Saturday, May 26, 2012

Lorilee Schoenbeck & Me


Lorilee Schoenbeck And Me
Vermont Bill S.209 
House Health Care Committee
April 11, 2012

The oral testimony presented by Lorilee Schoenbeck is available from the Legislative Council, tel. 802-828-2424. It is recorded on CD 163, House Committee On Health Care, April 11, 2012. The CD costs $1. They can also provide hardcopy of her written testimony. 

During a break in the hearing after we had both already spoken, Schoenbeck, came over to me and with a look of what appeared to be feigned compassion said that she was very sorry for what had happened to me adding that: she didn’t know of any ND who used silver; NDs don’t know how silver got into their formulary; and, they’ve been trying to get it out for years. 

Hearing NDs  deny they know any naturopaths who use silver when I do and when they included it in their state formulary makes me furious. http://www.vtprofessionals.org/opr1/naturopaths/info/Naturopathic Physician Formulary 20091211.pdf [pdf download]. (colloidal silver, p. 1; silver that “may be administered IV”, p.5). Lorilee telling me that she didn’t even know how it had gotten into their formulary made me livid. Who did she think put it there? God?

When I pointed out that she had been at the October 16, 2010 alt. med conference sponsored by Senator Bernie Sanders that Arline and I had attended, she looked confused apparently never having noticed either of us. http://rosemaryjacobs.com/naturopaths.html, (Scroll to the bottom to see Arline’s picture.) Lorilee was probably the only one there who hadn’t noticed us which is actually funny since she constantly claims that her medical education is the same as an MD’s. 

At the Sanders’s conference, we were definitely noticed as argyric people always are. One man I’d never met said, “Hello, Rosemary,” as he walked by. I assume he was a naturopath who had read my blog. But obviously there was at least one ND who hadn’t noticed us and that was Lorilee, although she may well say that she remembers us after reading this. 

The reason, aside from the obvious one, that it is strange that Schoenbeck didn’t notice us is because she is convincing legislators that she as an ND has the education of an MD, but health care professionals like MDs and RNs are trained to notice people with our discoloration because it usually indicates a medical emergency. It looks like we need oxygen and are about to drop dead, which is why nurses and doctors who haven’t seen us before often rush over to ask if we are alright. In fact Arline and many other argyric people, but not me, hate to visit anyone in the hospital because of all the health care practitioners who run over to check on us. (Personally, I know they are doing their job and am glad to see them do it.) When we tell them that we are fine, many ask about our skin color, a medical curiosity. I suspect that those who don’t only refrain for fear of offending us although many doctors, especially older ones, realize that we have argyria, that we were poisoned by silver. 

An RN who saw me in person after having seen my photo said that the picture hadn’t prepared her to see me in person. When she did, she thought that I was either the embodiment of the walking dead or five seconds short of collapsing on the floor in need of resuscitation. She was greatly relieved when I smiled at her and held out my hand which she grasped reassured by its warmth indicating to her, a medical professional, that my heart was beating normally. Then she noticed the scars from dermabrasion on my face and could not understand how it was possible that silver supplements were still being sold and disfiguring people.

A lady who got argyria recently from a silver supplement told me how happy she is to be able to speak with me since I understand what it is like to be stared at too. She said that people often come up to her and ask if she is dying and she has to explain her discoloration to them. Recently a young boy seeing her in a store started to cry and wanted to call 911 because he thought she was about to drop dead. She hugged him and told him not to worry. She was okay.

Flying home from Germany before I was dermabraded, a stewardess came over and wanted to give me oxygen. When I told her I didn’t need it, she told me that another passenger was very worried about me. I’ve had several people tell my relatives and friends that I was terminally ill with heart disease. I  assume that they had known people who had died that way who had skin the color of mine. 

The first lady I met who got argyria from a silver “dietary supplement”, had an extremely mild case. She looked a “little off”. She is the only truly lucky silver supplement victim I know. With myself and every other argyric person I've learned about, by the time someone notices our discoloration, it is severe. At that point, we learn the cause, stop taking silver but still startle strangers in the street. 

The lady with the mild case saw her MD for a regular visit. He noticed her discoloration which, as I said, is one of the things those who practice evidence-based medicine are trained to notice. First, he checked her for heart disease. When she didn’t have it, he checked further and leaned that she had been taking silver. A biopsy showed the metal in her skin. She stopped taking the stuff and has stayed the same.

But, of course, NDs, unlike MDs and RNs, rarely work in hospitals, especially those like Lorilee who have been out of school for about 17 years meaning that when she was studying to be a naturopath, there were very few, if any, states where they had the kind of MD privileges that they have in several states today. So unable to work with patients in hospitals in acute care situations, NDs, just like laypeople, don’t often see many very sick people or medical emergencies. 

I would have had a lot more respect for Lorilee if she had admitted that: there are NDs who promote, use and sell silver; it never should have been included in the VT ND formulary; there is no excuse for its having been included and no excuse for its not having been removed immediately after I told the NDs of the problem; there is no excuse for the way that NDs, the colleagues she officially represents, ignored me and Arline and our concerns. 

If I know that there are NDs who promote and sell  silver for internal use and who use it intravenously, how is it possible that the NDs themselves don’t know it? If they really don’t, and I don’t believe that for a minute, they should.

I didn’t want Lorilee’s sympathy. I wanted her and her profession to take responsibility for a very serious mistake it had made and to act like real doctors, real professionals or at least like responsible adults.  

To me Schoenbeck’s words directed to me personally and her exhibit of concern smelled like damage control. She sounded as if she were thinking, “We got caught. This is really bad PR. I’ve got to butter her up to make her shut up.” 

