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The main flaw in EBM is that it inverts the scientific method: It’s no longer about hypotheses and falsification. Instead it’s about “scientifically proven fact
by bjornsing 3y ago
The main flaw in EBM is that it inverts the scientific method: It’s no longer about hypotheses and falsification. Instead it’s about “scientifically proven facts” (aka “evidence”). Sadly this aligns much better with our dogmatic instinctive understanding of knowledge as a set of agreed truths.
- haldujai 3y agoIt's because medicine is as much an art as a science given the impossibility of problem space, also whenever we ignore evidence we end up harming/killing people.
- deltaninenine 3y agoIt is true that in science nothing can be proven but this fact doesn't apply if you think in terms of statistics. Science is broad and doesn't always give answers in terms of a boolean falsification. You can be given a ratio as the result. This result is usually A probability established to a degree within the context of a sample size. This is the closest thing to proof that science can offer and we just go with it. EBM goes a bit further then just a probability in the context of a sample size. There's a further degree of rigor in the qualitative sense that the probability is causal and not correlative. It's subtle but causality is even closer to proof then a correlative study.