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NOTE:
Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away.) Here's one from all the way back in 2007. Notice how, the more things change, the more they stay the same.
Evidence-based medicine is not perfect.
There, I've said it. Like anything else humans do in science or any other endeavor, evidence-based medicine (EBM) has its strengths and its weaknesses. On the whole, I consider it to be potentially vastly superior to the way that medicine was practiced in the past, bringing a systematic, scientific rigor to how we practice to replace parts of medicine that tended to be based as much (or more) on tradition or dogma as on evidence. Naturally, a common source of attacks on EBM is advocates of "alternative medicine," who often appeal to "different ways of knowing" or postmodernist attacks on scientific medicine itself as being "just another narrative." Of course, the reason for such attacks is obvious. EBM is a dire threat to their favored woo, which rarely, if ever, can demonstrate efficacy above that which can be attributed to placebo effect when tested in rigorous clinical trials. So it's not unexpected that advocates of "alternative" medicine would find EBM threatening.

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