Her words also came suspiciously on the heels of testimony in which I had compared the crass behavior of the NDs with that of those who practice evidence-based medicine when they see my facial disfigurement. http://rosemary-jacobs.blogspot.com/2012/05/vermont-bill-s209-rosemary-jacobs.html. 

I will soon be 70 years old and am not aging well. During the last few years my hearing has been noticeably deteriorating. I thought I had heard all of what Schoenbeck said during her oral testimony. I heard her deny that NDs use silver intravenously, heard her say, “I will mention that we do not provide toxic things such as IV silver,” emphasis hers. “Never have. Neve will.” (4:30 CD 163) “That is a comment based on possible future testimony that you’ll hear here.” But it wasn’t until I obtained and listened to the CD that I heard her refer to me as “an individual who is opposing naturopathic physicians in general….." I was absolutely livid when I did.

I was livid because I believed that instead of accepting responsibility for their own actions Schoenbeck and the naturopaths she represented were trying to marginalize me and make it sound as if I were unjustly maligning wonderful NDs for reasons that they simply couldn’t fathom. I was also livid because I didn’t believe that NDs don’t use silver, even intravenously. I know perfectly well that there are NDs who use and sell it and can’t believe that Schoenbeck and her colleagues who put it in their state sanctioned formulary don’t know that too. http://www.vtprofessionals.org/opr1/naturopaths/info/Naturopathic Physician Formulary 20091211.pdf [pdf download]. (colloidal silver, p. 1; silver that “may be administered IV”, p.5) 

Neither can I believe that some licensed VT NDs don’t also use it, even intravenously. Why else would they have included it in their formulary for IV use? Although I don’t have evidence showing that a specific VT ND uses it that way, I most certainly do have evidence that NDs who have graduated from ND school inject people with silver. 

Originally, I intended to write a summary of Schoenbeck’s oral testimony, but after hearing the way she had dismissed me and my concerns just like she and her colleagues have been doing since 2010, I decided that could wait. Meanwhile if any of you wants to hear it, you can get the CD. Actually, I’m not sure that I will bother summarizing and commenting on Schoenbeck’s testimony. I don’t know how many would want to wade through it. I certainly hate to have to do it again. I wish Ben would post the video, but it seems as if he has decided that it is useless trying to get through to Vermont politicians and moved on to more enjoyable endeavors. 

At the end of Schoenbeck’s oral testimony, the committee Chairman, Representative Michael Fisher who had hopefully read the written testimony that I’d submitted, http://rosemary-jacobs.blogspot.com/2012/05/vermont-bill-s209-introduction.html, said to Schoenbeck, “You mentioned earlier aluminum, uh silver, sorry. Can you tell us where this comes from? You said very matter of faculty, ‘Naturopathic doctors don’t do this and have never done this.’”  (19:20 CD 163)

Schoenbeck responded, “In other committees in other issues in the State House there has been testimony by an individual who’s opposing naturopathic physicians in general. My understanding is she was harmed by IV administration of silver that was performed by a medical doctor, an MD, and naturopathic physicians have never used IV silver, never have, never will. We don’t understand why this particular person is pursuing naturopathic physicians (unintelligible). I just want to make it very clear that that’s not something that we do.”  (19:53 CD 163)

Well, Sweetie, I just want to make it very clear that I am that “particular person”. I have a name. Unlike your presumed colleague who comments on my blog, I never have and never will be anonymous on these issues. I’m out there in your face. I attended the conference you were at in October 2010, the one you didn’t notice me at, and spoke up at a workshop. The ND manning your information booth said that VANP (Vermont Association of Naturopathic Physicians), www.vanp.org/, your official state agency, the one you represented at the hearing, met once a month. She said she was going to tell them about me and hoped that the issue would be “resolved at the next meeting”. She was also going to phone all VT licensed NDs to tell them not to use silver, presumably along with the reason why, and then if she had to she was going to walk into the Secretary of State’s Office with an updated formulary in hand, one that did not include silver or colloidal silver, to replace the 2009 one that does contain those things. You, Lorilee, are very active in VANP. Did you miss this or did the young woman, the only ND I’ve dealt with so far who has in my opinion acted like an honest, decent, caring human being, not do what she said she would? She never got back to me to report and I didn’t contact her because I thought it was out of her hands.

Did you also miss the blog I’ve had about this since 2010, the one that your colleagues and regulating agency have been reading? 

I’ve been speaking to your state regulating agency since 2010 and they have been speaking with your advisors. Didn't they mention this to you? 

My story is on my webpage and has been there for about 15 years. When you finally heard that I was “pursuing naturopathic physicians” and expected that I’d give testimony to the same committee you were giving it to, didn’t you review my material to find out why I was “pursuing” you and the details of my case? I think I’ve made the reasons very clear on my blog.

I am raising major issues about the competency of your profession to practice medicine. I am shouting that naturopaths lack the competency, skills and education required to practice medicine safely and effectively. I am saying you are dangerous and that you terrify me. I’m screaming it at the top of my lungs in a very public way and have been for two years now. Many if not most of your colleagues in Vermont know that, yet in April 2012 you didn’t know my name or the details of my case, even though you knew I was probably going to give testimony before the same committee that you would be speaking to. I find it truly incredible that you never even wondered, “why this particular person is pursuing naturopathic physicians…” 

From my observations, Ms. Schoenbeck, this is totally typical of the way your profession deals with unpleasant issues and with the way you “practice” medicine. It is one of the reasons why you terrify me! Is that clear? Have I explained yet why “this particular person” is “pursuing naturopathic physicians”? Or are you still inhabiting your pretty little imaginary garden where everyone loves and needs NDs? 

