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Integrative Medicine: here is my slightly altered and much improved version
On this blog and elsewhere, I have repeatedly criticised the concepts of 'integrative medicine' (IM). But criticising is easy, improving would be better. Today, I want to re-visit and revise the idea of IM and propose the concept of a 'reformed integrated medicine' (RIM). Proponents of IM suggest that we should use 'the best of both worlds' for the benefit of our patients. This seems to be a progressive and ethical approach to improving healthcare. Therefore, I fully accept this idea. However, I suggest to not stop here; if we are serious about wanting the best for our patients, we must not just integrate, we should also disintegrate! We also need to think about disintegrating (discarding) modalities that are not fit for purpose. This, in a nutshell, is the concept of RIM. In order to make real progress, we need to have a critical look at all the diagnostic, preventive, therapeutic and rehabilitative practices available to date and: integrate those into routine care that demonstrably