Last week, the local featured a brief article on the practice--seemingly more the custom rather than the breach, of German physicians to prescribe placebos (from the Latin for I shall please) to treat a narrow range of ailments rather than genuine medications. Just as treatment and healing can be spurred by the belief and trust of the patient in the sugar-pill can have subtle, complex and powerful results, the debate that this disclosure raises is equally complex.
German physicians, rather than being pressured by the insurance and pharmaceutical industry, as such a widespread practice is litigiously contentious and would never be condoned by the business, and have better intentions when it comes to deception for medical intervention. Some patients certainly demand drugs and treatment, and I imagine doctors sometimes have little choice but to placate them, and if minor discomforts can be cured (by the patient's mind) without the risk of promoting over-conditioning where antibiotics are made ineffective by being prescribed too freely or of side effects (Nebenwirkung), which are less culturally tolerated than in over-the-counter societies. It is, however, a bit dangerous to sow distrust, as the distinction between real and trick medicine becomes blurred, and any pharmaceutical's efficacy could be compromised by lack of faith. The strength of medicine is in large part lent. Doctors are not infallible and there's a lot of guesswork and intuition involved, but insisting on treatment against solicited advice is ignoring the physician's years of training and experience. Contemporary medical practice could be seen as snake oil and quackery by future generations. There was never a control-group for leech-mongering. As long as the patient is not endangered, and the physician must not only know what medicine to prescribe or not prescribe but also must have the skill to foster a relationship with the patient, which is unmatched by just dispensing what's fashionable, I would not suspect one to feel deceived but rather honoured that the doctor could help the patient heal himself.
