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The quest for betterment is a never-ending process that is constantly scrutinized rigorously and in the process ironing out the flaws, accepting newer evidence and discarding proven false or spurious evidence.
Perhaps you can read about Barry Marshall to find out how important it is to provide evidence before your hypothesis is taken seriously. university of the placebo-based RCTs did show that the contents of the placebo capsule, which need not legally be made known to the regulating agencies like the FDA, were very potent substances that would show the company drug as very effective in comparison.
But all of them are accountable and they eventually get found out, sooner rather than later. There is nothing like ancient science, medieval science, modern science, Indian science, Chinese science, Islamic science, voodoo science, or occult science. General relativity may have superceded Newtonian physics, BUT for basic purposes and practical ease, Newtonian physics is still good enough unless you want to pick on the nitty gritties. And your point that the “same old physical laws” are being used for our statistics is a non sequitur. But rest assured that unless the current concepts are “DIS”proved, they will remain.
The foundations of our evidence in modern medicine like the statistical risk calculations, (especially the relative risk reductions in place of absolute risk reductions that are sold to gullible doctors in most of the “scientific” articles without mentioning the NNT figures) and, the RCTs, which have no true science base, are very shaky, indeed. Anything that follows the scientific method is science. Things won’t change much if we use the newer methods. M.s will be validated while EBSM will be discredited. The aim is not in formulating dogmatic theories and sticking obdurately to them, but in better understanding of medical science. In fact, any newer evidence that might contradict the existing concepts will be thoroughly investigated and gladly accepted if it stands up to rigorous scrutiny.
Evidence Based Scientific Medicine (EBSM) has marched on tremendously in the past 100 years to be entirely different from what these gentlemen knew at their times as “medicine”. Is there any uncertainty about what causes Malaria? Or what is the reason for Down’s syndrome or the fact that Rickets is caused by Vitamin D deficiency, or that Nyctalopia (Night blindnesss) is caused by Vitamin A deficiency?
But have you ever wondered why they still keep talking in terms of RCTs, etc? The key remains not in deriding the method but in educating the doctors and the consumers about how to assess claims and analyze the research methodologies. Modern medicine has forgotten the essence of illness care which is basically strengthening the terrain. Where exactly has ‘modern medicine’ forgotten the essence of illness care and strengthening the terrain? What exactly does “strengthening the immune system” mean? All that they had was a defunct concept involving such chimerical entities such as Vata, Pita & Kapha! One is healthy when one has a) enthusiasm to work and b) enthusiasm for being compassionate.
I hope you are aware and have not forgotten about the field called “Preventive & Social Medicine”. It’s easy to say such things, but what is their understanding of the immune system? Do you have any literature of the so called “Ancient Wisdom” that actually explains the immune system of the body and methods to strengthen it? One of the ancient exercises could be the most potent modern medicine, a daily walk if one is not a physical labourer. How do you think do we know these things confidently unless we apply the methods of science?
After 25 years follow-up of one of the largest-ever studies of risk factors (which are being sold to the gullible public day in, day out as silent killers), the MRFIT study (Multiple Risk Factor Interventional Trial) observed that: “In conclusion, we have shown that it is possible to apply an intensive long-term intervention program against three coronary risk factors, high blood pressure, cholesterol and smoking with considerable success in terms of risk factor changes.
The overall results do not show a beneficial effect on CHD or total mortality from this multiple risk factors intervention trial.