The Connecticut State Medical Society (CSMS) is a professional organization for physicians in the U.S. state of Connecticut . It was founded as the Connecticut Medical Society in 1792. The Society was involved in the creation of many of Connecticut's medical institutions, including the Medical Institution of Yale College (now the Yale School of Medicine ), the New Haven Hospital (now Yale New Haven Hospital ), and the Hartford Retreat for the Insane (now the Institute of Living ). The CSMS belongs to a network of county and state medical societies, as well as the American Medical Association .
99-537: In the late 18th century, physicians in Connecticut worked toward legislation that would better regulate the practice of medicine. Politicians opposed to the creation of a state medical society suspected that doctors sought to create a monopoly and increase their income. Physicians assured the governor of Connecticut that a medical society with a licensing board would benefit citizens by providing protection from quack doctors and uneducated practitioners. In 1792, after
198-662: A charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver , derived from Dutch : kwakzalver a "hawker of salve" or rather somebody who boasted about their salves, more commonly known as ointments. In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention. Common elements of general quackery include questionable diagnoses using questionable diagnostic tests , as well as untested or refuted treatments, especially for serious diseases such as cancer . Quackery
297-488: A "multi-state racket where unqualified doctors conducted hundreds of illegal kidney transplants for huge profits." The president of the Indian Medical Association (IMA) in 2008 criticized the central government for failing to address the problem of quackery and for not framing any laws against it. In 2017, IMA again asked for an antiquackery law with stringent action against those practicing without
396-530: A 2010 survey by the Association of Certified Fraud Examiners estimated that the typical organization loses five percent of its annual revenue to fraud, with a median loss of $ 160,000. Fraud committed by owners and executives were more than nine times as costly as employee fraud. The industries most commonly affected are banking, manufacturing, and government. In China, according to the Criminal Law of
495-683: A certificate of registration from the State Board of Health. The first meeting of the Connecticut Medical Society took place on October 9, 1792. The Society formalized its bylaws, established license and membership fees, and chose its official seal. Members would be required to reveal the contents of their prescriptions. Secret remedies and patent medicines were banned in an effort to combat quackery. In addition, members who were known to have “consulted” with anyone who prescribed secret or patent medicines were to be expelled from
594-453: A court to invoke its equitable jurisdiction . In common law jurisdictions, as a criminal offense, fraud takes many different forms, some general (e.g., theft by false pretense) and some specific to particular categories of victims or misconduct (e.g., bank fraud , insurance fraud , forgery ). The elements of fraud as a crime similarly vary. The requisite elements of perhaps the most general form of criminal fraud, theft by false pretense, are
693-692: A fine or imprisonment for up to ten years on conviction on indictment . This Act largely replaces the laws relating to obtaining property by deception, obtaining a pecuniary advantage and other offences that were created under the Theft Act 1978 . The Serious Fraud Office is an arm of the Government of the United Kingdom, accountable to the Attorney General for England and Wales . The National Fraud Authority (NFA) was, until 2014,
792-435: A fraud, it is not strictly necessary for one to know they are misrepresenting the benefits or risks of the services offered. Unproven, usually ineffective, and sometimes dangerous medicines and treatments have been peddled throughout human history. Theatrical performances were sometimes given to enhance the credibility of purported medicines. Grandiose claims were made for what could be humble materials indeed: for example, in
891-399: A fraudulently obtained agreement or transaction, the recovery of a monetary award to compensate for the harm caused, punitive damages to punish or deter the misconduct, and possibly others. In cases of a fraudulently induced contract, fraud may serve as a defense in a civil action for breach of contract or specific performance of contract . Similarly, fraud may serve as a basis for
990-466: A government agency coordinating the counter-fraud response in the UK. Cifas is a British fraud prevention service, a not-for-profit membership organization for all sectors that enables organizations to share and access fraud data using their databases. Cifas is dedicated to the prevention of fraud, including internal fraud by staff, and the identification of financial and related crime. In Scots law , fraud
1089-581: A known placebo effect . With little understanding of the causes and mechanisms of illnesses, widely marketed "cures" (as opposed to locally produced and locally used remedies), often referred to as patent medicines , first came to prominence during the 17th and 18th centuries in Britain and the British colonies, including those in North America. Daffy's Elixir and Turlington's Balsam were among
