A report by the American Council on Science and Heath, written by psychiatrist Stephen Barrett. Edited by Nicolas Martin, 1988.
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The text discusses various organizations and individuals promoting pseudoscience and questionable health claims, as well as organizations working to educate the public about these issues.
It is a consumer education organization concerned with issues related to food, nutrition, chemicals, pharmaceuticals, lifestyle, the environment and health. It is made up of over 200 physicians, scientists, and policy advisors who review reports and participate in educational activities to inform the public.
Naturopathy, chiropractic, raw milk, dietary supplements claimed to treat diseases without evidence, and clinical tests that have not been shown to be effective by well-designed studies are some questionable methods mentioned.
The Unhealthy Alliance
Crusaders for "health freedom
0 ',,\: A special report by the American Council on Science and Health t . . .. !!S, American Council on Science and Health 1995 Broadway, 18th Roor New Yofk, NY 10023 (212) 362-7044 t I ' 'i Alliance Crusaders for "health freedom"t
1988, American Council on Science and Health 1995 Broadway, 18th Floor New York, NY 10023 (212) 362-7044 This special report was written by Stephen Barrett, M.D., Scientific and editorial consultant to the American Council of Science and Health (ACSH). Dr. Barrett, who practices psychiatry in Allentown, Pennsylvania, edits the Nutrition Forum newsletter and is co- author/editor of 21 books including Vitamins and "Health" Foods: The Great Amrican Hustle. In 1984 he received the FDA Commissioner's Special Citation Award for Public Service in fighting nutrition quackery. ACSH gratefully acknowledges the comments and c0nttibutions of the following individuals who reviewed this report: . I , Eric S. Berger, M.D. Fredrick J. Stare, M.D., Ph.D. 1 American Council on Science and Health Harvard School of Public Health F. J. Francis, Ph.D. University of Massachusetts Paul M. Hyman, Esq. Washington, D.C. Edward G. Remmers, Sc.D. American Council on Science and Health Stephen S. Sternberg, M.D. Memorial Sloan-Kettering Jack S. Weinstein, MD., J.D. South Orange, N.J. Elh:abeth M. Whelan, Sc.D., M.P.H. American Council on Science and Health The opinions expressed in ACSH publicatioos do not necessarily represent the views or all ACSH Directors and Advisors. What is the American Council on Science and Health? The American Council on Science and Health is a con- sumer education organization concerned with issues re- lated to food, nutrition, chemicals, pharmaceuticals, life- style, the environment and health. ACSH is an independ- ent, non-profit, trut-exempt association. The nucleus of ACSH is a board of more than 200 physi- cians, scientists, and policy advisors-experts in a wide variety of fields who review the Council's reports and participate in ACSH seminars, press conferences, media communications and other educational activities. With these goals in mind, ACSH produces a wide range of publications including peer-reviewed reports; a bimonthly newsletter covering current health issues; an infonnal quarterly newsletter covering ACSH activities that in- volve advisors, executives and staff; consumer infonna- tion flyers; and proceedings from ACSH seminars and conferences. In addition, ACSH produces a nationally sYncticated radio commentary series, hosts annual seminars and press con- ferences and presents an annual award to an outstanding scientists for his or her achievements. ACSH also directs an in-house internship program for students in health science fields and participateS inlegislative and regulatory hearings, radio and television pro#'IRIS/public and other forums; and ACSH's research findings receive extensive coverage in the news media. Individual memberships are available at $40 per year and include all ACSH publications and future scientific re- ports. Reduced rates ($15 per year) are offered to students, senior citizens and libraries. Subscription to ACSH News & Views only is available at $15. Please make all checks payable to American Council on Science and Health, and mail to: ACSH, 1995 Broadway, 18th floor, New York, NY 10023 I l 1 TABLE OF CONTENTS Section Page Introduction ............................................................................................. 3 National IIealth Federation ..................................................................... 3 NH:Fs board chainnan ............................... 4 Odler NH:F leaders ............................................................................. 6 NIIFs "Vitamin Bill" ....................................................................... 11 Promotion of laetrile .................................................................... 11 Opposition to fluoridation ................................................................. 12 Health Alternatives Legal Foundation ................................................... 13 American Quack Association ............................................................ 13 Coalition for Alternatives in Nutrition and Health Care ........................ 13 Overview ................................................................................................ 15 Appendix I: Glossary of questionable methods .. :: ................................ 15 Appendix Il: Antiquackery groups ......................................................... 16 1 INTRODUCTION The National Health Federation is an alliance of promoters and followers who engage in lobbying campaigns and many other ac- tivities. The Health Alternatives Legal Foundation, led by attorneys, is working primarily through the courts. The Ameri- can Quack Association is a mutual support network of "holistic" practitioners. The Coalition for Alternatives in Nutrition and Health Care is primarily involved in lobbying. All four groups are antagonistic toward accepted medical practices and use the words "alternative" and "freedom" to suit their own purposes. Many of their leaders have been involved in questiooable health activities, and some have even been convicted of crimes involv- ing such methods. -r'fHE NATIONAL HEALTH FEDERATION (NHF) The National Health Federation is headquartered in Monrovia, California and maintains a legislative office in Washing- ton, D.C. Its members pay from $20 pel' year for "regular" membership to a total of $1,000 or more for "perpetual" member- ship. NllF members receive occasional mailings and a monthly magazine called Health Freedom News (formerly called Public Scrutiny and theNHF Blllletin). According to the National Health Federa- tion Handbook, any two members can start a local chapter by adopting NHFs constitution and bylaws. naining tempo- rary officers alldteeeiving cie.ance from NllF headquarters. Currendy NHF has 78 chapters in 29 states and about 20,000 members. Since its formation. NHFs stated purpose has been topromOlie "medom of choicle .. by consumers. As expessed for years in its Bulletin: NHF opposes monopoly aNl o m p u l ~ sion in things related to health wltere the safety and welfare of others are not concerned. NHF does not oppose nor approve any specific healing pro- fession or their methods, but it does oppose the efforts of any one group to restrict the freedom of practice of f!.ualified members of another profes- sion, thus attempting to create a mo- nopoly. At first glance, this credo may seem "democratic" and somehow related to unfair business competition. What NHF really means, however, is that goverm:nent should not help scienlifically-based health care to drive unproven methods out of the 1 nwtetplace. NHF wants anyone who claims to have an effective treatment or product to be allowed to mskel it without scientific proof that it works. NHF promota questionable bealdl methods and ... little intaest in medically accepable types of ueaament. Health Freedom News contains ads for question- able treatments and products that are being mmteted illegally. Nutritional fads, I mylbs, and gimmicks are menlioned favorably by NHF publications and convention speakers. Worthless cancer treabnents, particularly laetrile. have been promoted in the same ways. Articles in NH:F publications look with disfavor on such proven public health measures as pasteurization of milk, immunization, water flumdation, and food irradiation. Use of nutritimal supplements is encour- aged by claims that mo&im food process- ing depletes our food supply of its nutrients. "Natural" and "organic" products are promoted with suggestions thal: our food supply is "poisoned." Chiropractic, naturopathy and homeopathy are regarded favorably. Books that promote questionable health concepts are given favorable reviews. Antiquackery legislation is condemned. Underlying all these messages is the idea that anyooe who opposed NHF's ideas is part of a "conspiracy" of govttnment, organized medicine and big business against the little consumer. NHF is very aclive in the political arena. fl pesents testimony to regulatory agencies and sponsors legislation aimed at keeping govenunent infelference with the health food indmtry to a minimum. To bolster the influence of its lobbyist, it assc'ssed $2,750 and served two years' generates letter-writing campaigns that summary probation. urge legislators and government officials to support NHF positions. These cam- able and false nutritional information in In 1973, Donsbach was charged with nine paigns typically include charges of perse- the world." more counts of illegal activity, including cution, discrimination and conspiracy. misbranding of drugs; selling, holding for NHF also files lawsuits against govern- NHF's board chairman or offering for sale, new drugs with- ment agencies and helps defend people Kurt W. Donsbach, D.C., N.D., D.Sc., out having the proper applications on file; prosecuted for selling questionable Ph.D., has been chairman ofNHF's board and manufacturing drugs without a "health" products or services. Not surpris- of governors since 1975, when he replaced license. After pleading "no contest" to ingly, most of NHF' s leaders have been Fred Hart. His other activities and one 'Of the "new drug" charges, he was 1 economically involved with the issues it enterprises have been so numerous and ordered to pay a small fine and was placed has promoted. complex that no one-including Donsbach on two year,s' summary probation with the himself-seems able to document all of provision that be of all NHF was founded in 1955 by Fred J. Hart, them with certainty. proprietaryjnlerest in Westpro Labs. In who was president of the Electronic 1974, he was.found guilty of violating his Medical Foundation, a company that Donsbach (pronounced Dons-bah) probation and was fined again. marketed quack devices. In 1954, Hart graduated in 1957 from Western States and his foundation were ordered by a U.S. Chiropractic College, iqPortland, Oregon, Donsbach sold the company to RichLife, District Court to stop distributing 13 and practiced as a chiropractor in Mon- Inc., bf .