternative Medicine on Trial|publisher=Transworld|year=2009|isbn=978-1-4090-8180-7|pages=197–|quote=many naturopaths are against mainstream medicine and advise their patients accordingly&nbsp;– for instance many are not in favour of vaccination.}}</ref>

Unani lacks ] and is considered to be pseudo-scientific quackery, as well.<ref>{{Cite web|url=https://sciencebasedmedicine.org/naturopathy-textbook/|title=Naturopathy Textbook|website=sciencebasedmedicine.org|date=14 August 2018|language=en-US|access-date=2020-01-16}}</ref><ref>{{Cite web|url=https://sciencebasedmedicine.org/naturopathy-embraces-the-four-humors/|title=Naturopathy Embraces the Four Humors|website=sciencebasedmedicine.org|date=27 December 2012|language=en-US|access-date=2020-01-16}}</ref>

===United States===
]]]
While quackery is often aimed at the aged or chronically ill, it can be aimed at all age groups, including teens, and the FDA has mentioned<ref name=FDA_Teens>{{cite web|date=April 1990|orig-year=February 1988|title=Quackery targets teens|website=cfsan.fda.gov|location=Washington, DC|publisher=Department of Health and Human Services. Public Health Service. Food and Drug Administration
|id=DHHS Publication No. (FDA) 90-1147|url=http://www.cfsan.fda.gov/~dms/wh-teen2.html|archive-url=https://web.archive.org/web/20090512094924/http://www.cfsan.fda.gov/~dms/wh-teen2.html|archive-date=12 May 2009|url-status=dead}}</ref> some areas where potential quackery may be a problem: breast developers, weight loss, steroids and growth hormones, tanning and tanning pills, hair removal and growth, and look-alike drugs.

In 1992, the president of ], William T. Jarvis, wrote in '']'' that:

{{blockquote|The U.S. Congress determined quackery to be the most harmful consumer fraud against elderly people. Americans waste $27 billion annually on questionable health care, exceeding the amount spent on biomedical research. Quackery is characterized by the promotion of false and unproven health schemes for profit and does not necessarily involve imposture, fraud, or greed. The real issues in the war against quackery are the principles, including scientific rationale, encoded into ] laws, primarily the U.S. Food, Drug, and Cosmetic Act. More such laws are badly needed. Regulators are failing the public by enforcing laws inadequately, applying double standards, and accrediting pseudomedicine. Non-scientific health care (e.g., acupuncture, ayurvedic medicine, chiropractic, homeopathy, naturopathy) is licensed by individual states. Practitioners use unscientific practices and deception on a public who, lacking complex health-care knowledge, must rely upon the trustworthiness of providers. Quackery not only harms people, it undermines the scientific enterprise and should be actively opposed by every scientist.<ref>{{cite journal |pmid=1643742 |date=August 1992 |last1=Jarvis |first1=WT |title=Quackery: a national scandal |volume=38 |issue=8B Pt 2 |pages=1574–1586 |issn=0009-9147 |journal=Clinical Chemistry}}</ref>}}
]'s ], a quack device for measuring ']'<ref>{{cite news|title=Religion's Shocking Experience|url=https://news.google.com/newspapers?id=sUtSAAAAIBAJ&pg=5878%2C2039441|access-date=27 September 2012|newspaper=St Petersburg Times|date=3 May 1969}}</ref><ref>{{cite book|last=Janssen|first=Wallace|year=1993|chapter=The gadgeteers|editor1-last=Barrett|editor1-first=Stephen|editor2-last=Jarvis|editor2-first=William|title=The health robbers: a close look at quackery in America|series=Consumer health library|location=Buffalo, NY|publisher=Prometheus Books|isbn=978-0-87975-855-4|chapter-url=https://books.google.com/books?id=JVprAAAAMAAJ|url=https://archive.org/details/healthrobberscl00barr}}</ref>]]

For those in the practice of any medicine, to allege quackery is to level a serious objection to a particular form of practice. Most developed countries have a governmental agency, such as the ] (FDA) in the US, whose purpose is to monitor and regulate the safety of medications as well as the claims made by the manufacturers of new and existing products, including drugs and nutritional supplements or vitamins. The ] (FTC) participates in some of these efforts.<ref name=FTC>{{Cite web|url=http://www.ftc.gov/opa/1999/06/opcureall.shtmh |archive-url=https://archive.today/20130728172145/http://www.ftc.gov/opa/1999/06/opcureall.shtmh |url-status=dead |archive-date=28 July 2013 |title="Operation Cure.all" Targets Internet Health Fraud |date=24 June 1999 |publisher=] }}</ref> To better address less regulated products, in 2000, US President Clinton signed Executive Order 13147 that created the White House Commission on ]. In 2002, the commission's final report made several suggestions regarding education, research, implementation, and reimbursement as ways to evaluate the risks and benefits of each.<ref name="WHCCAMP2002">{{cite book|date=March 2002|title=White House Commission on Complementary and Alternative Medicine Policy – Final report|series=NIH publication|volume=03-5411|location=Washington, DC|publisher=United States. Department of Health and Human Services|isbn=978-0-16-051476-0|url=http://www.whccamp.hhs.gov/pdfs/fr2002_document.pdf|archive-url=https://web.archive.org/web/20041016005506/http://www.whccamp.hhs.gov/pdfs/fr2002_document.pdf|archive-date=16 October 2004|url-status=dead|access-date=6 November 2015}}</ref> As a direct result, more public dollars have been allocated for research into some of these methods.
] (sometimes misspelled Revigorator) was a pottery crock lined with radioactive ore that emitted radon.]]

Individuals and non-governmental agencies are active in attempts to expose quackery. According to ] et al. less is consensus about ineffective "compared to effective procedures" but identifying both "pseudoscientific, unvalidated, or 'quack' psychotherapies" and "assessment measures of questionable validity on psycho-metric grounds" was pursued by various authors.<ref name="Norcross2006">{{cite journal|last1=Norcross|first1=John C.|last2=Koocher|first2=Gerald P.|last3=Garofalo|first3=Ariele|date=Oct 2006|title=Discredited psychological treatments and tests: a Delphi poll|journal=Professional Psychology: Research and Practice|volume=37|issue=5|pages=515–522|doi=10.1037/0735-7028.37.5.515|s2cid=35414392}}</ref>{{rp|page=515}} The ] (EBP) movement in mental health emphasizes the consensus in psychology that psychological practice should rely on empirical research.<ref name="Norcross2006" />{{rp|pages=515, 522}} There are also "anti-quackery" websites, such as ], that help consumers evaluate claims.<ref name="Baldwin2007">{{cite web|last=Baldwin|first=Fred D.|date=19 July 2004|title=If it quacks like a duck...|website=medhunters.com|location=|publisher=MedHunters|url=http://www.medhunters.com/articles/ifItQuacksLikeADuck.html|access-date=13 October 2007|archive-url=https://web.archive.org/web/20080206060833/http://www.medhunters.com/articles/ifItQuacksLikeADuck.html|archive-date=6 February 2008|url-status=dead}}</ref> Quackwatch's information is relevant to both consumers and medical professionals.<ref name="ascp">{{cite news|first=Bao-Anh |last=Nguyen-Khoa |title=Selected Web Site Reviews – Quackwatch.com |url=http://www.ascp.com/publications/tcp/1999/jul/access.shtml |publisher=] |date=July 1999 |access-date=25 January 2007 |url-status=dead |archive-url=https://web.archive.org/web/20071214172021/http://www.ascp.com/publications/tcp/1999/jul/access.shtml |archive-date=14 December 2007 }}</ref>

== Presence and acceptance ==
] (1660)]]
] which is supposed to protect the wearer from ]s. ], ] valley, Central ] (2009).]]
] ({{circa|1635}})]]

