Another problem I stumbled over is how evidence based medicine makes it increasingly more difficult to deviate from established routines and modalities. Long ti

Another problem I stumbled over is how evidence based medicine makes it increasingly more difficult to deviate from established routines and modalities. Long time existing methodologies will by nature of having been around longer have a larger pile of evidence backing up their efficacy, compared to a new method, that might perform better, but has limited patient study data to back that up. I've seen how this stalls uptake of otherwise evident (non patient trial data based) improvements. I even seems that some manufacturers are very well aware of this, and are thus using their fortunate position of having to only incrementally improve methods at very low R&D cost.