Homeopathy is a system of alternative medicine that uses extremely diluted over the counter substances to treat a wide variety of symptoms.  It is based on an 18th century pseudoscientific claim that “like cures like,” that is that the substances causing symptoms could, when diluted, treat sick individuals.  While its proponents claim it offers a natural and effective means of healing, homeopathy lacks scientific credibility and is essentially used as a modern means of selling snake oil. Even though it is widely known that these treatments don’t work, homeopathy remains legal and homeopathic products take up a massive amount of shelf space at retail drug stores, even in the State of New Jersey — a state with some of the toughest consumer protection laws in the country. Why is this legal? Is there anything consumers can do to combat this in New Jersey?

What Is Homeopathy?

Homeopathy originated in the late 18th century with Samuel Hahnemann, a German physician who theorized that substances causing symptoms in healthy individuals could, when diluted, treat similar symptoms in sick individuals. Homeopathic remedies are typically diluted to the point where no molecules of the original substance remain, leading critics to fairly describe these products for what they actually are, sugar pills or placebos. Homeopathy is widely regarded as pseudoscience because it lacks empirical support. Key criticisms include:

  1. Scientific Implausibility: The principle of “like cures like” and the extreme dilutions used in homeopathy contradict basic principles of chemistry and biology. It also defies common sense. How can you dilute something out of existence and expect that the nothing you’re left with will trigger a symptom fighting response in your body. 
  2. Lack of Evidence: Systematic reviews have found no reliable evidence that homeopathy is more effective than a placebo.
  3. Safety Concerns: Homeopathic products are often marketed without rigorous testing for safety, consistency or contamination, unlike conventional pharmaceuticals.

Despite these issues, homeopathy persists, largely due to consumer demand and legal protections.

Why Is Homeopathy Legal in the United States?

Homeopathy is legal in the United States primarily because of historical and regulatory factors:

  1. The Food, Drug, and Cosmetic Act (1938): This law recognized homeopathic remedies as a category of drugs, giving them a unique status. The U.S. Food and Drug Administration (FDA) historically deferred to the Homeopathic Pharmacopeia of the United States (HPUS) for standards on homeopathic products.
  2. Limited Oversight: Until recently, the FDA did not rigorously regulate homeopathic products. While the agency has since updated its enforcement policies to prioritize products that pose risks to public health, many homeopathic remedies still reach consumers with minimal scrutiny.
  3. Consumer Protection vs. Freedom of Choice: Lawmakers have historically balanced consumer protection with individuals’ rights to choose alternative treatments, even if they lack scientific support.

Legal Issues and Homeopathy in New Jersey

New Jersey does not have specific laws regulating homeopathy, but several legal issues can arise:

  1. Consumer Fraud Act: New Jersey’s Consumer Fraud Act (N.J.S.A. 56:8-1 et seq.) prohibits deceptive practices in the sale of goods and services. Misleading claims about the efficacy of homeopathic remedies could expose manufacturers and retailers to liability.
  2. Professional Licensing: Practitioners who incorporate homeopathy into their treatments must comply with state licensing laws. For example, licensed physicians and naturopaths offering homeopathic treatments must ensure that they do not misrepresent the efficacy of these remedies or engage in unprofessional conduct.
  3. Product Liability: If a homeopathic remedy causes harm due to contamination or improper labeling, manufacturers and distributors could face liability under New Jersey product liability laws.
  4. Insurance Coverage: Many insurance policies do not cover homeopathic treatments. Practitioners and patients may encounter legal disputes over reimbursement claims.

Conclusion

Homeopathy remains a legally accessible yet scientifically discredited practice in the United States, including New Jersey. While its legal status reflects historical and regulatory compromises, consumers should approach homeopathic remedies with skepticism and consult qualified healthcare professionals for evidence-based treatments.

For more information detailed information on the medical and scientific issues read Science-Based Medicine and NeuroLogica Blog.