}naheim, California, a subsidiary devices with false claims that they could tana, "specializing in treatment of arthritic of Moxie Industries, of Atlanta, Georgia, diagnose and treat hundreds of diseases and rheumatoid disorders." FroM 1961 to for $250,000. He was also promised 1. and conditions. In 1962, Hart was fined 1965 he worked in "research development $20,000 a year for occasionally conduct- by the court for violating this order. Hart and marketing" for Standard Process ing seminars and operating the company's died in 1976, but his widow still serves as Laboratories (a division of Royal Lee's booth at trade shows. The agreement also NHF's executive secretary. Vitamin Products Company) and the Lee gave RichLife sole right to market Dr. Foundation for Nutritional Research, Donsbaeh Pak Vitamins, which RichLife Royal S. Lee, D.D.S., a nonpracticing headquartered in Milwaukee, Wisconsin. later described as "specialized formulas" dentist who died in 1967, helped Hart to "help make your life less complicated, found NHF and served on its board of While Donsbach worked for Lee, he lived more healthy." Among the products were governors. Lee owned and operated the in California, did literature research, and Arth Pak, Athletic Pak, Dynamite Pak, Vitamin Products Company, which sold gave nutrition seminars (primarily to Health and Beauty Pak and Stress Formula food supplements, and the Lee Foundation chiropractors) on how to determine Pak. for Nutritional Research, which distributed nutritional deficiencies. In 1962, he literature on nutrition and health. One of acquired a doctor of naturopathy (N.D.) Donsbach then became president of the vitamin company's products was degree from the now-defunct Hollywood Metabolic Products, a company specializ- Catalyn, a patent medicine composed of College of Naturopathic Medicine and ing in "orthomolecular concepts," which milk sugar, wheat starch, wheat bran and became licensed as a natumpath in he sold in 1975. According to literature other plant material. During the early Oregon. After Lee became ill, Donsbach from Metabolic Products, its garlic extract 1930s, a shipment of Catalyn was seized lefl his employ and opened Nature's Way could "prevent cellular deterioration," its by the FDA and destroyed by court order Health Food Store, in Wesuninster, alfalfa product had "anti-toxin properties" because it had been marketed with false California, and Westpro Laboratories, in which could help to overcome "-itis claims of effectiveness against serious Garden Grove, California, which repack- diseases," and so on. diseases. In 1945, Lee and his company aged dietary supplements and a few drugs. were ordered by the FDA to discontinue In 1975, Donsbach began producing Dr. illegal claims for Catalyn and other In 1970, undercover agents of the Fraud Donsbach teltsyiJueverything you always j; products. In 1956, the Post Office Division of the California Bureau of Food wanted to know about .. ., a large series of i i' Deparunent charged Lee's foundation and Drug observed Donsbach representing booklets on such topics as acne, arthritis,
L with fraudulent promotion of a book to customers in his store that vitamins, cataracts, ginseng, glandular extracts, t:, called Diet Prevents Polio. The founda- minerals and/or herbal tea were effective heart disease, and metabolic eancer I' tion agreed to discontinue the challenged against cancer, heart disease, emphysema therapies. According to Donsbach, more - claims. In 1962, Lee and the Vitamin (a chronic lung disease) and many other than eight million have been sold. The + Products Company were convicted of booklets were published by the lnterna- 1j ailments. Most of the ptoducts Donsbach i misbranding 115 special dietary products "prescribed" were packaged by Westpro tional Institute of Natural Health Sci- ,. l by making false claims for the treaunent Labs. Charged with nine counts of illegal by Donsbach-which j of more than 500 diseases and conditions. activity, Donsbach pleaded guilty in 1971 sold distribution rights to RichLife. 1l Lee received a one-year suspended prison to one count of practicing medicine t term and was fined $7,000. In 1963, a without a license and agreed to cease In 1980, the District Attorney of Orange prominent FDA official said Lee was "nutritional consultation." He was County charged RichLife with making
"probably the largest publisher of unreli- false and illegal claims for various t' l I products, including some originally fonnuJated by Donsbach. In a court- approved settlement, RichLife paid $50,000 and agreed to stop making the claims. In 1986, RichLife was charged with violating this agreement and was assessed $48,000 more in another court- approved seuJement. In 1984, Donsbach was sued by JzOb Stake, of Urbana. Illinois. who claims that he became ill and wu hospitali7.ed as a result of ingesting large amounts of vitamin A over a 2 lfl-year period. The suit papers state that Stake began fating the vitamin at age 16 because recommended in Doosbach's bootlet on acne. The case is sdD pending. During the mid-1970s, Donsbach affiliated with Union University, an unaccredited school in Los Angeles, where he says he acquired a master's degree in molecular biology and a Ph.D. in nutrition. In a deposition in the Stake case, he testified that he also was awarded an honorary doctor of science degree from Christian University, an unaccredited school which had operated in Los Angeles. However, two reporters have said he told them that his "D.Sc." was oblairied from a Midwest Bible college. In 1977, Union University formed a Department of Nutrition, "with Kurt Donsbach, Ph.D., Sc.D., as Dean of the Department." RichLife then offered scholarships to its retailers who wished to further their education. Later Donsbach launched and became president of his own school, Donsbach University, which in 1979 was "authorized" by California to grant degrees. This status had nothing to do with accreditation or other ac8demic recognition, but merely required the fding of an affidavit which describes the school's program and aMerts filing of an affidavit the school's program and asserts that it has at least $50,000 in &Mets. Donsbech University, which operaled mainly by mail, initially offered courses leading to B.S., M.S. and Ph.D. "degrees" in nutrition at fees ranging from $1,495 to $3,795, with a 20% discount for advance payment Most of the "textbooks" required for the ''buic curriculum" were books written for the general public by promot- ers of questionable nuuition practices, including Donsbach, Carlton Fredericks, Lendon Smith, and Robert Atkins. The original "facuhy" had seven members, including Donsbach, and Alan H. Nittler, M.D. {who. according to NHF. "1osl his medical license in 1915 becw he utilized nutritional therapiesj. But ads for the school promised "the finest quality rmtrilicn education available anywhere. Donsbach University also offered counes in iridology. homeopathy. herbal dlerapy, and chiropractic administration, as well as a $495 .. mini-course" in nutriticn for rewlers who wanted a "Dietary Consultant" certificate. In 1980, one of the schoots advisors, Benjamin Colimore, was prosecuted by the Los Angeles City Attorney for conduct during the operation of a health food store owned by him and his wife. Prosecution was initiated after a customer complained that the Colimores had diagnosed a bad heart valve, pancreatic abscesses and benign growths of her liver, intestine and stomach-all based oo an analysis of her hair-and prescribed two products from the store. After pleading "no contest" to one C01Dlt of practicing medicine without a license, the Colimores were fined $2,000, given a (,()-day suspended jail sentence, and placed on probation for two years. In 1979, Donsbach began publishing the Journal of the International Academy of Nutritional Consultants, with Dr. Nittler as its editor. The first issue had a press run of about 25,000 copies, most of which were sent free-of-charge to chiropractors. The second issue explained that Academy members could be listed in a directory, and that the Academy ''will .in no way encourage or tolerate the practice of medicine under the gilise of nutritional consultation" and would establish a legal fund to protect its members from "undue and unfair harassment by bureaucracies or agencies." Regular membership in the Academy, open to anyone, cost $10 per yeat (later taised to $11/year) an(fm- cluded a subscription to its journal, Professi<>nAd membership, which cost $50 per year, included a directory listing plus a ''beautiful certificate f<r your office." Sustaining membership, which cost $150 per year, gave a 15% discount on advertis- ing in the joUmal. Most of its 50 or so sustaining members had commercial interests in methods promoted by the journal. In 1981, the journal was renamed Health Express. Donsbach took over as editor-in-chief, and efforts were made to market it through health food s&ores and