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#17327914146611188-929: A license. As of 2024, the government of India is yet to pass an anti-quackery law. In 2014, the Government of India formed a Ministry of AYUSH that includes the seven traditional systems of healthcare. The Ministry of Ayush (expanded from Ayurveda , Yoga , Naturopathy , Unani , Siddha , Sowa-Rigpa and Homoeopathy ), is purposed with developing education, research and propagation of indigenous alternative medicine systems in India . The ministry has faced significant criticism for funding systems that lack biological plausibility and are either untested or conclusively proven as ineffective. Quality of research has been poor, and drugs have been launched without any rigorous pharmacological studies and meaningful clinical trials on Ayurveda or other alternative healthcare systems. There
1287-503: A little red wine. Radam's publicity material, particularly his books, provide an insight into the role that pseudoscience played in the development and marketing of "quack" medicines towards the end of the 19th century. Advertising claims similar to those of Radam can be found throughout the 18th, 19th, 20th and 21st centuries. "Dr." Sibley, an English patent medicine seller of the late 18th and early 19th centuries, even went so far as to claim that his Reanimating Solar Tincture would, as
1386-650: A number of unsuccessful attempts by physicians to lobby the state government, the General Assembly of the State of Connecticut passed the Act of Incorporation of the Connecticut Medical Society. It is believed to be the first private charter to be granted by the State of Connecticut. The stated purpose of the Society was “the improving of medical practice, medical education, and friendly relations among physicians.” Under
1485-545: A part in the professionalisation of medicine. Its efforts in the public debate helped to make the Netherlands one of the first countries with governmental drug regulation. In 1909, in an attempt to stop the sale of quack medicines, the British Medical Association published Secret Remedies, What They Cost And What They Contain . This publication was originally a series of articles published in
1584-425: A passport, travel document, or driver's license, or mortgage fraud , where the perpetrator may attempt to qualify for a mortgage by way of false statements. Fraud can be defined as either a civil wrong or a criminal act . For civil fraud, a government agency or person or entity harmed by fraud may bring litigation to stop the fraud, seek monetary damages, or both. For criminal fraud, a person may be prosecuted for
1683-455: A patient's right to life-ending medication to “engaged neutrality” in 2019. Speaking on Connecticut's plan to legalize recreational marijuana, the CSMS stated “The rush towards legalization of recreational marijuana ignores how profit-driven corporations hooked generations of Americans on cigarettes and opioids, killing millions and straining public resources. Connecticut has an obligation to protect
1782-655: A possible shift in the balance between "the reward from fraud" and the risk of detection. An aspect of the guidance was to equip staff to look out for "fraud indicators": clues or hints that an individual member of staff, team or area of activity might need "a closer look". In 2022, the television program Scam Interceptors revealed that the majority of fraud in the United Kingdom was perpetrated from industrial-scale scamming call centres in Asia. Since 2007, fraud in England and Wales and Northern Ireland has been covered by
1881-421: A victim. Internal fraud, also known as "insider fraud", is fraud committed or attempted by someone within an organisation such as an employee. The illegal act of obtaining (or the attempt of obtaining) a certain amount of currency in accordance with a contract that promises the later exchange of equated assets , which ultimately never arrive, is a type of fraud, known as commodities fraud. Alternatively,
1980-563: Is intentional deception to deprive a victim of a legal right or to gain from a victim unlawfully or unfairly. Fraud can violate civil law (e.g., a fraud victim may sue the fraud perpetrator to avoid the fraud or recover monetary compensation) or criminal law (e.g., a fraud perpetrator may be prosecuted and imprisoned by governmental authorities), or it may cause no loss of money, property, or legal right but still be an element of another civil or criminal wrong. The purpose of fraud may be monetary gain or other benefits, for example by obtaining
2079-493: Is $ 5.00! Another genius in Philadelphia, of the bogus diploma breed, who claims to have founded a new system of practice and who calls himself a "Professor," advertises two elixers of his own make, one of which is for "all male diseases" and the other for "all female diseases"! In the list of preparations which this wretch advertises for sale as the result of his own labors and discoveries, is ozone ! One among many examples
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#17327914146612178-621: Is William Radam, a German immigrant to the US, who, in the 1880s, started to sell his "Microbe Killer" throughout the United States and, soon afterwards, in Britain and throughout the British colonies. His concoction was widely advertised as being able to "cure all diseases", and this phrase was even embossed on the glass bottles the medicine was sold in. In fact, Radam's medicine was a therapeutically useless (and in large quantities actively poisonous) dilute solution of sulfuric acid , coloured with
2277-466: Is a type of fraud. Fraud can be committed through and across many media including mail , wire , phone , and the Internet ( computer crime and Internet fraud ). Given the international nature of the web and ease with which users can hide their location, obstacles to checking identity and legitimacy online, and the variety of hacker techniques available to gain access to PII have all contributed to
