Comments on the Draft Traditional Medicines Proposal
Of the Traditional Medicines Congress
Contents:
From: rclover Sent: Saturday, April 15, 2006 6:22 AM
From: Michael McGuffin Sent: Saturday, April 15, 2006 10:22 PM
From: CYNPILEGGI Sent: Monday, April 17, 2006 8:27 PM
From: Michael McGuffin Sent: Tuesday, April 18, 2006 8:53 AM
From: CR Anderson Geller Sent: Monday, April 17, 2006 5:22 PM
From: /color>"DAVID HOFFMANN" Date: /color>April 18, 2006 9:27:29 AM PDT.
From: rclover Sent: Thursday, April 20, 2006 10:47 PM
From: Sacred Plant Traditions Sent: Friday, April 21, 2006 8:56 AM
From: Amritakripa Sent: Friday, April 21, 2006 10:25 AM
From: CYNPILEGGI Sent: Monday, April 24, 2006 7:16 AM
From: Michael McGuffin Sent: Friday, May 05, 2006 1:28 PM
From: CYNPILEGGI Sent: Monday, April 24, 2006 8:25 AM
From: Stephen Buhner Sent: Saturday, May 06, 2006 7:28 AM
From: CYNPILEGGI Sent: Thursday, May 11, 2006 6:30 AM
From: CYNPILEGGI Sent: Friday, May 12, 2006 3:53 PM
From: CYNPILEGGI Sent: Wednesday, May 17, 2006 10:30 PM
From: CYNPILEGGI Sent: Monday, June 05, 2006 7:12 AM
From: CYNPILEGGI Sent: Monday, June 05, 2006 7:12 AM
From: CR Anderson Geller Sent: Friday, June 09, 2006 7:18 PM
From: /color>Roy Upton Date: /color>June 9, 2006 12:37:31 PM PDT
From: rclover Sent: Saturday, June 10, 2006 2:31 PM
From: CR Anderson Geller Sent: Saturday, June 10, 2006 9:08 PM
From: Paul Bergner Sent: Saturday, June 10, 2006 10:04 PM
From: Paul Bergner Sent: Saturday, June 10, 2006 10:33 PM
From: Michael McGuffin Sent: Sunday, June 11, 2006 2:05 PM
Subject: Re: (no subject)
Hi
Cynthia,
Since
the national organic standards have been put into place, the government now
"literally owns" the word "organic". This means that it
cannot be used in a discriptive way on labels, marketing or advertisment,
etc. It cannot be used in any strange spellings or even illustrations
that would indicate that someone is growing or producing something using
organic methods. Doesn't this sound like DSHEA. So, unless you
want to play by corporate rules and pay the extreme fees involved, you cannot
let your customer know that you are doing things organically any other
way. This means that in order for Chris and I to let people
know that we are organic growers we have to pay those fees and do all the big
business requirements and as the big buisness interests get more and more
involved, the standards get twiked...but it doesn't matter, because in order
for us to live in the world as an organic producer we have to be compared to
the Krafts and M& M Mars and General Mills of the world and as they weaken
standards, the consumer may or may not know that there is any difference in
what they do and what we do. Jane Goodall calls it shallow industrial organics
and deep earth organics. She's right... and this is what the difference
will be for herbs and herbalists if these types of regulations come into
place. We will have shallow industrial herbs and herbal services in the
lime light. Underground and nearly invisisble is where the deep earth
herbs and herbalists will be forced to exist.
Why
do I care about that...? Here is only one example. Before the
organic laws were laws, people were growing organically, using very strict
methods, self imposed, and your reputation depended on you doing it right and
that's what kept you in buisness...not laws! Another requirement with the
USDA organic regulations is that we can no longer make any of our own imputs
like natural pesticides. You know in my book, I have all these recipes
for making your own soap spray, ant bait, fungicide with baking soda,
etc. Well, we used to make our own remedies like these and that was
easier and saved us money as farmers. We also didn't have to worry about
"inert ingredients and whether they were ok or not, because we only had
the ingredients that we put into the remedy and we knew exactly what they
were. Now we are required by the regulations to use only products
that are "labeled for the specific purpose" and nothing can be homemade.