One of the journal's many am was for nutritional cassette tapes. made by Donsbach, which could be otJtained by writing to "Dr. Donshlcb'sTll>es .. at the as his scboors. A retailer who responded to the ad was sent two price lists. not from the school. but from Health Education Products, a company apparently localed neimy. One lisl was for Donsbach's "Health Library" (of boots and lxdlets) and cassette tapes (which includcJJappier Sex Ufe and Herbal Medicine)!' The other was for food supplement fonnulas such as Optimum Nutrition, High Q, Anti-Oxidant Fonnula, Stress Nutrition, Renew-F and Renew-M. According to a catalog ofNutri-Books, the largest distributor of books and related products to health food stores, Dr. Donsbach's Nutritional Tape Cassettes are "like having Dr. Donsbach as your personal physician right in yom own home. Each ... gives pertinent infonnation and direction to aid in diagnosis and remedial action." During 1983, the International Academy of Nutritional Consultants merged with a similar group to become the American Association of Nutritional Consultants. For a few months, Donsbach was listed as chainnan of the group's national board of cmmselors and later he was listed as a contributing editor to its joumal, which also incorporated Health Express. In 1983 and 1984, Donsbach was listed as pub- lisher of the Journal of Ultramokcular Medicine, a publication for homeopaths who use computerized galvanometers to diagnose disease. He has also published a 4-page newsletter called Herb-Letter. In 1982,DooSbaCh formed and became board chairman of Health Resources Group, Inc., which sold supplement products to health food stores through HRG Enterprises (formerly called D&B Enterprises) and a multilevel company called Nutrition Motivation. HRG also operated Preventive Medicine and Nutrition Care Centers in Huntington Beach and Monrovia, California, and a
l I; syndicated radio talk show called "Let's Talk Health," which Donsbach hosted. HR.G's products were promoted frequently during the broadcasts, which were beamed by satellite to about 20 small stations. Listeners were invited to call in questions on a toll-free number. In 1984, Donsbach announced that he had repurchased from RichLife the right to sell products with his name, and HRG began promoting such products as Orachel (claimed to be effective against heart disease), C-Thru (claimed to be effective against cataracts) and Prosta-Pak (''nutti- tional support for the prostate gland"). In June 1985, the FDA sent Dombach and HRG a regulatory letter indicating that claims made for Orachel made it an unapproved new drug that was illegal to market. A few months later, New York State Attorney Genezal Robert Abrams had Orachel seized from several retail outlets in the New York City area and filed suit to block further sale and distribu- tion of the product throughout the state. It turned out, however, that before either of these actions were taken, Donsbach had transferred ownership of HRG Enterprises to a business associate. Marketing of Orachel was stopped, but Ora-Flow, an identical Donsbach product, is still being marketed. In July 1985, Abrams brought actions against Donsbach, his University, and the International Institute of Natural Health Sciences, charging that they lacked legal authorization to conduct busiDess within New York State and that it was illegal tg advertise unaccredited degrees to state residents. Abrams also charged that the Institute's Nutrient Deficiency Test was "a scheme to defraud consumers" by induc- ing them to buy dietary supplements to correct supposed deficiencies with the test. This test was composed of 245 yes/DO questions about symptoms. When the answers are fed into a computer, a report of supposed nutrient deficiencies and medical conditions is printed out How- ever, experts who have evaluated the questions did not believe they provide a basis for evaluating nutritional status. Moreover, a scientist with the FDA's Buffalo district office who analyzed the test's computer program in connection with prosecution of a Dons1)ach University "graduate" found that no matter how the questions were answered, the test reported several "nutrient deficiencies" and almost always recommended ari identical list of vitamins, minerals and digestive enzymes. The questionnaire also contained a section with questions about the subject's food intake during the past week. However, the answers given did not affect the printout of supposed deficiencies! In 1986, Donsbach and the Institute agreed to: 1) restrict the sale of its NUJrient Deficiency Test to health care profession- als legally authorized w-piactice within New York State; 2) stop marketing in New York State all current versions of its nutrient deficiency questionnaire and associated computer analysis services; 3) place conspicuous disclaimers on future versions of the questionnaire to indicate that the test should not be used for the diagnosis or treatment of any disease by either consumers or professionals; and 4) pay $1,000 in costs. Donsbach and the University agreed to disclose in any direct mailings to New York residents or in any nationally distributed publication that the school's degree programs are not regis- tered with the New York Department of Education and are not accredited by any accrediting commission recognized by the U.S. Department of Education. The University also agreed to pay $500 to New York State. During 1986 and part of 1987, Donsbach was .. therapy CQOrdinator" of the Bio- Genesis Institute in Baja. Mexico, which offered "chronic and acute care for degenerative disorders." Included in its scope were "aging rejuvenation, allergies, arthritis, cancer, cataracts, immune stimulation, and multi.pk sclero- sis." The treaunents offered included oral and intravenous chelation thttapy, laetrile. live cell therapy, homeopathy, DMSO, and colonic,s! Hydrogen peroxide was also used intravmottsly. and in ear drops, a nasal spray, a tooth gel, a pain gel, breath drops and enemas. The cost of treatment at IDstiture was.$795 for the 4 Day Executive Program, $2, 750 for the 11 Day Rejuvenation Program, and $5,000 for the 24 Day Total Pro- gram. But the Institute's information packet included a 20% discount certificate and stated that "there will be no charge if your condition is unimproved by the time you leave." In 1987, Dombach University announced that Donsbach had resigned as president and board chairman and that the school would be renamed International Univer- sity for Nutrition Education. Donsbach also began operating the newly-built Hospital Santa Monica, in Baja, Mexico, whose 21 Day Total Care Program is similar to that advertised for the Biogene- sis Institute. Brochures from Hospital Santa Monica describe it as a 60-bed multimillion dollar facility and st.8te that payment in advance is required. Patients insurance must)J!l!Y $5,000 with cash or a tashier'scheck, while those with satisfactory insurance must deposit $2,500. Donsbach has claimed that thousands of people have enrolled in his university and that more than 1,000 have graduated. As his graduates began representing them- selves to the public as nutrition profes- sionals, the American Dietetic Association began a drive for passage of state laws to restrict use of the word ''nutritionist" to qualified professionals with accredited training. NHF is opposed to such legisla- tion. Donsbach's logo is "Health is Wealth." Despite his apparently enormous gross income, he filed for in March 1987, listing no assets and over $3 million in debts claimed by more than 100 creditors. Other NHF leaders During NHF's early years, Andrew S. Rosbenberger served as the group's "nutrition chairinan" and spoke at NHF conventions. For many years, he and his brother a large chain of health food stores called Nature Food Centers. In 1938, their finn made an agreement with the FI'C to stop making therapeutic claims for more than 20
During the 1950s, the Post Office Depart- ment filed a number of compJainfs against the firm for making faJse thapeutic claims for various products. In each case, the company agreed to discontinue the claims. In 1962, the Rosenberger brothers - Walter Douglas Brodie, M.D., bas been were fined $5,000 each and given 6-month convicted twice of failing to file income suspended prison sentencm f<X" misbrand- tax returns. In 1977 be wm sentenced to ing dietary products. Nature Food Centers determine whether it was brought in good six months in prison, and in 1987. be was was fined $10,000. faith." {In other words, plaintiffs would fined $10,000 and sentenced to one year in probably be held responsible for the prison and five years' probation. In a 1983 Clinton Miller bas been NHF's legislative defendants' legal bills.) leuer describing bow he bas prescribed advocate since 1962 and bas also served as laetrile and other "alternative" cancer NHF's executive director. Beforeccming' Robert Atkins, M.D., is author of Dr. treatments, be stated that be bad moved to NHF be chailed the antiftuoridation Atkins' Diet Revolution, Dr. Atkins' his practice to Nevada after "political
