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Is it really right wing? Why? I've just read multiple articles about how slow Dr's are to adopt it even though, empirically, it is more effective. I figured the

Is it really right wing? Why? I've just read multiple articles about how slow Dr's are to adopt it even though, empirically, it is more effective. I figured they rejected it for the same reason people always reject things: "that's the way we've always done it". Now granted, those articles could have been biased, but I had no idea there was any sort of left wing vs right wing thing going on. Stupid politrix. The entire movement reminded me of Moneyball by Michael Lewis.

emmett 18y ago
There are, of course, a few doctors who reject the very idea that mere scientific evidence should be able to tell them what to do. But in general, most doctors want to provide the best care they can for their patients, and that includes scientific evidence. However, it's extremely common for doctors to prescribe medicine off-label, before the full level three trials have completed for that use (which can take a decade). There is often compelling evidence a medicine is effective (in the Bayesian sense) far before there is official "Evidence" which counts for "Evidence Based Medicine". The very fact that it's called "Evidence Based Medicine" should set off alarm bells. Being against it sounds like being against science in medicine, which would just be stupid. In fact, it's code for "restrict public care facilities from being able to offer a full range of medical benefits to conserve money".
- fallentimes 18y ago
  Thanks for the information. I seriously thought it was much more like the Moneyball situation where it was just a bunch of old schoolers not accepting reality & empirical evidence and instead relying on standard practices and conventional wisdom. P.S. We just fully implemented Twisted at TicketStumbler :) (I heard you guys use it, and love it, at Justin.TV).
  - emmett 18y ago
    I'm sure there's some of that too :). Twisted really is awesome; we've been super happy with it. A little sad they wouldn't take our memcache get_multi patch (they said we hadn't written enough tests for it).

emmett 18y ago

There are, of course, a few doctors who reject the very idea that mere scientific evidence should be able to tell them what to do. But in general, most doctors want to provide the best care they can for their patients, and that includes scientific evidence. However, it's extremely common for doctors to prescribe medicine off-label, before the full level three trials have completed for that use (which can take a decade). There is often compelling evidence a medicine is effective (in the Bayesian sense) far before there is official "Evidence" which counts for "Evidence Based Medicine". The very fact that it's called "Evidence Based Medicine" should set off alarm bells. Being against it sounds like being against science in medicine, which would just be stupid. In fact, it's code for "restrict public care facilities from being able to offer a full range of medical benefits to conserve money".

fallentimes 18y ago
Thanks for the information. I seriously thought it was much more like the Moneyball situation where it was just a bunch of old schoolers not accepting reality & empirical evidence and instead relying on standard practices and conventional wisdom. P.S. We just fully implemented Twisted at TicketStumbler :) (I heard you guys use it, and love it, at Justin.TV).
- emmett 18y ago
  I'm sure there's some of that too :). Twisted really is awesome; we've been super happy with it. A little sad they wouldn't take our memcache get_multi patch (they said we hadn't written enough tests for it).