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The perpetual challenge of all students of homoeopathy, whether beginner or experienced, is the overwhelming volume of detailed symptoms in our Material Medicas. We constantly strive to simplify the information, to sort out the clinically useful from the non-distinguishing and general symptoms, to grasp in a single picture the essential features of the remedy. Compounding this difficulty is the fact that most of our sources belong toanother era in time, the rapid changes and unique pressures of modern society have brought froth new facets of our remedies, and even well known symptoms are expressed in a modern idiom which obscures their relationship to the material in older texts. This task of separating the truly essential from the common place and adapting the form to present day expression, has been approached by Roger Morrison with characteristic dedication.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Today, one out of every three Americans uses some form of alternative medicine, either along with their conventional (“standard,” “traditional”) medications or in place of them. One of the most controversial–as well as one of the most popular–alternatives is homeopathy, a wholly Western invention brought to America from Germany in 1827, nearly forty years before the discovery that germs cause disease. Homeopathy is a therapy that uses minute doses of natural substances–minerals, such as mercury or phosphorus; various plants, mushrooms, or bark; and insect, shellfish, and other animal products, such as Oscillococcinum. These remedies mimic the symptoms of the sick person and are said to bring about relief by “entering” the body’s “vital force.” Many homeopaths believe that the greater the dilution, the greater the medical benefit, even though often not a single molecule of the original substance remains in the solution. In Copeland’s Cure, Natalie Robins tells the fascinating story of homeopathy in this country; how it came to be accepted because of the gentleness of its approach–Nathaniel Hawthorne and Henry Wadsworth Longfellow were outspoken advocates, as were Louisa May Alcott, Harriet Beecher Stowe, and Daniel Webster. We find out about the unusual war between alternative and conventional medicine that began in 1847, after the AMA banned homeopaths from membership even though their medical training was identical to that of doctors practicing traditional medicine. We learn how homeopaths were increasingly considered not to be “real” doctors, and how “real” doctors risked expulsion from the AMA if they even consulted with a homeopath. At the center of Copeland's Cure is Royal Samuel Copeland, the now-forgotten maverick senator from New York who served from 1923 to 1938. Copeland was a student of both conventional and homeopathic medicine, an eye surgeon who became president of the American Institute of Homeopathy, dean of the New York Homeopathic Medical College, and health commissioner of New York City from 1918 to 1923 (he instituted unique approaches to the deadly flu pandemic). We see how Copeland straddled the worlds of politics (he befriended Calvin Coolidge, Herbert Hoover, and Franklin and Eleanor Roosevelt, among others) and medicine (as senator, he helped get rid of medical “diploma mills”). His crowning achievement was to give homeopathy lasting legitimacy by including all its remedies in the Federal Food, Drug, and Cosmetic Act of 1938. Finally, the author brings the story of clashing medical beliefs into the present, and describes the role of homeopathy today and how some of its practitioners are now adhering to the strictest standards of scientific research–controlled, randomized, double-blind clinical studies.
This Element explores Critical Race Theory (CRT) and its potential application to the field of public administration. It proposes specific areas within the field where a CRT framework would help to uncover and rectify structural and institutional racism. This is paramount given the high priority that the field places on social equity, the third pillar of public administration. If there is a desire to achieve social equity and justice, systematic, structural racism needs to be addressed and confronted directly. The Black Lives Matter (BLM) movement is one example of the urgency and significance of applying theories from a variety of disciplines to the study of racism in public administration.
