Snake oil or fish oil? Americans shelling out $33.9 billion a year on alternative health treatments

Join Our Community of Science Lovers!

This article was published in Scientific American’s former blog network and reflects the views of the author, not necessarily those of Scientific American



On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


People in the U.S. spent $33.9 billion last year on alternative health goods and services, ranging from antioxidant supplements to yoga, according to a new study released today by the National Institutes of Health (NIH).

About 38 percent of adults are using some sort of alternative treatment (known as “complementary and alternative medicine” or CAM), and what they’re buying makes up about 11 percent of total U.S. out-of-pocket health care spending, the report states.

“With so many Americans using and spending money on CAM therapies, it is extremely important to know whether the products and practices they use are safe and effective,” Josephine Briggs, director of NIH’s National Center for Complementary and Alternative Medicine, said in a prepared statement.

Spending on natural products ($14.8 billion), such as omega oils or St. Johns Wart, of which the effectiveness remains unproven by the U.S. Food and Drug Administration (FDA), was about a third of what people spent on prescription drugs annually; and total visits to alternative treatment practitioners, such as chiropractors or acupuncturists, were equivalent to about a quarter of the out-of-pocket money spent on physician visits.

“This underscores the importance of conducting rigorous research and providing evidence-based information on CAM,” Briggs said, “so that health care providers and the public can make well-informed decisions.”

With about $4.1 billion going to yoga, tai chi and qigong classes (and $200 million to other relaxation techniques) annually, are Americans any more equanimous? A study by the American Psychological Association in 2007 (the same year the CAM data was collected) found that about half of Americans reported an increase in stress over the past five years and more than two thirds of Americans reported physical and/or psychological symptoms of stress.

If alternative medicines still seem like a gamble, keep in mind that spending on these treatments was just a touch less than the $34 billion people lost in nontribal-owned U.S. casinos last year.

Image courtesy of iStockphoto/evgenyb

It’s Time to Stand Up for Science

If you enjoyed this article, I’d like to ask for your support. Scientific American has served as an advocate for science and industry for 180 years, and right now may be the most critical moment in that two-century history.

I’ve been a Scientific American subscriber since I was 12 years old, and it helped shape the way I look at the world. SciAm always educates and delights me, and inspires a sense of awe for our vast, beautiful universe. I hope it does that for you, too.

If you subscribe to Scientific American, you help ensure that our coverage is centered on meaningful research and discovery; that we have the resources to report on the decisions that threaten labs across the U.S.; and that we support both budding and working scientists at a time when the value of science itself too often goes unrecognized.

In return, you get essential news, captivating podcasts, brilliant infographics, can't-miss newsletters, must-watch videos, challenging games, and the science world's best writing and reporting. You can even gift someone a subscription.

There has never been a more important time for us to stand up and show why science matters. I hope you’ll support us in that mission.

Thank you,

David M. Ewalt, Editor in Chief, Scientific American

Subscribe