There have been several suggested reasons why quackery is accepted by patients in spite of its lack of effectiveness:<ref name=":1">{{Cite journal |last1=Amir-Azodi |first1=Ali |last2=Setayesh |first2=Mohammad |last3=Bazyar |first3=Mohammad |last4=Ansari |first4=Mina |last5=Yazdi-Feyzabadi |first5=Vahid |date=2024-01-11 |title=Causes and consequences of quack medicine in health care: a scoping review of global experience |journal=BMC Health Services Research |volume=24 |issue=1 |pages=64 |doi=10.1186/s12913-023-10520-9 |doi-access=free |issn=1472-6963 |pmc=10785397 |pmid=38212750}}</ref>
;Ignorance: Those who perpetuate quackery may do so to take advantage of ignorance about conventional medical treatments versus alternative treatments, or may themselves be ignorant regarding their own claims.<ref name=":1" /> Mainstream medicine has produced many remarkable advances, so people may tend to also believe groundless claims.
;]: Medicines or treatments known to have no pharmacological effect on a disease can still affect a person's perception of their illness, and this belief in its turn does indeed sometimes have a therapeutic effect, causing the patient's condition to improve. This is ''not'' to say that no real cure of biological illness is effected – "though we might describe a placebo effect as being 'all in the mind', we now know that there is a genuine neurobiological basis to this phenomenon."<ref>{{Cite book|last=Benedetti|first=Fabrizio | title=Placebo effects: understanding the mechanisms in health and disease | publisher = Oxford University Press | isbn = 978-0-19-955912-1 | at = back cover |year=2009 }}</ref> People report reduced pain, increased well-being, improvement, or even total alleviation of symptoms. For some, the presence of a caring practitioner and the dispensation of medicine is curative in itself.
;]: Lack of understanding that health conditions change with no treatment and attributing changes in ailments to a given therapy.<ref name="Butler2011">{{cite book |author=J. Thomas Butler|title=Consumer Health: Making Informed Decisions|url=https://books.google.com/books?id=DoWT6NqDFyMC&pg=PA64|year=2011|publisher=Jones & Bartlett Publishers|isbn=978-0-7637-9340-1|pages=64–}}</ref>
;]: The tendency to search for, interpret, or prioritize information in a way that confirms one's beliefs or hypotheses. It is a type of ] and a systematic error of ].
;Distrust of conventional medicine: Many people, for various reasons, have a ] of conventional medicine, or of the regulating organizations such as the ], or the major drug corporations. For example, "] may represent a response to disenfranchisement in conventional medical settings and resulting distrust".<ref>{{cite journal|author1=Shippee, Tetyana|author2=Henning-Smith, Carrie|author3=Shippee, Nathan|author4=Kemmick Pintor, Jessie|author5=Call, Kathleen T.|author6=McAlpine, Donna|author7=Johnson, Pamela Jo|year=2013|title=Discrimination in Medical Settings and Attitudes toward Complementary and Alternative Medicine: The Role of Distrust in Conventional Providers|journal=Journal of Health Disparities Research and Practice|volume=6|issue=1|page=3|url=http://digitalscholarship.unlv.edu/jhdrp/vol6/iss1/3}}</ref>
;]: Anti-quackery activists ("quackbusters") are often falsely accused of being part of a huge "conspiracy" to suppress "unconventional" and/or "natural" therapies, as well as those who promote them. It is alleged that this conspiracy is backed and funded by the pharmaceutical industry and the established medical care system – represented by the ], ], ], ], ], etc. – for the purpose of preserving their power and increasing their profits. This idea is often held by people with ] views.<ref name=":2">{{Cite journal |last=Freckelton QC |first=Ian |date=2020 |title=COVID-19: Fear, quackery, false representations and the law |journal=International Journal of Law and Psychiatry |language=en |volume=72 |pages=101611 |doi=10.1016/j.ijlp.2020.101611 |pmc=7351412 |pmid=32911444}}</ref>
;Fear of ]: A great variety of ] can have very distressing side effects, and many people fear ] and its consequences, so they may opt to shy away from these mainstream treatments.<ref name=":2" />
;Cost: There are some people who simply cannot afford conventional treatment, and seek out a cheaper alternative. Nonconventional practitioners can often dispense treatment at a much lower cost. This is compounded by ].<ref name=":1" />
;Desperation: People with a serious or terminal disease, or who have been told by their practitioner that their condition is "untreatable", may react by seeking out treatment, disregarding the lack of scientific proof for its effectiveness, or even the existence of evidence that the method is ineffective or even dangerous. Despair may be exacerbated by the lack of ] ]. Between 2012 and 2018 appeals on UK crowdfunding sites for cancer treatment with an alternative health element have raised £8 million. This is described as "a new and lucrative revenue stream for cranks, charlatans, and conmen who prey on the vulnerable."<ref>{{cite news |title=Is cancer fundraising fuelling quackery? |url=https://www.bmj.com/content/362/bmj.k3829.full |access-date=19 October 2018 |publisher=British Medical Journal |date=12 September 2018}}</ref>
;Pride: Once people have endorsed or defended a cure, or invested time and money in it, they may be reluctant or embarrassed to admit its ineffectiveness and therefore recommend a treatment that does not work. This is a manifestation of the ].<ref>{{Cite journal |last1=Gojanovic |first1=Boris |last2=Fourchet |first2=François |last3=Gremeaux |first3=Vincent |date=2022 |title=Cognitive biases cloud our clinical decisions and patient expectations: A narrative review to help bridge the gap between evidence-based and personalized medicine |journal=Annals of Physical and Rehabilitation Medicine |volume=65 |issue=4 |pages=101551 |doi=10.1016/j.rehab.2021.101551 |pmid=34186255 |issn=1877-0657 |quote=This is called action bias: doing something (or many things!) in order to not appear to be doing nothing; even when therapeutic modalities are not based on scientific evidence, we apply them nonetheless, falling prey to effort justification and sunk-cost fallacy.|doi-access=free }}</ref>
;Fraud: Some practitioners, fully aware of the ineffectiveness of their medicine, may intentionally produce fraudulent scientific studies,<ref>{{Cite journal |last1=Sarwar |first1=Umran |last2=Nicolaou |first2=Marios |date=2012 |title=Fraud and deceit in medical research |journal=Journal of Research in Medical Sciences |volume=17 |issue=11 |pages=1077–1081 |issn=1735-1995 |pmc=3702092 |pmid=23833585}}</ref> for example, thereby confusing any potential consumers as to the effectiveness of the medical treatment.

== Deceased persons accused of quackery ==
{{Anchor|Persons accused of quackery}}<!---
NOTE: This section is not intended as a complete list, but instead as a sampling so the reader may have some examples of notable persons who have been called quacks. Entries in this list should be limited to clear examples, and the sources documenting them being called quacks should be well-referenced.