2376-630: Is accepted by patients in spite of its lack of effectiveness: As technology has evolved, particularly with the advent and wide adoption of the internet, it has increasingly become a source of quackery. For example, writing in The New York Times Magazine , Virginia Heffernan criticized WebMD for biasing readers toward drugs that are sold by the site's pharmaceutical sponsors, even when they are unnecessary. She wrote that WebMD "has become permeated with pseudomedicine and subtle misinformation." Fraud In law , fraud
2475-590: Is covered under the common law and a number of statutory offences. The main fraud offences are common law fraud, uttering, embezzlement, and statutory fraud. The Fraud Act 2006 does not apply in Scotland. Section 380(1) of the Criminal Code provides the general definition for fraud in Canada: 380 . (1) Every one who, by deceit, falsehood or other fraudulent means, whether or not it is a false pretence within
2574-464: Is difficult to distinguish between those who knowingly promote unproven medical therapies and those who are mistaken as to their effectiveness, United States courts have ruled in defamation cases that accusing someone of quackery or calling a practitioner a quack is not equivalent to accusing that person of committing medical fraud. However, the FDA makes little distinction between the two. To be considered
2673-628: Is in the advertising quacks. The coolness and deliberation with which they announce the most glaring falsehoods are really appalling. A recent arrival in San Francisco, whose name might indicate that he had his origin in the Pontine marshes of Europe, announces himself as the "Late examining physician of the Massachusetts Infirmary, Boston." This fellow has the impudence to publish that his charge to physicians in their own cases
2772-453: Is more than 9% of the UK's projected GDP for 2017 ($ 2,496 (£2,080) billion according to Statistics Times . ) The estimate for fraud in the UK figure is more than the entire GDP of countries such as Romania, Qatar and Hungary. According to another review by the UK anti-fraud charity Fraud Advisory Panel (FAP), business fraud accounted for £144bn, while fraud against individuals was estimated at £9.7bn. The FAP has been particularly critical of
2871-453: Is no conclusive therapeutic effect except in back pain. Naturopathy is considered to be a form of pseudo-scientific quackery, ineffective and possibly harmful, with a plethora of ethical concerns about the very practice. Unani lacks biological plausibility and is considered to be pseudo-scientific quackery, as well. While quackery is often aimed at the aged or chronically ill, it can be aimed at all age groups, including teens, and
2970-421: Is no credible efficacy or scientific basis of any of these forms of treatment. A strong consensus prevails among the scientific community that homeopathy is a pseudo-scientific, unethical and implausible line of treatment. Ayurveda is deemed to be pseudoscientific. Much of the research on postural yoga has taken the form of preliminary studies or clinical trials of low methodological quality; there
3069-490: Is normally computed using one of two rules: Special damages may be allowed if shown to have been proximately caused by defendant's fraud and the damage amounts are proved with specificity . Some jurisdictions may permit a plaintiff in a fraud case to seek punitive or exemplary damages. Beyond legislation directed at preventing or punishing fraud, some governmental and non-governmental organizations engage in anti-fraud efforts. Between 1911 and 1933, 47 states adopted
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3168-532: Is now the most commonly experienced crime in England and Wales and demands an urgent response." HM Treasury issued guidance to central government departments in January 2011 concerned with "Tackling Internal Fraud", concerned that economic pressures and potential staff redundancies at the time might lead those staff who "might be tempted" to commit fraud to make more of any opportunity which might arise, noting
3267-456: Is often described as "health fraud" with the salient characteristic of aggressive promotion. Psychiatrist and author Stephen Barrett of Quackwatch defines quackery as "the promotion of unsubstantiated methods that lack a scientifically plausible rationale" and more broadly as: "anything involving overpromotion in the field of health." This definition would include questionable ideas as well as questionable products and services, regardless of
3366-493: The American Civil War . British medicines never regained their previous dominance in North America, and the subsequent era of mass marketing of American patent medicines is usually considered to have been a "golden age" of quackery in the United States. This was mirrored by similar growth in marketing of quack medicines elsewhere in the world. In the United States, false medicines in this era were often denoted by
3465-496: The British Medical Journal between 1904 and 1909. The publication was composed of 20 chapters, organising the work by sections according to the ailments the medicines claimed to treat. Each remedy was tested thoroughly, the preface stated: "Of the accuracy of the analytical data there can be no question; the investigation has been carried out with great care by a skilled analytical chemist." The book did lead to
3564-512: The Fraud Act 2006 . The Act was given royal assent on 8 November 2006, and came into effect on 15 January 2007. The Act gives a statutory definition of the criminal offence of fraud, defining it in three classes—fraud by false representation, fraud by failing to disclose information, and fraud by abuse of position. It provides that a person found guilty of fraud is liable to a fine or imprisonment for up to six months on summary conviction , or
