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Except the range of possibilities isn't ['works', 'doesn't work']. Rather, it's ['works', 'no effect', 'harmful', 'works and is harmful at the same time']. A b
by tvanantwerp 9y ago
Except the range of possibilities isn't ['works', 'doesn't work']. Rather, it's ['works', 'no effect', 'harmful', 'works and is harmful at the same time'].
A banal example: proton pump inhibitor drugs used to treat acid reflux will, over very long timeframes, cause nutrient malabsorption resulting in more brittle bones. They also have what's called a rebound effect, where dropping them cold turkey leads to a huge jump in stomach acid production and worsening of symptoms. So while effective to reduce stomach acidity, they also have long-term negative effects and a sort of withdrawal that makes the original problem worse. It's a weird and complicated situation, and certainly not the most intense example.
- StavrosK 9y agoOkay, sure, but again, the things that have "no effect" are not worth even mentioning at all. That is what the debate is about, not whether medicine that works is also harmful.
- watwut 9y agoThey are worth mentioning, because they are often expensive and take a lot of time. They are often uncomfortable or painful. It is not neutral.