This means that we now spend hundreds of dollars a year buying insecticidal
soap spray, boric acid ant bait gels and natural oil fungicides to name a few
things. This is one of the things that worries me about the TM
proposal...will it become impossible to make your own teas, tinctures, salves,
etc.! Will the law require that only manufacturered preparations be used,
especially by practitioners. Not only is that unnecessary and
unappropriate perhaps for the person planning to use the herbs, it is
expensive! Herbs are supposed to be the people's medicine, not profits in
a company's coffers! They are supposed to be available to all people, not
just people who can afford the product or the service! Are herbalists
only be considered legidimate if they are"regulated" by laws that are
highly influenced by business standards of industry organizations,
insurance companies and product manufacturers? These laws are not
inclusive, because they cannot be when they are based only on a western
scientific protocol. We are no better or worse as organic growers just
because we are licensed. We are good organic growers because of our practices
and the resulting product that comes from those and that would be the same
whether or not we were licensed. However, when we are required to be
"licensed or registered or certified" by law (It's all the same
thing really isn't it) it is only available to those who have the resources to
comply. Otherwise you can "do business".
Hmm...
These types of regulations take the service of herbalists and the plants out of
the hands of the people and put them into the control of the government.
The rules are made by the companies that can afford to lobby that
government, not by the people...it's as simple as that. History repeats
itself and our society don't seem to get any wiser sometimes as a
result of past lessons.
----- Original Message
-----
To: rclover
Sent: Friday, April 14, 2006
10:33 AM
Subject: (no subject)
Tammi,
If you have any
documentation you can share about the changes that the USDA imposed when they
took over Organic certification, and any other such info we can use to create
the case for the aspects of the TMC proposal that will be damaging to
Herbalists, I appreciate the assistance.
Peace & Love,
Cyn
To: 'rclover'; CYNPILEGGI
Subject: RE: (no subject)
Hi Cynthia (and all),
Thanks for forwarding this
communication from Tammi (hi Tammi!). I’d like to address a few of the
questions and comments that she has provided about the possible impact of
adding a new [keeping in mind that there is already a regulatory class of
products that contain herbs: dietary supplements] regulatory class (traditional
medicine products) for products that contain herbs.
I hope these
comments are helpful. I have asked several of the herbalists that have
contacted me in the last several weeks to provide specific comments to the
draft – which sentence(s) needs to change to address your concerns? In order to
completely understand the needs of the herbalist community we really need that
kind of specific input.
Thanks for your
involvement!
Michael McGuffin
Subject: Comments on the TMC
Proposal - Cynthia Pileggi & Doug Whan
Greetings Everyone,
We have been reviewing the TMC
proposal for several days.Text directly from the Traditional Medicines Congress
Proposal is in black. My comments are in purple.Comments made
by Doug Whan are in green.
The TMC has spent what is obviously a great deal of
time, consideration and energy to create the Proposed TMC Regulatory
model with good intentions. In reviewing this carefully, some of us see
that this proposal has potential to significantly impact us in
ways that may not serve the greater community. Traditional Medicines are often
referred to as the peoples medicines. Many of us using Traditional
Medicines considered using herbs and Traditional Medicines an innate
right.
There are those like me, who make at least a part of
our living creating formulas and products, recommending, dispensing or
writing about herbs and traditional medicines.
This could be a fantastic opportunity if all went
perfectly.
A new classification ~ Traditional Medicines.
Labels and product brochures with complete, truthful information on health
benefits, disease claims, detailed instructions for use and safety. In a
perfect world, this would be great.
Does the TMC really think they will get enough
members of Congress believing in the TMC proposal?
Do they have any members of Congress interested in
sponsoring this legislation? Getting support over the arguments provided
by the AMA, pharmaceutical companies and other interested parties who will be
doing their best to sway Congress will be a challenge.
Once in their hands, members of Congress could
see this Proposed Model as a way to control access to what many
still believe is an un-regulated industry- (herbs and dietary
supplements)......Has the TMC considered this?
Those who have worked with local, federal or state
government, in trying to pass legislation, are aware that legislators
are influenced by many factors. They are influenced by their constituents,
special interest groups, lobbyists and other agendas that are often unrelated
to the actual piece of legislation. Amendments could
be added to the TMC model with no recourse on the part of the TMC to stop the
momentum once it has started.
Herbs and traditional medicines have been scrutinized,
disrespected, and eradicated by various administrations and the media.
