
Problem: Homeopathy lives right on the border of science. The edges suggest It could work: strange dosage curves, unexplained placebos and histamine effects (see #1 and #4), mercaptan sensitivity in the 1:50 billion range. Working would mean bringing drug production costs to nearly zero. Failing means that millions of people are being comforted by empty promises. We want to know!
Solution: Run a double blind study already!
Homeopathy works with minute quantities of medicine, in the realm of countable molecules. The doctrine is that the dilution is to zero molecules with only a ‘memory’ in the water. It is nearly impossible to control labs to zero molecule dilution and the real effect might be in the few molecules contaminating the blank pills.
Testing becomes difficult due to the cycle of a homeopath testing several possible medications on a patient based on background, random symptoms, and responses to previous medications. Also, successful homeopathic treatment solutions cause subtle cures of systemic aliments, making traditional testing difficult. The only data on success is the subjective evaluation of the patient.
This is SCIENCE! Science works! Run a double blind anyway. Stop arguing and do the experiment!
Ingredients:
- 1 dozen homeopathic doctors (”docs”) willing to try.
- 300 or more patients (”sickies”) with various suitable allergies, gastric problems, etc.
- 1 trusted pill dispenser and record keeper that can keep a secret (”peddler”).
Recipe:
Peddler randomly and secretly assigns each sicky to one of three types: righties, wrongies, and blankies. Peddler then assigns an equal number of righties, wrongies, and blankies to each doc. Each doc treats each sicky normally: he or she interviews and pokes the sicky, prescribes a homeopathic pill, follows up with more interviewing, poking, and pills, and eventually either calls the sicky cured or just gives up. Science!
Ah, but each time the sicky is prescribed pills, he or she needs to get them from the peddler. Then begins the fun! The peddler looks up if the sicky is really a righty, wrongy, or blanky. A righty always gets the pill as prescribed by the doc. A wrongy always gets a random homeopathic pill from whatever spilled on the floor: those pills are small suckers. A blanky always gets a blank sugar pill. So, for example, each time a blanky goes back to the doctor with weird symptoms and an updated prescription for a carefully chosen remedy, he or she really gets a blank sugar pill.
Run for six months if you loaded up with chronic suffering sickies. For acute sickies, you might finish in a couple weeks. By now, lots of sickies will talk about how much better they are! Fill in the surveys on “Did you get better? Did homeopathy work for you? Do you feel better or worse?”. Hand them to the peddler.
You’ve Got Results!
You only get a few numbers out, like how righties compared to blankies. Time to crunch that spreadsheet to see what you got:
Happy Fun Pills: Righties do well; Wrongies and Blankies do poorly.
- Congratulations! Collect your Noble Prize in Medicine. Use winnings to evade Pfizer hit squads.
You’ve Got To Believe!: Some sickies do lots better. About even across docs and types of sickies.
- Eh. Publish an article in Popular Science. Keep trying for tenure.
That Winning Smile: Sickies of some docs do much better than others. About even across types.
- Recruit docs into multi-level marketing selling time shares for the astral plane. Retire rich and wanted.
They Be Shamans: Righties of some docs do really well. Everything else about even.
- Oh, those docs know good things. Go figure it out. Live on research grants forever!
That Black Pill? Not so good: Blankies do average. Wrongies do really bad. Might mix with above results.
- Homeopathy does something! It makes you sick! Win as above, but also sell sickos’ stories to People.
Total Muddle: Everyone does about the same with the usual statistical minutiae.
- Embezzle remaining research funds. Publish paper no one reads. Teach at Yale or Brigham Young.
So, go do it?
Well, it’s hard. Studies in the United States may require providing test subjects with real medical care during or after. Also, there really isn’t much money in it. Look how excited the makers of Tagamet were about rumors of H. Pylori? Think of how excited those generous big pharma will be to your University when you hint you might do the study if you have no money for ‘real’ research.
Great for some small country wanting to make a name for itself.
