Medical fundraiser raises millions of dollars for risk treatments, study finds



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The document specifically tracked funding for five treatments: homeopathy or naturopathy for cancer; hyperbaric oxygen therapy, called HBOT, for the treatment of brain lesions; stem cell therapy for brain damage and spinal cord injury; and long-term antibiotic therapy for chronic Lyme disease.

"Unfortunately, I think that part of the reason we see so much money here is that people want to help, but we operate in some kind of culture where people do not listen to this that the experts tell them, "he said. . "It's one of those sad effects, I think, of anti-science."

Medical crowdfunding has become commonplace in recent years, especially with the rapidly rising cost of medical care in the United States, according to GoFundMe, the largest crowdfunding platform used for medical purposes.
Health spending in the United States increased to about $ 933.5 billion between 1996 and 2013, according to a separate analysis previously published in the medical journal JAMA last year.
Some crowdfunding platforms aim to offset these costs. GoFundMe, for example, organizes more than 250,000 medical campaigns a year, according to its website. Many medical campaigns on crowdfunding platforms are set up to address individual medical needs, such as a family seeking help to pay for cancer treatment or a person wanting to try treatment for a rare disease.
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"GoFundMe campaigns are organized by individuals, for a specific need, whether for a personal or charitable cause.Each campaign is unique and therefore we can not comment on specific elements related to campaigns without knowing their accuracy this document refers to, "said a GoFundMe statement sent to CNN by email in response to the new JAMA document.

"We have defined a set of terms and conditions and we will remove any campaign that violates our terms of service Our Trust & Safety team works tirelessly to ensure the safety and security of our community and protects all donors with the GoFundMe guarantee" the statement said. "The industry's first and only refund policy, GoFundMe Guarantee, guarantees that funds raised by GoFundMe campaigns will go to the intended recipient, and if misuse is detected, we will reimburse donors."

Follow-up of five treatments, and which raised the most

For this new article, the researchers looked for crowdfunding medical campaigns on four sites – GoFundMe, YouCaring, CrowdRise and FundRazr – and they specifically looked for campaigns related to the five treatments.

The researchers identified treatment-related campaigns posted in the United States and Canada between November 2015 and the date of their analysis, which was conducted last year between November 14 and December 11. All campaigns were seeking treatment.

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The researchers identified 1,059 campaigns reporting an intention to allocate funds to one of the five treatments being sought. No such campaigns were found on CrowdRise or FundRazer, but 1,038 were found on GoFundMe and the others on YouCaring, which was acquired by GoFundMe this year.

In total, the campaigns sought to raise $ 27,249,487.99 and resulted in a total of $ 6,779,700.00 – or 24.9% of what was sought – at the end of the data collection, have discovered the researchers. The newspaper and the researchers did not reveal specific information about individual activists, such as their names, where they lived or where they lived. Other details.

Among these campaigns, the researchers found that the 474 fundraising campaigns for homeopathic or naturopathic cancer treatments generated the most money.

Researchers also found that stem cell therapies for brain and spinal cord injuries generated 188 and 93 campaigns respectively, generating more than $ 1 million for brain damage and $ 590,446 for lesions in the brain. spinal cord.

The 190 campaigns looking for funds to access the OTH against brain injury collected $ 785,421.92 and the 114 campaigns looking for long-term antibiotic treatment against Chronic Lyme Disease raised $ 689,363.67, the researchers said.

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The researchers also identified nine named practitioners and eight countries that activists intended to visit for therapies and treatments. These included clinics in Germany and Mexico for homeopathic or naturopathic cancer treatments, a clinic in New Orleans offering OTHB for brain injury, and various clinics in the United States, Panama, Thailand. , India, China and Mexico.

The study has some limitations, including the fact that only five treatments were examined on four platforms; further research is needed to determine if similar results could emerge for other treatments on other platforms.

"More important research could be done," said Caplan.

In addition, despite the intention of each campaign, the data in the document did not indicate whether the activists were actually using the necessary funds. the specified treatments, or what happened if the campaign raised more funds than requested.

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Overall, Caplan said that crowdfunding platforms could require more users who seek medical treatments to publish more information about themselves and about the use of funds raised, such as the plan to use if the funds can not be used and the outcome of the treatment. after the funds are used.

"I think it would be useful to have a crowdfunding requirement that says if you crowdsourcez here, we'll tell you the result of what happened – that you should fill it in at the late, that you have a responsibility, has given you money to tell them what happened, "Caplan said.

GoFundMe said in its statement: "We always encourage people to do extensive research on everything for which they raise funds and to be more transparent on their GoFundMe page, so that donors can make an informed decision. as regards their donations. "

"Their money can be wasted"

Crowdfunding campaigns for unproven stem cell-based interventions tend to underestimate the risks and exaggerate the effectiveness of such therapies, suggests a separate article previously published in the journal JAMA in March.

This document identified 408 campaigns on GoFundMe and YouCaring last year, which had received more than $ 1.4 million in donations for unproven stem cell-based interventions.

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"There is a woman, Doris Tyler, for example, you can still find her online crowdfunding site where she was looking for stem cell therapy for vision loss," said Leigh Turner, Associate Professor at the Center's School of Public of Bioethics from the University of Minnesota. Health, and College of Pharmacy, who was the author of this previously published article.
"She ended up conducting a crowdfunding campaign, went to a clinic in Georgia, and was blinded by the so-called stem cell procedure," he said. Earlier this year, this woman's story was published in The Washington Post, The New York Times, and other media.
Last year, the GoFundMe team published a blog article offering specific tips on fundraising for stem cell therapy, which also included the possible risks, side effects and limitations of stem cell therapy.
FDA Attacks Clinics That Market Unapproved Stem Cell Therapies

The latest JAMA document "provides a little more information on the diversity of existing campaigns," said Turner, who was not involved in the new document.

He added that he hoped the researchers "better explain why they focused on the five categories analyzed rather than on crowdfunding campaigns for unproven interventions designed to address dozens of other conditions. Otherwise, it's an interesting and significant addition to the growing number of health-related crowdfunding scholarship. "

Yet Turner cautioned against criticizing patients who might use crowdfunding to respond to a desperate need for medical care.

"I think of the United States as a country where many people do not have adequate access to health care.They do not have adequate health insurance. in a way, these huge structural problems in terms of access to health care – and crowdfunding sites are becoming the vehicle that some people use to try to get medically necessary care, "he said. "We can oppose the injustices of the US health care system, but that does not mean we want to condemn individual campaigns for people who are essentially looking for interventions that can help them."

"Previous research has shown that crowdfunding is used for unproven anti-stem cell interventions and alternative cancer interventions, and this article builds on this research by confirming the existence of these concerns and demonstrating that this collection funding is underway Jeremy Snyder, professor of health sciences at Simon Fraser University in Canada, did not participate in the publication but was one of the authors of the separate paper on crowdfunding for interventions unproven stem cell based.

"The public must know that their money can be wasted for ineffective treatments or even used for dangerous interventions that may be harmful to the health of those they seek to help.If their goal is to help others, there is a whole range of charities that help people with medical needs very effectively, "he said. "Crowdfunding platforms must also be careful not to be used for these purposes."

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