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May 12, 2004

Ethical Issues in Research in Complementary and Alternative Medicine

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(18):2192-2194. doi:10.1001/jama.291.18.2192-b

To the Editor: While we concur with Dr Miller and colleagues1 that the evidence for making practice and public health decisions in CAM should come from large, double-blind, randomized controlled trials (RCTs), we believe there are 2 key ethical issues in CAM research that the authors should have addressed. First, who determines the "social value" of CAM research? Second, use of the terms "placebo" and "non-specific" ignores the complexity of clinical responses found when delivering therapies in a rich and meaningful context.

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