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Alternative Medicine S. HRG. 103-146 ALTERNATIVEMEDICINE HEARING BEFORE A SUBCOMMITTEEOF THE COMMITTEEON APPROPRIATIONS UNITEDSTATES SENATE ONE HUNDRED THffiD CONGRESS FIRST SESSION SPECIAL HEARING Printed for the use of the Committee on Appropriations U.S. GOVERNMENTPRINTING OFFICE 70-276cc WASHINGTON: 1993 For sale by the U.S. Government Priniing Office Superintendent of Documents. Congressional Sales Office. Washington. DC 20402 ISBN 0-16-041294-3 COMMmEE ON APPROPRIATIONS . ROBERT C. BYRD, West Virginia, Chairman DANIEL K. INOUYE, Hawaii MARK 0. HATFIELD, Oregon ERNEST F. HOLLINGS, South Carolina TED STEVENS, Alaska J. BENNE'IT JOHNSTON, Louisiana THAD COCHRAN, Mississippi PATRICK J. LEAHY, Vermont ALFONSE M. D'AMATO,New York JIM SASSER, Tennessee ARLEN SPECTER, Pennsylvania DENNIS DECONCINI, Arizona PETE V. DOMENIC!, New Mexico DALE BUMPERS, Arkansas DON NICKLES, Oklahoma FRANK R. LAUTENBERG, New Jersey PHIL GRAMM,Texas TOM HARKIN, Iowa CHRISTOPHER S. BOND, Missouri BARBARAA. MIKULSKI, Maryland SLADE GORTON, Washington HARRY REID, Nevada MITCH McCONNELL, Kentucky J. ROBERT KERREY, Nebraska CONNIE MACK. Florida HERB KOHL, Wisconsin CONRAD BURNS, Montana PATTY MURRAY,Washington DIANNE FEINSTEIN, California JAMESH. ENGLISH,Staff Director MARYS. DEWALD, Chief Clerk J. KEITH KENNEDY, Minority Staff Director 8UBCOMMI'ITEE ON DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES TOM HARKIN, Iowa, Chairman ROBERT C. BYRD, West Vll'ginia ARLEN SPECTER, Pennsylvania ERNEST F. HOLLINGS, South Carolina MARK 0. HATFIELD, Oregon DANIEL K. INOUYE, Hawaii TED STEVENS, Alaska DALE BUMPERS, Arkansas THAD COCHRAN, Mississippi HARRY REID, Nevada SLADE GORTON, Washington HERB KOHL, Wisconsin CONNIE MACK. Florida PATTY MURRAY,Washington CHRISTOPHER S. BOND, Missouri Majority Professional Staff ED LoNG,JAMES J. SOURWINE,CAROL C. MITCHELL,and MARGARETSTUART Minority Professional Staff CRAIGA. HIGGINSand BETTILOUTAYLOR Administrative Support GLADYSCLEARWATERS and SUSANA. McGoVERN (ll) CONTENTS Pogo Opening remarks of Senator Harkin ..................................................................... 1 Opening remarks of Senator Mikulski .................................................................. 4 Opening remarks of Senator Gorton ..................................................................... 5 Opening remarks of Senator Reid ............., ........ ................................................... 6 Statement of Dr. David Eisenberg, associate in medicine, Boston's Beth Israel Hospital, and instructor in medicine, Harvard Medical School ...................... 7 Prepared statement ......................................................................................... 9 Statement of Robert F. Lehman, president and chief executive officer, Fetzer Institute ................................................·.. ............................................................. 12 Prepared statement ......................................................................................... 13 Stateme nt of James J . Carbone, Massachusetts .................................................. 25 Prepared statement ......................................................................................... 28 Letter from Edward H. Chapman, American Institute of Homeopathy .............. 29 Statement of Sharon Herman ................................................................................ 36 36 ~~~::~! ~f~~=~nV£1~~t~ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 41 Statement of Hon. Claiborne Pell, U.S. Senator from Rhode Island .................. 45 Prepared statement ......................................................................................... 45 Prepared statement of Dr. J. Jamison Starbuck, president of the American Association ofNaturopathic Physicians ............................................................ 49 Statement of Brian M. Berman, M.D., director, University of Maryland Pain Center ................................................................................................................... 51 Prepared statement ......................................................................................... 55 Statement of Harvey Kaltsas, D.A., president of the American Association of Acupuncture and Oriental Medicine ............................................................. 57 Prepared statement ......................................................................................... 61 Stateme nt of Charles B. Simone, M.D., Simone Protective Cancer Center ........ 67 Prepared state ment ......................................................................................... 72 Statement of Hon. Berkley Bedell, former U.S. Congressman from Iowa ......... 