In case you still don’t get it, let me try again. I think your profession is dangerous. Naturopaths terrify me. I’m afraid that you will harm people. I think you are as ignorant as my medical doctor was over 50 years ago and that you are replacing the evidence-based or scientific medicine that took us out of the Dark Ages with the folkloric kind that never helped and often killed our ancestors and is still doing that today. Here is why I think that since you’ve obviously missed it all. http://rosemary-jacobs.blogspot.com/2010/08/what-vermont-naturopaths-apparently.html, http://rosemary-jacobs.blogspot.com/2012/04/naturopaths-terrify-me-nds-do-not.html, http://rosemary-jacobs.blogspot.com/2012/05/deadly-folk-medicine.html. 

And it gets worse Lorilee. I think that you are infecting the entire American health care delivery system with your naturaopathic disease. Your profession has been the most successful of all alts in breaking down the door and blurring the distinction between evidence-based and belief-based medicine. Many MDs and what used to be scientific institutions now offer a smorgasbord of evidence-based drugs and therapies right alongside of the untested belief-based folkloric kind so that it is impossible for most patients to know which is which. I fear that in no time at all those of us who believe in scientific or evidence-based medicine will no longer have the freedom to use it because the entire system will be diluted by practitioners of the “integrated” “holistic” kind. Some will be true believers like many NDs are. Others will be outright quacks like those NDs who see a way to make a lot of money fast using bogus tests to diagnose imaginary diseases which they proceed to “treat” with useless, hopefully harmless, remedies and therapies that they also sell to “prevent” people from getting the diseases that they fear whether or not they are at risk of getting them or not. Others will be MDs who take the path of least resistance. They will decide, “You can’t beat city hall. These fools are going to buy this stuff from someone. Might as well be me. I can easily make a fortune here and protect people from dangerous products and practitioners at the same time.  It sure beats treating sick people and trying to juggle all the serious, often life threatening problems they have. A win-win situation.” 

But it isn’t that at all, not in the longterm. In the longterm it is a lose-lose situation. People will be injured and killed by untested drugs erroneously assumed to be  harmless, http://rosemary-jacobs.blogspot.com/2012/05/deadly-folk-medicine.html, and the cost of medical care will increase exorbitantly as people shell out money for snake oil, both the dangerous and useless kind.

Naturopaths have succeeded in getting third party payers who get their money from everyone else in the system including those of us horrified by what you do, to reimburse you for your “services”. That’s money from the pockets of those of us who are terrified of your drugs and therapies. It marks the end of our freedom of choice and raises the costs of everyone’s already exorbitantly high health care costs. 

The fact that naturopaths do not understand that the only way to accurately evaluate the safety and efficacy of drugs and therapies is through the use of rigorous, objective, scientific tests truly terrifies me, but, unbelievable as it sounds, you compound the problem as far as I’m concerned by the way you and your colleagues have responded to me and my concerns since 2010. You ignored me for as long as you could. Then you repeatedly told legislators that NDs do not use silver and for some strange reason the politicians never asked you how it got into your formulary, not once but twice.  

As for the details of my case which you should have checked before giving testimony about me, Ms. Schoenbeck, - I was not given silver IV. I was given it in the form of nose drops. The skin condition I have has a medical name. It is called argyria. It is well known and well documented in the medical literature, and if you had toxicology courses in your “4 year medical schools” like MDs do in theirs you would have learned that argyria is caused by taking silver internally. It causes skin discoloration that disfigures people. This is all very basic stuff. I would think that naturopaths of all people who believe they are experts on “natural medicines” would know which natural substances are toxic. It is certainly information that any competent doctor could easily find for himself simply by cracking open a toxicology textbook or searching for “silver” in PubMed, http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed, the online data base where medical journal articles are indexed.  

There is a wealth of medical literature on silver and argyria and has been for over 100 years. I guess it just never got into the toxicology courses at “naturopathic medical schools”. Oops, sorry. I didn’t notice any toxicology courses in the school curriculum you gave to the committee, http://www.ncnm.edu/academics/Program_Layouts_2010-11.htm, click on “5 yr ND track), but I expect there will be a course listed with that name there soon now that I've brought it up, in time for your next lobbying effort. 

Lorilee Schoenbeck; Vermont House of Representatives; House Health Care Committee; Michael Fisher; naturopaths; S.209; VANP; Vermont Association of Naturopathic Physicians


Friday, May 25, 2012

Vermont Bill S.209 - Rosemary Jacobs


Rosemary Jacobs
Oral Testimony Before
Vermont House Health Care Committee 
Hearing On Bill S.209
April 11, 2012


When I arrived at the hearing, Ben from the Vermont Medicine Show blog, was already there video taping the event. Hinda Miller had spoken and left. Lorilee Schoenbeck, ND, representing the Vermont naturopaths (NDs), Madeleine Mongan of the Vermont Medical Society and Craig Jones, MD from the Vermont Blueprint for Health were about to speak.

I got the feeling that although the committee members all smiled at me that they were hostile, annoyed that they had to listen to my talk when they wanted to be somewhere else and that their minds were already made up. Ben felt the same. In fact, they wouldn’t even let him speak even after he told them that he had emailed the committee clerk a few times asking to be put on the agenda without ever getting a reply adding that he had made a 150 mile roundtrip in order to attend the hearing and requested that they give him five minutes to address them. They refused. 

The state has spam filters that are hard to get passed so Ben definitely should have phoned and asked to be on the agenda when he didn’t get a response to his email requests, but IMO, it was really rude of the committee to refuse to hear him and it showed that they had already decided how they would vote before the hearing commenced.

