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Senate Inquiry a Whitewash?

 

As mentioned in our last Newsletter Senator Peter Cook was instrumental in setting up a Senate Inquiry into services and treatment options for persons with cancer. This was prompted by his being diagnosed with late stage melanoma last August and given a prognosis of 12 months.

 Because we thought this Inquiry could be a turning point for cancer treatment for Australia we devoted most of the last issue to this subject.  There were 105 submissions including one from CISS that was the longest and most detailed.

 In the last week of June 2005 the Senate posted its report on the Inquiry. It essentially supports the status quo with only minor changes.

 It implied all conventional therapies are safe, proven to be effective and do no harm.  It stated that Australia's cancer treatment is second only to that in the US. Yet it gave no explanation for the admitted fact that more than 50% of cancer patients are turning to complementary and alternative therapies.

 It looked at complementary and alternative therapies as essentially unproven and something to be careful of and therefore needing tighter regulation. (In fact perhaps 5-6 deaths a year compared with thousands of deaths from conventional therapies).

 It ignored the evidence from 8 randomised trials showing psychotherapy can have dramatic results on survival and instead referred to psychotherapy as a way of providing psychosocial support, a way of getting people to stick to their conventional treatment and not be too depressed by the process.  It ignored the implications in 35% of the submissions that reported that they got the most benefits from attending places like the Gawler Foundation where they also learnt the benefits of  taking back control of their life and health.

It also ignored results from randomised trials showing hydrazine sulphate and Iscador are safe and effective.

 It saw no need for community representation on any national cancer planning bodies.

 It accepted the claim from one expert that there was no suppression of cancer therapies and ignored copious evidence to the contrary.

 In other words, a complete white wash.

 Two  useful recommendations

 Most of the 33 recommendations related to minor changes to the status quo.

 Many tasks were given to Cancer Australia, a new national body set up in the recent federal budget, to provide some leadership in the cancer area.

 Six of these related to promoting multidisciplinary care; three to promoting co-ordination of cancer services; six to improving support, including psychosocial support, for cancer patients; four to increasing research into complementary therapies; and four to improving access to information about complementary therapies.

 From the wording used throughout the report the information about complementary therapies would be compiled by those in the allopathic school of medicine so would give little credibility to any of them. Reliable information about alternative therapies only became available in the US after this task was taken out of the hands of the cancer establishment.

 The only useful recommendations were:

·      Carers should be made aware of additional support services provided by organizations such as The Gawler Foundation in VIC, Balya Cancer Self Help and Wellness Inc in WA and Bloomhill Cancer Help in QLD; and

·       Cancer Australia to take a leadership role in developing a national approach to the collection of cancer staging data.

 Although lip service was give to evidence based medicine, the fact that all the evidence based statistics presented in the CISS submission was ignored and only one recommendation in the Report referred to improving statistic shows how little weight is given to evidence.

 In our submission we argued for a level playing field, with all treatments being treated the same, whether orthodox or alternative. Only therapies proven in properly run randomised trials to extend life or improve quality of life should be supported by Medicare. Subsidies to others should phased out over 10 years. This approach wasn’t even considered.

 Anecdotal evidence is accepted for orthodox therapies but not for alternative therapies.

 The way science is supposed to work is you put forward an hypothesis; you test this hypothesis with an experiment.  If the experiment provides evidence for that hypothesis you accept that hypothesis as likely to be valid until later evidence causes you to modify it so that it predicts the evidence better. That approach has not been used for cancer as very few conventional interventions for cancer have been proven effective in randomised trials. Most cancer treatments are therefore experimental or anecdotal with their hypothesis unproven.

 Copies of the full CISS submission are available from the CISS office for $10.  A copy of all 105 submissions, transcripts from the public hearings and the Report are available on the Senate Committee’s website at http://www.aph.gov.au/senate/commit-tee/clac_ctte/cancer/Index. Htm or on a CD by contacting the Committee Secretary, Community Affairs Committee, Department of the Senate, Parliament House Canberra ACT 2600,  Phone (02) 6277 3515 or by email at

community.affairs.sen@aph.gov.au

 I would suggest that it would be hard to find any anecdotal cases of people with late stage cancer who were given a prognosis of a few months after conventional treatment and were alive and well over  ten years later. 

 On Saturday 25 June at the CISS monthly public meeting we provided just two of the hundreds of anecdotal cases in Australia that suggest that an alternative paradigm is more likely to be valid than the currently accepted one on which orthodox therapy is based.  Barbro Spike and Frank Hewstone were diagnosed with late stage cancer over 12 years ago and a alive and well.  We hope to have transcripts of their talks for the next newsletter.

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