Integrative Medicine: The Emperor’s New Clothes Proven treatments belong in medicine. Unproven ones don't.

The term integrative medicine claims to describe a third category in clinical practice, somewhere between conventional evidence-based medicine and alternative therapies. This article argues that this category is conceptually confused and often misleading. If an intervention is supported by good evidence, is safe in practice, clinically useful and cost-effective, it should simply become part of regular medicine. If an intervention does not have such evidence, it does not become stronger by being called integrative. The article examines how the language of integrative medicine works. It shows how one attractive label can bring together two very different things: evidence-based supportive care on the one hand, and weakly supported or unproven interventions on the other. This creates the impression that both have the same clinical status, even when they do not. The article also discusses the possible consequences for patients, including confusion about evidence, false confidence in unproven treatments, and reduced adherence to effective care. Drawing on more than a decade of experience evaluating complementary medical claims through foundation IOCOB (a foundation to study complementary medicine) , it argues for a simpler and more honest approach. Proven interventions should be called medicine. Unproven interventions should be called unproven. Disproven interventions should be called disproven. There are not two equal medicines waiting to be synthesised. There is only medicine that has earned its place, and medicine that has not.