To avoid WP:BLP concerns (and endless edit wars!) this list should be limited to deceased people. Please arrange names alphabetically after last name. Descriptions may be taken from the lead section of their articles here, if such articles exist, and are not used to demonstrate why they were called quacks. Let readers do their own investigating. It may be a good idea to discuss any additions to the list on the article's talk page.
--->
* ''']''' (1858–1918), founder of ]. His views often brought him into conflict with the ] of Edinburgh and the ], particularly his opposition to doctors' frequent use of drugs, his opposition to vaccination and his self-promotion in the press.<ref>{{Cite journal |author=Scott CJ |title=The Life and Trials of TR Allinson ex L.R.C.P.ED 1858–1918 |journal=Proc. R. Coll. Physicians Edinb.|year=1999 |volume=29 |issue=3 |pages=258–261 |pmid=11624001}}</ref> His views and publication of them led to him being labeled a quack and being struck off by the ] for ''infamous conduct in a professional respect''.<ref>{{cite news | newspaper = ] | title = Diet advice 1893 style lost doctor his job | url = http://www.express.co.uk/posts/view/30137/Diet-advice-1893-style-lost-doctor-his-job| date = 2 January 2008 }}</ref><ref>{{Cite journal | publisher = Department of Health | title = The Shipman Inquiry | url = http://www.the-shipman-inquiry.org.uk/5r_page.asp?id=4717 | date = 27 January 2005 | author = Janet Smith | author-link = Janet Smith (judge) | access-date = 11 January 2008 | archive-date = 19 June 2009 | archive-url = https://web.archive.org/web/20090619232944/http://www.the-shipman-inquiry.org.uk/5r_page.asp?id=4717 | url-status = dead }}</ref>
* ''']''' (1801–1881), the first Swedish female doctor. Åhrberg was met with strong resistance from male doctors and was accused of quackery. During the formal examination she was acquitted of all charges and allowed to practice medicine in Stockholm even though it was forbidden for women in the 1820s. She later received a medal for her work.<ref>{{Cite web |title=Maria Lovisa Åhrberg |url=http://skbl.se/en/article/LovisaAhrberg |access-date=2024-03-22 |website=Svenskt kvinnobiografiskt lexikon |language=en}}</ref>
* ''']''' (1876–1964), a South African naturopath who advocated the "]" as a cure for cancer.<ref>{{cite web|last=Barrett|first=Stephen|date=18 September 2001|title=The grape cure|website=quackwatch.org|url=http://www.quackwatch.org/01QuackeryRelatedTopics/Cancer/grape.html|archive-url=https://web.archive.org/web/20021001085130/http://www.quackwatch.org/01QuackeryRelatedTopics/Cancer/grape.html|archive-date=1 October 2002|url-status=live}}</ref>
* ''']''' (1885–1942), a nonphysician and ] specialist in Kansas, US, who claimed to have discovered a method of effectively transplanting the testicles of ] into aging men. After state authorities took steps to shut down his practice, he retaliated by entering politics in 1930 and unsuccessfully running for the office of ].<ref>{{cite news |first= John K.|last= Hutchens|title=Notes on the Late Dr. John R. Brinkley, Whom Radio Raised to a Certain Fame |url=https://www.nytimes.com/1942/06/07/archives/notes-on-the-late-dr-john-r-brinkley-whom-radio-raised-to-a-certain.html |work=] |date=7 June 1942 |access-date=7 May 2009 }}</ref>
* ''']''' (1928–2009), was a controversial ], author, and practitioner of ] who claimed to be able to cure all diseases and advocated methods that have no scientific validity.<ref>{{cite web|last=Barrett|first=Stephen|date=23 October 2009|title=The bizarre claims of Hulda Clark|website=quackwatch.org|url=http://www.quackwatch.org/01QuackeryRelatedTopics/Cancer/clark.html|archive-url=https://web.archive.org/web/20091210061110/http://www.quackwatch.org/01QuackeryRelatedTopics/Cancer/clark.html|archive-date=10 December 2009|url-status=live}}</ref>
* ''']''' (1881–1959), was a German-born American physician who developed a dietary-based ] that he claimed could cure cancer and most chronic, degenerative diseases. His treatment was called The Gerson Therapy. Most notably, Gerson Therapy was used, unsuccessfully, to treat ] and ]. According to ], Gerson Institute claims of cure are based not on actual documentation of survival, but on "a combination of the doctor's estimate that the departing patient has a 'reasonable chance of surviving', plus feelings that the Institute staff have about the status of people who call in".<ref name="lowell">{{cite web | publisher = ] | first = James | last = Lowell | title = Background History of the Gerson Clinic | work = Nutrition Forum Newsletter | date = February 1986 | access-date =22 April 2009 | url = http://cancertreatmentwatch.org/reports/gerson.shtml}}</ref> The ] reports that "here is no reliable scientific evidence that Gerson therapy is effective&nbsp;..."<ref name=ACS>{{cite web | url = http://www.cancer.org/docroot/ETO/content/ETO_5_3x_Gerson_therapy.asp | title = Gerson Therapy | publisher = ] | access-date = 22 April 2009 | url-status = dead | archive-url = https://web.archive.org/web/20090420191809/http://www.cancer.org/docroot/ETO/content/ETO_5_3X_Gerson_Therapy.asp | archive-date = 20 April 2009 }}</ref>
]
* ''']''' (1755–1843), founder of ]. Hahnemann believed that all diseases were caused by "]s", which he defined as irregularities in the patient's ].<ref>{{cite book |author=Samuel Hahnemann |title=Organon of Medicine |edition=5th |at=para 29 |title-link=Organon of Medicine }}</ref> He also said that illnesses could be treated by substances that in a healthy person produced similar symptoms to the illness, in extremely low concentrations, with the therapeutic effect increasing with dilution and repeated shaking.<ref>{{cite web |url=http://homeoint.org/books4/bradford/chapter20.htm |title=The Life and Letters of Dr Samuel Hahnemann |access-date=24 December 2007 }}</ref><ref name=Holmes>{{Cite journal | author=Oliver Wendell Holmes Sr. |title=Homoeópathy and its kindred delusions: Two lectures delivered before the Boston Society for the Diffusion of Useful Knowledge |location=Boston |year=1842|title-link=Boston Society for the Diffusion of Useful Knowledge }} reprinted in {{cite book | author=Oliver Wendell Holmes Sr. |title=Currents and Counter-currents in Medical Science |year=1861 |pages=–188 |url=https://archive.org/details/currentsandcoun00holmgoog |publisher=Ticknor and Fields}}</ref><ref>{{cite journal |author=Michael Emmans Dean |url=http://shpltd.co.uk/dean-homeopathy.pdf |title=Homeopathy and the "Progress of Science |journal=Hist. Sci. |volume=xxxix |year=2001 |bibcode=2001HisSc..39..255E |pmid=11712570 |pages=255–283 |issue=125 Pt 3 |doi=10.1177/007327530103900301 |s2cid=23943688 |access-date=30 December 2007 |archive-url=https://web.archive.org/web/20071129011019/http://www.shpltd.co.uk/dean-homeopathy.pdf |archive-date=29 November 2007 |url-status=dead }}</ref>
* ''']''' (in 1916), was fined under the 1906 US ] for advertising that his ] could kill cancer.<ref name=elgin>{{cite web |url=http://www.elginhistory.com/dgb/ch07.htm |title=Chapter 7: Good Old Days |author=E.C. Alft |work=Elgin: Days Gone By |publisher=Elgin History |access-date=25 September 2009 |archive-date=29 April 2019 |archive-url=https://web.archive.org/web/20190429103938/http://www.elginhistory.com/dgb/ch07.htm |url-status=dead }}</ref>
* ''']''' (1911–1986), was the founder of the ]. He was an American ] writer, former ] officer, and creator of ]. He has been commonly called a quack and a con man by both critics of Scientology and by many psychiatric organizations in part for his often extreme anti-psychiatric beliefs and false claims about technologies such as the ].<ref name=Hubbard>{{cite web|url=http://www.xenu.net/archive/FBI/fbi-80.html|title=Operation Clambake presents: FBI Files on L Ron Hubbard|work=xenu.net}}</ref><ref name=Linn>{{cite web| author=Virginia Linn |title=L. Ron Hubbard |work=Pittsburgh Post-Gazette |date=24 July 2005}}</ref><ref name=CMU>{{Cite web| author=David S. Touretzky |url=https://www.cs.cmu.edu/~dst/Secrets/E-Meter/ |title=Secrets of Scientology: The E-Meter |publisher=Computer Science Department & Center for the Neural Basis of Cognition, Carnegie Mellon University}}</ref>
* ''']''', (1867–1938), was a self-declared doctor and fasting specialist, which she advertised as a ] for every medical ailment. Up to 40 patients may have died of starvation in her "sanitarium" in ], US. Imprisoned for one death in 1912, Hazzard was paroled in 1915 and continued to practice medicine without a license in ] (1915–1920) and ], US (1920–1935). Died in 1938 while attempting a fasting to cure herself.<ref>, ''The Wellington Daily News'', Wellington, Kansas, 8 August 1911, p. 4.</ref>
* ''']''', (1925–2005), was an ] and a follower of Max Gerson who developed his own alternative cancer treatment called Nonspecific Metabolic Therapy. This treatment is based on the unsubstantiated belief that "wrong foods malignancy to grow, while proper foods natural body defenses to work".<ref name=lerner>{{cite book |author=Lerner BH |work=When Illness Goes Public: Celebrity Patients and How We Look at Medicine |publisher=The Johns Hopkins Press |place=Baltimore |year=2006 |pages= |isbn=978-0-8018-8462-7 |title=Chapter 7: Unconventional Healing – Steve McQueen's Mexican Journey |author-link=Barron H. Lerner |url=https://archive.org/details/whenillnessgoesp00lern/page/139 }}</ref> It involves, specifically, treatment with pancreatic enzymes, 50 daily vitamins and minerals (including ]), frequent body shampoos, coffee enemas, and a specific diet.<ref>{{cite news|url=https://www.nytimes.com/2005/11/15/health/15essa.html|title=McQueen's Legacy of Laetrile|work=]|date=15 November 2005 | first=Barron H. | last=Lerner | access-date=23 April 2010}}</ref> According to ], "not only is his therapy ineffective,<ref name="qw">{{cite web|author=Green|first=Saul|date=20 April 2000|title=Nicholas Gonzalez Treatment for Cancer: Gland Extracts, Coffee Enemas, Vitamin Megadoses, and Diets|url=http://www.quackwatch.org/01QuackeryRelatedTopics/Cancer/kg.html|access-date=9 July 2020|publisher=]}}</ref> but people with cancer who take it die more quickly and have a worse quality of life than those having standard treatment, and can develop serious or fatal side-effects. Kelley's most famous patient was actor ].