Representative Fisher, the Committee Chair, and Representative Pearson left as I was about to speak and returned after I had finished. Neither heard a word of what I said about aluminum, uh, sorry, silver. (A sarcastic reference to Fisher’s question to Lorilee, http://rosemary-jacobs.blogspot.com/2012/05/lorilee-schoenbeck-me.html.) 

I didn’t stick to my outline responding instead to specific things previous speakers had said. Although I hadn’t been there to hear Miller, listening to the tape showed that she had said all that I expected she would. My talk did ramble a little and I wasn’t clear in places. I’ve tried not to edit it for clarity so that you can hear what the committee heard with all its warts although I have added a few clarifications inside parenthesis in a few places.

This is a summary of my oral testimony. It is available from the Legislative Council, tel. 802-828-2424, recorded on CD 164,  House Committee On Health Care, April 11, 2012. The CD costs $1.

I was hit in the face by some of the things that I heard here today. This is not about freedom of choice. Vermonters who want to already do see naturopaths. It is about entitlement, about being given rights not earned. 

Naturopaths can spend lots of time with patients because, unlike MDs, they have so few of them. They are actively seeking patients. 

When I had cancer, the most valuable thing I had was time. If I had gone to an ND, like one in Vermont who says she offers “science-based” cancer therapy, and then found out that her treatments were not scientific or evidence-based, that she had wasted my time, I would have been furious. 

Health care delivery today is robotic and impersonal because third party payers won’t pay for the services of psychologists and sociologists (I meant social workers. My comment was meant for Mr. Pearson who has a BA in psychology and, I believe, brought up the need to include NDs in the Blueprint because of these kinds of holistic services which they offer. I cannot hear Mr. Pearson on the CD, but believe that that is what he had said before leaving.) NDs want to get in the backdoor. They claim that they have the training to treat your mind, body, spirit, that they are shrinks, healers and preachers. These are three different disciplines. NDs don’t want to be held to the same standards as those other professions. They want everyone to take their word for it when they say that they are qualified to practice all those different things. That is deceptive and that is what bothers me. 

Madeleine Mongan mentioned an analysis done in Colorado of the exam given to NDs by their schools which found it wanting. In Colorado the bill to license NDs has been repeatedly defeated because of the efforts of traditional naturopaths who say that if it passes they, the traditionalists, will lose the freedom they have now of seeing patients and the patients who want to see them will lose the right to do so. The traditional NDs proudly call themselves drugless healers insisting that they are not MDs and that NDs never have been medical doctors. They are not trained to use pharmaceuticals. Like me, the traditional NDs don’t believe that the education naturopaths get in their 4 year schools is equivalent to that of medical doctors or that NDs who have graduated from those schools deserve the privileges MDs have. 

At this point the Vice Chair, Sarah Copeland-Hanzas, who was conducting the meeting, stopped me and told me that I was off topic and that I should stick to the merits of the bill. (After listening to the CDs, I think that I was sticking to the topic. I was addressing the very points others had made like freedom of choice, the need to have a system that takes the emotional needs of people into account, the claim that Vermonters need the bill passed in order to have access to NDs. The difference, of course, was that unlike the others who had raised those points, I wasn’t advocating for NDs. I also noticed that when Senator Miller’s phone rang while she was speaking no one had chided her.)

I complained about Hanzas’s admonition saying that I was doing what the committee had permitted the NDs and their advocates to do and that I wanted equal time. “If they can do it, I can do it.” The members smiled more broadly then before. (I’ve been discriminated against most of my life by people who don’t like the way that I look, and I don’t take it lying down.)

I noted that if third party payers are forced to reimburse for NDs services, more patients will be endangered and a ton of money will be wasted. I believed this based on my experience with NDs and silver. I told the representatives that I had submitted written testimony electronically and hoped that they had seen it, but I did have hardcopy of two copyrighted articles that were unavailable electronically. 

VT NDs have a formulary that includes silver for IV use and colloidal silver for use in the eyes. They are now saying that they don’t use silver, but why is it in their formulary then?

The other thing that really bothers me is their attitude. I was given silver in nose drops when I was a child by an MD. If he had read his medical journals instead of the fraudulent ads from drug companies he never would have prescribed the drug that disfigured me. Silver was used before the advent of antibiotics; it didn’t work although it discolored many people. 

As an experiment, I was dermabraded in 1978. In medicine we don’t assume. We test. (I meant that it was only by testing, not speculating or assuming, that we could learn what effect dermabrasion or anything else would have on argyria.)

In Oct. 2010 Arline and I went to an alt med conference sponsored by Senator Bernie Sanders that many NDs attended. We asked them why silver was in their formulary. Didn’t they understand “this is what it does”? (Pointing at our faces. The relevant link with Arline's photo was included in the material I had previously emailed the committee. http://rosemaryjacobs.com/naturopaths.html.)

Silver is not in the pharmacology books. It is in the toxicology books. MDs haven’t used it internally for over 50 years. Many MDs & NPs (nurse practitioners) have apologized to me over the years for what someone in their profession had done to me. Some tried to find a lawyer to sue the MD who had disfigured me. When I told them that that MD had been a nice caring person who had made mistake they replied that that wasn’t true that he had been an incompetent doctor and that at that point in time (the 1950s) he should have known better then to have used silver internally. 

NDs, on the other hand responded, “No. We don’t do that,” and they wouldn’t talk to me. Not 1 or 2 NDs but many. I’ve had a webpage for over 15 years. People write all the time to say an ND told them to use silver. I had always assumed that the NDs they were referring to weren’t the ones who had gone to ND schools. I didn’t think that the naturopaths who ran those 4 year schools could be ignorant enough to use dangerous snake oil. I found it very hard to believe that NDs didn’t use silver and that many of them didn’t believe it was a “natural remedy”. After finding it in the VT Naturopathic Formulary, I asked the next person who said an ND told her to use it if the ND had gone to a 4 year ND school since she was in a state that doesn’t license NDs. She said that she had said that she had and that she wouldn’t have gone to her otherwise.

