Researchers don’t care for investigating the foundations because they can’t get grants for that purpose. On the other hand, they get grants for doing research that might lead to new drugs that make billions in profit.
I don’t see why EBM is to blame or PBM would help.
Cochrane meta-study according to which chiropractics provide a working treatment for lower back pain
Reading the abstract, it doesn’t look all that positive.
more than just “slightly better”.
If you’ll let me be witty, I’ll suggest that your claims are lacking a kind of scientific integrity, a principle of scientific thought that corresponds to a kind of utter honesty—a kind of leaning over backwards. You’re not stating the assumptions that lead you to this conclusion, not explaining possible ways the assumptions could be wrong, and more generally, you don’t seem to try to find possible negative consequences or limitations of PBM. To be honest though, I don’t really want to discuss these possible problems. This thread already has enough going on.
It’s inherently difficult to provide evidence about the amount of low hanging fruit that’s out there
For example, some of these fruit involve wasted money (especially in US). I can agree that they are low hanging, because there are other medical systems providing similar outcomes in similar circumstances, for less money, and I can vaguely imagine that policies could be adopted in US to reduce costs. By the way, cost problems have very little to do with EBM. The talk you linked to also seems less about how EBM is inadequate and more about how doctors are failing to make good use of EBM.
More generally, I don’t need a list of problems that kind of look easy to solve. I need you to show me why exactly the problems aren’t already solved, how much benefit there would be if we did solve them, and that there exists a concrete and simple plan to solve them without assuming that we live in full communism.
I don’t see why EBM is to blame or PBM would help.
Reading the abstract, it doesn’t look all that positive.
If you’ll let me be witty, I’ll suggest that your claims are lacking a kind of scientific integrity, a principle of scientific thought that corresponds to a kind of utter honesty—a kind of leaning over backwards. You’re not stating the assumptions that lead you to this conclusion, not explaining possible ways the assumptions could be wrong, and more generally, you don’t seem to try to find possible negative consequences or limitations of PBM. To be honest though, I don’t really want to discuss these possible problems. This thread already has enough going on.
For example, some of these fruit involve wasted money (especially in US). I can agree that they are low hanging, because there are other medical systems providing similar outcomes in similar circumstances, for less money, and I can vaguely imagine that policies could be adopted in US to reduce costs. By the way, cost problems have very little to do with EBM. The talk you linked to also seems less about how EBM is inadequate and more about how doctors are failing to make good use of EBM.
More generally, I don’t need a list of problems that kind of look easy to solve. I need you to show me why exactly the problems aren’t already solved, how much benefit there would be if we did solve them, and that there exists a concrete and simple plan to solve them without assuming that we live in full communism.