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Re: To Abby Re: Hysterectomy-part 1

From: Victoria (anonymous@obgyn.net)
Tue, 3 Sep 2002 21:59:07 -0400


If there is no safety data, no benefit/risk analysis, how can someone tell whether or not it is worth the risk/benefit? That is going on the assumption that progesterone creme has been tested like Prometrium and Provera, to make the analysis. It hasn't. There is no 'proof of the pudding'.

As for $ amounts, with the billions I've shown in profits from CAM treatments, and the fact that the NIH is putting millions into research, why can't the makers of cremes do just like the regular drug makers do?

--
Victoria

>From the NCCAM website.

Funding Strategy: Fiscal Year 2001

Overview

NCCAM's Fiscal Year 2001 appropriation from Congress is approximately $89 million. This figure reflects a 29% increase over the Fiscal Year 2000 budget.

Research Project Grants

In Fiscal Year 2001, the Research Project Grant (RPG) portion of the NCCAM budget is expanding to 36% of the total budget. RPGs accounted for 24% of the Fiscal Year 1999 budget.

The RPG line item is expanding relative to other segments of the budget in light of more than a 12-fold growth in grant applications received since Fiscal Year 1999.

Most of this money is targeted to investigator-initiated research.

NCCAM estimates that the success rate for competing grant applications will be approximately 17% in Fiscal Year 2001. This figure reflects a substantial decrease from the Fiscal Year 2000 success rate of 29%, reflecting the large increase in applications received. [Note: The success rate is the percentage of applications that receive funding.]

Request for Applications

The Request for Applications (RFA) mechanism is intended to stimulate the research community in specific areas identified as high priority by the National Advisory Council on Complementary and Alternative Medicine.

In Fiscal Year 2001, NCCAM is allocating about $12 million of competing dollars to support RFA applications.

From: anonymous@obgyn.net (Another)

Actually, IMO, what is important to consider is risk vs. benefit. I would always prefer the least toxic treatment. HRT has a long list of dangerous side effects which needs to be taken into consideration. As for placebo being 40% effective, does that mean that 40% of women on HRT do not need to put themselves at risk? Given the choice, I would prefer that useful placebo to increasing my risk of heart disease or stroke, if only it could work that way! I do not discount the value of any therapy simply because it does not bear the pharmaceutical industry $tamp of approval. The proof of the pudding is in the eating, so also is the proof of the therapy in the most safely achieved results.

AA




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