* ''']''' (1852–1943), was a ] in ], US, who ran a ] using ] methods, with a particular focus on ], ]s and ]. Kellogg was an advocate of ] and invented the ] ] with his brother, ].<ref name=JHKellogg>{{cite web |url=http://www.museumofquackery.com/amquacks/kellogg.htm |title=John Harvey Kellogg |work=Museum of Quackery}}</ref>
* ''']''' (1798–1834) was an Irish artist who claimed to be able to cure tuberculosis by causing a sore or wound on the back of the patient, out of which the disease would exit. He was tried twice for manslaughter of his patients who died under this treatment.<ref>{{cite journal|journal = ]|title = John St John Long: quackery and manslaughter|last1 = Hempel|first1 = Sandra|doi = 10.1016/S0140-6736(14)60737-6 | volume = 383 | issue = 9928 | date = 3 May 2014 | url = http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60737-6/fulltext | pages=1540–1541 | pmid = 24800298|s2cid = 34339856}}</ref>
* ''']''' (1734–1815), was a German physician and astrologist, who invented what he called '']''.
* ''']''' (1886–1948), a German physician best known as ]'s personal doctor. Morell administered approximately 74 substances, in 28 different mixtures to Hitler, including ], ], ], ], ], ], vitamins and animal enzymes.<ref name="HTR79">{{cite book |url=https://books.google.com/books?id=DTADHUF7al8C |title=The Last Days of Hitler |publisher=Pan Macmillan |date=2012 |access-date=8 September 2015 |first=Hugh |last=Trevor-Roper |author-link=Hugh Trevor-Roper |pages=79–82 |isbn=978-0-330-47027-8 |via=Google Books, preview}}</ref><ref name="Channel4">{{YouTube | id=8DJr5q4Bf_s | title=Hitler's Hidden Drug Habit: Secret History}} directed and produced by Chris Durlacher. A Waddell Media Production for Channel 4 in association with National Geographic Channels, MMXIV. Executive Producer Jon-Barrie Waddell.</ref> Despite Hitler's dependence on Morell, and his recommendations of him to other Nazi leaders, ], ], ] and others quietly dismissed Morell as a quack.
* ''']''' (1845–1913), was a ] owner that claimed to have healed a janitor of deafness after adjusting the alignment of his back. He founded the field of ] based on the principle that all ] and ailments could be fixed by adjusting the alignment of someone's back. His hypothesis was disregarded by medical professionals at the time and despite a considerable following has yet to be scientifically proven.<ref>{{Cite journal|title=History of Chiropractic|last=Cleveland|first=Carl|date=July 1952}}</ref>{{Verify source|date=April 2010}}{{nonspecific|date=November 2015}} Palmer established a magnetic healing facility in Davenport, Iowa, styling himself 'doctor'. Not everyone was convinced, as a local paper in 1894 wrote about him: "A crank on magnetism has a crazy notion that he can cure the sick and crippled with his magnetic hands. His victims are the weak-minded, ignorant and superstitious, those foolish people who have been sick for years and have become tired of the regular physician and want health by the short-cut method&nbsp;… he has certainly profited by the ignorance of his victims&nbsp;… His increase in business shows what can be done in Davenport, even by a quack."<ref>{{cite journal|pmid=18670469 |url=http://www.nzma.org.nz/journal/121-1278/3158/ |date=July 2008 |last1=Colquhoun |first1=D |title=Doctor Who? Inappropriate use of titles by some alternative "medicine" practitioners |volume=121 |issue=1278 |pages=6–10 |issn=0028-8446 |journal=The New Zealand Medical Journal |url-status=dead |archive-url=https://web.archive.org/web/20090615040740/http://www.nzma.org.nz/journal/121-1278/3158/ |archive-date=15 June 2009 }}</ref>
* ''']''' (1822–1895), was a French ] best known for his remarkable breakthroughs in ]. His experiments confirmed the ], also reducing mortality from ] (childbed), and he created the first ] for ]. He is best known to the general public for showing how to stop milk and wine from going sour{{snd}}this process came to be called '']''. His hypotheses initially met with much hostility, and he was accused of quackery on multiple occasions. However, he is now regarded as one of the three main founders of ], together with ] and ].<ref>{{Cite book |title=Louis Pasteur, Medical Quack |editor=John W. Campbell, Jr. |editor-link=John W. Campbell |date=June 1964 |series=Analog}}</ref>
* ''']''' (1901–1994), a ] winner in ], Pauling spent much of his later career arguing for the treatment of somatic and psychological diseases with ]. Among his claims were that the ] could be cured with massive doses of ]. Together with Ewan Cameron he wrote the 1979 book ''Cancer and Vitamin C'', which was again more popular with the public than the medical profession, which continued to regard claims about the effectiveness of vitamin C in treating or preventing cancer as quackery.<ref name=Dunitz>{{Cite journal | last=Dunitz | first=Jack D. | author-link=Jack D. Dunitz |date=November 1996 | journal=Biographical Memoirs of Fellows of the Royal Society | volume=42 | title=Linus Carl Pauling, 28 February 1901 – 19 August 1994 | url=http://www.nap.edu/readingroom.php?book=biomems&page=lpauling.html | pages=316–338| doi=10.1098/rsbm.1996.0020 | pmid=11619334| doi-access=free }}</ref> A biographer has discussed how controversial his views on ] have been and that he was "still being called a 'fraud' and a 'quack' by opponents of his 'orthomolecular medicine{{'"}}.<ref name=Blair>Thomas Blair. {{webarchive |url=https://web.archive.org/web/20100110071902/http://www.harvardsquarelibrary.org/unitarians/pauling.html |date=10 January 2010 }}</ref>
* Doctor ''']''' (1866–1934) was a ] businessman and "Yarb Doctor" or "Herb Doctor" who concocted quack medicines that he sold and distributed in violation of the ] and the earlier ]. He was also known as a "clairvoyant, herb doctor and spiritualist."<ref>Margaret Claytor Woodbury and Ruth Claytor Marsh. ''Virginia Kaleidoscope: the Claytor family of Roanoke, and some of its kinships, from first families of Virginia and their former slaves''. M.C. Woodbury, 1994. p. 408. {{oclc|34546014}}</ref> Some of Pinkard's ] Compound, made from bloodroot or bloodwort, was seized by ] officials in 1931. "Analysis by this department of a sample of the article showed that it consisted essentially of extracts of plant drugs including sanguinaria, sugar, alcohol, and water. It was alleged in the information that the article was misbranded in that certain statements, designs, and devices regarding the therapeutic and curative effects of the article, appearing on the bottle label, falsely and fraudulently represented that it would be effective as a treatment, remedy, and cure for pneumonia, coughs, weak lungs, asthma, kidney, liver, bladder, or any stomach troubles, and effective as a great blood and nerve tonic." He pleaded guilty and was fined.<ref>.</ref>
* ''']''' (1897–1957), Austrian-American Psychoanalyst. Claimed that he had discovered a primordial cosmic energy called ]. He developed several devices, including the ] and the ], that he believed could use orgone to manipulate the weather, battle space aliens and cure diseases, including cancer. After an investigation, the ] concluded that they were dealing with a "fraud of the first magnitude". On 10 February 1954, the ] for Maine filed a complaint seeking a permanent injunction under Sections 301 and 302 of the ], to prevent interstate shipment of orgone accumulators and to ban some of Reich's writing promoting and advertising the devices. Reich refused to appear in court, arguing that no court was in a position to evaluate his work. Reich was arrested for ], and convicted to two years in jail, a ]10,000 fine, and his Orgone Accumulators and work on Orgone were ordered to be destroyed. On 23 August 1956, six tons of his books, journals, and papers were burned in the 25th Street public incinerator in New York. On 12 March 1957 he was sent to ], where Richard C. Hubbard, a psychiatrist who admired Reich, examined him, recording ] manifested by delusions of grandiosity, persecution, and ideas of reference. Nine months later, on 18 November 1957, Reich died of a ] while he was in the federal penitentiary in ].
* ''']''' (1898–1977), who created the theory of ] corresponding to intelligence.<ref name="nyt-sealed">{{cite news | work = ] | title = Nude Photos Are Sealed At Smithsonian | url=https://www.nytimes.com/1995/01/21/us/nude-photos-are-sealed-at-smithsonian.html | quote=Later, other photographs were taken by W. H. Sheldon, a researcher who believed that there was a relationship between body shape and intelligence and other traits. Mr. Sheldon has since died, and his work has long been dismissed by most scientists as quackery. | date = 21 January 1995 | access-date = 1 December 2011}}</ref><ref>{{cite news |title=Nude Photos of Yale Graduates Are Shredded |url=https://www.nytimes.com/1995/01/29/us/nude-photos-of-yale-graduates-are-shredded.html |quote=Mr. Sheldon, whose work has since been dismissed by most scientists, died in 1977. |newspaper=] |date=29 January 1995 |access-date=7 December 2011 }}</ref>

