It’s pretty
clear that Christopher Blair, the guy who runs
America’s Last Line of
Defense, is – whatever he is – not exactly a loon. Jeffrey Bland is. Well,
probably.
Bland is
the father of functional medicine, a form of quackery that encompasses a large number of
unproven and disproven methods and treatments backed by pseudoscience, anecdotes, hunches and conspiracy theories. Bland
even readily admits that there is no evidence base: “Unfortunately, current
research models do not have a way to test each individualized,
patient-centered therapeutic plan that is tailored to a person with a unique
combination of existing conditions, genetic influences, environmental
exposures, and lifestyle choices”, says Bland. It is not true that there is noway of testing their claims (and no, human biochemistry really
isn’t that individual, even if we all want to feel special, and they could of
course just test whether their individualized plans worked … but of course
they won’t), and yes: the claim it’s really just a simple and feeble “get
out of jail free” card and the same excuse quacks always use to not have to
rely on evidence and instead do what they want and making it up as they go,
which is exactly what they do. That it also means that they have
no evidence for their recommendations is left unsaid.
Allegedly,
functional medicine focuses on the “root causes”, which is false on any interpretation of ‘root’
and ‘cause’, based on purported interactions between the environment and the
gastrointestinal, endocrine, and immune systems … but really based on the opportunity to prescribe a number of useless and expensive tests. As response to whatever they deem
to be the root cause, functional medicine proponents develop “individualized
treatment plans”, i.e. not based it on cold, hard, impersonal facts, but whatever
suits the interests of the practitioners at the moment. There are decent primers on
functional medicine here and here.
That said,
it is really hard to pin down precisely what functional medicine is supposed to
be – it’s usually defined in terms of thoroughly vague, largely metaphorical terms like “taking a whole-patient
perspective” and “imbalances” in hormones and neurotransmitters –
expressions that could mean anything and which functional medicine providers
accordingly use to mean whatever they fancy. According to Bland himself, “disease appears real and
fixed, just as the earth seems flat, and time and space seem linear and solid.”
Apparently that is part of a paradigm-shifting insight. In reality, it is new age guru
gobbledygock, nothing else. But that kind of stuff has a rather significant audience.
Since 2014,
the Cleveland Clinic has despite everything sported a Center for Functional
Medicine. Functional medicine remains pure
quackery. But there is money in it, and what centers the Cleveland Clinic hosts
is not decided by its medical personnel, far less by anyone working in science.
It’s apparently been very popular.
Bland
founded The Institute for Functional Medicine (IFM) in the early 1990s as part
of one of his companies HealthComm. Bland is not a medical doctor but a former
chemist and dietary supplement hawker, whose companies have been
fined an impressive number of times by the FTC and FDA and have been
ordered to stop making medical claims for their products. At least the Nu-Day Diet Program
and the UltraClear dietary program were obvious scams: they were falsely claimed to reduce the incidence and severity
of symptoms associated with gastrointestinal problems, inflammatory or
immunologic problems, fatigue, food allergies, mercury exposure, kidney
disorders, and rheumatoid arthritis. Later, Bland’s company Metagenics got in
trouble for falsely claiming that their products UltraClear®, UltraMeal®,
UltraInflamX™, and UltraGlycemX™ , promoted e.g. for “Support of Metabolic
Detoxification”, were medical foods rather than
bullshit. You can read more about Bland’s colorful adventures in the fields of
fraud, scam, and con artistry here. The IFM was arguably founded
precisely to push the kinds of supplements Bland used to get in trouble for, and the reason it is hard to pin
down what functional medicine is, is presumably exactly because it was invented
precisely as a ploy for Bland to sell his supplements.
Bland was
also on the board of directors for Keats Publishing, possibly America’s most
prolific publisher of questionable information about health, nutrition, and
“alternative” health methods at least prior to the 2000s. He was also on the “medical advisory board” of
Healthshop, an online supplement recommending fraud and spam website. Also
before he decided to invent functional medicine, Bland was a central promoter
of nutritional supplements and gave talks to and adviced a range of rather
influential quack cults trying to pose as legitimate medical associations, such
as the Council on Nutrition (a chiropractic organization – Bland and
functional medicine remains popular with chiropractors, apparently). He is even on the Advisory Board of Julian Whitaker’s lobbying organization known as the
American Association of Health Freedom (AAHF). But of course he is. Ask
him about his views on vaccines.
What’s thoroughly
scary, though, is that even in 2015, the Accreditation Council for Continuing
Medical Education would accredit organizations like The Institute for
Functional Medicine, with speakers like Bland, for continuing medical education credits. He is regularly featured as a
speaker by organizations and groups that really should know better.
Diagnosis:
One of the most influential quacks in the US, Bland is most of all a kind of
spineless guru who seems to have evolved from cynically employing any scheme
possible to push his supplements to becoming something like a true believer in
whatever he makes up as he goes along. Yes, it’s hard to believe that he takes
his own helpless metaphorical gestures seriously, but he seems to do.