It would be easy for a member of state or
federal government, involved once this goes public, to specify that
all Traditional Medicine Practioners must be licensed practitioners or licensed
professionals. They merely have to add licensed in front of professional or
practioner. The TMC would need strong support to maintain their goal.
Who are the 'professionals' who are given protected
access via this proposal and how is professional status
determined? In this document sometimes 'professionals' is the term
used, other times, practitioners, Traditional Medicine Practitioners or
qualified practitioners. Consistent terminology with clear definitions are
needed.
This proposal appears to have the potential of creating
even less direct access, putting Traditional Medicines in their own category,
regulated for use only by those determined to be qualified by the FDA, HHS,
with input by the TMC. It appears that only those recognized as the 'qualified
health professionals' will truly have unfettered access, not the public,
the community of herbalists, the health food stores and other resale
venues who have helped promote Herbalism and the use of safe Traditional
Medicines.
I also see potential challenges with the adverse
reaction section.
November 2005 the bill HR 4282 was introduced to
Congress, the Health Freedom Protection Act. It has 15 co-sponsors, and is
sponsored by Rep. Ron Paul (R-TX) in a grassroots campaign to end FDA and FTC
censorship. There is an article in Vitamin Retailer Feb. 2006 issue
on this bill and should be information on the internet about it. This bill may
cover some of the needs expressed by the TMC?
Thank you to everyone who has been voicing their thoughts,
opinions and suggestions.
Best Regards,
Cynthia Pileggi & Doug Whan
Guffey CO
(Page 1)
A Proposed Regulatory Model for Traditional
Medicines:
Guiding Assumptions and Key Components
Introduction
"In
the spring of 2004 a diverse group of organizations decided to initiate a cooperative
process to exchange ideas about the future of traditional medicines in the
The list of organizations whose efforts
have resulted in the Proposed Regulatory Model for Traditional Medicines, the
Traditional Medicines Congress (TMC):
Acupuncture and Oriental medicine
Alliance (AOMA);
American Association of Naturopathic
Physicians (AANP);
American Association of Oriental Medicine
(AAOM);
American Herbalist Guild (AHG);
American Herbal Products Association
(AHPA);
Council of Colleges of Acupuncture and
Oriental Medicine (CCAOM);
Medicinal Herb Consortium (MHC);
National Ayurvedic Medical Association
(NAMA);
Under
what auspices is the TMC organized? Is it a non-profit agency?
Are
there bylaws governing the TMC and if so, is it possible to obtain a copy
of the bylaws?
Has
the TMC kept minutes and agendas for
all meetings?
Would
the TMC please provide all minutes, agendas, and a roster of those
organizations attending the meetings and those individuals (who act as spokes
persons, decision makers) representing each organization with membership in the
TMC? Is there a Chair person for the TMC?
"Each of these either represents or is engaged in
standards setting, certification or accreditation for health care practitioners
who include traditional medicines in their scope of practice; educational
institutions that provide training in traditional medicine; manufacturers of
traditional medicines; or growers and producers of traditional medicine
ingredients."
As
stated in this paragraph, each of the organizations proposing this regulatory
action is actively involved in setting standards, certification and accreditation
for the group they represent. Please note that some of these organizations
(Acupuncturists and Naturopathic Physicians) have actively pursued
licensing for their members in many states. Please understand that I am
not in any way making a judgement on their decisions for licensure. I
strongly believe in both of these healing modalities and honor their expertise,
wisdom and their decision for licensure.
Is it
a goal of at some of the members of the Traditional Medicines Congress to
require all Traditional Medicine Practioners to be licensed?
Could
the state or federal governing bodies require licensure stemming from the TMC
Model?
Is
there a way to protect the rights of all Traditional Medicine Practioners and Traditional
Medicines without licensure?
(Page
1)
"Representatives
of each of the sponsors of the Traditional Medicines Congress have created a
specific proposal for a better way to regulate traditional medicines. At the
very beginning of this process a clearly specified goal was agreed upon to
emphasize both the value of traditional medicines and the responsibilities that
are associated with their use:
The goal of the Traditional Medicines
Congress is to benefit public health by ensuring access to traditional
medicines in a manner that provides a reasonable expectation of public
safety."
Is this proposal about Public Safety? Aren't the Public
Safety issues already addressed by the FDA and DSHEA? Is this proposal being
written to Protect those 'few' who abuse Herbs such as Ephedra from
themselves, while at the same time it opens a Pandora's Box for the total
control of Traditional Medicines by the government? Control that the government
does not have now, and longs for?
