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POPSDouble Standard for Quackery It appears to be an unfortunate human characteristic that we are motivated more by irrational emotions or extremism than by calm intellectualism. In the context of CAM, I see a very activist and vocal minority have influence far greater than their numbers or the value of their ideas merit. Meanwhile the “scientific majority” are largely standing on the sidelines, either not perceiving the threat, or not wanting to risk political incorrectness in order to defend science from nonsense. Or, most often, they see is as just not worth their time and effort. The result, I fear, will be a permanent culture change within medicine. I do not think that scientific medicine will ever go away – it is just too valuable and effective. Rather our healthcare system will be increasingly burdened by a resource-sapping parasite of CAM, draining away healthcare and research dollars while confusing the public and distracting them away from the most effective treatments.