Sawbones: A Marital Tour of Misguided Medicine

Sawbones: Apple Cider Vinegar

Sawbones: A Marital Tour of Misguided Medicine 2025-02-25

Summary

Hosts Justin and Sydney McElroy discuss the Netflix series "Apple Cider Vinegar," a dramatized true story about wellness influencer Belle Gibson, who faked a cancer diagnosis and promoted a healthy diet as her cure. The episode contrasts Gibson's fraud with the fictionalized character Mila Blake, a genuine cancer patient who rejects conventional oncology in favor of alternative therapies like Gerson therapy, including juice fasts and coffee enemas. Sydney, a physician, uses the show as a springboard to discuss why patients are drawn to pseudoscientific wellness claims over evidence-based medicine. She argues that the medical community often fails at patient communication by being dismissive and authoritarian rather than empowering patients with autonomy. The episode examines how wellness influencers succeed by offering hope, beauty, and a sense of control that traditional medicine rarely provides, even when the underlying treatments have zero scientific support. The conversation highlights the systemic issues that enable health fraud, including society's poor handling of mental illness, the unattractive reality of cancer treatments like chemotherapy, and the medical profession's tendency to say "this is your only option" rather than engaging patients with empathy and shared decision-making.

Key Points

  • The Netflix series "Apple Cider Vinegar" tells the true story of Belle Gibson, who faked a cancer diagnosis and built a wellness brand around it
  • Gerson therapy, portrayed in the show, involves 13 glasses of juice per day, vegetarian diet, supplements, and coffee enemas with zero evidence for treating cancer
  • Wellness influencers succeed partly because conventional medicine often fails at empathetic communication and patient empowerment
  • The concept of patient autonomy should be an active practice, not just passive recognition of a patient's right to choose
  • Apple cider vinegar is actually a weaker vinegar than many alternatives in terms of its vinegary properties
  • Both fraudulent influencers and true believers in alternative medicine can cause harm, but through different mechanisms
  • The medical community's dismissive attitude toward patients' concerns can push people toward pseudoscience

Key Moments

Apple cider vinegar is actually a weaker vinegar

Sydney points out that if you care about the vinegary health properties, apple cider vinegar is actually weaker than many other vinegars you could choose, challenging the marketing hype around this specific variety.

"As we talked about, if you're concerned about like the vinegary properties being the healthy properties, apple cider vinegar is a weaker vinegar than a lot of other vinegars you may choose."

Gerson therapy and juice-based cancer cures have zero evidence

Sydney explains that Gerson therapy, which involves drinking 13 glasses of organic juice daily plus coffee enemas, has never been shown to treat or cure cancer in any study. Despite this, it continues to be promoted by wellness practitioners.

"The idea is that there are changes in our cells related to toxins. This is like, it's toxins. Everything causes toxins. And so we need ways to cleanse our bodies of these toxins because our liver is so busy, it can't get them all out."

Why patients choose wellness influencers over doctors

Sydney explains that wellness influencers offer empowerment and control while medicine often responds with dismissiveness. Chemotherapy is toxic and doctors say "this is your only option" rather than engaging patients with empathy and autonomy.

"This other person made you feel powerful and made you feel in control and made you feel smarter than all of us nerds in white coats who think we know best."

Related Interventions

In Playlists