Showing posts with label National Health Service. Show all posts
Showing posts with label National Health Service. Show all posts

Thursday, 22 March 2012

Religious comfort at my expense

"As the NHS looks to find at least £20bn of savings between now and 2015, could the provision of chaplains be one area where the service could save money? Edward Presswood, a doctor of acute medicine based in North London, and Rev Debbie Hodge, chief officer of Multi Faith Group for Healthcare Chaplaincy, debate whether there is a place for spirituality on hospital wards."
This was a brief discussion on BBC Radio Four's Today Programme this morning, and though four and a half minutes isn't enough to explore the issues in detail, it proved sufficient to reveal the underlying concerns of both sides. Edward Presswood made the point that a religious chaplain could not cater for the "spiritual needs" of someone who was of a different or no religion, though he stated he wasn't against hospital chaplains on principle — only their being funded by the National Health Service.

Debbie Hodge offered a similar argument to that used by the Lords Spiritual when attempting to justify seats in the House of Lords for Anglican bishops: that "religious" care isn't the forefront of the care they provide, but their religiosity gives them unique expertise. This ties in with the suggestion that clerics have some special spiritual power that only they have access to, perhaps because they have a hotline to the Almighty. Unjustified assumptions like this lead to taxpayers funding hospital chaplains to the tune of £29 million per year. Edward Presswood ably skewered the assumption with his football-fan analogy.

Listen to the discussion here (fast forward to 2h45m — available for a week):

http://www.bbc.co.uk/iplayer/episode/b01dhqfb/Today_22_03_2012/

Given more time, I'd like to have heard the Rev Hodge explain precisely what she means by "spiritual care" as it seems this is a term bandied about with little idea of what it's actually supposed to be.

Thursday, 24 June 2010

The ultimate quack remedy — David Tredinnick & Simon Singh — Today Programme, BBC Radio 4

Question: Does homeopathy work?

Answer: No.

This matter is settled. We don't need more research — the research has been done. It clearly shows that homeopathy is no more effective than placebo. Taxpayers' money that has heretofore funded homeopathy on the National Health Service should therefore be redirected to medical interventions that have been shown to have demonstrable effect. This was essentially the finding of the recent Parliamentary Science & Technology Select Committee Evidence Check on homeopathy.


Some people, however, refuse to take "no" for an answer. On this morning's Today Programme, Conservative MP David Tredinnick called for still more research on this failed magic:

http://news.bbc.co.uk/today/hi/today/newsid_8757000/8757810.stm
(Streaming audio, 4'41")

Simon Singh was also on the programme, and he summarily demolished David Tredinnick's best evidence. Neverthless the MP went on to call for yet more research, because homeopathy is "popular" with doctors and patients. Fortunately (given the time constraints of the Today Programme) Simon Singh was quick enough to give a highly amusing example of homeopathy's lack of plausibility, along with the financial motives behind the manufacture of its remedies.

David Tredinnick wants more research because he knows that the aggregate of research done so far fails to show that homeopathy is effective. He will continue to call for more research until it stops giving him answers he doesn't like.

That's not going to happen. Homeopathy has been fully tested — it doesn't work. There's nothing in it.

Saturday, 24 October 2009

There is a line to be drawn — why I'm against "accommodationism"

Most people who meet me would, I think, consider that I'm a fairly easy-going chap, not prone to outbursts of vitriolic invective or uncompromising rage.

I'm usually prepared to accommodate people's foibles and make allowances for mild idiosyncrasies. This makes for a quite life, without avoidable friction. And it's fine as far as it goes. It's fine if others are prepared to be included in the give and take. But being easy-going doesn't mean you need to be a doormat. There comes a time when easy-going ceases to be a beneficial strategy. When others won't play by the rules, and take advantage of someone's attitude of tolerance, that's when the normally meek and mild need to take a firm stand.

Nowhere is this more important in today's multicultural world than in matters of belief — especially unsubstantiated belief. That's why, in the matter of the current belief/non-belief/accommodationist debate, I'm firmly on the side of Jerry Coyne, Richard Dawkins and PZ Myers.

"Accommodationism" is all very fine and dandy, but it doesn't work. Giving leave to those who proclaim unsubstantiated belief to have sway over matters that are capable of objective substantiation simply opens the gate to mysticism and woo. Whether it's "alternative" medicine being endorsed by the National Health Service, or the validity of moral edicts derived from ancient scripture, those of us who base our lives on what is objectively true have a duty to point out unsubstantiated assertion, especially if someone is attempting to influence decisions that will affect other people. It's no good attempting to excuse behaviour of this sort with words of conciliation. Unsupported, dangerous nonsense should be stamped on, forthwith.

Believers in woo can be left to wallow in their fantasies, but the moment they become purveyors of woo they implicitly open themselves to public scrutiny, and we should not be shy in calling them on anything that appears to fail the evidential test. Assertions not grounded in evidence should be brought into the light of rational analysis, even to the extent of naming and shaming. The purveyors of woo, be they magical thinkers or faith-based dogmatists, should be made to account for their claims or else withdraw them. Those who refuse should be publicly shunned.

"But your reality isn't the only one," they say. "What's real for you, isn't necessarily real for us." OK, fine. Show me your "reality". Show me, in particular, what makes you think it's real. Show me the evidence. If you won't, then don't expect me or anyone else to give it credence.

There is a line to be drawn, and it's here. I'm an easy-going chap, most of the time. Rant over.