Nothing unethical about placebo use

Q: A patient goes to a naturopathic doctor for treatment on a sore, arthritic knee. The doctor charges a flat rate per hour, not covered by OHIP; the patient pays out of pocket. The man requests ultrasound treatments on his knee; however, the doctor tells him it will not reduce his pain. The man firmly believes this treatment will help and, since he is paying, insists that he would like it anyway. The doctor appears to administer the treatment. However, unbeknownst to the patient, he doesn't actually turn the machine on; he simply goes through the motions. The patient leaves satisfied and continues to receive these treatments week after week, noticing a remarkable improvement in his knee. Is the doctor's behaviour ethical? And is it fair for him to charge for a service he is not providing? A: The Canadian College of Naturopathic Medicine describes its discipline as "a distinct system of primary health care that...promotes health and healing using natural therapies. It supports your body's own healing ability."

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