==Information Age quackery==
As technology has evolved, particularly with the advent and wide adoption of the internet, it has increasingly become a source of quackery. For example, writing in '']'', ] criticized WebMD for biasing readers toward drugs that are sold by the site's pharmaceutical sponsors, even when they are unnecessary. She wrote that WebMD "has become permeated with pseudomedicine and subtle misinformation."<ref>{{cite journal|last=Heffernan|first=Virginia|title=A Prescription for Fear|journal=The New York Times Magazine|date=6 February 2011|page=MM14}}</ref>

== See also ==
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* ]
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{{colend}}

== Notes ==
{{notelist}}

== References ==
{{reflist}}

== Works cited ==
{{refbegin}}
* Carroll, 2003. . New York: Wiley.
* Della Sala, 1999. ''Mind Myths: Exploring Popular Assumptions about the Mind and Brain''. New York: Wiley.
* Eisner, 2000. ''The Death of Psychotherapy; From Freud to Alien Abductions''. Westport, CT: Praegner.
* Lilienfeld, SO., Lynn, SJ., Lohr, JM. 2003. ''Science and Pseudoscience in Clinical Psychology''. New York: Guildford
* {{cite journal | author1 = Norcross JC | author2 = Garofalo A. | author3 = Koocher G. | year = 2006 | title = Discredited Psychological Treatments and Tests; A Delphi Poll | journal = Professional Psychology: Research and Practice | volume = 37 | issue = 5| pages = 515–522 | doi=10.1037/0735-7028.37.5.515| s2cid = 35414392 }}
{{refend}}

== External links ==
{{Wikiquote}}
{{Commons category}}
{{Wiktionary}}
* {{Cite EB1911|wstitle=Quack}}
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* Article at the ]
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{{Fraud}}{{Authority control}}
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Latest revision as of 20:00, 9 December 2024

Promotion of fraudulent or ignorant medical practices
WPA poster, 1936–38
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Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver, derived from Dutch: kwakzalver a "hawker of salve" or rather somebody who boasted about their salves, more commonly known as ointments. In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention.

Common elements of general quackery include questionable diagnoses using questionable diagnostic tests, as well as untested or refuted treatments, especially for serious diseases such as cancer. Quackery is often described as "health fraud" with the salient characteristic of aggressive promotion.

Definition

William Hogarth's The Inspection, the third canvas in his Marriage à-la-mode (The Visit to the Quack Doctor)
Pietro Longhi's The Charlatan (1757)

Psychiatrist and author Stephen Barrett of Quackwatch defines quackery as "the promotion of unsubstantiated methods that lack a scientifically plausible rationale" and more broadly as:

"anything involving overpromotion in the field of health." This definition would include questionable ideas as well as questionable products and services, regardless of the sincerity of their promoters. In line with this definition, the word "fraud" would be reserved only for situations in which deliberate deception is involved.

In addition to the ethical problems of promising benefits that are not likely to occur, quackery might cause people to forego treatments that are more likely to help them, in favor of ineffective treatments given by the "quack".

American pediatrician Paul Offit has proposed four ways in which alternative medicine "becomes quackery":

  1. "by recommending against conventional therapies that are helpful."
  2. "by promoting potentially harmful therapies without adequate warning."
  3. "by draining patients' bank accounts ..."
  4. "by promoting magical thinking ..."

Since it is difficult to distinguish between those who knowingly promote unproven medical therapies and those who are mistaken as to their effectiveness, United States courts have ruled in defamation cases that accusing someone of quackery or calling a practitioner a quack is not equivalent to accusing that person of committing medical fraud. However, the FDA makes little distinction between the two. To be considered a fraud, it is not strictly necessary for one to know they are misrepresenting the benefits or risks of the services offered.

Quacksalver

Unproven, usually ineffective, and sometimes dangerous medicines and treatments have been peddled throughout human history. Theatrical performances were sometimes given to enhance the credibility of purported medicines. Grandiose claims were made for what could be humble materials indeed: for example, in the mid-19th century revalenta arabica was advertised as having extraordinary restorative virtues as an empirical diet for invalids; despite its impressive name and many glowing testimonials it was in truth only ordinary lentil flour, sold to the gullible at many times the true cost.

Even where no fraud was intended, quack remedies often contained no effective ingredients whatsoever. Some remedies contained substances such as opium, alcohol and honey, which would have given symptomatic relief but had no curative properties. Some would have addictive qualities to entice the buyer to return. The few effective remedies sold by quacks included emetics, laxatives and diuretics. Some ingredients did have medicinal effects: mercury, silver and arsenic compounds may have helped some infections and infestations; willow bark contains salicylic acid, chemically closely related to aspirin; and the quinine contained in Jesuit's bark was an effective treatment for malaria and other fevers. However, knowledge of appropriate uses and dosages was limited.

Criticism of quackery in academia

The evidence-based medicine community has criticized the infiltration of alternative medicine into mainstream academic medicine, education, and publications, accusing institutions of "diverting research time, money, and other resources from more fruitful lines of investigation in order to pursue a theory that has no basis in biology."

For example, David Gorski criticized Brian M. Berman, founder of the University of Maryland Center for Integrative Medicine, for writing that "There evidence that both real acupuncture and sham acupuncture more effective than no treatment and that acupuncture can be a useful supplement to other forms of conventional therapy for low back pain." He also castigated editors and peer reviewers at the New England Journal of Medicine for allowing it to be published, since it effectively recommended deliberately misleading patients in order to achieve a known placebo effect.

History in Europe and the United States

The Surgeon by Jan Sanders van Hemessen (1555)

With little understanding of the causes and mechanisms of illnesses, widely marketed "cures" (as opposed to locally produced and locally used remedies), often referred to as patent medicines, first came to prominence during the 17th and 18th centuries in Britain and the British colonies, including those in North America. Daffy's Elixir and Turlington's Balsam were among the first products that used branding (e.g. using highly distinctive containers) and mass marketing to create and maintain markets. A similar process occurred in other countries of Europe around the same time, for example with the marketing of Eau de Cologne as a cure-all medicine by Johann Maria Farina and his imitators. Patent medicines often contained alcohol or opium, which, while presumably not curing the diseases for which they were sold as a remedy, did make the imbibers feel better and confusedly appreciative of the product.

The number of internationally marketed quack medicines increased in the later 18th century; the majority of them originated in Britain and were exported throughout the British Empire. By 1830, British parliamentary records list over 1,300 different "proprietary medicines", the majority of which were "quack" cures by modern standards.

A Dutch organisation that opposes quackery, Vereniging tegen de Kwakzalverij (VtdK), was founded in 1881, making it the oldest organisation of this kind in the world. It has published its magazine Nederlands Tijdschrift tegen de Kwakzalverij (Dutch Magazine against Quackery) ever since. In these early years the VtdK played a part in the professionalisation of medicine. Its efforts in the public debate helped to make the Netherlands one of the first countries with governmental drug regulation.

Dalby's Carminative, Daffy's Elixir and Turlington's Balsam of Life bottles dating to the late 18th and early 19th centuries. These "typical" patent or quack medicines were marketed in very different, and highly distinctive, bottles. Each brand retained the same basic appearance for more than 100 years.

In 1909, in an attempt to stop the sale of quack medicines, the British Medical Association published Secret Remedies, What They Cost And What They Contain. This publication was originally a series of articles published in the British Medical Journal between 1904 and 1909. The publication was composed of 20 chapters, organising the work by sections according to the ailments the medicines claimed to treat. Each remedy was tested thoroughly, the preface stated: "Of the accuracy of the analytical data there can be no question; the investigation has been carried out with great care by a skilled analytical chemist." The book did lead to the end of some of the quack cures, but some survived the book by several decades. For example, Beecham's Pills, which according to the British Medical Association contained in 1909 only aloes, ginger and soap, but claimed to cure 31 medical conditions, were sold until 1998. The failure of the medical establishment to stop quackery was rooted in the difficulty of defining what precisely distinguished real medicine, and in the appeals that quackery held out to consumers.

