provided their child.â It was Joey Hofbauerâs last chance to receive the radiation and chemotherapy he needed. Jasen still considered laetrile, coffee enemas, pancreatic enzymes, and a âvaccineâmade from bacteria in Joeyâs urine to be âacceptable medical treatment.â
O n July 10, 1980, ten-year-old Joey Hofbauer died of Hodgkinâs disease, his lungs riddled with cancer. Although Michael Schachter acknowledged that Hodgkinâs disease had killed Joey, he claimed partial success. âMost of the body was either free of Hodgkinâs or minimally involved,â he said.
Four months later, Americaâs most celebrated standard-bearer for laetrile, Steve McQueen, also died. After McQueenâs appearance on Mexican television, Cliff Coleman, a longtime friend, had paid him a visit. âI walked over and there was this skinny old man,â recalled Coleman. âNo more than a skeleton with dark eyes and a matted beard, sitting swallowed up in an armchair.â McQueen told Coleman, âI canât take it anymore.â One month later, McQueen was taken to a medical clinic in El Paso, Texas, where tests showed that cancer had spread from his lungs to his abdomen, liver, and pelvis. Within a few days, on November 7, 1980, during surgery to remove a massive abdominal tumor, Steve McQueen died of a heart attack.
One year after the deaths of Joey Hofbauer and Steve McQueen, cancer specialist Charles Moertel, of the Mayo Clinic in Rochester, Minnesota, led research teams at UCLA, the University of Arizona, and the Memorial Sloan-Kettering Cancer Center, in New York, in the clinical trial proposed by Franz Ingelfinger. They treated 178 cancer victims with laetrile and high doses of vitamins, finding that the combination didnât cure, improve, or stabilize cancers. âPatients died rapidly, with a median survival of only 4.8 months,â they wrote. âIt mustbe concluded that Laetrile [is] of no substantive value in the treatment of cancers. Further investigation or clinical use of such therapy is not justified.â Researchers also found that several patients had suffered symptoms of cyanide poisoning from laetrile. Within a year of the publication, laetrile sales dropped dramatically. In 1987, the FDA banned the sale of laetrile. (It can still be obtained from clinics in Mexico or illegally from the Internet. In recent years, more websites have appeared promoting the drug.)
I n retrospect, the last best chance to save Joey Hofbauer had occurred in one court and one court only: Judge Loren Brownâs family court. This was the only time that cancer specialists had testified. Lawyers working on behalf of Joey had done their homework. The doctors and scientists presented by the state had published hundreds of papers, written book chapters on Hodgkinâs disease, chaired professional societies, headed research teams showing the value of radiation and chemotherapy, performed studies in experimental animals showing that laetrile didnât work and was dangerous, or headed the FDAâs section on cancer treatments. They were, in short, the brightest, most accomplished members of their field.
The doctors and scientists offered by the Hofbauers also shared several characteristics: none were board-certified in oncology, hematology, or toxicology; none had ever published a paper in a medical journal; none had shown any reasonable evidence that their therapies worked; and most didnât even have hospital privileges. That Brown could rule in favor of the Hofbauersâ choice to deny their son a proven, effective therapy isunconscionable. But an explanation can be found in the record of the trial. In the section titled âFindings of Fact and Conclusion of Law,â Brown wrote, âThis court finds that metabolic therapy has a place in our society, and, hopefully, its proponents are on the first rung of a ladder that will rid us of all forms of