Evidence-Based Medicine is not evidence-based nor medicine

Source: https://tobyrogers.substack.com/p/how-big-pharma-hijacked-evidence

 

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Evidence-Based Medicine (EBM) is a relatively recent phenomenon. The term itself was not coined until 1991. It began with the best of intentions — to give frontline doctors the tools from clinical epidemiology to make science-based decisions that would improve patient outcomes. But over the last three decades, EBM has been hijacked by the pharmaceutical industry to serve the interests of shareholders rather than patients. Today, EBM gives preference to epistemologies that favor corporate interests while instructing doctors to ignore other valid forms of knowledge and their own professional experience. This shift disempowers doctors and reduces patients to objects while concentrating power in the hands of pharmaceutical companies. EBM also leaves doctors ill-equipped to respond to the autism epidemic and unable to produce the sorts of paradigm-shifts that would be necessary to address this crisis.

In this article Toby Rogers:

• provides a brief history of EBM;

• explains how evidence hierarchies work;

• explores ten general and technical criticisms of EBM and evidence hierarchies;

• examines the American Medical Association’s 2002, 2008, and 2015 evidence hierarchies;

• highlights the corporate takeover of EBM; and

• explores the implications of these dynamics for the autism epidemic.

 

You can read the full article here > https://tobyrogers.substack.com/p/how-big-pharma-hijacked-evidence

This is a tad complicated to say the least.

 

The EBM is really computer medicine. For me there are obvious flaws in its concept. Where does this evidence come from?

 

There is a lot of emphasis based on trials. In my experience a trial should not be trusted to be strictly above board. Plenty of evidence out there to show that 'trials' are not always accurate or that they have hidden agendas. Some trials are doomed to fail from the start because the funders of the trial don't want a favourable conclusion.

 

I'm all for returning to a preventative type of medicine. And this has to start in schools. But, it has to be followed through in the real world. Poisons and toxins have to be taken out of our food and lives AMAP. World heath has to have a fresh start. All based on nature.