Therapies That Promote Emancipation
An important topic: the studies confirm the necessity of the drug that is the physician: treatment “combined with an empathetic, confidential interview.” Not to do so amounts to a medical error, in my opinion. The author correctly points out the dubious ethical nature of cure achieved by means of “bringing about a false state of affairs that is kept hidden from the patient,” such as seems to be the case in complementary and alternative medicine. I am a doctor who practices naturopathic medicine and have set out 5 criteria, in collaboration with a working group from Berlin’s Medical Association, 20 years ago, in order to ensure that no such “false state of affairs” forms the foundation. Therapies should serve to promote patients’ emancipation; they should be as simple and as natural as possible; they should follow a scientific/rational principle; and they should be administered or prescribed in a partner approach. If these criteria are stringently adhered to, then certain therapeutic approaches are out of the question; I won’t go into these here. The classic naturopathic remedies—and I wish to put special emphasis on “classic”—meet these criteria. The drug “physician” can be readily, and with a good conscience on the practitioner’s part, combined with these remedies, quite apart from a scenario where orthodox medicine has its important place. However, for such an empathetic, confidential interview, the required financial resources will have to be made available. That cannot happen if—as has happened after the most recent reforms of evidence based medicine—the fake numbers are counted and large practices receive preferential treatment, whereas small practices are expelled from the health insurances’ schemes by means of individual health services and patients receive treatments on the basis of “a false state of affairs”—treatments that are requested by their brand names. One solution might be a fee structure whereby doctors’ working times would be reimbursed in 15 minute units, up to three quarters of an hour. The National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung, KBV) has not succeeded in introducing this in the past 26 years—as long as I have been demanding it.
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|1.||Breidert M, Hofbauer K: Placebo: Missunderstandings and prejudices [Placebo: Missverständnisse und Vorurteile]. Dtsch Arztebl Int 2009; 106(46): 751–5. VOLLTEXT|