If you have any interest on this topic, which I covered in a post on Friday, by all means read the comment thread, which is more interesting than the post itself.
It all started with Kimball Atwood's Health Care Renewal post criticizing the infiltration of woo into purportedly scientific mainstream institutions (like the Institute of Medicine) and its promotion by thought leaders, particularly CMS chief Donald Berwick.
Shannon Brownlee posted a critical response. At the risk of oversimplification, her point was that it was silly to fret over harmless alternative medicine when there's plenty of conventional medicine (note her inappropriate use of the anachronistic and derisive term “allopathic”) that's not based on best evidence. It was a red herring, beside the point of Atwood's post, but I got sucked into a long back-and-forth anyway, about what's wrong with conventional medicine and why. Although some of her examples of unscientific conventional medicine were factually incorrect (I was able to think of better examples than she was!) we were able to agree that a significant problem exists. I have blogged critically many times about poor adherence to evidence in the house of conventional medicine. It's a complex, multidimensional problem. It has no easy fix. Woo, on the other hand, has an easy fix: we can just say no to nutty ideas. That need not distract in any way from the tougher, more complex problems of inappropriate care in conventional medicine.