Desrtopa comments on [LINK] Why did Steve Jobs choose not to effectively treat his cancer? - Less Wrong Discussion
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"Alternative medicine" is very rarely supported by well documented research with good methodology. When it is, it tends to become mainstream.
You can experiment empirically with mainstream medicine, as with alternative medicine, but in both cases usually only with a sample size of one. Research in mainstream medicine is corrupted by publication bias and industries with vested interest in funding studies with positive results, but alternative medicine is even worse, adding complete failure to understand credible research design or statistics into the mix. Individuals engaging in personal experimentation tend to be no less prone to bias, and are in a much worse position to conduct meaningful research.
Or, as Tim Minchin puts it:
The point is not for individuals to create generalizeable claims, but rather to allow idiosyncratic individuals with unique problems and life situations to improve their health. You cannot argue with the results individuals achieve. Of course, much of this individual research is only necessitated by the utter lack of reliable data:
"Researchers reviewed 546 drug trials and found that industry-funded trials reported positive outcomes 85% of the time compared with 50% of the time for government-funded trials and 72% of the time for trials funded by nonprofits or non-federal organizations. Among the nonprofit or non-federal studies, those that received industry contributions were more likely to be positive (85%) compared with those that did not have any industry support (61%). ... But the new study also showed that results of industry-funded studies were published within two years of the study completion 32% of the time compared with 54% for government trials and 56% for nonprofit or non-federal trials." http://articles.latimes.com/2010/aug/02/news/la-heb-studies-20100802
Corruption in the drug industry is not trivial in the least, and because of the economic organization of the world such bias will not be going away in the forseeable future.
I've never argued that research in mainstream medicine is good, only that "alternative" medicine is a worse alternative. If there is no evidence whatsoever that a piece of alternative medicine provides benefit over placebo, you're better off taking something for which there is even weak evidence of it being better than placebo. At least you should get the benefit of the placebo effect either way.
One common way in which industry funded studies are slanted is by measuring their drugs against placebo, when the relevant information is how they perform against the best drugs already on the market. A drug that comes out ahead in these tests may be strictly inferior to other drugs that are are available, but it's probably still better than alternative medicine, which reliably fails to outperform placebos.
If an individual takes alternative medicine and gets better, there's no point arguing that they didn't get better, but that doesn't mean that taking alternative medicine was a good idea.
That's nearly a contradiction in terms. Mainstream medicine, as a practice, refuses empirical experimentation on particular patients. Here's the disease. Here is the cookbook cure that has been sanctioned by some professional board, with backing by a billion dollar study that shows some statistical advantage over a whole population. If there is no such study, then the prescription is a shrug and a pat on the head.
Older family practicioners often aren't like that. They'll say "I don't really know what will work for you, but we can try a few things".
Think of a car mechanic. He thinks about how a car works, runs diagnostic tests, and swaps out parts. He doesn't have placebo controlled double blinded studies, and doesn't just shrug when he doesn't have a study, or doesn't have an immediate answer.
I completely disagree. He is uniquely situated and motivated to conduct research to solve the problem at hand - his problem
If it works for you, then it works for you. No billion dollar study required, and it doesn't matter what the statistical averages are when you determine it works for you. That is the problem to be solved - an individual's problem. Given that he and no one else has possession of the system requiring fixing, he is in a very good position to do "research" to fix his problem, if he is not prevented by regulations and institutions barring him from tests, materials, and treatments. He has much more motivation to fix the problem than his doctor, who has a great many more compelling interests than healing his patient.
If no study shows that any treatment has a particular advantage over placebo, many doctors will prescribe a placebo. Prescribing actual medicines at random would be a bad idea, since there's no reason to arbitrarily privilege the hypothesis that any particular treatment will help you more than a placebo, and a placebo has less danger of side effects. Of course, you can always go to a drugstore and buy mainstream medicines which have been found to be useful for something to test on yourself, and like alternative medicine, this will give you something to point at when you get better, but it's not a very wise treatment plan.
If mere motivation was enough to overcome bias and incompetence at processing evidence, we would have no need for this site at all.
The advantage of "alternative medicine" is that you can always turn to it for a harmless placebo, but this is much less useful once you know that it's what the advantage actually is.
This is actually not quite true. There's been a surprising amount of self-experimentation in medicine and experimentation on individual patients. Lawrence Altman's "Who Goes First?" is a somewhat dry book on this subject that looks at self-experimentation by doctors and scientists in history. Most examples are things where they do deliberate harm to themselves (e.g. trying to figure out how a specific disease is transmitted by trying all sorts of different methods of infection, or deliberately reducing their intake of some specific vitamin and measuring the effects) but others involve actively trying to cure diseases that they happen to have. (Edit: For one recent unsuccessful example see here).
It is often difficult to tell if actually works for you or not. Self-evaluation is really tough, and when your sample size is one, the noise level can easily outweigh the signal. Still, there are actual steps that self-experimentation can include that help a lot. One can without too much difficulty double-blind self-tests with a help of a friend.