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Your supposition that I endorsed any of these positions you assert I did simply does not follow from my statements. I cannot respond to your rebuttal of an argument I did not make. Please, try to avoid non sequitur, if you wish to discuss our views and opinions confluently.

However, to touch upon your point about the recent evidence-based medicine and hospital management movements - yes, they were once sorely lacking, with existing pre-modern medical practices handling quite a bit of load. However, the consensus is that evidence-based practices are already well established for high risk areas of practice and only increasing as time goes on elsewhere.

It's important to note that modern versus pre-modern medicine isn't a hard line, but a continuum we're continually shifting to the left. It's very much more like the border between generations instead of the hard line between decades.

In any case, new practices/devices/medicines/etc... are held to a much higher standard than legacy approaches. This is a very good thing as they are, generally speaking, much more powerful tools. We've figured out how to understand evidence and understand when we have enough to make good decisions and now we use it. We didn't always, but we're working towards replacing what came before but until then we're often forced to use it because we've nothing better or it hurts worse to do nothing. That's how most things are - that's how medicine is.

> To tell people to listen blindly and ignore all the evidence to the contrary _because_ of statics, popularity and consensus is the definition of anti-science.

The consensus of experts on the validity of the collection and interpretation of data, relying on the tools of statistical analysis of that data to make sound decisions about the applicability of that data as evidence, in relationship to deciding the answer to question at hand - relying of multiple points of view and power to cross check, reproduce experiments, and systematically eliminate biases - is exactly what science is. Is the process perfect? Absolutely not! Is it better than taking everything in and saying "well, both sides make good points so I guess we'll never know", "look at all this untrustworthy, untested data I don't know how to interpret but with which I agree so the mainstream opinion must be wrong" and "who trusts academics anyway"? You know, actual anti-science? Absolutely, yes.




> In any case, new practices/devices/medicines/etc... are held to a much higher standard than legacy approaches.

At least for "new devices" I really wish this was consistently the case.

However there are many horror stories (including here on HN), about new medical devices being grandfathered in using some prior device or category certifications (from rough memory of the description).

And it really sounds like they shouldn't be. :/

That being said, there are other HN posts about rigorous things some new device manufacturers have had to go through too.




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