committee of Utah, which helped make Superenergy Diet, and Dr. Atkins' Nutri- persecution" by the California State Board Utah the least fluoridated state in the U.S. lion Breakthrough. He refers to himself of Medical Quality Assurance. which bad In the 1960s and early 1970s he operated and like-minded colleagues as "the unsuccessfully attempted to discipline him t Clinton's Wheat Shop (a health food pioneers of Nutrition medicine who risked several times. store) in Bountiful, Utah, and Miller's their professional standing to develop the Honey Company in Salt Lake City. During methodology that led to the Nutrition Kirkpatrick Dilling, NHF's general this period the FDA took seven enforce- Breakthrough." Atkins condemns the counsel, is an attorney who specializes in ment actions (two citations and five medical profession as "pill poppers," and the issues in which NHF has been in- seizures) involving products marketed by drug pushers, but IKtdoes qot hesitate to volved. He has also been the attorney for these companies. One was a seizure from recommend large doses of nutritional the c8n&r i=onttol Society, a group that the wheat shop in 1962 of some "dried supplements for a wide variety of diseases promotes questionable methods of cancer Swiss whey" which the FDA considered and conditions. treatmenL misbranded when claimed as effective in treating intestinal disorders. The whey was Atkins directs The Atkins Centers for H. Ray Evers, M.D., is a leading practi- retmned when Miller agreed to change its Complementary Medicine in New Y ort. tioner of "chelation therapy" for a wide labeling. In 1976, he was an unsuccessful City. Prospective patients are asked to list range of chronic diseases, but primarily candidate for the U.S. Senate. their symptoms and health problems and for corooary artery disease. He claims to to complete a 56-question Alkins Health have treated more than 20,000 patients and NHF's 27-person board of governors bas Indicator Test which asks mainly about supervised more than 500,000 chelation included the following people. Current symptoms of tension. An evaluation costs treatments since 1964. In 1976, at the (1987) members are italicized: $380 for the initial visit plus $200 for FDA's request, a Louisiana federal judge blood tests at an outside laboratory and prohibited Evers from using chelation David Ajay was president of the Na- $125 for the follow-up visit with Dr. therapy in Louisiana. Testimony in the tional Nutritional Foods Association Atkins. All patients undergo hair analysis, cue suggested that at least 14 patients had (NNFA), a trade association representing chiropractic screening, glucose tolerance died from this therapy at Evers' hospital. some 2,500 health food retailers, distn"bu- testing, and an electrocardiogram. An tors and producers. In 1978, Ajay an- Atkins Psychodiagnostic Test Battery Evers subsequently set up practice in nounced "Operation Counterattack," a ($150) and a Cytotoxic Food Sensitivities Montgomery, Alabama, despite series of lawsuits against "detractors of Test ($180 or more) are strongly recorn- FDA efforts, an A1abema judge allowed our industry Who have been calling us mended. A consultation with C&rlton him to continue the use of chelation ripoffs." In 1979, he and two other NNFA Fredericks was $200. Vitamins prescribed therapy. Patients admitted to Evers' clinic officials filed suit against Elizabeth M. as part of Atkins' .. Nuuitional Treatment signed a doctor-patient agreement which Whelan, Sc.D., M.P.H., BxecUiiW Plan" are extra. read in part: Director of the American Council on Science and Health (ACSH) and Fredrick Norman J. Bassett was publisher of Let's I understand that the type of therapy 1. Stare, M.D., Ph.D., EmeriJus Professor Uve, a magazine that promotes question- given at the RAMAR CUNIC may Ii< of Nutrition. Harvanl School of Public able health not be in perfect agreement wilh the Health and cliairlnM of ACSfriboard of so-called orthodox methods <f
directors. Even though Drs. Whelan and Jeffrey S. Bland, Ph.D., a funner treatment as appr-oved by the AMA, i Stare bad never mentioned Ajay qr the biochemistry pofessor, is the health food FDA.or HEW; I understand that .._ others in their publications, the suit industry's most prolific interpeterof thl. .. therapy given here is the type charged theni with "recklessly. mali- nutritioo-iela1ecl scienf.ific developments. thtll the Physician QRd I both agree is ciously and knowingly disseminating false He appears frequently at trade shows, the correctfllhlre of medicine. (By the and defalilatory remarks with respect to writes and edits books, publishes the use of nutrition, enzymes, physical plaintiffs and the health food industry" magazine Complementary Medicine, tltenlpy, mag11etic medicine, use of through books and published articles. In poduces audio and video tapes, and pyramids, etc., or any other modali- 1980 the suit was dismissed by a federal conducts courses for pofessionals. He has ties that may be used to benefit judge who warned that "any further suit by also been a research associate at die Linus mankind) . J willingly request this plaintiffs against critics of the health food Pauling lnstitutt of Medicine and bas type of therapy and will abit:k by the industry should be scrutinized carefully to directed its nutrient analysis laboratory. results. i I' I i '' In 1979, Evers moved bis practice to lhe Bahamas. According to the January 1980 NHF Bulletin, he left the U.S. because he was .. tired of FDA harassment," he faced million-dollar lawsuits by survivors of two of bis patients who died,. and he was unable to obtain insurance coverage as a result of these various legal actions. However, in 1980 he returned here and opened lhe 90-bed Evers HeaJth Centa at Sealy Springs. a 665-acie ,llineml bllh resut in Cottonwood, Alabama. Accord- ing to a chiropractic assOciate, Ewrs left the Bahamas because be was unable to obtain necessary work pmnits from lhe Bahamian government. Evers' letter of welcome to prospective patients states that bis prstice has been "limited to the diagnosis and llelllDe8I of chronic degenerative c:tiseaaes.bJ the nutritional, non-toxic, metabolic method including chelation therapy. In addition ... we have special regimes of ueaunent fm lhe various 4iseaaes such such as arthritis. ALS. MS. diabetes, cancer, Paddnsm's disease, e&c." Since 1983, bis weekly rates We been from. $2,400 to $2. 7SO f(ll' aoocanc patients and $3,100 f(lrunca patients, widl one week's payment required in advance. A typical day at the clinic includes a visit with Dr. Evers. spiaa1 manipulation by bis chirop'actic associate, chdation therapy {3 hours). and other 1herapies such as hyperbaric oxygm and colonic irrigation. One of the diagnostic devices used at lhe Even Health Cenfeds the AGcupatb 1000 .. This is lhe galvanometer a computer programmed to inteqntc "elec'1:omagnetic energies emanating from points corresponding to the body's various organs and structures." Touching a probe to various points in the bandsand feet supposedly enables a teclmi<:ian to die paaient"s,physical problems lie by reeding Gia on dle computtt screen. According to the clinic brochure: Once -your electromagnetic blueprint has bu11 draw11 up ad pn1gM1&111ed into the compfller, OW tecluticians ask the complller to search it8 for appropriate mallcal treatments . Jn many cases the meditalitMs or olMr treatmmts recOWl1Plalled will be preventive ill 11t111n, duign:l to correct potential problems IJejore IMy result in actual-illnus." [Althougb the brochure does not mealioo it. the Accupatb 1000 is used to select ho- meq>athic remedies, not conventional drugs. The FDA cmsidezs the device a .. significant heallh huald. j In Decembes 1986, lhe Alabama Medical Llcensure Commission revoked Evers' medical license. but a circuit court judge Slayed lhe revocaUoo it in state court. Evers is also appealing a suit challenging the basis of the licensing law. According to an llUcJc in Alterna- tives. the proceecUngs against Evers were based on bis use of an llcllbal salve to treat a 37-year-old woman who bad cancer and died several mootbs later, preswnably of her cancer. The revocalion was for .. engaging in the practice of medicine in such a mannel' as to endanger the health of [the patient]," "using untruthful or deceptive or improbable statements concemillg the effects or resul&s of bis propoaed ... "demonstrating unprofessional conduct in the tteatrilent of [the palient) ... The Commission also concluded that constituted .. gross malprac&ice.." His fee schedule now states that he .no longer treats cancer patients. Michael Gerbu. M.D,. bad bis Califm nia medical licenae revoked after hearbigs before the Califomia Board of Medical Quality Assurance in which he was accused in 1984 of improperly administer- ing to plQeP,ts. One patient was a 56-year-_ oldwoman widl trealable cancer who bad allegedly died as a result of Gerber's neglect while he lrea&ed her with herbs, enzymes, ooft'ee enemas and chelation thempy. The otberpalients were 3-year- old twin boys with - ipfecQons far which Gaber had JRSCrlbed 7(}.000 <a' more Intemalional Units of vitamin A daily andcoffeeenemas twiee daily f several weeks. After his medical license was revoked. Gerber acquired a homeo- pltbic Jioew-1 bep1Jqaadl11eltaia of clinics in Nevada. Garry Gordm&. M.D., bas been president of the American Aaldelny of MOOical Preventics (eunendy . .ued the American College of Advancement in Medicine), a group of doctors wile do dlelalion therapy. He has also been medical director and board chainnan of Minera1ab {a large COllPDClcial hair analysis laboratory) and diftlCtQr of its subsidiary. Professional Health Products. This company's "supple- ment" poducts included Membron II {"fm immediate and visible impovement and relief f<X' your allergy and arthritis patientsj and Cantioguard \'a unique, adjunctive formula for use in prevention and treabDellt of vascular diseasej. In 1985, Professional Health Products was sold to Advaced Me<lical Nutrition, Inc. (AMNI), but Oomon SIB)'eClon as techni- cal and medieal consultant. Bruce Halstead, M.D., was convicted in 1985 of 24 counts of cancer fraud and granO fte!t for selling an babal tea called ADS to Mil patients with cancer and other serious diseases fur $125 to $150 pet quart. Akhough J:Jalstead maintained that ADS was a ''nutri&i<lnal supplement," analysis showed it to be 99.4% water and a brownish mainly of COlifOIUl found in human feces). Halstead, who operated the Halstead Preventive Medicine Clinic in Colton, California. bas been a leading promoter of laetrile, chelation tbelapy. and many other questionable practices . Following the trial, which lasted five months,1.os.Angdes COQQly District Attorney Hyatt Seligman called him "a crook selling swamp water." He was fined $10pOG and sentenced ID four years in prison, but is still pac&icing w.hile appealing Jria convic&ion . Aa:m:ting to an article in Altematiwl. Hialstead main- tained during bis trial that. be was the target of a "Medical Ges&apo .. oot to destroy health practitioners who deviate from orthodox ami;er dlerapies such as andchanotherapy. .
