A bitter pill for the supplement industry.
There are any number of sins committed under the giant circus tent of self-help, but for sheer repeat-offender chutzpah, it's hard to beat the supplement industry—which each year sells America all those vitamins, herbs and so-called nutraceuticals. A $23.7 billion slice of the alternative-medicine (or "CAM") pie*, the supplement industry is also a major manifestation of SHAM, though it's seldom treated as such because (a) it involves a tangible product (unlike, say, "positive energy") and (b) proper nutrition has long been an important area of overall health management; ergo, vitamins and minerals benefit from that mindset. I myself have given supplements short shrift on th
is blog, and that's a serious oversight. Purveyors of health tonics and potions were, after all, the original (and literal) snake-oil salesmen, and evidence suggests that not much has changed. Nowadays they tap into (and prey upon) the widespread passion for "self-determination" in all areas of life; they sell the message that you know more about managing your own health than all those silly doctors and (real) nutritionists do. It's a message that, I might add, enjoys the government's imprimatur in the form of the National Center for Complementary and Alternative Medicine, which since 1992 has served as the supplement industry's coziest friend and biggest all-around cheerleader inside the Beltway. Although the pesky science that some NCCAM killjoy must have felt obliged to include on its Web site makes clear that most herbs and supplements can't be counted on to do much good, and may do plenty of bad, the mere fact that an NIH sub-unit has a site devoted to "informing" us about supplements—and that it kicks off its section on same with a line like, "Many people take dietary supplements in an effort to be well and stay healthy"—is telling. (For a succinct example of the Kafkaesque discord between NCCAM's overall philosophical position in favor of supplements and its own grudging presentation on the relevant science, check out the last few graphs of my December 2008 piece for The Wall Street Journal, "The Touch That Doesn't Heal.")
Since the advent of The Secret in particular, vitamin and herb manufacturers—no dummies—have increasingly framed their products as helpful catalysts in that all-important crusade to bring mind and body into proper harmony with the Universe: psychic fuel. In sum, the dietary supplement movement represents one more major step away from orthodoxy and commonality of thought and fact.
However, in line with the general climate of skeptical revisionism that SHAM helped launch (if I do say so myself), dietary supplements are now coming under greater scrutiny as well. This is hardly to say that skepticism of vitamins, herbs and nutraceuticals did not exist prior to my book. Notably, for decades, Quackwatch founder Dr. Stephen Barrett has been waging a one-man war against irresponsible claims for vitamins and dietary supplements. But somehow it was the supplement industry that seemed to hold the high ground, capturing and holding the public imagination while ironically succeeding at making serious medical types like Barrett sound like the real outliers—as well as heretics, naysayers and cultural dinosaurs.
Which is why it's especially gratifying to see the mood of revisionism sweep its way into a magazine like Reader's Digest. It began a few Novembers ago when RD ran "The Vitamin Hoax," by senior medical researcher Neena Samuel. The current (April) issue contains another eye-opening article, "5 Vitamin Truths and Lies," by the same author. [SEE NOTE BELOW] It's apparent that RD is doing some fancy footwork at times, not wanting to burn the magazine's bridges to the industry altogether—given that supplement manufacturers spend oodles on advertising, no small portion of it in pop magazines, like RD, that cater to an older crowd. But it's not hard to read between the lines: Samuel is telling us in a big-screen format what Barrett and a small circle of others have been preaching from the wilderness for years: that if you don't get these nutrients via your regular (food) diet, then all the pills in the world probably won't help you. They're not going to prevent or cure any major diseases. And they may even cause health problems you didn't have to begin with.
As you might imagine, the supplement industry isn't happy about this. Some fume that RD is in the pocket of Big Pharma due to all that glossy D-T-C drug advertising featured in the magazine's pages. (Pharma's interests here are evident: If people think they can cure themselves "naturally," they're less likely to buy prescription drugs.**) And, as noted, before we nominate Reader's Digest for sainthood, we should keep in mind that RD itself was singing the praises of supplements not all that long ago. Popular media like to have it both ways, riding the wave of fads, hawking the latest crazes, then later "exposing" those fads with a shameless, sanctimonious zeal...exactly as if they've been on the side of the angels all along.
No one demonstrates that better than our old pal Larry King, with his before-and-after coverage of the whole James Ray mess. S
NOTE: One of our contributors was nice enough to inform me that I got this wrong: The actual author of the current piece is Christie Aschwanden, not Ms. Samuel.
* not usually counted in formal measures of the size of the self-help industry per se.
** although it's not quite that simple, as many of the major pharmaceuticals also manufacture, or have subsidiaries that manufacture, dietary supplements. So they make money either way/both ways.