Are there that many adverse reactions to Traditional medicines
that we need to Protect the Public from them?
If this is a public safety issue this is already covered by
existing laws.
• A traditional medicine category will preserve access by
professionals to
traditional medicines that state or federal regulatory
agencies have withdrawn, or may withdraw, from the market under current
regulatory frameworks.
This paragraph states 'will preserve access by
professionals' once again.
Keeping any potentially unsafe, highly medicinal
herbs in the hands of qualified practitioners has merit, of course.
However, what criteria does the TMC propose for
determination of who will be recognized as 'professionals'
with access to ALL Traditional Medicines?
Please list the withdrawn and/or threatened herbs and
traditional medicines that the TMC, is considering for limited
access.(Eventually this list would have to include input from the FDA and
HHS if this becomes law).
• A traditional medicine category will support the use of
traditional medicines,
by both health
professionals and consumers.
The language used here clearly states... "will
support the use by health professionals and consumers."
Does this language exclude those who
may currently be purveyors of safe Traditional Medicines such as Health
Food Stores, mail order catalogs, Food Co-Op's, Fresh
Herb and Mushroom Growers, internet sites, herb schools, etc.
Will all resale outlets have to hire Traditional Medicine
Practioners to dispense herbs an other traditional Medicines?
It appears that many herbs and other traditional medicines
could be taken off the shelves of our neighborhood health food stores and made
available ONLY through a group that the TMC, FDA, HHS and the US Congress
determine as qualified health professionals.
• "A
traditional medicine category will ensure the public’s access to traditional
medicines and to
truthful information about them."
The potential to expand the truthful information that
we will be able to provide with Traditional Medicines is an important benefit
of this proposal.
• A traditional medicine category will ensure practitioner
access to traditional
medicines that, for safety reasons, should not be directly
accessible to the
public.
Please provide a detailed list of the traditional
medicines being referred to that are unsafe except in the hands of a qualified
practioner?
How will it be determined if a practitioner (including an
Herbalist or other non-licensed Traditional practioner) has the education and
qualifications to dispense, recommend, prescribe, and maintain unrestricted
access to all Traditional Medicines?
Page 13 of the proposal mentions the National Commission
for Certifying Agencies (NCCA).
Would the NCCA be involved in setting up
certification or other methods of determination for qualifications for
access to use, and dispense Traditional Medicines (TM)?
• Accurate information about traditional uses and
indications for traditional
Medicines will improve
public safety.
This is an important
benefit of the Traditional Medicines category. We all strive for accuracy and
public safety.
Does the TMC feel that
only 'qualified health practitioners' can create and dispense accurate
information?
• "A traditional medicine category will support the
use of traditional medicines,
by both health
professionals and consumers." (from page 1)
• Distribution of restricted traditional medicines by
qualified professionals will
improve public safety.
Are 'qualified professionals' the only venue of
distribution of these restricted ingredients?
Terms need clear definitions.
• A traditional medicine category will provide a
contribution to repair the
health care crisis.
It could benefit the
• Creation of a traditional medicine category in the
international models. Is this
an attempt to conform to and /or adopt the CODEX model?
• Most traditional medicine ingredients and products will
remain directly accessible to the public.
What products and ingredients will remain directly
available, has a list been created? Which products and ingredients will be
limited and / or prohibited? What does directly available mean and available
though what venues- Health Food Stores, Practioners offices, Food CO-OP's, mass
market stores, internet, direct mail, etc?
• Some traditional medicine
ingredients and products will be accessible to
practitioners only (and
so not accessible to the public without practitioner
supervision). Which
Traditional Medicines are referred to here? What criteria and which governing
body will determine who will be the practitioners with unrestricted access, and
those with limited access? Will there be 2 classifications of
Traditional Medicines, restricted and unrestricted?
• Many ingredients and
products that fall into a new traditional medicine
regulatory category will
also be able to be marketed as dietary supplements
under DSHEA.
Is it proposed that there will be at least two
categories within the Traditional Medicines Classification? One category of
traditional Medicines that are sold as such in current retail outlets, and
through practitioners. The second category is those Traditional medicines with
use restricted to practitioners (qualification to be determined).