Freedom of Choice in Medicine, which promotes unproven methods of treatment for cancer and other serious diseues. Bruce Helvie bacl vitamin and mineral products seized by die FDA be(:ause Ibey were nuut$:d with false and misleading claims for lhe of more than 25 Tho ieized products.w'" destroyed by coosent decree in 19(;(). John Hanauer, wbo died in 1976, had been president of the National Association ! j of Naturopathic Physicians. Bob Hoffman, who died in 1985, published two bodybuilding magazines (Strtngth and Health and AIJUCular Development) and aold bodybuilding equipment and food supplement products through his t-OIDpUly, Y Barbell Co., of York, PeDllS.ylVJmia. In was charged with misbranding j&s Energol Genn Oil Concentrate because literature accompanying the oil claimed falsely dial it could prevent or treat more than 120 diseases and conditions, including epilepsy, gallstones and arthritis. The material was desttoyed by consent decree. In 1961, 15 were seized as misbranded. In 1968, a larges number of products came Wider attack by die government fm similar reasons. In the coment decree that settled the 1968 case, Hoffman and York Barbell agreed to stop a long list of questionable health claims for their products. In Im, the FDA seized a shipment of three types of York Barbell protein supplements. charging that they were misbranded with false and misleading bodybuilding claims. A few months later, the seized products were destroyed imder adefaaltdeaee. In 1974, the company was again charged with misbranding Energol Ge.am Oil Concentrate and protein supplements. The wheat germ oil had been claimed to be of special dietary value as a sourc.e of vigor and energy. A variety of bodybuilding claims bad been made for the protein supplements. The seized products were desttoyed under a consea.t deaee. Despite his many brushes with the law, Hoffman achieved coosidemble l!IOf'es- sional prominence. During his athletic career, first as an oarsman and then as a weightlifter, he received OVC{ 600 tro- phies, anctawards. He was the Olympic weigbdiftingcoech1$m 1936 to 1968 and was a founding member of the Presidenl's Council on Physical FiinesB and Spmts. These activities helped mate Hoffman a major factor in the growdl of nutritional fads for athletes. Max Huberman has been president of the National Nutritional Foods Association and a board member of the American Natural Hygiene Society. Victor Earl Irons, who was vice chair- man of NHF's board of governors for more than 20 years. Reeived a one-year pison senteace in 1957 f<X' misbranding Vit-Ra-Tox, a vitamin mixture sold door- to-do<X'. In 1959.JbitJmPU of eight poducts and accompanying literature shipped by V .E. Irons, Inc., were de- sttoyed under a consent deaee because the products were being promoted with false or misleading claims. Other seized p-oducts were ordered destroyed in 1959 and 1960. Irons claims that virtually everyone has a "clogged colon." dial deposits of fecal material and poisonous gases" to "seep into your blood and poison all your oqans and aissues," .,..i th8t "if evecy person in this country took 2-3 home colonies a week, 95% of the doctors would have to retire for lack of business." Consistent with these ms, litenture from V .E. Irons. Inc., of Natick, Mauachusetts, states that "the most impol'fant procedure toward fl"&Nning YCQ'. Health is the COMPLETE and THOROUGH of the colon, DO m8uer what or how long it takes." This is the goal of the "Vit-Ra-Tox Seven Day Cleansing Progmm." which involves eating DO food, drinking a quart <X' more of W8la' daily. using herbal laxalives and variouS sappJement prod- . ucts. and taldQI at least GDe strong black coffee enema each day. Products for this P'ogrBID cost $(JO, while those for main- lellace after the seveadrdaf cost about $100/month. Bernard Jensen, D.C., is a Jeading proponent of iridology, a system of diagnosis based upon examinalion of the eye. He fonnulatcd the and is chairman of the healthMlvisory board of Nova Nuttitional Ploducts. Inglewood, Califi a JllQkileyel . . . &bat calls onua. itself "the ullimare in nuaritioml .tciencf " Nova's products include Stress-Buster, Immune Forte, and :Endurance Pb15. He also was of Vitality Intemationa(.a Seattle-based multilevel ,inarketing C09JP8DY whose poducts included a "life extension f<X'mula" called New Youth. Terence Lemerond is president of Enzymat: 'Ibcnpy, Inc., of Orem Bay, Wisconsin. which sells mere than 100 ''nutritional f<X'muJas" containing vita- mins, minerals, herbs, amino acids and/or glandulllr tissue intended for the treatment of health problems. lliegal therapeutic claims for many of. these products have been made in advertisements, seminars, newsletters. "confidential reports," testimonial messages. and ''research bulletins" given to health food retailers for distribution to their customers. A recent "professional price list" distributed to health food stores lists the name and number of SO formulas, each of which has a corresponding "research report" cootain- ing therapeutic cJaims that cannot be made legally on J>'Oduct labels. In 1986 the company's public relations fmn issued a news releue claiming that Enzymatic Therapy's Llv-a-tox "helps relieve liver congespon." Company publications state that SUl<lied nutrition fm- 20 . years and was a nutritional consultant for nine years. Andrew RL. McNau.ghlon has been a cenb'al figure in the worldwi proi;notion of laetrile. In 1977, he was placed on two years' }X'Obation. aft.el' pleading guilty to a criminal charge of conspiracy to facilitate the transportation of smuggJed laetrile. He bad a prior conviction in Canada f<X" a stock fraud. Robert S. Mendelsohn, M.D., was NHF's president from 1981 to 1982. He speaks frequeot1y 8l their conventions and produces a newsleuer and a syndicated newspaper column, both called The People's Doctor. Although he has taught at several medical schools ind been chairman of the Illinois state lace.sing board. Mendelschn considel's hioise1f a "medical apposes, waler flll<X'icJa,tion. immuni7.Blion. and licensing of rultriuonists. One of this books charges that "Modem Medicine's treatments for disease are seldom effective, 8!Dd they're often mom dangerous than the diseases they're designed to treat"; that "around ninety percent of surgery is" a waste of time, MCJ life"; and dial . are so kQely run that murder i$. evon a clear and prepit danger." Mendelesolm is also president of the New a tax-exempt organization formed in the late 1970s to support "innovative forms of medical education of the public. and the medical profession." At a meeting sponsored by this group in 1984, he said: Doctors complain that quacks keep patients away from orthodox medi- cine. I cheer! Since all the treatments, both orthodox and alternative.for cancer, coronary heart disease, hypertension, stroU, and arthritis, are equally waproven, why would a sane person choose treatment that can lcill the patient? During the past two years, Mendelsohn has appeared in ads by Natumlly Vitamin SuppJements of Scottsdale, Arizona, advocating daily use of Bio-Strath, a product descn"bed as an herb and yeast mixture containing "10 B-vitarnins, 19 minenls, 18 amino acids and important active enzymes." (There are only eight B- vitamins.) According to Mendelsohn, Biostrath "can help people who experience daily tiredness, fatigue and difficult concentration ... may stimulale the inmnme system. And may actually help us to assimilate more natural fuel from the foods we eat." These claims are illegal in advertising and labeling. In 1986, the National Nutritional Foods Association gave Mendelsohn its annual Rachel Carson Memorial Award for this "con- cerns for the potection of the Amttican consumer and health freedoms." Betty Lee Morales, who died in 1987, was president of the Cancer Control Society. She published two newsletters, owned a health food store, and was co- owner of Eden Ranch, the company which marketed Betty Lee Morales Signawre Brand food suppJements. Promotional material from Eden Ranch suggests that Americans who do not use food supple- ments run a significant risk of developing deficiency mseases. Among its many suppJement products are Lipottopic Plus, to relieve and Nia-Flex, to relieve stiff joints. Dwing her career, Mrs. M<nles also provided "nutritional consultations" by telephone and by mail. In 1976. the Lehigh Valley Committt.e Agaimt Health Fraud (L VCAHF) tested the quality of her advice after answering an ad in Let's Live magazine for Eden Ranch products. The reply contained a 2-page he8hh question- naire which LVCAHF returned. indicating that the writer, "age 61," was in good health except that: - For several years I have had (on and off) pain and swelling in the joints of my fingers and weS. During tire past few months, I have had attacks of blUTred vision. Sometimes my eyes ache and I see halos arolllUl lights at night. Your suggestions would be most welcome. The arthritis symptomS, whiJe not specific, were compan'ble with a diagnosis of gout, a type of arthritis that can sometimes benefit from a special diet. The eye symptams were tatco from a textbook description of glaucoma, a condition that could soon lead to b1indiieaS if not medically treated. Mrs. Mcxales' reply contained a disclaimer that her advice was f<r. public education .. .and to assist indi- viduals to coopuate with the doctors <f their choice in bMilding better health .. Jn tire event that tire informa- tion is used witltofll the supervision or approval <fa doctor, that is prescrib- ing/or yourself, which is your constitutional right, but we assume no responsibility. Her''highlypersonalil.ednuttition program" consisted of "detoxification" with a special dietaiid enemas, plus 15 different food supplements that could be purchased from Eden Ranch or a health food store. Based on an enclosed price list, the supplements would cost more 1han $40 per They se of no medically recognized benefit for either arthritis or visual difficulty. Mrs.McnJes did not appear to recogni7.e that the writer's symptoms might be serious or require urgent medical attention. Roy F. Paxton beaded a firm which marketed Millrue through agents, health food stores. and ads in an NHF publiCa- tion: In addition, Paxton consulted personally with prospective customers, diagnosing Millrue for such diseasees as cancer, arthritis and diabetes. In 1958, he and his company were fined a total of $1,200 f false and misleading labeling claims for Milbue. When they persisted in selling the JX'Oduct and promoting it through an NHF publicatiOn, the FDA again brought prosecution for misbranding. In 1963-the year that Paxton's term as NHF governor expired-he and the company were fined a total of $4,000 and he was sentenced to three yeattin prison. Donald F. Pickett is board chairman of Neo-Life Cmporation, a multiJevel marketing company that sells food supplements. James R. Privitera. Jr . M.D., was convicted in 1975 and sentenced to six months in prison for COriSpiring to prescribe ancf distribute laetrile. In 1980, after the appeals process ended, he served SS days in jaiL Then, because he had been prescn'bing unapproved substances (includiqg laetriJe, cakium pangamate and DMSO) fot the treatment of cancer, the Califmiia Board of Medical Quality Assurance suspended his medical license for four months and placed him on 10 years' probation 1Dlder Board supervision. During the probationaty period, Dr. Privitera was 'p"Ohibited from .baking any representation that he is able to cure cancer through nutrition." He was also f oroidden to tell a patient he has cancer unless the diagnosis has been confirmed in writing by an appropriate board-certified specialist Privitera has founded two companies which market devices for doing "live cell analysis," a procedure in which blood obtained from a patient's finger is placed under a dark-field microscope to which a teJevision monitor has been attached so that both the practitioner and the patient can examine cells and particles in the blood. Proponents clahn that this method can be used to detect "multiple vitamin and mmcm*ficiencies, toxicity, tenden- cies towanfitllergie:JWCliop - circutation, rosis." However, the test has little or no value in diagnosing such conditions. John N. Ritcha:son, N.D., is auth<r of The Vitamin and Health Encyclopedia (1986) and Tire Uttle Herb Encyclopedia (1982), bofh of which recommend vitamins, minerals and/or herbs for mCYe than 1S61lealth problems. The books state that Ritchason has a Ph.D. from Donsbach University and is a naturopath, iridologist, herbalist, Touch-for-Health Insttuctor, and Registered Healthologist. 