3663-651: The Indian Penal Code . It is supplemented by the Criminal Procedure Code and Indian Evidence Act . In 2016, the estimated value lost through fraud in the UK was £193 billion a year. In January 2018, the Financial Times reported that the value of UK fraud hit a 15-year high of £2.11bn in 2017, according to a study. The article said that the accountancy firm BDO examined reported fraud cases worth more than £50,000 and found that
3762-601: The Supreme People's Procuratorate in 2011, for cases of fraud involving public or private property with a value ranging from 3,000 yuan to 30,000 yuan, from 30,000 yuan to 500,000 yuan, and over 500,000 yuan, they should be respectively deemed as "relatively large amount," "large amount," and "particularly large amount" as stipulated in Article 266 of the Criminal Law. In India, the criminal laws are enshrined in
3861-681: The 12 months to the end of March 2016." Fraud affects one in ten people in the UK. According to the ONS, most fraud relates to bank account fraud. These figures are separate from the headline estimate that another 6.3 million crimes (distinct from fraud) were perpetrated in the UK against adults in the year to March 2016. Fraud was not included in a "Crime Harm Index" published by the Office for National Statistics in 2016. Michael Levi, professor of criminology at Cardiff University, remarked in August 2016 that it
3960-405: The 1792 charter, medical societies were created in each of Connecticut's eight counties. The State Medical Society membership consisted of the membership of the combined county societies. County societies were to elect representatives to the state society meetings. Connecticut was the only state with an established hierarchy of state and local societies until at least the 1850s. The charter granted
4059-587: The American Medical Association Health Fraud and Alternative Medicine Collection. "Medical quackery and promotion of nostrums and worthless drugs were among the most prominent abuses that led to formal self-regulation in business and, in turn, to the creation of the Better Business Bureau ." "Quackery is the promotion of false and unproven health schemes for a profit. It is rooted in the traditions of
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4158-621: The Connecticut Medical Society and Yale College was formed and made recommendations on the creation of the medical school. After three years of negotiations, in 1810, the Connecticut Legislature passed legislation authorizing the Medical Society to join with Yale College to form the Medical Institution of Yale College, which formally opened in 1813. During the first decades of medical education at Yale,
4257-401: The Connecticut Medical Society not only the right to grant medical licenses to physicians, but also the exclusive authority to grant medical degrees in the state. When Yale University began planning for the creation of a medical school under president Timothy Dwight , cooperation with the state medical society was necessary. A committee, chaired by President Dwight, with representatives from both
4356-587: The FDA has mentioned some areas where potential quackery may be a problem: breast developers, weight loss, steroids and growth hormones, tanning and tanning pills, hair removal and growth, and look-alike drugs. In 1992, the president of The National Council Against Health Fraud , William T. Jarvis, wrote in Clinical Chemistry that: The U.S. Congress determined quackery to be the most harmful consumer fraud against elderly people. Americans waste $ 27 billion annually on questionable health care, exceeding
4455-601: The Medical Act of 1842, and until 1893, a license was not required to practice medicine in the state. The Society continued to grant licenses until the Medical Practice Act was passed 1893 and the State of Connecticut took on the responsibility. By then, three medical societies had been chartered, the regulars, eclectics, and homeopaths. The Act created licensing boards that represented the interests of each group, and required all practicing physicians to receive
4554-400: The Medical Practice Act of 1924, were passed. It has been involved in the passage of many other state bills throughout its history. Care for the mentally ill has been a concern of the CSMS. In 1812 the Society formed its first committee to gather information on mentally ill persons in the state. In 1821 efforts began to organize a hospital for their care. The Society voted to allocate funds for
4653-780: The People's Republic of China , the Crime of Fraud ( 诈骗罪 ) refers to the "criminal act of deceiving and obtaining public or private property." According to Article 266 of the Criminal Law: According to the "Interpretation on Several Issues Concerning the Specific Application of the Law in Handling Criminal Cases of Fraud" ( 关于办理诈骗刑事案件具体应用法律若干问题的解释 ) issued by the Supreme People's Court and
4752-570: The Society the authority to appoint an examining committee to issue medical licenses. Licensing began immediately and in 1800 an amendment to the charter ruled that the Society could require new physicians in Connecticut to obtain a license to practice. The state legislature later overruled this part of the charter amid the Popular Health Movement of the 1830s–1850s and increasing pressure from practitioners of alternative medicine, particularly from followers of Samuel Thompson . After
4851-399: The Society. In 1797, Elisha Perkins , a founding member of the society, was expelled for patenting and marketing a metallic tractor he claimed could cure multiple diseases. While the medical establishment mostly denounced the invention, its popularity grew, with George Washington purchasing a pair of Perkins Tractors. The device was later proven to be fraudulent. The charter of 1792 granted