Does the TMC proposal
provide that Traditional Medicines in the first category (safe for direct use
by consumers) be available through a variety of resale outlets including but
not limited to: Health Food Stores, Internet Outlets, Mail order and Mass
market stores, Herbalists, Acupuncturists, Naturopathic Physicians and other
Traditional Medicine Practioners?
In the TMC
proposal, would people in a retail setting for example, who do not
necessarily have professional training in Traditional Medicines, be allowed to
relay the information on the label and in the educational materials pertaining
to the Traditional Medical use of the single ingredient or combination?
If some of the products
under Traditional Medicines classification will fall under DSHEA, why did the
TMC chose to not address this act?
Wouldn't support for
DSHEA, which is currently under attack by Congress, be a better starting point
for protecting our rights and continuing efforts for public awareness and
safety?
page 3
• Additional losses to
traditional medicine materia medica may
be incurred in
the time that it takes to create a traditional medicine
category.
Please explain what the TMC means here? What losses are
feared? Is there an eminent threat some of us may be unaware of?
• Recognizing that professional practice of medicine is regulated
at the state level, this TM Congress intends to maintain awareness of the
potential impact on all stakeholders at state levels.
Who does TMC consider to be stakeholders at the state
level?
Note the terminology- Professional Practice of Medicine is
regulated at the state level. What role, what position do non-regulated
Herbalists hold in this proposal?
Is this proposal one that TMC intends for adoption
State by State or is the intention to create a federal law?
In discussing state regulation - Isn't it true
that states require licenses for those who are regulated such as MD's, DC's
ND's and Acupuncturists?
• Some current trends in national politics create a window
of opportunity favorable to creation of a traditional medicine category.
Please elaborate here.
What is this 'window of opportunity' that the TMC sees
that many of us do not? The climate in this current administration~
They lowered the standards for Organics until it almost
means as much, or as little as the word natural, and put many ethical, organic
small family farms out of business.
An administration that has the FBI compiling lists of
Vegan's, reducing standards protecting our air, water and earth, and calls
environmentalists 'terrorists'.
This is a Congress that the TMC feels provides a window of
opportunity?
Please enlighten those of us who are looking into a
different window.
Traditional
Medicines Congress
DRAFT Key
Components (page 4)
November 2005
d. The forms in which
traditional medicines are used include:
i. Powders.
ii. Essential oils.
iii. Decoctions,
distillations, infusions, solutions, and waters
iv. Fluid extracts,
glycerites, honeys, mucilages, oils, oxymels,
spirits, tinctures,
vinegars, medicated wines, and other extracts
in liquid form.
v. Aperitifs, cordials,
elixirs, and syrups.
vi. Juices of herbal
ingredients.
vii. Solid and
semi-solid extracts.
viii. Powdered extracts
and granulations.
ix. Capsules (hard shell
or softgel), perles, pills, and tablets.
x. Lozenges, pastilles,
and troches.
xi. Snuffs.
xii. Creams, gels,
lotions, ointments, and salves.
xiii. Compresses,
fomentations, liniments, plasters, poultices.
xiv. Moxabustion.
xv. Baths and washes.
xvi. Steam inhalations.
xvii. Douches and
enemas.
xviii. Suppositories and
pessaries.
The list of potential
preparation and ingredients is included as Traditional Medicines is extensive.
What about Homeopathic
preparations- pellets, gels, creams, etc? Will Homeopathic products be
considered Traditional Medicines? Should an association of Homeopaths be made
aware of the TMC Proposal?
Would the same formula
provided in different forms, be classified differently? If traditionally a
formula was in a tea or beverage form (an herb such as Kava for example), but a
company decides to put in a tablet. Would it still be considered a Traditional
medicine when in a non-traditional form?
(page 6)
f. Traditional medicines
i. That are offered for
sale to any person for resale
1. Must either:
A. Consist of or be
prepared from a single traditional
medicine ingredient; or
B. Conform to a
traditional formula; or
C. Be a modified form of
a traditional formula, such
modification to be in
conformity with traditional
indications;
How is this to be determined?
Does this preclude innovation? Would any new technology or new information on a
use of a traditional medicine have to be approved first? What about patented
formulas and processes? Will they be excluded from being classified as a TM?
If one ingredient were
changed in a Traditional Formula would it no longer come under these rules and
with access therefore available to everyone regardless of professional
certification?
2. And must:
A. Be lab