1 I Maureen Kennedy Sala.man, NHF's president since 1982, hosts a radio talk show and has been very active in promot- ing questionable cancer remedies. In 1977, her husband, Frank, was convicted of conspiracy to smuggle laetrile into the United States. Her 1983 book, Nutrition: The Cancer Answer, claims that "the American Cancer Society advocates treating cancer rather than preventiitg it" Miriam Spaulding is a leading distributor for Neo-Life Corporation. Emory Thurston, who died in 1981, was an active promoter of laetrile and dis- played pamphlets he edited at a booth at NHF conventions. At a 1973 convention, when approached by an agent of the California Bureau of Food and Drug who said she had cancer of the uterus, Thurston said he could supply her with laetrile. He instructed the agent to contact him at his office at the Institute for Nutritional Research in Hollywood. She did During his next meeting, Thurston sold laetrile to the agent and advised her not to have surgery. After additional evidence against Thurston was gathered. he was convicted, fined, and placed on probation for two years. Paul J. Virgin, who has served as NHF treasurer, was public relations director of the Alta-Dena Dairy, the leading producer of certified raw (unpasteurized) milk. This dairy has been implicated as a source of Salmonella infection in raw milk consum- ers in California. Floyd Weston is a former insurance executive who said in an interview in NHF's Public Scrutiny that he had organized a group of businessmen in 1975 "to conduct a wcrldwide search for the answer to good health." One of his 1U1"electrodiagnosis" oo'me theory thaf tbere is "an electric wiring system in the body- each organ having a wire that goe$to a standard location in the ban& and feet." Weston claimed such devices can "verify the exact condition of individual organs throughout the body," "differentiate between acute, chronic or degenerative stages," and "discover these pathologic processes when regular clinical diagnoses cannot detect them." Treatment is then administered with homeopathic remedies, vitamins and/or minerals. - Articles in the Las Vegas Review-Journal indicate that in 1979 Weston set up Health Management Corporation (HMC), in Las Vegas, Nevada, With subsidiaries to operate a homeopathic clinic (The Nevada Clinic) and to market electrodiagnostic devices and homeopathic remedies. Weston opened The Nevada Clinic in 1980 with F. Fuller Royal, M.D., the leading American practitioner of electrodi- agnosis, who later became chairman of Nevada's homeop8thic licensing board. But in 1983 they parted company, and in 1984, Royal became sole owner. Home- opathy, Inc., another,HMC pubsidiary, distn'buted homeopathic remedies from 1984 through 1986 until the state revoked its corporate charter for failure to pay annual fees. HMC has also marketed remedies through two multilevel compa- nies. In 1986, Weston became president,of the U.S. Homeopathic Association after purchasing the rights to its name and logo. He told the reporter that bringing to Nevada therapies not practiced elsewhere in the United States can answer the state's need for economic diversifica- tion. Sid Williams, i$ a prominent chimpracUr who fouDded two chiropractic colleges and has been president of the International Chiropractors Association, the second-largest chiropractic group in the United States. Williams also operates practice-building seminars in whk:h chiropract<n are taught how to persuade all comers to have monthly spinal exami- nations. During the late 1970s, ads for the seminars claimed that its top instructors saw 200 to 400 patient8daity. Jonathan Wriglit, M.D., is a physician who specializes in ''nutritional therapy" and writes articles for health food publica- tions. He is also president of the American Quack Association. NHF's "Vitamin Bill" NHF's most notable campaign occurred during the 1970s with a bill to weaken FDA jurisdiction over vitamins. In 1972, after lengthy study, the ageilcy bad proposed that food products be labeled so that ingredients, nutrient content and other information would be displayed in a standard format. These provisions became regulations with little controversy and are still used today. But the FDA proposal also said that labeling could neither state nor imply that a balanced diet of ordinary fooc;ls cannot supply adequate amounts of nutrients. Because this struck at the heart of health food industry propaganda, NHF filed lawsuits and proposed legislation to remove FDA jurisdiction O-'er vitamins. Crying, ''Fight for your freedom to take vitamins," NHF organized its members and allies into utiprecedented political activity. Article after article mging support of the anti-FDA bill appeared in the NHF Bulletin, in various health food industry lnaJazines, and in chiropractic journals. Letter-writing kits were distrib- uted by by health food stores and in special NHF mailings. At a Congressional hearing on this issue, several Congressmen reported that they had received more mail about vitamins than about Watergate. In 1976, as a result of this pressure, Congress passed the Proxmire Amend- ment to the Federal Food. Drug, and Cosmetic AcL Though not as restrictive as NHF's proposal, this law prevents the FDA from regulating food supplements unless they are inherently dangerous or are marketed with illegal claims that they can prevent or treat disease. NHF has also promoted ''Medical Free- dom of Choice" and "Food are not Drugs" bills. Federal laws now require that all new drugs be proven both safe and effective before they are marketed. NHF's proposed bills, which would remove the efficacy requirement, would open the door to any supposed "remedy" that doesn't kill people on-the-spot. Promotion of laetrile Because laetrlteJ3cksFDA approval, it is illegal to market in.interstate commerce. In 1977, a federal court set up an "affida- vit" system under which personal supplies of laetrile could be legally imported into the United States by cancer patients certified by a physician as "terminal." The plaintiff in the case was Glen Rutherford, a Kansas seed salesman who believed that laetrile was needed to keep him alive. Although the U.S. Supreme Court ruled against Rutherford in 1979, the affidavit system was not dismantled until 1987. During the appeals process. llutherfotd became an NHF governot, Kirkpatrick Dilling became one of his lawyers, and NHF took care of his attorney fees. From 1978 to 1982, NHF published Public Scrutiny, a monthly newspaper (later converted to a magazine) whose primary focus was on lae1ri1e and "mecabolic therapy." Most of its original staff members were ptomOters of laetrile, and three of its .ivisers had been cOIMcted of 1aetrile-re1ated crimes. Each issue of Public Scrutiny contained a full- page ad from the Lattrile Information Center, a company near 1he :Mexican border which would arrange for legal importation. Mexican clinics and ochet sellers of laetrile also advertised regularly in Public Scrutiny. After NHF governor James Privitera, M.D . was charged with a laetrile-related offense, appeals in Public Scrutiny raised more than $5,000 to help defend him; and after he was convicted, NHF generated more than 10,000 form letters asking California governor Jerry Brown to pstdon him. NHF also gave $5,000 toward the legal expenses of the parents of Chad Green, a 3-year-old boy widt leukemia, and an NHF govemot served as a lawyer for the parents. Chad attracted natic;nwide attentiart when his frunily moved to Mtttko to defy a Massachusetts court order that the boy receive proper therapy and step getting laetrile. The October 1979 issue of Public Scrutiny described how Chad was thriv- ing, how his father was studying for a career us a 11 ttuttitl01t eortsultant," and how Chad's mother had stopped his cheniother- apy withOOt telling the Mexican ctinic doctor. A few days ilfltt the rtewspaper was distributed, tlW bely dled. Chad's parents continued to promote 1aetrile and chlim t1uu he died because ht "lost the will to live ... ttowevet. the autopsy showed recuttettt leuketttla. and was found hi liver littd 8tJleen. NHF lliso wisted the jMtettts of .toey Hofbauet, llit 8-yeat-old bOy With _ ttodgkih 1 s disea!le, ll form of cancer usually cllt8ble in its early stages. In 1977, New Y otlc Stiltt litithmties libttght custody of Joey because his parel'ltS chose laetrile over effective treatment for die boy. With NlDi auotney Dilling repre- senting die parents, the court ruled that they were "ooncemed and k>viog" and "RO( negleclfol" in rejecting orthodox treaimeM. After 18 months of Jaeuile and megavitamin treatment ftom Michael Schachttt. M.D. (a New Y otk psychiatrist who occasionaJ1y lectures at NHP conven- tions), Joey was moved to tfte Bahamas for another type of questionable treaUnent. He died in 1980 with lungs fall of tumors. A bill to e:ic.empt laetrile ftoM FDA jurisdiction was by Publlc Scnai1rl s actvbor. physician- Congressman Latry McDonald (t>-GA). In 1979, a malpractice suit against him by survivors of a patient he treated with laetrile wm settled for $30.