4950-748: The Supreme Court interpreted it to mean only that ingredients on labels had to be accurate. Language in the 1912 Sherley Amendment, meant to close this loophole, was limited to regulating claims that were false and fraudulent, creating the need to show intent. Throughout the early 20th century, the American Medical Association collected material on medical quackery, and one of their members and medical editors in particular, Arthur J. Cramp, devoted his career to criticizing such products. The AMA's Department of Investigation closed in 1975, but their only archive open to non-members remains,
5049-741: The UK from fraud are estimated to be more than £190bn". Figures released in October 2015 from the Crime Survey of England and Wales found that there had been 5.1 million incidents of fraud in England and Wales in the previous year, affecting an estimated one in 12 adults and making it the most common form of crime. Also in July 2016, the Office for National Statistics (ONS) stated "Almost six million fraud and cyber crimes were committed last year in England and Wales and estimated there were two million computer misuse offences and 3.8 million fraud offences in
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#17327914146615148-638: The United States are that: To establish a civil claim of fraud, most jurisdictions in the United States require that each element of a fraud claim be pleaded with particularity and be proved by a preponderance of the evidence , meaning that it is more likely than not that the fraud occurred. Some jurisdictions impose a higher evidentiary standard, such as Washington State's requirement that the elements of fraud be proved with clear, cogent, and convincing evidence (very probable evidence), or Pennsylvania's requirement that common law fraud be proved by clear and convincing evidence. The measure of damages in fraud cases
5247-627: The University of Maryland Center for Integrative Medicine, for writing that "There [is] evidence that both real acupuncture and sham acupuncture [are] more effective than no treatment and that acupuncture can be a useful supplement to other forms of conventional therapy for low back pain." He also castigated editors and peer reviewers at the New England Journal of Medicine for allowing it to be published, since it effectively recommended deliberately misleading patients in order to achieve
5346-484: The amount of loss involved. High value fraud can also trigger additional penalties. For example, in California, losses of $ 500,000 or more will result in an extra two, three, or five years in prison in addition to the regular penalty for the fraud. The U.S. government's 2006 fraud review concluded that fraud is a significantly under-reported crime, and while various agencies and organizations were attempting to tackle
5445-434: The amount spent on biomedical research. Quackery is characterized by the promotion of false and unproven health schemes for profit and does not necessarily involve imposture, fraud, or greed. The real issues in the war against quackery are the principles, including scientific rationale, encoded into consumer protection laws, primarily the U.S. Food, Drug, and Cosmetic Act. More such laws are badly needed. Regulators are failing
5544-591: The appeals that quackery held out to consumers. British patent medicines lost their dominance in the United States when they were denied access to the Thirteen Colonies markets during the American Revolution , and lost further ground for the same reason during the War of 1812 . From the early 19th century "home-grown" American brands started to fill the gap, reaching their peak in the years after
5643-537: The buyer to return. The few effective remedies sold by quacks included emetics, laxatives and diuretics. Some ingredients did have medicinal effects: mercury , silver and arsenic compounds may have helped some infections and infestations; willow bark contains salicylic acid , chemically closely related to aspirin ; and the quinine contained in Jesuit's bark was an effective treatment for malaria and other fevers. However, knowledge of appropriate uses and dosages
5742-505: The capital markets the President of the United States , Franklin D. Roosevelt , established the U.S. Securities and Exchange Commission (SEC). The main reason for the creation of the SEC was to regulate the stock market and prevent corporate abuses relating to the offering and sale of securities and corporate reporting. The SEC was given the power to license and regulate stock exchanges,
5841-538: The degree of doctor of medicine. Additionally, the Society was allowed to choose one man per county to receive free education for a year, as the cost of medical education was set to increase. Over time, the Society became less involved in the affairs of the medical school. In 1885, a mutual agreement ended the articles of union that had formed the joint project of the Medical Institution of Yale College and Yale took over sole administration of its medical school. The Society would no longer award medical degrees and Yale now had
5940-469: The diseases for which they were sold as a remedy, did make the imbibers feel better and confusedly appreciative of the product. The number of internationally marketed quack medicines increased in the later 18th century; the majority of them originated in Britain and were exported throughout the British Empire. By 1830, British parliamentary records list over 1,300 different "proprietary medicines",
6039-571: The early 20th century. Most people with an e-mail account have experienced the marketing tactics of spamming – in which modern forms of quackery are touted as miraculous remedies for "weight loss" and "sexual enhancement", as well as outlets for medicines of unknown quality. In 2008, the Hindustan Times reported that some officials and doctors estimated that there were more than 40,000 quacks practicing in Delhi , following outrage over