British patent medicines lost their dominance in the United States when they were denied access to the Thirteen Colonies markets during the American Revolution, and lost further ground for the same reason during the War of 1812. From the early 19th century "home-grown" American brands started to fill the gap, reaching their peak in the years after the American Civil War. British medicines never regained their previous dominance in North America, and the subsequent era of mass marketing of American patent medicines is usually considered to have been a "golden age" of quackery in the United States. This was mirrored by similar growth in marketing of quack medicines elsewhere in the world.

Clark Stanley's Snake Oil

In the United States, false medicines in this era were often denoted by the slang term snake oil, a reference to sales pitches for the false medicines that claimed exotic ingredients provided the supposed benefits. Those who sold them were called "snake oil salesmen", and usually sold their medicines with a fervent pitch similar to a fire and brimstone religious sermon. They often accompanied other theatrical and entertainment productions that traveled as a road show from town to town, leaving quickly before the falseness of their medicine was discovered. Not all quacks were restricted to such small-time businesses however, and a number, especially in the United States, became enormously wealthy through national and international sales of their products.

In 1875, the Pacific Medical and Surgical Journal complained:

If Satan has ever succeeded in compressing a greater amount of concentrated mendacity into one set of human bodies above every other description, it is in the advertising quacks. The coolness and deliberation with which they announce the most glaring falsehoods are really appalling. A recent arrival in San Francisco, whose name might indicate that he had his origin in the Pontine marshes of Europe, announces himself as the "Late examining physician of the Massachusetts Infirmary, Boston." This fellow has the impudence to publish that his charge to physicians in their own cases is $5.00! Another genius in Philadelphia, of the bogus diploma breed, who claims to have founded a new system of practice and who calls himself a "Professor," advertises two elixers of his own make, one of which is for "all male diseases" and the other for "all female diseases"! In the list of preparations which this wretch advertises for sale as the result of his own labors and discoveries, is ozone!

— Pacific Medical and Surgical Journal Reprinted in the Boston Medical And Surgical Journal, vol. 91, p. 373

One among many examples is William Radam, a German immigrant to the US, who, in the 1880s, started to sell his "Microbe Killer" throughout the United States and, soon afterwards, in Britain and throughout the British colonies. His concoction was widely advertised as being able to "cure all diseases", and this phrase was even embossed on the glass bottles the medicine was sold in. In fact, Radam's medicine was a therapeutically useless (and in large quantities actively poisonous) dilute solution of sulfuric acid, coloured with a little red wine. Radam's publicity material, particularly his books, provide an insight into the role that pseudoscience played in the development and marketing of "quack" medicines towards the end of the 19th century.

Cartoon depicting a quack doctor using hypnotism (1780, France)

Advertising claims similar to those of Radam can be found throughout the 18th, 19th, 20th and 21st centuries. "Dr." Sibley, an English patent medicine seller of the late 18th and early 19th centuries, even went so far as to claim that his Reanimating Solar Tincture would, as the name implies, "restore life in the event of sudden death". Another English quack, "Dr. Solomon" claimed that his Cordial Balm of Gilead cured almost anything, but was particularly effective against all venereal complaints, from gonorrhea to onanism. Although it was basically just brandy flavoured with herbs, the price of a bottle was a half guinea (£sd system) in 1800, equivalent to over £38 ($52) in 2014.

Not all patent medicines were without merit. Turlingtons Balsam of Life, first marketed in the mid-18th century, did have genuinely beneficial properties. This medicine continued to be sold under the original name into the early 20th century, and can still be found in the British and American pharmacopoeias as "Compound tincture of benzoin". In these cases, the treatments likely lacked empirical support when they were introduced to the market, and their benefits were simply a convenient coincidence discovered after the fact.

The end of the road for the quack medicines now considered grossly fraudulent in the nations of North America and Europe came in the early 20th century. 21 February 1906 saw the passage into law of the Pure Food and Drug Act in the United States. This was the result of decades of campaigning by both government departments and the medical establishment, supported by a number of publishers and journalists (one of the most effective was Samuel Hopkins Adams, who wrote "The Great American Fraud" series in Collier's in 1905). This American Act was followed three years later by similar legislation in Britain and in other European nations. Between them, these laws began to remove the more outrageously dangerous contents from patent and proprietary medicines, and to force quack medicine proprietors to stop making some of their more blatantly dishonest claims. The Act, however, left advertising and claims of effectiveness unregulated as the Supreme Court interpreted it to mean only that ingredients on labels had to be accurate. Language in the 1912 Sherley Amendment, meant to close this loophole, was limited to regulating claims that were false and fraudulent, creating the need to show intent. Throughout the early 20th century, the American Medical Association collected material on medical quackery, and one of their members and medical editors in particular, Arthur J. Cramp, devoted his career to criticizing such products. The AMA's Department of Investigation closed in 1975, but their only archive open to non-members remains, the American Medical Association Health Fraud and Alternative Medicine Collection.

"Medical quackery and promotion of nostrums and worthless drugs were among the most prominent abuses that led to formal self-regulation in business and, in turn, to the creation of the Better Business Bureau."

Contemporary culture

Electro-metabograph machine on display in the "Quackery Hall of Fame" in the Science Museum of Minnesota, St. Paul, Minnesota, US

"Quackery is the promotion of false and unproven health schemes for a profit. It is rooted in the traditions of the marketplace", with "commercialism overwhelming professionalism in the marketing of alternative medicine". Quackery is most often used to denote the peddling of the "cure-alls" described above. Quackery is an ongoing problem that can be found in any culture and in every medical tradition. Unlike other advertising mediums, rapid advancements in communication through the Internet have opened doors for an unregulated market of quack cures and marketing campaigns rivaling the early 20th century. Most people with an e-mail account have experienced the marketing tactics of spamming – in which modern forms of quackery are touted as miraculous remedies for "weight loss" and "sexual enhancement", as well as outlets for medicines of unknown quality.

India

In 2008, the Hindustan Times reported that some officials and doctors estimated that there were more than 40,000 quacks practicing in Delhi, following outrage over a "multi-state racket where unqualified doctors conducted hundreds of illegal kidney transplants for huge profits." The president of the Indian Medical Association (IMA) in 2008 criticized the central government for failing to address the problem of quackery and for not framing any laws against it.

In 2017, IMA again asked for an antiquackery law with stringent action against those practicing without a license. As of 2024, the government of India is yet to pass an anti-quackery law.

Ministry of Ayush

In 2014, the Government of India formed a Ministry of AYUSH that includes the seven traditional systems of healthcare. The Ministry of Ayush (expanded from Ayurveda, Yoga, Naturopathy, Unani, Siddha, Sowa-Rigpa and Homoeopathy), is purposed with developing education, research and propagation of indigenous alternative medicine systems in India. The ministry has faced significant criticism for funding systems that lack biological plausibility and are either untested or conclusively proven as ineffective. Quality of research has been poor, and drugs have been launched without any rigorous pharmacological studies and meaningful clinical trials on Ayurveda or other alternative healthcare systems.

There is no credible efficacy or scientific basis of any of these forms of treatment. A strong consensus prevails among the scientific community that homeopathy is a pseudo-scientific, unethical and implausible line of treatment. Ayurveda is deemed to be pseudoscientific. Much of the research on postural yoga has taken the form of preliminary studies or clinical trials of low methodological quality; there is no conclusive therapeutic effect except in back pain. Naturopathy is considered to be a form of pseudo-scientific quackery, ineffective and possibly harmful, with a plethora of ethical concerns about the very practice.

Unani lacks biological plausibility and is considered to be pseudo-scientific quackery, as well.

United States

"Tho-radia powder" box, an example of radioactive quackery

While quackery is often aimed at the aged or chronically ill, it can be aimed at all age groups, including teens, and the FDA has mentioned some areas where potential quackery may be a problem: breast developers, weight loss, steroids and growth hormones, tanning and tanning pills, hair removal and growth, and look-alike drugs.