(JOO. NHF's efforts to exempt 1aetrile petered out after McDonald was killed in the crash of the KOh*'I plane shot down by the in 1983. Opposition to fluoridation Adjusting commwiity drinking water to about one part fluoride to one million parts of water is a safe, simple and inexpensive way to help prevent tooth decay. Although NHF' s leaders claim to be interested in IX'Cventing disease by "proper nutrition,,. they are rigidly to fluoridation. Over the years, NflF has assembled a great many docwnents which it claims are "proof' .that fluoridation is dangerous (which it is not). Close examination of these docuinerits, however, shows that they contain reports of poorly designed "experiments/' twisted accounts of actual events, statements by respected scientists taken out of context to change their meaning, statistics and othet forms of faulty reasonin1. Gi\len ettough publicity. however. these items have convinced many commUititles that fluoridation is too risky. ln January 1972, NHP'irartiCd $16,CXX) for a tluorlda,tign .study to die Center for Science hi the (CS:Pt). a group led by tonne.. &SsOCtatei or Ralph Nader. to help ratseJbis mooey, a special mailing to NHF members announced that a clinically controlled test was being conducted by "FRIENDS of indisputable, scientific reputation.,. The mailing also ctaimed truu tfle information would arm NffF with "unawailabfe, up-to-date, scientific data to help def eat fluoridation." When CSPI learned about rhis message, it protested, stating lflat die study would be a scientific re\tiew o( available knowledge and drar is outcome was certainly not ftxed against fluoridation. NHF apologized, claiming thal the fondraiser had been maited "without being cie.ed by appro- priate offJcialt' ... *saious mttt abcM the nature of the study. NHF members were never told of dJeSe errors, however. Nor were they informed when the study concluded that "the known benefitt of fluoridation far outweigh any risks whicb may be involved." In 1974, NHF announced that opposing fluoridation would be its number two priority and that a biochemist named John Yiamouyiannis had been hired IQ '1>reak the back"' of ffooridation. Yiamouyiannis soon began issuing reports based on misinterpreted government statistics, claiming that fluoridation causes cancer. He was joined in this effort by Dean Burk, a retired National Cancer Institute employee who is also a leading promoter of laetrile. In 1978, after Consumer Rtpotts criticized their work severely, Yiamouyiannis filed suit for libel. The suit was dismissed a few months later by a federal court judge. A pMel of the U.S. Court of Appeals subsequently upheld the dismissal, commenting that the Consumer Reports article .. exemplifies the very highest order of responsible journal- ism." A further appeal to the U.S. Su- preme C:ourt was also unsuccessful. In 1980, founded another group whose structure and activities were similar. Although NHF remains opposed to fluotidation, it has had little political involvement Yia- mouyiannis depatttd. -rHEALTH ALTERNATIVES LEGAL FOUNDATION (HALF) The Health Alternatives Legal Foundation, 105 N. Foster St, Dothan, AL 36303, is described in its literature as a "nonprofit public interest law center." It was fonned in 1986 to defend "alternative" health care practitioners and to initiate antitiust litigation challenging medical practice laws. HALF's newsletter, Alternatives, de- scribes the group's philosophy and reports news (mostly legal troubles) involving promoters of unproven methods. Accord- ing to the newsletter, "Powerful elements of organizedallopathic medicine, led by the American Medical Association, have been waging an expensive, well-orches- trated political and economic campaign designed to stifle competition from alternative health care providers. This campaign has been advanced by advocates of the medical establishment who, for financial or philosophical reasons, seek ... to eliminate the ability of alterna- tive health care providers to practice in the American marketplace. Maverick doctors, chiropractors, osteopaths, homeopaths, acupuncturists, naturopaths, podiatrists, nutritionists, midwives and eclectic physicians have felt the full brunt of this organized attack." HALF's brochure states that "alternative health care practitioners deserve proper recognition by state legislators, regulation by review boards of their own peers, and reimbursement for services from health insurance companies. Our attorneys defend individual health practitioners against charges of operating outside the scope of standard medical practice." HALF's executive director is attorney Michael S. Evers, of Dothan, Alabama, whose father, H. Ray Evers, M.D., is discussed previously in this report. Evers also operates Project Cure, which collects funds and distributes publications and form letters. According to Evers, Project Cure has more than 160,000 contributors on its mailing list. So far it has cam- paigned for "alternative" cancer methods and against food irradiation and nutrition- ist licensing. The chainnan of HALF' s board of - directors is attorney William H. Moore of Savannah, Georgia. In 1984 Moore attempted to intervene in Glen Rutherford's laetrile case with an action designed to stop virtually all interference with "unorthodox" methods, but he withdrew when Rutherford and NHF objected. HALF's 9-person board also includes Evers, Floyd Weston, Catherine Frompovitch (CANAH's president), and Audrey Goldman, executive director of the Association for Cardiovascular Therapies (ACT), a group that promotes chelation therapy. _,-AMERICAN QUAc;K ASSOCIATION (AQA) The American Quack Association, P.O. Box 550, Oviedo, FL 33765, has about 300 members, most of whom are health professionals. Founded in 1985, its main purposes appear to be providing emotional support to its members, poking fun at their critics, and stimulating positive public feelings toward unorthodox practitioners. Noting that "Discrimination, legal investigation, persecution, prosecution, and even imprisonment have variously been the fate of those few physicians and others who have publicly counseled alternative means of health care," AQA's "Articles of Health Freedom" demand that ''No law or regulations shall be made prohibiting the right of people to freely assemble for healing of>8Jly type." They also oppose "any penalty whatsoever against anyone employing any form of treatment for cancer or any other disease for him or herself or others, except in cases of fraud, deception or the use of force." AQA's vice president is Roy Kupsinel, M.D., a "holistic" practitioner in Ovieda, Florida. Kupsinel edits and publishes Health Consciousness, a bimonthly magazine which contains articles on cosmic philosophy, conservative causes, and the "persecution" of unorthodox practitioners. It also contains ads for unproven products and services. Its last few pages are printed upside down as the Journal of the American Quack Associa- tion, edited by AQA president Jonathan V. Wright, M.D., of Kent, Washington. AQA's logo depicts a stressed but smiling duck flying through the "Q" of AQA. Dues are $6.00 a year. According to Kupsinel: Quack usually has a negative conno- tation. My idea is to take something that is negative and turn it into a positive, combining it with a sense of humor. We usually do get a laugh out of it. It stands for QUAiity (QUA) Care (C) with Kindness (K). So you have the name "Quack" in Quality Care With Kindness, and that's what we physician members of the AQA render. But we also have lay mem- bers too." In a recent issue of Health Consciousness, Kupsinel described how he was expelled from 'hi's cpunty and state medical socie- ties during the 1970s. Later he began treating large numbers of patients for hypoglycemia [a condition that scientific practitioners believe is rare]. He also stated that he has suffered from many of the other conditions he claims to treat. -rCOALITION FOR ALTERNATIVES IN NUTRITION AND HEALTHCARE (CANAH) The Coalition for Alternatives in Nutrition and Healthcare, P.O. Box B-12, Rich- landtown, PA 18955, is a nonprofit corporation established in 1984 "to educate the public in nutrition and alternative healthcare ... through lobbying, public awareness presentations, and timely presentations." CANAH's founder, president and "legislative advocate" is Catherine J. Frompovitch, Ph.D., who practices "nutritional consultation" in Richlandtown. Her "Ph.D." is from Columbia Pacific University, an unac- credited correspondence school. Before she acquired it, her publications described her has "a practicing natural nutritionist who has a Doctor of Science in Diet and Nutrition [and] a.QpctorofNaturopathy." Ms. FrompovitCh-als6 operates CJ. Frompovitch Publications, and edits CANAH's Health Rights Advocate, a comprehensive quarterly report on political developments. Advertisements are now being solicited for this publica- tion. Two years ago CANAH reportedly had 400 members, but no current figure has been publicly released. No officer ocher than Ms. Frompovitch has been identified in the group's publications, but the 28- person advisory board listed on its letterhead includes Jeffrey Bland, Bruce Halstead, Roy Kupsinel, Robert Mendel- sohn, William Moore, Michael Schachter, and: Daniel Clark, MD., a Florida physician whose license was revoked in 1985 for unprofessional practice. Subsequently, he was convicted of practicing medicine without a license and sentenced to IS years' probation. The convictioo has been upheld by a Florida District Court of Appeals, but tho sentence bas been suspended while furdaer appeals are litigated. Richard Crews, MD., President of Columbia Pacific University. Earl Mindell, R.Pb., PhD., autha' of Earl Mindelf s Vitamin Bibk and nwner- ous other publications prolDOting ques- tionable uses of food supplements. His "Ph.D." is &om the University of Beverly Hills, an unaccredited achool. He helped found the Great Earth chain of health food stores, which is now the nation's second largest Richard Passwate.r, Ph.D., audlor of numerous publications promoting ques- tionable uses of food supplements. His "Ph.D." is &om Bemadean University, an unaccredited diploma mill had government authori7.ation to issue degrees. Carl Pfeiffer, M.D., PhD., directm of the Princeton Brain Bio Center, Skillman. New Jersey, which offers "nutritional" treatment fm "the schizophrenias and biochemical deficiencies associated with aging, alcoholism, allergies, arthritis. autism, epilepsy, hypertension, hypoglyce- mia, migraine, dqllession. leaming disability, retardation, mental and meaa- bolic disordtts, skin problems, and hyperactivity." Barbara Reed, PhD., a former pmbBtion officer who is now deVOlled to prom.odng her theory that criminal behavior can be attributed to poor diet and conected by dietary reform. is from Donsbacb University. Lendon Smith, M.D., a prominent author - and pediatrician who was placed on p-obation by his $late boatd of me.dical examiners from 1973 to 1981 for ''inap- popriate presatl>ing of drugs" to heroin addicts. In 1987 he swrencbecf his medical license radler lban face chargeJ that be bad signed documents audoizing insurance payments for patients he had not seen. CANAH's activilics have included support for an unproven cancer treatment (immunoaugmen&ative therapX) and opposition to food irradialion, water fluoridation. licensing of nutritionists, and other antiquacte.ry legislatjon. Regular membership costs S1D )Ja''year. News articles and invitations to join have appeared in many hea1lh food industry publicalions. CANAH wants individuals denied access tom inst.nnee coverage for "altemative bealtbcare" to file antitrust suits and odaer legal actions to "protect their rights." CANAH's main goat' is enacunent of a "Healthcare Rights Amendment" that would forbid Congress from restricting "any individual's right to choose and to p:actice the type of healthcare they shall elect fm themselves or their children fm the prevention or treilmem of any disease, injury. illness m ailmont of the body or the mind." A flyer promoting the amendment states: Vested interest groups, certain individuals and tratk associadons, tlte AmeriaM Medical Association in particular, have launched kgal pro- ceduru against mt!dical doctors who employ in their practice such modali- ties as natll1'al lllltrition, chelalion IMrapy, vilamilllmineral supplemen- tation and other JNMll8 commonly referred to as alwltllliw! 