Go to any hospital or medical advice website and you'll find this prominent advice on health (the order may differ): exercise; eat lots of fresh fruits, vegetables, legumes, olive oil -- the "Mediterranean diet" -- and fish; don't smoke; avoid drinking alcohol; restrict red meat; don't eat processed meats. Nowhere will you find pharmaceuticals on their list of health recommendations.
I've written elsewhere about the role of the oblivious obvious -- the tendency to ignore the normal, the frequent, the common and the benign in favor of attending only to the harmful and dangerous, to the unusual that is also unusually scary. The Big Pharma-Medical Establishment conspiracy is a case in point.
The conspiracy has a rational principle: "Follow the money". Big Pharma is making big bucks, it colludes with a gov't agency, the FDA, doctors prescribe these pharmaceuticals every day, and the insurance companies and the retail pharmacies are all taking their share. So there's a lot of evidence in support confirming the conspiracy theory.
But there's this disconfirmatory evidence and it's in your face -- the oblivious obvious. No medical website promotes pharmaceuticals for overall health. It's all almost exactly what you'd find among New Agey, down home, no-money-to-follow advice: eat well, exercise, avoid unhealthy addictions.
[I've written elsewhere on how misleading and cheap confirmatory evidence is, and how much more information disconfirmatory evidence provides, so I'm not going into it here.]
It's also true that doctors only prescribe pharmaceuticals and not herbal remedies or life-style prevention. That's very much consistent with the conspiracy theory.
So what's going on? Is there a conspiracy or not?
Consider why people go to the doctor -- the doctor-visit market. Is it to get life-style prevention advice? While some small percent of people go to get regular check-ups, almost everyone who is in a health crisis and needs immediate intervention goes to a doctor, close to 100% of them. The doctor-visit market is filled with exigent cases. And those who go for a regular check-up, if there's no exigency, they are not prescribed anything except possibly the healthy advice listed above.
A friend goes for a check-up, gets an EKG which finds that his arteries are 95% occluded. Without immediate intervention, he's likely to die any moment, in fact, it's a wonder that he's alive. Should the doctor advise him to exercise and eat lots of fruits and veggies and send him on his way?
Why not? Well, for one reason, he'd be sued for malpractice. The patient needs intervention. The preventative advice is too late. The Mediterranean diet might be prescribed after recovery from the intervention -- in this case minor surgery to insert stents -- but there is an obvious ethical and legal requirement to intervene, not just provide nice health tips.
The doctor-visit market is determined by these two phenomena: patients visit doctors for intervention, and the intervention must cover the doctor's legal liability. This is also why the doctor can't prescribe herbs rather than pharmaceuticals. Pharmaceuticals are tested and approved by the FDA, so if they fail, it's not the doctor's fault and the doctor cannot be successfully sued for prescribing the pharmaceutical appropriate to the symptoms presented.
And why are the herbs not tested and FDA approved? Because the pharmaceutical -- as the conspiracy theorists accurately explain -- makes money for the pharmaceutical industry, the herb doesn't. So there's little funding for herb testing. Of course that's not a conspiracy, it's just what economists euphemistically call a market failure. It's a big failure.
But it's not the only failure of the medical vocation. As a vocation, doctors have to follow the limits or restrictions of these two phenomena of their market -- patients are there for either testing or intervention and the intervention is either surgery or pharmaceutical. That's all they can offer you. Don't be asking why they don't prescribe herbs or life-style advice or why they don't know about nutrition. It's not their job because they're not in that market. They are in the health exigency market regulated by the FDA and law suits and research funded by Big Pharma.
It's not a conspiracy, and viewing it as a conspiracy doesn't help understanding it. What helps is to understand that when you go to a doctor, don't expect instant, immediate natural cures. Expect either a pharmaceutical that is legally covered, or surgery that, done by someone with experience, is likely to help, provided that the doctor in question isn't just banking on unnecessary interventions.
And there are quacks too. As the joke goes, what do you call a C student in med school? "Doctor."
A friend points out that doctors don't know much about their patients. They don't know the life circumstances that might be causing anxiety or stress. But this is equally true of your acupuncturist who will prescribe based on pulse and a quick look at the tongue. So this criticism of western medicine seems to me to be evidence of an anti-mainstream distrust bias.
What's the source of the bias? Is it that western medicine refuses to acknowledge traditional methods? This might be an overreaction to the constraints on the doctor-visit market. Doctors can't be recommending methods that aren't legally covered. Now some doctors may be unwarrantedly skeptical of traditional medicine, but without the necessary research, that skepticism can't be faulted even if it can be ignorantly biased: the outcome of skepticism and legal cover are the same. So patients have to learn to fend for themselves, research for themselves, assess the risks and take their chances.