- Evidence based medicine is in all medical guidelines across specialties. It may even lead to defensive medicine. The "art" part of medicine is when you choose to skirt around the guidelines ie you need a noninvasive scan to diagnose your cancer, but you can't afford a PET scan or anesthesia so we will do the biopsy first because it's cheaper. This will open you up to lawsuits, but you do what you think is best.
- Journal clubs are in all fields of medicine. Yes the scientific rigor is definitely lacking, but it's more from poor understanding of statistics and the sci method than maliciousness
- if you want to deregulate the medical industry, many more people will die. For instance, the easiest way to make money in the ER is to refuse the uninsured dying patient without due course
How many people have died because we keep letting physicians tell us this?
I'm pro Evidence Based Medicine, but physicians can't buy mansions if the medicine can be discussed by scientists.