If NDs want to be considered the equals of MDs, they have to practice evidence-based medicine, EBM. If they don’t want to do that, it is their right and privilege, but they have to be honest and tell people there is evidence MDs tell them about showing that some things work and some don’t and that some are dangerous but that they disagree, that that is not their belief. Then they have to ask patients if they want to see why they believe things those who practice scientific medicine don’t believe. They have to either show people their evidence or admit that they have none, that their medicine is belief based, not evidence based. Only then will patients be able to make informed decisions. 

I added that the thing that bothers me the most is the NDs’ lack of honesty. I’ve heard so often “our education is the same as that of an MD”. In that case how do they fill in all those hours with all the other stuff they study too? (What I had meant was if they studied all the things that MDs study and if they took approximately the same hours of classes that MDs took, how were they able to fit in so many hours of courses in subjects that MDs don’t take like homeopathy, botanical medicine, hydrotherapy, etc.)

Continuing I added that I can’t believe anyone who has learned pharmacology would not know that silver is a natural toxin and not a natural remedy. Anyone who had the most fundamental knowledge of pharmacology would know to check the substances they wanted included in their formulary in pharmacology and toxicology textbooks and in the journals indexed in PubMed. If they had done so, they would have discovered that there is nothing indicating taking silver internally offers benefits and a lot showing that it causes harm. 

In conclusion I noted that people who have gotten argyria recently from silver supplements are being treated with laser therapy. I’ve corresponded with a dermatologist abroad, where as with all the industrialized countries in the world except the US, there is a national health care system. Since the doctor has a patient with argyria, I told him about laser therapy. He responded that his patient couldn’t afford it and the government system will not pay for it. IMO, that is the way all the national systems work. However,  in the US people are getting insurance companies to pick up the tab. I believe it is a cultural thing. Americans today expect 3rd parties to pick up the tab for everything they want. This is entitlement, not freedom, not equality. 

There were no questions. My talk was 16 minutes long.

Vermont House Health Care Committee; naturopaths; Michael Fisher; Christopher Pearson







Thursday, May 24, 2012

Vermont Bill S.209 - Hinda Miller


Hinda Miller
Oral Testimony Before The
Vermont House Health Care Committee
Hearing On Bill S.209
April 11, 2012

The Senator’s testimony is recorded on a CD which can be purchased for $1 from the Legislative Council, tel. 802-828-2231. It is CD # 163, House Committee On Health Care, Wednesday, April 11, 2012.

Unfortunately, I was not able to arrive in time for the start of the hearing which began at 8:30 AM so that I didn’t hear the oral testimony presented by Senator Hinda Miller, one of the bill’s two sponsors, although when I listened to it on the CD, she said exactly what I had expected her to say. The points she made, the same as those that NDs and their advocates always make, were the ones that I had addressed in my written testimony, http://rosemary-jacobs.blogspot.com/2012/05/vermont-bill-s209-introduction.html. 

Based on the things Miller has posted on the Internet and what the media has reported about her, Hinda sounds like a very interesting character and a very lucky woman. She has been called a myth by some in Burlington, Vermont having become a multi-millionaire at  the age of forty after developing the “jogbra” along with two other women, one of whom stopped speaking with her many years ago and is one of her many vocal critics today. 

Hinda was born into a Jewish family in 1950 in Montreal, Canada where her father was a businessman. Her grandparents were immigrants. She got degrees in fine art in NYC and came to Burlington in 1977 where she worked for as a costume designer for a theatrical production which is where and when she met Lisa Lindahl. As joggers Miller and Lindahl came up with the idea of a jogging bra which Polly Smith, also a costume designer, made the prototype for. Miller’s father lent her the money to start a business manufacturing the garment. The company was purchased by Playtex in 1990. Around 2001 Miller became a US citizen. She was elected to the Vermont Senate in 2002 then ran unsuccessfully for Mayor of Burlington in 2006.

In addition to being a jogger, Hinda is a vegetarian and a yoga instructor. Her husband Joel is a psychologist and business consultant who owns many rental properties. 

Sources for the above.

In her testimony Senator Miller said that naturopaths deal with diet, nutrition, lifestyle, exercise, supplements and herbs as well as with the more “traditional allopathic” practices. 

She said that Bill S.209 was needed to clarify a bill passed in 2007 that recognized NDs as primary care physicians, “PCPs”. Bill S.209 wouldn’t expand their scope of practice but rather enable them to be included in the Blueprint For Health, http://healthvermont.gov/admin/legislature/documents/blueprint_leg_report.pdf, subsequent to their being scored by NCQA, http://www.ncqa.org/, an agency chosen by the state to accredit health care practitioners. 

Miller noted that VT has a shortage of PCPs and that there are 40-50 NDs in the state but that many can’t take on new patients. (It is unclear to me why the senator doesn’t think they can take on new patients. I will try to contact her and ask her to explain and to comment here.) 

The reason that I fail to understand this is because Lorilee Schoenbeck, ND who gave oral testimony after Miller left said and passed out a handout stating that 95% of the NDs practicing as PCPs in Vermont are taking new patients. Many of those NDs have more than one office; some have offices in MA and NY, states that don’t license NDs, http://www.vanp.org/member_directory.php. I know of one VT ND who gives nutrition advice in a natural products store, another who teaches and two who give telephone consultations. Many are presently advertising for patients and most claim to spend lots of time with them, usually at least half an hour for a repeat visit and longer for an initial visit.