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#17327914146616138-510: The end of some of the quack cures, but some survived the book by several decades. For example, Beecham's Pills , which according to the British Medical Association contained in 1909 only aloes, ginger and soap, but claimed to cure 31 medical conditions, were sold until 1998. The failure of the medical establishment to stop quackery was rooted in the difficulty of defining what precisely distinguished real medicine, and in
6237-484: The fact. The end of the road for the quack medicines now considered grossly fraudulent in the nations of North America and Europe came in the early 20th century. 21 February 1906 saw the passage into law of the Pure Food and Drug Act in the United States. This was the result of decades of campaigning by both government departments and the medical establishment, supported by a number of publishers and journalists (one of
6336-535: The falseness of their medicine was discovered. Not all quacks were restricted to such small-time businesses however, and a number, especially in the United States, became enormously wealthy through national and international sales of their products. In 1875, the Pacific Medical and Surgical Journal complained: If Satan has ever succeeded in compressing a greater amount of concentrated mendacity into one set of human bodies above every other description, it
6435-418: The first products that used branding (e.g. using highly distinctive containers) and mass marketing to create and maintain markets. A similar process occurred in other countries of Europe around the same time, for example with the marketing of Eau de Cologne as a cure-all medicine by Johann Maria Farina and his imitators. Patent medicines often contained alcohol or opium , which, while presumably not curing
6534-403: The fraud and potentially face fines, incarceration, or both. In common law jurisdictions, as a civil wrong, fraud is a tort . While the precise definitions and requirements of proof vary among jurisdictions, the requisite elements of fraud as a tort generally are the intentional misrepresentation or concealment of an important fact upon which the victim is meant to rely, and in fact does rely, to
6633-445: The harm of the victim. Proving fraud in a court of law is often said to be difficult as the intention to defraud is the key element in question. As such, proving fraud comes with a "greater evidentiary burden than other civil claims". This difficulty is exacerbated by the fact that some jurisdictions require the victim to prove fraud by clear and convincing evidence . The remedies for fraud may include rescission (i.e., reversal) of
6732-459: The health and welfare of its citizens and rushing to legalize a potentially unsafe drug abdicates this responsibility.” Quackery Quackery , often synonymous with health fraud , is the promotion of fraudulent or ignorant medical practices . A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess;
6831-592: The hospital and additional funds were secured from the public. In 1824, the state legislature passed a charter incorporating the Hartford Retreat for the Insane, which opened to its first patient on April 1 of that year. The Hartford Retreat remained the only institution of its kind in the state until the first public institution for the mentally ill opened in Middletown in 1867. The CSMS gives testimony to
6930-585: The intentional deception of a victim by false representation or pretense with the intent of persuading the victim to part with property and with the victim parting with property in reliance on the representation or pretense and with the perpetrator intending to keep the property from the victim. The falsification of documents, known as forgery , and counterfeiting are types of fraud involved in physical duplication or fabrication. The "theft" of one's personal information or identity, like one finding out another's social security number and then using it as identification,
7029-410: The issue, greater co-operation was needed to achieve a real impact in the public sector. The scale of the problem pointed to the need for a small but high-powered body to bring together the numerous counter-fraud initiatives that existed. Although elements may vary by jurisdiction and the specific allegations made by a plaintiff who files a lawsuit that alleged fraud, typical elements of a fraud case in
7128-462: The majority of which were "quack" cures by modern standards. A Dutch organisation that opposes quackery, Vereniging tegen de Kwakzalverij (VtdK), was founded in 1881, making it the oldest organisation of this kind in the world. It has published its magazine Nederlands Tijdschrift tegen de Kwakzalverij ( Dutch Magazine against Quackery ) ever since. In these early years the VtdK played
7227-592: The manufacturers of new and existing products, including drugs and nutritional supplements or vitamins. The Federal Trade Commission (FTC) participates in some of these efforts. To better address less regulated products, in 2000, US President Clinton signed Executive Order 13147 that created the White House Commission on Complementary and Alternative Medicine . In 2002, the commission's final report made several suggestions regarding education, research, implementation, and reimbursement as ways to evaluate
7326-535: The marketplace", with "commercialism overwhelming professionalism in the marketing of alternative medicine". Quackery is most often used to denote the peddling of the "cure-alls" described above. Quackery is an ongoing problem that can be found in any culture and in every medical tradition. Unlike other advertising mediums, rapid advancements in communication through the Internet have opened doors for an unregulated market of quack cures and marketing campaigns rivaling
