Do medical providers focus primarily on how people feel they should be treated, or clinical outcomes? Does the FDA ask people whether the would like to live lo

Do medical providers focus primarily on how people feel they should be treated, or clinical outcomes? Does the FDA ask people whether the would like to live longer before crafting its dietary advice? Do macroeconomists ask how important jobs are to people before trying to prevent unemployment? A focus on measurable improvements (which the article itself states claims is a problem) is not strong evidence of supercilious, out of touch bureaucracy. It is simply a way of doing things that often makes a lot of sense. Also anyone familiar with the World Bank/IMF will know that there are quotas for jobs based on nationality, which favor donor countries, and also developing countries. So it's not like these organizations are devoid of input from developing nations, although the workers from these countries may not have been among the poorest. Finally the one concrete example of why surveys could be useful was a bit odd. It went: Consider the recent vogue for ‘empowerment’ programmes. On the face of it, they make sense only if people don’t already feel like the captains of their own destinies. The only empowerment programs I could find online were for women's empowerment. I think that very few people would agree with the logic that if 80% of people feel in control of their destinies, then we don't need women's empowerment programs. No amount of waving magic intersectionality wands is going to make this reasoning make sense.