Instilling common sense

According to a punchy piece in the BMJ 1 by Scottish GP Dr Des Spence, the evidence-based medicine (EBM) model has become a “loaded gun at clinicians’ heads”.

He claims the drug industry has benefited most from EBM by “widening drug indications and legitimising illegitimate diagnoses”. Logic alone “no longer has a seat at the guidelines table”.

And he may be on to something. Take exercise — or,

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