In 1992, the president of The National Council Against Health Fraud, William T. Jarvis, wrote in Clinical Chemistry that:

The U.S. Congress determined quackery to be the most harmful consumer fraud against elderly people. Americans waste $27 billion annually on questionable health care, exceeding the amount spent on biomedical research. Quackery is characterized by the promotion of false and unproven health schemes for profit and does not necessarily involve imposture, fraud, or greed. The real issues in the war against quackery are the principles, including scientific rationale, encoded into consumer protection laws, primarily the U.S. Food, Drug, and Cosmetic Act. More such laws are badly needed. Regulators are failing the public by enforcing laws inadequately, applying double standards, and accrediting pseudomedicine. Non-scientific health care (e.g., acupuncture, ayurvedic medicine, chiropractic, homeopathy, naturopathy) is licensed by individual states. Practitioners use unscientific practices and deception on a public who, lacking complex health-care knowledge, must rely upon the trustworthiness of providers. Quackery not only harms people, it undermines the scientific enterprise and should be actively opposed by every scientist.

Scientology's E-Meter, a quack device for measuring 'engrams'

For those in the practice of any medicine, to allege quackery is to level a serious objection to a particular form of practice. Most developed countries have a governmental agency, such as the Food and Drug Administration (FDA) in the US, whose purpose is to monitor and regulate the safety of medications as well as the claims made by the manufacturers of new and existing products, including drugs and nutritional supplements or vitamins. The Federal Trade Commission (FTC) participates in some of these efforts. To better address less regulated products, in 2000, US President Clinton signed Executive Order 13147 that created the White House Commission on Complementary and Alternative Medicine. In 2002, the commission's final report made several suggestions regarding education, research, implementation, and reimbursement as ways to evaluate the risks and benefits of each. As a direct result, more public dollars have been allocated for research into some of these methods.

The 1929 Revigator (sometimes misspelled Revigorator) was a pottery crock lined with radioactive ore that emitted radon.

Individuals and non-governmental agencies are active in attempts to expose quackery. According to John C. Norcross et al. less is consensus about ineffective "compared to effective procedures" but identifying both "pseudoscientific, unvalidated, or 'quack' psychotherapies" and "assessment measures of questionable validity on psycho-metric grounds" was pursued by various authors. The evidence-based practice (EBP) movement in mental health emphasizes the consensus in psychology that psychological practice should rely on empirical research. There are also "anti-quackery" websites, such as Quackwatch, that help consumers evaluate claims. Quackwatch's information is relevant to both consumers and medical professionals.

Presence and acceptance

The pee looker (Piskijker), David Teniers the Younger (1660)
A quack selling cards with a verse from the Quran which is supposed to protect the wearer from snakebites. Tabant, Aït Bouguemez valley, Central Morocco (2009).
The Quack Doctor, Jan Victors (c. 1635)

There have been several suggested reasons why quackery is accepted by patients in spite of its lack of effectiveness:

Ignorance
Those who perpetuate quackery may do so to take advantage of ignorance about conventional medical treatments versus alternative treatments, or may themselves be ignorant regarding their own claims. Mainstream medicine has produced many remarkable advances, so people may tend to also believe groundless claims.
Placebo effect
Medicines or treatments known to have no pharmacological effect on a disease can still affect a person's perception of their illness, and this belief in its turn does indeed sometimes have a therapeutic effect, causing the patient's condition to improve. This is not to say that no real cure of biological illness is effected – "though we might describe a placebo effect as being 'all in the mind', we now know that there is a genuine neurobiological basis to this phenomenon." People report reduced pain, increased well-being, improvement, or even total alleviation of symptoms. For some, the presence of a caring practitioner and the dispensation of medicine is curative in itself.
Regression fallacy
Lack of understanding that health conditions change with no treatment and attributing changes in ailments to a given therapy.
Confirmation bias
The tendency to search for, interpret, or prioritize information in a way that confirms one's beliefs or hypotheses. It is a type of cognitive bias and a systematic error of inductive reasoning.
Distrust of conventional medicine
Many people, for various reasons, have a distrust of conventional medicine, or of the regulating organizations such as the FDA, or the major drug corporations. For example, "CAM may represent a response to disenfranchisement in conventional medical settings and resulting distrust".
Conspiracy theories
Anti-quackery activists ("quackbusters") are often falsely accused of being part of a huge "conspiracy" to suppress "unconventional" and/or "natural" therapies, as well as those who promote them. It is alleged that this conspiracy is backed and funded by the pharmaceutical industry and the established medical care system – represented by the AMA, FDA, ADA, CDC, WHO, etc. – for the purpose of preserving their power and increasing their profits. This idea is often held by people with antiscience views.
Fear of side effects
A great variety of pharmaceutical medications can have very distressing side effects, and many people fear surgery and its consequences, so they may opt to shy away from these mainstream treatments.
Cost
There are some people who simply cannot afford conventional treatment, and seek out a cheaper alternative. Nonconventional practitioners can often dispense treatment at a much lower cost. This is compounded by reduced access to healthcare.
Desperation
People with a serious or terminal disease, or who have been told by their practitioner that their condition is "untreatable", may react by seeking out treatment, disregarding the lack of scientific proof for its effectiveness, or even the existence of evidence that the method is ineffective or even dangerous. Despair may be exacerbated by the lack of palliative non-curative end-of-life care. Between 2012 and 2018 appeals on UK crowdfunding sites for cancer treatment with an alternative health element have raised £8 million. This is described as "a new and lucrative revenue stream for cranks, charlatans, and conmen who prey on the vulnerable."
Pride
Once people have endorsed or defended a cure, or invested time and money in it, they may be reluctant or embarrassed to admit its ineffectiveness and therefore recommend a treatment that does not work. This is a manifestation of the sunk cost fallacy.
Fraud
Some practitioners, fully aware of the ineffectiveness of their medicine, may intentionally produce fraudulent scientific studies, for example, thereby confusing any potential consumers as to the effectiveness of the medical treatment.

