The Traditional Medicinals
Congress is comprised of the American Herbal Products Association
along with 8 other national organizations who have drafted “A
Proposed Regulatory Model for Traditional Medicinals”. In 2004 the TM
Congress came together with the intended goal “to benefit public
health by ensuring access to traditional medicinals in a manner that
provides a reasonable expectation of public safety”.
The
document details the Congress’ agreed upon stipulations for creating
an “optional new category” for classifying and labeling herbal
products apart from the Dietary Supplement Health and Education Act,
under which herbs may not be marketed as medicines.
The guiding
assumptions and key components of the document are posted online at
www.ahpa.org as
well as on the other sponsoring organizations’ websites.
Public
comments may be sent to TMCongressFeedback@pobox.com . The
deadline for comments is June 30th, although this date
may be extended.
Regulated: Public Safety or Restricted access?
By Kara Sigler, Clinical Herbalist Intern
We
have all been hearing about the Traditional Medicinals Congress
recently, the proposed legislation by nine national organizations to
regulate how herbs are labeled and what herbs may or may not be
available to the public in the future. But why just now? The TM Congress originally
met in 2004 to draft “A Proposed Regulatory Model for Traditional
Medicinals”. Yet it has
only come to the attention of the lay Western Herbalist community
within the last few months.
Even the American Herbalists Guild, the only voice of western
herbalists on the board of the TM Congress, was not forthcoming in
announcing to the public, or even its own members that the document
was being drafted. The
AHG website has one small press release on the TM Congress dated
November 29th,
2005, which directs readers to the AHPA official site
where the document can be downloaded. The only comment by the
president of the AHG read “We are pleased to be part of this group
of national organizations working cooperatively…”. Apart from that the AHG made
no stance on the drafted document. A few AHG members that I
spoke with had not seen any mention of the TM Congress in any
newsletter they had received.
This lack of informing western herbalists, who will
definitely be affected by the legislation, does not bode well for
this community unless we take it upon ourselves to make our opinions
heard and incorporated into the proposal. Responding to a
question already fielded publicly, the AHPA webpage states that Yes,
others may join the Traditional Medicinals Congress as long as they
meet the stated criteria.
Western Herbalists need to be more represented on a national
level since this kind of legislation affects not only the way we
practice our craft, but also the way we dispense and make our
medicines, and the way our educational facilities may be accredited
in the future.
While carefully reading over the Guilding Assumptions and
Key Components of the proposed document, I found that the language
used was not difficult or full of jargon, yet I did have to read
between the lines. The
supposed “goal of the Traditional Medicinals Congress is to benefit
public health by ensuring access to traditional medicinals in a
manner that provides a reasonable expectation of public
safety”. This alleged
purpose of regulating the sale of herbal medicines for the public’s
own safety worries me.
Questions arise for me such as what is considered
“reasonably” safe for public consumption, what constitutes a
“traditional use” that must be proven to use herbs, and who in the
future will be a “qualified” practitioner to dispense said “safe”
herbs. The document
claims to be acting in the interest of the public, “to ensure
access”, but they are just creating more regulations and removing
herbal medicine further from the hands of the people to heal
themselves.
To
their credit, the TM Congress is creating a framework for
instituting regulations by a group of practitioners and
manufacturers, who truly have traditional medicinals quality as
their focus, as opposed to being regulated by an outside government
agency. As it stands
there are few regulating bodies over the use of herbal products,
namely the FDA under the Dietary Supplement Health and Education Act
and the Food Drug and Cosmetic Act, which the TM Congress deems not
to be effected by this “optional new category” they are
creating. So why
institute regulations and laws where they previously did not exist
and seem not to leave a lack there of? A closer look at the home
page of the sponsoring herbal organizations brings the answer into
sharp relief. By
changing the way herbs can be labeled as medicinals, the AHPA and
other large scale herbal manufacturers have financially to gain by
filling a market niche that if regulated, could exclude smaller
companies from the fees imposed by accreditation and restricted
public access to certain herbs deamed unsafe by the Traditional
Medicinals Congress board.
Although the authors of the draft state that their
document does not affect herbalists, it does lay a groundwork for
future regulations and accrediting standards for designating who is
a qualified practitioner to dispense said herbs. This especially affects
western herbalists and traditional healers who are not accredited or
licensed, and who practice outside an allopathic model of
regulation. This subject is at the forefront of political and
economic legislation as the herbal industry boasts $4 million in
sales and continued rapid growth. Hopefully the country’s
blossoming awareness of traditional medicinals and alternative
models of healing means that these will continue to be accessible to
the public and the practitioners of non-western forms of
medicine. We shall see
in the future whether this type of legislation actually passes, and
whether it will help or harm those it is intended to protect.
ers:
Traditional
Medicines Congress ~ By Lainie Baker, Clinical
Herbalist
The Traditional Medicines Congress asserts
that a primary purpose for instituting guidelines is to ensure
safety to the public by removing direct consumer access to plant
medicine viewed as a threat to public health. They go on to profess
that distribution of restricted traditional medicines by “qualified”
professionals will improve public safety.
Plant related deaths are extremely rare. In
the 2000 Annual Report of the American Association of Poison Control
Centers (AAPCC), only nine deaths occurred when using botanical
medicines. Seven of these deaths included the intentional abuse of
Ma Huang. Compare this with a clinical study report in 1998 that
conservatively estimated 107,000 hospitalizations annually for
Non-steroidal Anti-inflammatory Drug (NSAID)-related
gastrointestinal complications and at least 16,500 NSAID-related
deaths that occur each year among arthritis patients alone. With so
many over-the-counter, non-herbal toxins available to consumers, it
seems the focus of herbalists would be better placed on beginning a
movement toward removing these toxins, rather than plant medicine,
from consumer reach.
I’m fascinated at the notion of the Congress
that it can effectively remove these “harmful plant substances” from
the public. Plants abound and where there is need, there is
resourcefulness. In this case, to presume control over community
access is to presume control over nature.
Additionally, if there were truly a need for
consumer safety from plant medicine, this kind of prohibition of
public access would stem from the public itself, from those who are
directly affected. However, the request for public safety comes from
those who may financially benefit and ultimately gain control over
the trade.
On a different note, who would be considered
a “qualified” practitioner as stated throughout the document? While
the Congress announced that they currently take no position on
license requirements for practitioners, it seems the model they are
proposing serves as a prelude to it. For example, because the
American Herbalist Guild has an exam focusing on a science-based
approach to botanical medicine, and is one of the only organizations
in the country to hold an exam, it is likely that the government
will accept this existing standard as the model for herbal training
and qualification. The result would be the exclusion of other
equally valuable traditional methods of healing. Methods such as
Curanderic, Shamanic and Energetic healing would be relegated to
second-rate status and possibly even restricted from legal practice.
To limit the scope of what herbalism means by certifying only in a
science-based approach is to endanger the practice in alternative
paradigms and strip the livelihood of many practitioners who have
dedicated their lives to healing those in the community.
Additionally, with the current medical system in place, can the
public really afford to have a reduction in their choices of health
care? It’s certainly something to think about.