7425-416: The meaning of this Act, defrauds the public or any person, whether ascertained or not, of any property, money or valuable security or any service, In addition to the penalties outlined above, the court can also issue a prohibition order under s. 380.2 (preventing a person from "seeking, obtaining or continuing any employment, or becoming or being a volunteer in any capacity, that involves having authority over
7524-433: The mid-18th century, did have genuinely beneficial properties. This medicine continued to be sold under the original name into the early 20th century, and can still be found in the British and American pharmacopoeias as "Compound tincture of benzoin ". In these cases, the treatments likely lacked empirical support when they were introduced to the market, and their benefits were simply a convenient coincidence discovered after
7623-587: The mid-19th century revalenta arabica was advertised as having extraordinary restorative virtues as an empirical diet for invalids; despite its impressive name and many glowing testimonials it was in truth only ordinary lentil flour, sold to the gullible at many times the true cost. Even where no fraud was intended, quack remedies often contained no effective ingredients whatsoever. Some remedies contained substances such as opium , alcohol and honey, which would have given symptomatic relief but had no curative properties. Some would have addictive qualities to entice
7722-586: The most effective was Samuel Hopkins Adams , who wrote "The Great American Fraud" series in Collier's in 1905). This American Act was followed three years later by similar legislation in Britain and in other European nations. Between them, these laws began to remove the more outrageously dangerous contents from patent and proprietary medicines, and to force quack medicine proprietors to stop making some of their more blatantly dishonest claims. The Act, however, left advertising and claims of effectiveness unregulated as
7821-518: The name implies, "restore life in the event of sudden death". Another English quack, "Dr. Solomon" claimed that his Cordial Balm of Gilead cured almost anything, but was particularly effective against all venereal complaints, from gonorrhea to onanism . Although it was basically just brandy flavoured with herbs, the price of a bottle was a half guinea ( £sd system) in 1800, equivalent to over £38 ($ 52) in 2014. Not all patent medicines were without merit. Turlingtons Balsam of Life, first marketed in
7920-417: The nature of a trade secret or copyrighted material that has commercial value, has also been held to fall within the scope of the offence. The proof requirements for criminal fraud charges in the United States are essentially the same as the requirements for other crimes: guilt must be proved beyond a reasonable doubt . Throughout the United States fraud charges can be misdemeanours or felonies depending on
8019-447: The public by enforcing laws inadequately, applying double standards, and accrediting pseudomedicine. Non-scientific health care (e.g., acupuncture, ayurvedic medicine, chiropractic, homeopathy, naturopathy) is licensed by individual states. Practitioners use unscientific practices and deception on a public who, lacking complex health-care knowledge, must rely upon the trustworthiness of providers. Quackery not only harms people, it undermines
8118-424: The real property, money or valuable security of another person"). It can also make a restitution order under s. 380.3. The Canadian courts have held that the offence consists of two distinct elements: The Supreme Court of Canada has held that deprivation is satisfied on proof of detriment, prejudice or risk of prejudice; it is not essential that there be actual loss. Deprivation of confidential information , in
8217-543: The right to determine the requirements for the degree. The Connecticut Medical Society participated in the creation of the New Haven Hospital in 1826, now known as Yale New Haven Hospital. Members of the Society were involved in the creation of a State Board of Health in 1878, now called the Department of Public Health. The Society also informed the state legislature when the Medical Practice Act of 1893, and
8316-487: The risks and benefits of each. As a direct result, more public dollars have been allocated for research into some of these methods. Individuals and non-governmental agencies are active in attempts to expose quackery. According to John C. Norcross et al. less is consensus about ineffective "compared to effective procedures" but identifying both "pseudoscientific, unvalidated, or 'quack' psychotherapies" and "assessment measures of questionable validity on psycho-metric grounds"
8415-565: The school was administered by both the college and the State Medical Society. A joint committee of the college and the Society chose the faculty and determined whether or not candidates would receive their degrees. The State Medical Society continued to grant all licenses. The Society changed its constitution so that candidates for a license were now required to take at least one course of medical lectures at Yale or another medical college. Two courses of lectures would be required for
8514-466: The scientific enterprise and should be actively opposed by every scientist. For those in the practice of any medicine, to allege quackery is to level a serious objection to a particular form of practice. Most developed countries have a governmental agency, such as the Food and Drug Administration (FDA) in the US, whose purpose is to monitor and regulate the safety of medications as well as the claims made by
8613-519: The sincerity of their promoters. In line with this definition, the word "fraud" would be reserved only for situations in which deliberate deception is involved. In addition to the ethical problems of promising benefits that are not likely to occur, quackery might cause people to forego treatments that are more likely to help them, in favor of ineffective treatments given by the "quack". American pediatrician Paul Offit has proposed four ways in which alternative medicine "becomes quackery": Since it