1-ltltcare modalida which may not be ill agrmtllt witla ortllodox mediciM. PracdtiotwOlld padot aJiM have bea bt'ougJu llP bl/ore the bars of justice and peer Mliew WitA lweto- fore IUlblown medical ilu/llisilion-like tecluWplt!I. WE THE PEOPLE believe tlU is llllCOn.rtillllit>nal, """ we therefore propose tltis amendment. CANAH's logo depicts a hummingbird because is has "the freedom of choice and can go from flower to flower to salisfy its needs." The group's brochure quotes the famed philosopher/ethicist JobltStuart Mill (1806-1873) as though he would support its abns: '"rbe only freedom which deserves the name, is that of pursuing our own good in our own way, so long as we do not auempt ... others of theirs, or impede their effilfs to obtain iL Each is the poper guardian of his own health, whether bodily, or mental or spiritual. Mankind are pat gainers by suffering eadl other t;<> .seems good to to live as seems good to the rest." llowever. Mill m:ogni7.ed that wbac 'tbele is a definite damage, or definite risk of damage, either to an individual or to the publiG.the case is taken out of the liberty and placed in that of morality or law." Under current laws, federal and state governments can set licensing standards for health practitioaen. instilute public health ...... and oudaw are dangerous or ineffective. In the Ruth- ed<rd case cited previou.1ly, the U.S. Supreme Court ruled that "selection of a particular tteaunent. m at least a medica- tion, is within the area of governmental interest in proteCting public health." CANAH's amendment would temove all resttictioos: Govemmelat agencies could no longer remove W1pl"OVeD or dangerous remedies from the markerplace so long as a single consumer objects Anyone-licensed or DOl-COUld engage in any practice JabelCd HJJealtb caie" so long as a single consumer wishes it to coaPnue cOUrts could not potect childrm from .. ... health care, e"Veil if such neglect will iesult in their death Individuals called dangerously psychotic by psychiatrists could not be compelled to undergo tmmnent if anyone objected Compulsory immuni1Mim would end Community water fluoridalion would end if a single person in the community objects. Promoted in the name of "freedom," CANAH's health care rights amendment would end protection of consumers from quackery and health fraud. 1 j -r0vERVIEW During the past century scientists have developed rules for determining what methods are effective in preventing and treating disease. At the same time, Jaws have been developed to protect the public from methods that are ineffective, un- proven, or promoted with misinformation. NHF, HALF, AQA and CANAH are antagonistic to accepted scientific methods as well as current consumer protection laws. Instead of supporting the rules of science and Jaw, they want to destroy them. They want the right to market methods without the responsibility of ensuring that they are effective. In my opinion, the "freedom" they espouse would be nothing more than a hunting license for quacks. Despite their shortcomings, these groups comprise a significant political force. They are well organized and are working hard. They have friends in Congress and can generate large letter-writing cam- paigns which create the illusion that they represent a large constituency. They have won some significant court and legislative battles. They intend to win more. APPENDIX I: GLOSSARY OF QUESTIONABLE METHODS Acupuncture: A system of treatment which purports to baJance the body's "life force" by inserting needles into or beneath the skin at one more points where imagi- nary horiwntal and vertical lines meet on the surface of the body. These points are said to represent various internal organs. Although acupuncture can sometimes relieve pain, there is no evidence that it can influence the course of any organic disease. Autointoxication: The theory (still promoted by Victor Earl Irons) that, as a result of intestinal stasis, intestinal contents putrefy, toxins are fanned and absorbed, which causes chronic poisoning of the body. This the.ory was popular around the turn of the century but was abandoned by the scientific commmrity during the 1930s. No such "toxins" have ever been found, and careful observati<lns have shown that individuals in good health can vary greatly in bowel habits. - Chelation therapy: The administration of a man-made amino acid called EDTA into the veins. Proponents claim this can restore atherosclerotic arteries to normal by removing calcium deposits or other mechanisms. In a recent review of available literature, the American Ht'Ml Association found no scientific evidence to demonstrate any benefit from chelation therapy. Chiropractic: A system of health care based on the theory that most'diseases are the result of "nerve interference" caused by spinal misalignments correctable by spinal manipulation. Although chiroprac- tors are sometimes helpfu\, many of them encourage everyone they see to have their spines adjusted frequently for "preventive maintenance." Clinical ecology: Treaunent based on the theory that multiple symptoms are triggered by hypersensitivity to common foods and chemicals. The American Academy of Alleigy 8nd Immunology regards its concepts as speculative and unproven. Colonic irrigation: A ''high colonic" enema performed by passing a rubber tube into the rectum of up to 20 or 30 inches. Warm water is pumped in and out through the tube, a few pints at a time, typically using 20 or more gallons. Some practitioners add herbs, coffee or other substances to the water. Fatal infections have been ttansmiued with contaminated equipmenL Cytotoxic testing: A test in which "allergy" is diagnosed-by examining a patient's white blood cells under a microscope to see how they react to dried food exlr8Cts. This method is not reliable. Electrodiagnosis: Use of a device that supposedly defennines the condition of intemal organs by memming their "electroniagnetic energy balance." One such device is the Accupath 1000, a computerized galvanometer used to help select and prepare homeopathic remedies. To use the device, the doctor probes "acupuncture points" on the patient's hands and feet and interprets numbers on a computer screen. "Holistic" Approach: A slogan used mainly by unscientific practitioners. Orthodox practitioners regard holistic medicine as treatment of the "whole person," with due attention to emotional factors as well as the person's life-style. Bt most practitioners who call them- selves "holistic" use unscientific methods of diagnosis and treatment Homeopathy: A system of treatment based on the idea that the symptoms of disease can be cmed by infinitesimal amounts of substances that can prcxluce similar symptoms in healthy people. According to homeopathic theory, the more dilute the remedy the more powerful therapeutic effect. IridOMn; A system of diagnosis based on the idea that each area of the body is represented by a corresponding area in the iris (pupil) of the eye. Practitioners claim to diagnose imbalances that can be treated with vitamins, minerals, herbs and similar products. Laetrile: The trade name for amygdalen, a cyanide-containing compound abundant in the pits of apricots and various other plants. At various times, promoters have claimed it could cure, control, and/or relieve the discomfort of cancer. How- ever, a clinical test on 178 cancer patients at the Mayo Clinic and three other cancer centers found that not one was cured, stabilized, or relieved of any cancer- reJated symptoms. Naturopathy: A system of treatment based on the belief that the cause of disease is based on violation of nature's Jaws. Naturopaths believe that diseases are the body's effort to purify itself, and that cures result from increasing the patient's vital force by ridding the body of toxins. Naturopathic treatments can include "natural food" diets, vitamins. herbs, tissue minerals, cell salts, manipula- tion, massage, exercise, diathermy, colonic enemas, acupuncture, and home- opathy. Like chiropractors, many naturopaths believe that virtually all diseases are within the scope of their practice. Questionable method: A method or product with one or m<Ie of the following characteristics: 1) its rationale or underly- ing theory is conttadicted by accepted ,j " ,, i ,, I ! i' I< I ,. ,....,._. scientific beliefs; 2) tLhas not been demonstrated effective by well designed studies; 3) its use involves fraud Or deception; or 4) it is being marketed. illegally;. Dietary supplements claimed to be 'effective against disease (except deficiency disease) may not be marketed in interstate commerce unless they are d generally recognized by experts as safe and effettive for their intended use. Intended use can be determined by - 1987, in response lO a court order, the FDA ordered that millc and milk products in final form,jor huml\Jl consump- tion iri interstate ci:>mmerce The sale of raw millc has been ba11ned in 27 states, but is still permitte4 within the rest, including Califormia, where the largest supplier is located. statements in labeling, advertising, or other communication to prospective buyers. Raw milk: Mille in its natural siate. '''Public health authorities advocate pas- teurization to destroy any disease- producihg bacteria may be present In APPENDIX II: ANTI-QUACKERY GROUPS The National Council Against Health Fraud,Jnc., P.O. B'dx )276, I.Oma Linda, CA 92354, has more than 2,500 members and has chapters in 13 states. Organized in 1977 as the Southern California Council Against Health Fraud, the group beCame national in 1984. Its purposes are to: 1) conduct studies and investigations to evaluate claims made for health products and services; 2) educate the public, profes- sionals, legislators, business people, organizations and agencies about untruths and deceptions; 3) provide a center for communication between individuals and organizations concerned about health misinformation, fraud and quackery; 4) support sound consumer heallh laws and oppose legislation which undermines consumer rights; and 5) encourage legal actions against law violators. . , The Committee for the Scientific Investigation of Claims of the Paranormal, Box 229, Buffalo, NY 14215, was , founded in 1976 to encourage critical investigation of para- normal and fringe-science claims. It is composed of promi- nent scientists, educators and journalists and is assisted by more than 50 scientists,educators and journalists and is assisted by more than 50 scientific and technical consultants. It I :Its chairman is Paul Kurtz, Ph.D., professor of philosophy at Sta,te University of New York at Buffalo. h publishes a qdarterly scientific journal, Tiie Skeptical Inquirer, and maintains subcommittees on astrblogy, -education, paranormal health claims, parapsychology, and UFOs. Groups similar to CSICOP exist in 27 areas of the United States and in 16 foreign countries. The American Council on Science and 1995 Broadway, 18th floor, New York, NY, 10023, was founded in 1978 to provide scientifically balanced evaluations of issues' involving food, chemicals, the environment, lifestyle, and health. Its executive director is Elizabeth M. Whelan, Sc.D., M.P.H . ACSH has more than 200 prominent scientific and policy advisors. It produces peer-reviewed reports, the syndicated radio program Health Digest, and will soon begin publishing a quarterly magazine bearing the same name. It also hosts seminars and press conferences and serves as a clearinghouse for the news media as well as the public. Memberstlip is $40 for individuals and $1,000 for institutions.