95 Prepared statement ........................................................ ,. ............................... 102 Statement of Joseph J. Jacobs, M.D., director, Office of Alternative Medicine .. 110 Prepared statement ......................................................................................... 115 Prepared statement of Dr. Jay Moskowitz, National Institutes of Health ........ 119 Questions submitted by Senator Gorton ............................................................... 142 MATERIAL SUBMITTED SUBSEQUENT TO CONCLUSION OF HEARING Statement of Joseph M. Helms, M.D., on behalf of the American Academy of Medical Acupuncture ...................................................................................... 146 Statement of the American Chiropractic Association ........................................... 153 Statement of Jennif er Jacobs, M.D ., on behalf of the Evergreen Clinic ............ 156 Statement of Ed McCabe, on behalf of the Foundation for the Advancement 159 Le~~~1fo~ 1ftif ~1{~~·.M~tr~~;~: ..~;·. ·b~h~fr". ~r.th~ ..F~~;c!~ii~~ ··c~; ..Aiii~d Conservative Therapies Research ....................................................................... 167 Statemen t of Peter Barry Chowka ........................................................................ 168 Biographical sketch ......................................................................................... 171 Letter from Hari M. Sharma, M.D., professor of pathology, Ohio State Univer- sity Hospitals ....................................................................................................... 172 Suttn~iE~~~~i~~~f ~~--..~~:.~~~~.~ .~~~~~~'..~~.~.~~~~~~.. ~.~~~~~~~~'. ..~~ .. ~.~~.~~ 173 Statement of Dr. Emanuel Revici .......................................................................... 174 Letter from Seymour M. Brenner, M.D., radiation oncologist ............................ 180 ( III ) ALTERNATIVE MEDICINE THURSDAY, JUNE 24, 1993 U.S. SENATE, SUBCOMMITTEEON LABOR,HEALTH AND HUMAN SERVICES,AND EDUCATION, AND RELATED AGENCIES, COMMITTEEON APPROPRIATIONS, Washington, DC. The subcommittee met at 10:20 a.m., in room SD-192, Dirksen Senate Office Building, Hon. Tom Harkin (chairman) presiding. Present: Senators Harkin, Reid, and Gorton . Also present: Senators Mikulski and Pell. NONDEPARTMENTAL WITNESSES STATEMENTS OF DAVID M. EISENBERG, M.D., ASSOCIATE IN MEDI­ CINE, BOSTON'S BETH ISRAEL HOSPITAL AND INSTRUCTOR IN MEDICINE, HARVARD MEDICAL SCHOOL OPENINGREMARKS OF SENATORHARKIN Senator HARKIN. The Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education, and Related Agencies will come to order. First of all, I want to apologize to all of you here. We had back­ to-back votes on the Senate floor; very contentious, very difficult votes. It consumed a lot of our time and that is why we are late starting . I am sure you all know these votes are on the budget. So I apologize, and I apologize to Senator Mikulski for being a little late getting here. The hearing this morning will focus on the Office of Alternative Medicine at the National Institutes of Health, which is funded throug h this appropr iati ons subcommittee. In October 1991, this subcommittee provided $2 million to estab ­ lish the Office of Alternative Medicine for two main reasons : first, to take a serious look into the potential of alternative medical prac­ tices; and second, to break down the bias in medical research against review of worthy treatments not in the mainstream of con­ ventional medicine. And since then, another $2 million has been provided to this end. Today, we want to examine the progress the office is making and look at how effective it has been in meeting its congressional mandate. I guarantee what you are about to hear this morning may be completely different from everything else you have ever heard about health care. But the fact that one in three Americans has re­ ported using one form of alternative medicine or another makes this subject worth investigating. (1) 2 In the next few hours, we are going to hear from several people who turned to alternative medicine after conventional medicine failed them. Some suffered great pain from their ailments, and oth­ ers were literally on their deathbeds before finding an alternative treatment that either cured or significantly improved their condi­ tions. Some of it may sound out of the ordinary, but keep in mind that as recently as 50 years ago, nitroglycerin was considered a crazy, wacky idea for treating heart attack victims, and antiseptic tech­ niques were dismissed as quackery ·because many did not believe that germs caused disease. Medical science has always been skep­ tical of the unknown. But sometimes, that which is conventional has proven in
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