8712-447: The slang term snake oil , a reference to sales pitches for the false medicines that claimed exotic ingredients provided the supposed benefits. Those who sold them were called "snake oil salesmen", and usually sold their medicines with a fervent pitch similar to a fire and brimstone religious sermon. They often accompanied other theatrical and entertainment productions that traveled as a road show from town to town , leaving quickly before
8811-479: The so-called Blue Sky Laws status. These laws were enacted and enforced at the state level and regulated the offering and sale of securities to protect the public from fraud. Though the specific provisions of these laws varied among states, they all required the registration of all securities offerings and sales, as well as of every U.S. stockbroker and brokerage firm. However, these Blue Sky laws were generally found to be ineffective. To increase public trust in
8910-465: The state legislature on medical issues. In 2022 it raised safety concerns over a proposed bill that would broaden who is permitted to perform abortions in the state. The Society opposed mandatory protective neck guards for youth hockey, calling for further research on their effectiveness. In 2021, the Society testified on an assisted-suicide bill, citing a "plurality of opinion" on the subject among physicians. The Society changed its stance from being against
9009-468: The support available from the police to victims of fraud in the UK outside of London. Although victims of fraud are generally referred to the UK's national fraud and cyber crime reporting centre, Action Fraud , the FAP found that there was "little chance" that these crime reports would be followed up with any kind of substantive law enforcement action by UK authorities, according to the report. In July 2016, it
9108-449: The term can relate to: the failure of registering in an exchange; the act of deliberately providing falsified information to clients; the action of executing transactions with the sole purpose of making a profit for the payee ; the theft of client funds . The detection of fraudulent activities on a large scale is possible with the harvesting of massive amounts of financial data paired with predictive analytics or forensic analytics,
9207-477: The total number rose to 577 in 2017, compared with 212 in 2003. The study found that the average amount stolen in each incident rose to £3.66m, up from £1.5m in 2003. As at November 2017, fraud is the most common criminal offence in the UK according to a study by Crowe Clark Whitehill, Experian and the Centre for Counter Fraud Studies. The study suggests the UK loses over £190 billion per year to fraud. £190 billion
9306-714: The use of electronic data to reconstruct or detect financial fraud. Using computer-based analytic methods in particular allows for surfacing of errors, anomalies, inefficiencies, irregularities, and biases which often refer to fraudsters gravitating to certain dollar amounts to get past internal control thresholds. These high-level tests include tests related to Benford's Law and possibly also those statistics known as descriptive statistics. High-level tests are always followed by more focused tests to look for small samples of highly irregular transactions. The familiar methods of correlation and time-series analysis can also be used to detect fraud and other irregularities. Participants of
9405-401: The very rapid growth of Internet fraud. In some countries, tax fraud is also prosecuted under false billing or tax forgery. There have also been fraudulent "discoveries", e.g., science , where the appetite is for prestige rather than immediate monetary gain. A hoax is a distinct concept that involves deliberate deception without the intention of gain or of materially damaging or depriving
9504-545: Was "deeply regrettable" that fraud was being left out of the first index despite being the most common crime reported to police in the UK. Levi said "If you've got some categories that are excluded, they are automatically left out of the police's priorities." The Chief of the National Audit Office (NAO), Sir Anyas Morse has also said "For too long, as a low-value but high-volume crime, online fraud has been overlooked by government, law enforcement and industry. It
9603-428: Was limited. The evidence-based medicine community has criticized the infiltration of alternative medicine into mainstream academic medicine, education, and publications, accusing institutions of "diverting research time, money, and other resources from more fruitful lines of investigation in order to pursue a theory that has no basis in biology." For example, David Gorski criticized Brian M. Berman , founder of
9702-440: Was pursued by various authors. The evidence-based practice (EBP) movement in mental health emphasizes the consensus in psychology that psychological practice should rely on empirical research. There are also "anti-quackery" websites, such as Quackwatch , that help consumers evaluate claims. Quackwatch's information is relevant to both consumers and medical professionals. There have been several suggested reasons why quackery
9801-515: Was reported that fraudulent activity levels in the UK increased in the 10 years leading up to 2016 from £52 billion to £193 bn. This figure would be a conservative estimate, since as the former commissioner of the City of London Police , Adrian Leppard, has said, only 1 in 12 such crimes are actually reported. Donald Toon, director of the NCA's economic crime command, stated in July 2016: "The annual losses to
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