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Alternative medicine encompasses healing practices that developed outside conventional Western medicine, including herbal remedies, acupuncture, Ayurveda, homeopathy, naturopathy, and chiropractic care. This timeline traces its evolution from ancient civilizations through the rise of scientific medicine to today's growing movement of complementary and integrative healthcare. More Less
1910
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The Flexner Report of 1910 prompted sweeping reforms in American medical education, ensuring that established medical schools generally excluded alternative medicine as a teaching topic. Writing in 2002, Snyderman and Weil remarked that by the early twentieth century the Flexner model had helped to create the 20th-century academic health center, in which education, research, and practice were inseparable.
1938
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Since 1938, the FDA has regulated homeopathic products in several significantly different ways from other drugs. Homeopathic preparations, termed remedies, are extremely dilute, often far beyond the point where a single molecule of the original active ingredient is likely to remain, giving homeopathy a unique regulatory status within the pharmaceutical landscape.
1974
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In the United States, the 1974 Child Abuse Prevention and Treatment Act (CAPTA) required that for states to receive federal money, they had to grant religious exemptions to child neglect and abuse laws regarding religion-based healing practices, legally shielding certain alternative healing traditions from state intervention.
1975
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In 1975, the American Medical Association, which had played the central role in fighting quackery in the United States, abolished its quackery committee and closed down its Department of Investigation. This pivotal shift removed a major institutional barrier to the spread of alternative medicine across America.
2001
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By 2001, some form of CAM training was being offered by at least 75 out of 125 medical schools in the US, marking a striking reversal of the Flexner-era exclusion of alternative medicine from mainstream medical curricula.
2002
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In 2002, at least 60 percent of US medical schools devoted at least some class time to teaching alternative therapies, embedding CAM awareness into the training of a new generation of American physicians.
2014
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In 2014, the American Academy of Family Physicians withdrew course credits for functional medicine courses, having identified some of its treatments as harmful and dangerous. In 2018, it partly lifted the ban, but only to allow overview classes, not to teach its practice.
2019
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The 2019 WHO Global Report on Traditional and Complementary Medicine defined traditional medicine as the sum total of knowledge, skill and practices based on the theories, beliefs and experiences indigenous to different cultures used in the maintenance of health, while stating that complementary and alternative medicine refers to a broad set of health care practices not fully integrated into the dominant health care system. When TM practices are used outside their original setting without scientific evidence, they are typically referred to as alternative medicine.
1955
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A 1955 study suggested that a substantial part of a medicine's impact was due to the placebo effect. This finding blurred the line between conventional treatment outcomes and those attributed to alternative therapies, fueling later debates about how much of any medicine's benefit comes from belief rather than pharmacology.
1992
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Beginning in 1992, the NCCIH spent more than US$2.5 billion on research into alternative therapies, though this research did not demonstrate the efficacy of alternative treatments, making it one of the most consequential public investments in evaluating unconventional medicine.
2003
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In 2003, a project funded by the CDC identified 208 condition-treatment pairs, of which 58% had been studied by at least one randomized controlled trial (RCT), and 23% had been assessed with a meta-analysis, providing an unprecedented map of the scientific scrutiny applied to CAM practices.
2005
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According to a 2005 book by a US Institute of Medicine panel, the number of RCTs focused on CAM had risen dramatically. As of 2005, the Cochrane Library held 145 CAM-related Cochrane systematic reviews and 340 non-Cochrane systematic reviews, though the CAM review used the more developed 2004 Cochrane database while the conventional review used the initial 1998 database.
Mar 2009
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In March 2009, a staff writer for The Washington Post reported that the impending national discussion about broadening access to health care, improving medical practice and saving money was giving a group of scientists an opening to propose shutting down the National Center for Complementary and Alternative Medicine, whose $2.5 billion in spending had found no effective alternative therapies.
2011
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Edzard Ernst, the first university professor of Complementary and Alternative Medicine, characterized the evidence for many alternative techniques as weak, nonexistent, or negative and published his estimate in 2011 that about 7.4% were based on sound evidence, although he believed even that might be an overestimate.
1965 - 1999
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An analysis of trends in the criticism of complementary and alternative medicine (CAM) in five prestigious American medical journals during the period of reorganization within medicine (1965–1999) showed that the medical profession responded to the growth of CAM in three phases, with changes in the medical marketplace influencing the type of response in each phase.
1996
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Writers such as Carl Sagan, the noted astrophysicist, advocate of scientific skepticism and author of The Demon-Haunted World: Science as a Candle in the Dark (1996), lambasted the lack of empirical evidence supporting the putative energy fields on which many alternative therapies are predicated.
1999
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Writing in 1999 in CA: A Cancer Journal for Clinicians, Barrie R. Cassileth mentioned a 1997 letter to the United States Senate's Subcommittee on Public Health and Safety, signed by four Nobel Laureates and other prominent scientists, which deplored the lack of critical thinking and scientific rigor in OAM-supported research.
2001 - 2003
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Between 2001 and 2003, four children died in Australia because their parents chose ineffective naturopathic, homeopathic, or other alternative medicines and diets rather than conventional therapies, becoming a sobering case study cited worldwide in debates over regulating alternative medicine.
2002
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According to mental health journalist Scott Lilienfeld in 2002, unvalidated or scientifically unsupported mental health practices can lead individuals to forgo effective treatments, a phenomenon he referred to as opportunity cost, highlighting the hidden dangers of choosing unproven alternatives.
2003
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English evolutionary biologist Richard Dawkins, in his 2003 book A Devil's Chaplain, defined alternative medicine as a set of practices that cannot be tested, refuse to be tested, or consistently fail tests, arguing that if a technique is demonstrated effective in properly performed trials then it ceases to be alternative and simply becomes medicine.
1990 - 1997
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The use of alternative medicine in the US increased dramatically, with a 50 percent increase in expenditures and a 25 percent increase in the use of alternative therapies between 1990 and 1997, signaling mainstream America's growing embrace of unconventional treatments.
2001
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IFM, which promotes functional medicine, became a registered non-profit in 2001, institutionalizing this approach to personalized healthcare and expanding its influence among practitioners seeking alternatives to conventional disease-centered models.
2002
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According to a national survey conducted in 2002, 36 percent of U.S. adults used some form of alternative therapy. The most common CAM therapies used in the US in 2002 were prayer (45%), herbalism (19%), breathing meditation (12%), meditation (8%), chiropractic medicine (8%), yoga (5–6%), body work (5%), diet-based therapy (4%), progressive relaxation (3%), mega-vitamin therapy (3%) and visualization (2%).
2008
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In 2008, more than 37% of American hospitals offered alternative therapies, up from 27 percent in 2005 and 25% in 2004, showing how rapidly CAM services were being integrated into mainstream institutional healthcare settings.
2022
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A 15-year systematic review published in 2022 on the global acceptance and use of CAM among medical specialists found overall acceptance of CAM at 52% and overall use at 45%, confirming that alternative medicine had achieved near-majority integration into specialist practice worldwide despite persistent scientific criticism.
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