Deceased persons accused of quackery

  • Thomas Allinson (1858–1918), founder of naturopathy. His views often brought him into conflict with the Royal College of Physicians of Edinburgh and the General Medical Council, particularly his opposition to doctors' frequent use of drugs, his opposition to vaccination and his self-promotion in the press. His views and publication of them led to him being labeled a quack and being struck off by the General Medical Council for infamous conduct in a professional respect.
  • Lovisa Åhrberg (1801–1881), the first Swedish female doctor. Åhrberg was met with strong resistance from male doctors and was accused of quackery. During the formal examination she was acquitted of all charges and allowed to practice medicine in Stockholm even though it was forbidden for women in the 1820s. She later received a medal for her work.
  • Johanna Brandt (1876–1964), a South African naturopath who advocated the "Grape Cure" as a cure for cancer.
  • John R. Brinkley (1885–1942), a nonphysician and xenotransplant specialist in Kansas, US, who claimed to have discovered a method of effectively transplanting the testicles of goats into aging men. After state authorities took steps to shut down his practice, he retaliated by entering politics in 1930 and unsuccessfully running for the office of Governor of Kansas.
  • Hulda Regehr Clark (1928–2009), was a controversial naturopath, author, and practitioner of alternative medicine who claimed to be able to cure all diseases and advocated methods that have no scientific validity.
  • Max Gerson (1881–1959), was a German-born American physician who developed a dietary-based alternative cancer treatment that he claimed could cure cancer and most chronic, degenerative diseases. His treatment was called The Gerson Therapy. Most notably, Gerson Therapy was used, unsuccessfully, to treat Jessica Ainscough and Garry Winogrand. According to Quackwatch, Gerson Institute claims of cure are based not on actual documentation of survival, but on "a combination of the doctor's estimate that the departing patient has a 'reasonable chance of surviving', plus feelings that the Institute staff have about the status of people who call in". The American Cancer Society reports that "here is no reliable scientific evidence that Gerson therapy is effective ..."
The quack, Jan Steen (c. 1650–60)
  • Samuel Hahnemann (1755–1843), founder of homeopathy. Hahnemann believed that all diseases were caused by "miasms", which he defined as irregularities in the patient's vital force. He also said that illnesses could be treated by substances that in a healthy person produced similar symptoms to the illness, in extremely low concentrations, with the therapeutic effect increasing with dilution and repeated shaking.
  • Lawrence B. Hamlin (in 1916), was fined under the 1906 US Pure Food and Drug Act for advertising that his Wizard Oil could kill cancer.
  • L. Ron Hubbard (1911–1986), was the founder of the Church of Scientology. He was an American science fiction writer, former US Navy officer, and creator of Dianetics. He has been commonly called a quack and a con man by both critics of Scientology and by many psychiatric organizations in part for his often extreme anti-psychiatric beliefs and false claims about technologies such as the E-meter.
  • Linda Hazzard, (1867–1938), was a self-declared doctor and fasting specialist, which she advertised as a panacea for every medical ailment. Up to 40 patients may have died of starvation in her "sanitarium" in Olalla, Washington, US. Imprisoned for one death in 1912, Hazzard was paroled in 1915 and continued to practice medicine without a license in New Zealand (1915–1920) and Washington, US (1920–1935). Died in 1938 while attempting a fasting to cure herself.
  • William Donald Kelley, (1925–2005), was an orthodontist and a follower of Max Gerson who developed his own alternative cancer treatment called Nonspecific Metabolic Therapy. This treatment is based on the unsubstantiated belief that "wrong foods malignancy to grow, while proper foods natural body defenses to work". It involves, specifically, treatment with pancreatic enzymes, 50 daily vitamins and minerals (including laetrile), frequent body shampoos, coffee enemas, and a specific diet. According to Quackwatch, "not only is his therapy ineffective, but people with cancer who take it die more quickly and have a worse quality of life than those having standard treatment, and can develop serious or fatal side-effects. Kelley's most famous patient was actor Steve McQueen.
  • John Harvey Kellogg (1852–1943), was a medical doctor in Battle Creek, Michigan, US, who ran a sanitarium using holistic methods, with a particular focus on nutrition, enemas and exercise. Kellogg was an advocate of vegetarianism and invented the corn flake breakfast cereal with his brother, Will Keith Kellogg.
  • John St. John Long (1798–1834) was an Irish artist who claimed to be able to cure tuberculosis by causing a sore or wound on the back of the patient, out of which the disease would exit. He was tried twice for manslaughter of his patients who died under this treatment.
  • Franz Anton Mesmer (1734–1815), was a German physician and astrologist, who invented what he called magnétisme animal.
  • Theodor Morell (1886–1948), a German physician best known as Adolf Hitler's personal doctor. Morell administered approximately 74 substances, in 28 different mixtures to Hitler, including heroin, cocaine, Doktor Koster's Antigaspills, potassium bromide, papaverine, testosterone, vitamins and animal enzymes. Despite Hitler's dependence on Morell, and his recommendations of him to other Nazi leaders, Hermann Göring, Heinrich Himmler, Albert Speer and others quietly dismissed Morell as a quack.
  • Daniel David Palmer (1845–1913), was a grocery store owner that claimed to have healed a janitor of deafness after adjusting the alignment of his back. He founded the field of chiropractic based on the principle that all disease and ailments could be fixed by adjusting the alignment of someone's back. His hypothesis was disregarded by medical professionals at the time and despite a considerable following has yet to be scientifically proven. Palmer established a magnetic healing facility in Davenport, Iowa, styling himself 'doctor'. Not everyone was convinced, as a local paper in 1894 wrote about him: "A crank on magnetism has a crazy notion that he can cure the sick and crippled with his magnetic hands. His victims are the weak-minded, ignorant and superstitious, those foolish people who have been sick for years and have become tired of the regular physician and want health by the short-cut method … he has certainly profited by the ignorance of his victims … His increase in business shows what can be done in Davenport, even by a quack."
  • Louis Pasteur (1822–1895), was a French chemist best known for his remarkable breakthroughs in microbiology. His experiments confirmed the germ theory of disease, also reducing mortality from puerperal fever (childbed), and he created the first vaccine for rabies. He is best known to the general public for showing how to stop milk and wine from going sour – this process came to be called pasteurization. His hypotheses initially met with much hostility, and he was accused of quackery on multiple occasions. However, he is now regarded as one of the three main founders of microbiology, together with Ferdinand Cohn and Robert Koch.
  • Linus Pauling (1901–1994), a Nobel Prize winner in chemistry, Pauling spent much of his later career arguing for the treatment of somatic and psychological diseases with orthomolecular medicine. Among his claims were that the common cold could be cured with massive doses of vitamin C. Together with Ewan Cameron he wrote the 1979 book Cancer and Vitamin C, which was again more popular with the public than the medical profession, which continued to regard claims about the effectiveness of vitamin C in treating or preventing cancer as quackery. A biographer has discussed how controversial his views on megadoses of Vitamin C have been and that he was "still being called a 'fraud' and a 'quack' by opponents of his 'orthomolecular medicine'".
  • Doctor John Henry Pinkard (1866–1934) was a Roanoke, Virginia businessman and "Yarb Doctor" or "Herb Doctor" who concocted quack medicines that he sold and distributed in violation of the Food and Drugs Act and the earlier Pure Food and Drug Act. He was also known as a "clairvoyant, herb doctor and spiritualist." Some of Pinkard's Sanguinaria Compound, made from bloodroot or bloodwort, was seized by federal officials in 1931. "Analysis by this department of a sample of the article showed that it consisted essentially of extracts of plant drugs including sanguinaria, sugar, alcohol, and water. It was alleged in the information that the article was misbranded in that certain statements, designs, and devices regarding the therapeutic and curative effects of the article, appearing on the bottle label, falsely and fraudulently represented that it would be effective as a treatment, remedy, and cure for pneumonia, coughs, weak lungs, asthma, kidney, liver, bladder, or any stomach troubles, and effective as a great blood and nerve tonic." He pleaded guilty and was fined.
  • Wilhelm Reich (1897–1957), Austrian-American Psychoanalyst. Claimed that he had discovered a primordial cosmic energy called Orgone. He developed several devices, including the Cloudbuster and the Orgone Accumulator, that he believed could use orgone to manipulate the weather, battle space aliens and cure diseases, including cancer. After an investigation, the US Food and Drug Administration concluded that they were dealing with a "fraud of the first magnitude". On 10 February 1954, the US Attorney for Maine filed a complaint seeking a permanent injunction under Sections 301 and 302 of the Federal Food, Drug, and Cosmetic Act, to prevent interstate shipment of orgone accumulators and to ban some of Reich's writing promoting and advertising the devices. Reich refused to appear in court, arguing that no court was in a position to evaluate his work. Reich was arrested for contempt of court, and convicted to two years in jail, a US$10,000 fine, and his Orgone Accumulators and work on Orgone were ordered to be destroyed. On 23 August 1956, six tons of his books, journals, and papers were burned in the 25th Street public incinerator in New York. On 12 March 1957 he was sent to Danbury Federal Prison, where Richard C. Hubbard, a psychiatrist who admired Reich, examined him, recording paranoia manifested by delusions of grandiosity, persecution, and ideas of reference. Nine months later, on 18 November 1957, Reich died of a heart attack while he was in the federal penitentiary in Lewisburg, Pennsylvania.
  • William Herbert Sheldon (1898–1977), who created the theory of somatotypes corresponding to intelligence.

Information Age quackery

As technology has evolved, particularly with the advent and wide adoption of the internet, it has increasingly become a source of quackery. For example, writing in The New York Times Magazine, Virginia Heffernan criticized WebMD for biasing readers toward drugs that are sold by the site's pharmaceutical sponsors, even when they are unnecessary. She wrote that WebMD "has become permeated with pseudomedicine and subtle misinformation."

See also

Notes

  1. The British Medical Association estimated that, based on ad valorem tax revenues from patent medicines for the fiscal year ending 31 March 1908, the British public spent about £2.42 million on patent medicines. This is equivalent to about £226 million ($309 million) in 2014.
  2. The price of a bottle of Cordial Balm of Gilead was 33 shillings in the period of the Napoleonic wars, equivalent to over £109 ($149) in 2014.

References

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Works cited

  • Carroll, 2003. "The Skeptics Dictionary". New York: Wiley.
  • Della Sala, 1999. Mind Myths: Exploring Popular Assumptions about the Mind and Brain. New York: Wiley.
  • Eisner, 2000. The Death of Psychotherapy; From Freud to Alien Abductions. Westport, CT: Praegner.
  • Lilienfeld, SO., Lynn, SJ., Lohr, JM. 2003. Science and Pseudoscience in Clinical Psychology. New York: Guildford
  • Norcross JC; Garofalo A.; Koocher G. (2006). "Discredited Psychological Treatments and Tests; A Delphi Poll". Professional Psychology: Research and Practice. 37 (5): 515–522. doi:10.1037/0735-7028.37.5.515. S2CID 35414392.

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