That doesn’t sound to me as if VT NDs can’t take on new patients or as if Vermonters need more naturopaths. It sounds to me as if naturopaths need more Vermonters, more business, and that they are hoping that getting all the privileges MDs have will get them the customers they need to stay in business.

Hinda added that many people in Vermont want to use naturopathic care to enter the health care system but she didn’t present any evidence substantiating it. 

When one of the representatives asked Miller if the Senate committee that had first considered Bill S.209 had established criteria indicating that NDs should be included in the system as PCPs just as MDs and DOs were and that the other alt. med. professions that want the same privilege should be excluded, she said that they had but didn’t elaborate. 

The Senator added that Bill S.209 would give people choices but that the medical society opposed that because medical doctors feel that “their way is the only way”. She said that NDs like Lorilee Schoenbeck would explain that NDs have all the training that MDs have. Concluding with the assertion that there is always tension between “those of us who feel nutrition, diet and all those things can help us maintain our health and it is our responsibility to do that. We need help.” I assume that meant that people who feel like she does need help from NDs to keep them doing the things they believe keep them well. 

She finished with, “We are very happy about surgery and drugs,” meaning, I assume, that she and her ND buddies approve of MDs offering those treatments, the latest mantra to come from the lips of alt medders. Not long ago they ranted about the injuries and deaths MDs caused with such therapies. Perhaps, like me, you remember their repeated shouts about MDs burning, slashing and poisoning cancer patients. As a person who they burned and slashed in 1984 when I had breast cancer, I was and still am damn glad that they did that to me and doubt I’d be alive today if they hadn’t. 

I have frequently shouted back at alt med practitioners who used those scare tactics to try to convince vulnerable sick people that medical treatment backed by solid evidence was evil and lethal and that their alternatives were safe and effective in spite of all the evidence to the contrary. I guess one of the reasons they are toning it down now is because there are so many people like me who have been successfully treated by the “burn/slash/poison” crowd who realize how wrong alts are when they accuse those who practice evidence-based medicine of all kinds of brutality. I bet their marketing professionals have told them, “Ya gotta stop saying that stuff even though you believe it. Other people don’t. It makes you look bad. It is bad for business. Turns customers away. We’ve entered the next phase. Integrated is the new word. Remember that! Integrated medicine, Complementary. Not Alternative anymore. Ya got it?”

Comment:

I don’t know Senator Hinda Miller. My impressions of her come from what she said and what I’ve read about her. Based on that, I conclude that like many affluent, wealthy, articulate Westerners well educated in the arts she truly believes in alternative medicine. 

According to one reporter, http://www.7dvt.com/2006/miller-time, Miller said that she was the kind of person “who runs off a cliff head-first”. Her former business partner, Lisa Lindahl, who hadn’t spoken to her in 15 years, agreed saying that she, Lindahl, would say, 'Well, OK, if we jump off that cliff, where are we going to land and what is it likely going to cost us?” "Hinda's management style was to get it done, cross it off her list and deal with the consequences later."

Like most visionaries, it sounds as if Hinda follows her hunches and moves swiftly without investigating first, without thinking before she leaps. The difference is that in the fields were so many of these people have recently succeeded so well through trial and error, following hunches works because the results become apparent quickly and are easily observable by the naked eye. For the tenacious and lucky who have been in the right place at the right time, found the partners and investors they needed when they needed them, the material rewards were huge. The only risks posed by failure in their chosen endeavors, by following the wrong hunches, were bruised egos and financial losses. But that is not true in medicine where mistakes and bad bets kill and debilitate human beings. 

Steve Jobs was probably the greatest and most successful visionary of our times. Like Miller he believed in the value of nutrition. His wife even started a nutrition company. He also believed in alt. med. and only abandoned it when it became woefully apparent that it was not saving his life. 
http://www.nytimes.com/2011/10/21/technology/book-offers-new-details-of-jobs-cancer-fight.html?_r=2&hp=&pagewanted=all#. 
Whether or not his delay in seeking evidence-based medical treatment for his cancer resulted in his premature death is something that may never be known unless perhaps the medical doctors who treated him in the end are someday given permission to speak out and to publish his medical records. http://www.quora.com/Steve-Jobs/Why-did-Steve-Jobs-choose-not-to-effectively-treat-his-cancer. 

I think Jobs’s case illustrates how the skills that bring huge success in one area can bring disaster in another. It shows why it is so important to know the skills and liabilities we bring to different tasks, to know our strengths and weaknesses and to know our limits.

Playing with your own life is your right, but you have no right to play with the lives of others which is exactly what people like Miller and her colleagues in the legislature do when they pass laws that put an unreasonable risk on the lives and health of others by granting privileges to practitioners who don’t deserve. http://rosemary-jacobs.blogspot.com/2012/04/naturopaths-terrify-me-nds-do-not.html,  http://rosemary-jacobs.blogspot.com/2012/05/deadly-folk-medicine.html, 

Miller claimed that unless NDs are given all the same privileges that MDs have that people would not have access to their services. Does she really think that Vermonters don’t already have access to NDs as well as to nutritionists, coaches, herbalists, supplement salesmen, all kinds of exercise instructors including yoga teachers even though none of them has MD privileges now or is licensed as a PCP? Does she think that all of those professions should be licensed as PCPs and given prescription privileges? Or does she think that the only alts who deserve MD privileges and PCP status are her ND buddies? 

While I’m not the least surprised that an artist would believe that NDs have the same education as MDs do, I am amazed that so many other legislators would take the NDs' word for it without verifying it independently. I’m surprised they’d jump off the cliff with Hinda.

