© Kevin Van Aelst / The New York Times
If you're looking for the name of a new pill to "ask your doctor about," as the ads say, the Mayo Clinic Health Information site is not the place for you. If you're shopping for a newly branded disorder that might account for your general feeling of unease, Mayo is not for you either. But if you want workaday, can-do health information in a nonprofit environment, plug your symptoms into Mayo's Symptom Checker. What you'll get is: No hysteria. No drug peddling. Good medicine. Good ideas.
This is very, very rare on the medical Web, which is dominated by an enormous and powerful site whose name - oh, what the hay, it's WebMD - has become a panicky byword among laysurfers for "hypochondria time suck." In more whistle-blowing quarters, WebMD is synonymous with Big Pharma Shilling. A February 2010 investigation into WebMD's relationship with drug maker Eli Lilly by Senator Chuck Grassley of Iowa confirmed the suspicions of longtime WebMD users. With the site's (admitted) connections to pharmaceutical and other companies, WebMD has become permeated with pseudomedicine and subtle misinformation.
Because of the way WebMD frames health information commercially, using the meretricious voice of a pharmaceutical rep, I now recommend that anyone except advertising executives whose job entails monitoring product placement actually block WebMD. It's not only a waste of time, but it's also a disorder in and of itself - one that preys on the fear and vulnerability of its users to sell them half-truths and, eventually, pills.
But if careering around the Web doing symptom searches is your bag (and, come on, we've all been there), there's still MayoClinic.com. Where WebMD is a corporation that started as an ad-supported health-alarmism site with revenues of $504 million in 2010, the Mayo Clinic is a nonprofit medical-practice-and-research group that started as a clinic. Mayo's storied past as the country's premier research hospital, in Rochester, Minn., and its storied present as one of Fortune's "100 Best Companies to Work For" surface in the integrity of the site itself, which - though not ad-free - is spare and neatly organized, with the measured, learned voice of the best doctors. The byline for most entries is "Mayo Clinic staff." The integrity of the whole institution is on the line with this site, and the Mayo Clinic has every motivation to keep its information authoritative and up to date.
Comment: Fluoridation is ineffective because:
1) Major dental researchers concede that fluoride's benefits are topical not systemic (Fejerskov 1981; Carlos 1983; CDC 1999, 2001; Limeback 1999; Locker 1999; Featherstone 2000).
2) Major dental researchers also concede that fluoride is ineffective at preventing pit and fissure tooth decay, which is 85 percent of the tooth decay experienced by children (JADA 1984; Gray 1987; White 1993; Pinkham 1999).
3) Several studies indicate that dental decay is coming down just as fast, if not faster, in non-fluoridated industrialized countries as fluoridated ones (Diesendorf, 1986; Colquhoun, 1994; World Health Organization, Online).
4) The largest survey conducted in the U.S. showed only a minute difference in tooth decay between children who had lived all their lives in fluoridated compared to non-fluoridated communities. The difference was not clinically significant nor shown to be statistically significant (Brunelle & Carlos, 1990).
5) The worst tooth decay in the U.S. occurs in the poor neighborhoods of our largest cities, the vast majority of which have been fluoridated for decades.
6) When fluoridation has been halted in communities in Finland, former East Germany, Cuba and Canada, tooth decay did not go up but continued to go down (Maupome et al, 2001; Kunzel and Fischer, 1997, 2000; Kunzel et al, 2000 and Seppa et al, 2000).