I respect Miller for what seems to me to be her sincerity, and I respect her right to her beliefs about health care, but I don’t think that beliefs should set government policies in this day and age. I think that Hinda is acting on hunches, not facts, hunches about people having far more personal control over their health and longevity than the objective evidence suggests. I think Miller’s head is buried deep in the sand and that she is refusing to even consider the fact that the treatments NDs routinely offer could harm or kill her rather than help her. Here are my reasons in case you’ve missed them.
http://rosemary-jacobs.blogspot.com/2012/05/deadly-folk-medicine.html 
http://rosemary-jacobs.blogspot.com/2012/04/naturopaths-terrify-me-nds-do-not.html 

I wonder whether or not the House Health Care Committee members share Miller’s  beliefs. All but Porier and Till voted in favor of Bill S.209. Morissey was absent. Did they vote in favor because they are true believers like Miller apparently is or did they do it for political reasons? 

Hinda Miller, Vermont, Bill S.209, House Health Care Committee, Vermont House of Representatives, naturopaths, NDs, dangerous medicine

  

Vermont Bill S.209 - Introduction


On April 11, 2012 the Vermont House Health Care Committed held a hearing on Bill S.209, http://www.leg.state.vt.us/docs/2012/bills/Passed/S-209.pdf,  which would “require health insurers to include naturopathic physicians as primary care providers, include naturopathic physicians as medical homes under the Blueprint for Health, specify that naturopathic physicians may practice independently and without supervision, and allow naturopathic physicians to apply for loans and grants from the state’s health information technology fund to enable them to purchase electronic health record programs.”

The primary purpose of the bill was to make sure that NDs would be included along with MDs and DOs who can practice independently as primary care physicians and be reimbursed for their services. 

Because of another bill that would have eliminated the philosophical exemption as a reason for letting parents opt out of vaccinating their children while still permitting them to attend school the legislators, and especially those on this committee, had been extremely busy. That bill brought out strong emotions pro and con with many people speaking out and lobbying for and against its passage making the 2012 legislative session pretty hectic for all while Bill S.209 and H.524 went unnoticed. I myself only stumbled upon them accidentally when it was already late in the game. 

These were the 2012 committee members on the House Health Care Committee considering Bill S.209:

Rep. Michael Fisher, Chair
Rep. Sarah Copeland-Hanzas, Vice Chair
Rep. Paul N. Poirier, Ranking Member
Rep. Leigh Dakin, Clerk
Rep. Jim Eckhardt
Rep. Patti Komline
Rep. Mary A. Morrissey
Rep. Christopher Pearson
Rep. Kristy Spengler
Rep. George W. Till
Rep. Mark Woodward

I submitted the following written testimony to the committee:

Testimony Before Vermont House Health Committee on Bill S.209
April 11, 2012
From:
Rosemary Jacobs
Derby, VT 05829

I oppose Bill S.209.
I believe that naturopaths, NDs, acting as primary care physicians pose an unreasonable risk to Vermonters, offer substandard care and greatly increase health care costs for everyone, even those who do not make use of their services.
Unreasonable Risk - Substandard Care
NDs have a state sanctioned formulary http://www.vtprofessionals.org/opr1/naturopaths/info/Naturopathic Physician Formulary 20091211.pdf that includes “silver” for IV use (p.5) and “colloidal silver” for use in the eyes (p.1). When I told them of the danger and illegality of this, they ignored me. http://rosemaryjacobs.com/naturopaths.html
When I asked the source of their IV drugs and colloidal silver, they refused to tell me which makes me believe that they have illegally been using “dietary supplements” as drugs.
Until I spoke with the Director of the Office of Professional Regulation and the Health Commissioner who I was only able to reach through the efforts of Rep. Michael Marcotte who serves with me on the Board of Directors of the Orleans/Essex VNA, I don’t think that the NDs or their regulators knew that the FDA had posted a rule in the Federal Register in 1999 stating that silver cannot be used as a drug because there is no evidence that it offers any benefits and that there is a lot of evidence that it causes harm. https://www.federalregister.gov/articles/1999/08/17/99-21253/over-the-counter-drug-products-containing-colloidal-silver-ingredients-or-silver-salts  (Click on PDF)
Silver can discolor the skin. The condition is called argyria. I have had argyria for over 50 years.
Silver was used by desperate doctors and patients before the advent of antibiotics. It didn’t work and caused many cases of argyria. While there are many uses for silver in medicine, including approved topical drugs, medical doctors who practice evidence-based medicine have not used silver internally for over 50 years.
I think that NDs either didn’t know or didn’t care that while it is legal to sell silver as a “dietary supplement” which is often called “colloidal silver” or “CS”, that it is illegal to make drug claims for supplements and that supplements have to be taken by mouth, not put in the eye or administered IV. http://toxsci.oxfordjournals.org/content/123/2/333.long
“Dietary supplements” are legally classified as “food” under present law and unlike drugs their safety and efficacy is not evaluated by the FDA or anyone else before they are sold. http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2009/05/10/FDCQ1788VE.DTL
While legally anyone who follows good manufacturing practices can make a supplement, I think the NDs either didn’t know or didn’t care that only a licensed drug manufacturer or compounding pharmacist can manufacture a drug and that even they are limited as to which substances they can use and which drugs they can make.
Until I brought it up, I don’t think that NDs realized the reasons why, unlike with supplements, only authorized people can manufacture drugs, or the necessity for IV drugs to be sterile. Here is a tragic example of the danger of injecting a unsterile substance into a person - a Canadian ND charged with manslaughter after her patient died subsequent to her injecting him with a contaminated substance. http://montreal.ctv.ca/servlet/an/local/CTVNews/20120222/mtl_naturo_120222/20120222/?hub=MontrealHome
According to the article, the substance was magnesium, one of the “minerals” listed on p. 5 along with silver in the VT ND formulary that VT NDs may use intravenously.
As specific dietary supplements have become popular, scientists have started to study them. They are finding that many, even those which initially had looked promising and were previously assumed to be safe, may in fact be harmful. http://www.forbes.com/sites/stevensalzberg/2011/10/16/a-bad-week-for-the-nutritional-supplements-industry/ http://www.medpagetoday.com/Columns/At-Large/31494                                                                          http://www.health.harvard.edu/blog/fda-needs-stronger-rules-to-ensure-the-safety-of-dietary-supplements-201202024182
My greatest fear is that there is something totally useless out there that is as lethal as cigarettes and that by the time that is discovered it will be too late to save many from premature deaths.
Useless Therapies
NDs have traditionally called themselves “drugless healers” who avoided pharmaceuticals using and promoting “natural remedies” instead. In 1994 with the passage of the Dietary Supplement Health and Education Act, DSHEA, pronounced duh shay, natural remedies were classified as “dietary supplements”. NDs, even those in states which have recently granted them prescription privileges, still make extensive use of supplements, products which are not evaluated for safety or efficacy before they are sold. Yet most if not all NDs believe in, promote and sell supplements directly to the patients they treat in spite of the fact that there is no objective, much less scientific, evidence of their value.
Naturopaths believe in, study and use classical homeopathy, the biggest scam to ever come down the pike.
Classical homeopathic products are almost always devoid of active ingredients. They are just inert substances like sugar and water which NDs believe have healing powers.
The James Randi Foundation offered a $1 million prize quite some time ago to anyone who could demonstrate that a homeopathic remedy works. No one has won it yet. He repeats the offer here where he also shows how pharmacies are using a belief-based system of medicine espoused and promoted by NDs to rip off customers and rob them of their health care dollars:
A Philosophy-Based System of Medicine
NDs also practice anthroposophical medicine, http://www.vtprofessionals.org/opr1/naturopaths/info/Naturopathic Physician Formulary 20091211.pdf  p.4 The only listing for that on the NCCAM, National Center for Complementary and Alternative Medicine, site http://nccam.nih.gov/news/2007/051407.htm simple states that a MD on their staff studied the modality in Germany. This is what wiki says about that obscure practice NDs call “medicine”,
http://en.wikipedia.org/wiki/Anthroposophical_medicine
Utter nonsense
IV Tin for baldness, a treatment that would be so easy to test especially on some of the bald NDs I’ve seen:
Scroll down to # 12

The Warming Sock Treatment from a VT licensed ND who practices in VT & MA, where NDs are not licensed. VT residents can be reimbursed for some of her services by insurance, but not MA residents:                                       http://www.valleynaturopathicfamilymedicine.com/links-and-resources

Unnecessary Costs
When NDs, their treatments and the products they promote harm people, the cures or attempted cures can be costly. Most people who have gotten argyria recently from sliver supplements are being treated with laser therapy by dermatologists. Both the patients and doctors have so far been very pleased with the results. The cost of treating an entire face is about $7,000, but no one is satisfied with just a face. They move on to ears, throats, hands, etc. The estimated cost of treating an entire body is $100,000. The treatment isn’t permanent and has to be repeated and no one knows if there will be side effects later on. Insurance has been picking up the tab and I can’t believe that the insurance companies aren’t passing the costs on to all their customers. Actually, I don’t know how they could stay in business if they didn’t.
Preventive Medicine
Without presenting any evidence to substantiate the claim, NDs say that they save us all money by keeping patients well and preventing disease. They say that they get their patients to eat healthy diets and follow healthy lifestyles often erroneously stating that no one else, especially MDs, addresses those things or succeeds like they do.
If NDs have found techniques that get the majority of people to eat balanced diets, maintain a normal weight, refrain from smoking and excessive alcohol and to exercise in moderation, they should share it with the rest of us. However, I suspect that they haven’t found any such techniques. If in fact it is true that their patients follow healthier lifestyles than the majority of the population, I suspect that is because the people presently attracted to NDs are obsessed with health and would do the same without ever speaking to an ND.
Conclusion
NDs practice a belief-based system of medicine that holds that nature and natural products heal even when, as with silver, there is overwhelming evidence showing that the opposite is true. NDs use dangerous and useless therapies that didn’t work for our grandparents and were for that reason discarded by those who practice scientific or evidence-based medicine decades ago.
While I believe that people who want to should be able to use their services as they can now, I don’t believe that third party payers should be forced to pick up the tab. Forcing them to will waste health care money and erroneously give the general public, the ones who are not true believers in alternative medicine, the impression that NDs are the same as MDs and that their drugs and therapies are supported by objective evidence of safety and efficacy when that isn’t true.
While I believe that adults should be able to do whatever they want as long as they don’t hurt anyone else, even ingest silver, I don’t believe they should be able to force anyone else to pay if they decide to use remedies or therapies for which there is no good evidence of safety and efficacy or to force others to pay for cures if they injure themselves with such things.
I also believe that naturopaths should be honest with themselves and everyone else and admit that their system of medicine is a belief-based one, not an evidence-based one, so that people can make informed decisions about whether or not they want to use their services.
naturopaths, vermont, Blueprint for Health, Michael Fisher, Sarah Copeland-Hanzas, Paul N. Poirier, Leigh Dakin, Jim Eckhardt, Patti Komline, Mary A. Morrissey, Christopher Pearson, Kristy Spengler, George W. Till, Mark Woodward, Vermont House Health Care Committee