Speaking as a physician who opened his practice in 1992, I can say I smelled a rat (not the hantavirus bearing kind) from the moment the EBM paradigm was rolled out. I believe many if not most physicians also recognized at some point that EBM was lipstick on a pig. Many were well behaved unquestioning sorts who lapped up the propaganda like ice cream. What EBM gave the medical boards was a bludgeon to strike out against doctors who didn't obey the paradigm. As Escape Key has well documented, the program is always to first define the rule by grabbing the moral high ground with a virtue signaling descriptor: "for the greater good", "for safety", "for the benefit of patients". Then, castigate anyone who has sinned against this moral imperative, and cast the dissidents out as apostates. Doctors recognized the game, and that the key to winning was compliance. This was of course, the plan from the start. It's always the same plan. First conceive of the desired behavior, then label any deviant behavior as immoral, then punish the few who have the integrity to disobey, then watch people line up to behave in the desired way. It worked for COVID, and the system is still in place. It is operational not only in medicine, but in all areas of government where population control is desired. Next will probably be digital ID and digital currency. Failure to participate will somehow be defined by the powers that be, with a big bullhorn blasting it far and wide, as immoral. What a racket!
This article is spot on! EBM totally coincided with my disillusionment with practicing medicine. It was actually the beginning of my realization that medicine was just a money grab. Thank you for confirming the great lie that so many in the field tauted as Truth!!
Excellent summary of the epistemic situation with classic examples. The author positions this epistemic capture beginning in the 1990's and evolving since then, which I believe to be incorrect. In fact this process started at the turn of the last century - specifically 1910, with the publication of the Flexner Report that promoted Allopathic Medicine to the exclusion of all other forms. This report was funded by the Carnegie Foundation and Abraham Flexner, was subsequently employed by the Rockefeller Foundation that essentially created the pharmaceutical industry and modern medical education. Everything so well described in this essay evolved from this - 80 years before the 1990's. Organized Medicine and the Pharmaceutical industry have been joined at the hip ever since - by design.
Absolutely brilliant article! "... the redefinition of what counted as knowing". Medicine has certainly become a primary component of the technocratic control system. But what is very interesting are the methods used to condition people to perform tasks requiring some intelligence and capability for logical thought. This is a subtler form of magic. When the spell breaks on these people they are ejected immediately; they are the most dangerous.
Great analysis and explanation. BIASED indeed. It is a system for laundering fraud and bribery.
What counts as fact? This issue parallels what we see in the courtroom. What sort of testimony is admissible? Who can serve as an "expert witness"? In some cases, determinations such as these can serve justice, but often times they are just serving as a gatekeeping mechanism, for disempowering those who are not captured by the powers that be.
It disempowers physicians and others, such as parents of the vaccine injured who have committed the sin of realizing what has harmed their children. Their testimony too is silenced as "anecdotal". One has to wonder if the timing of the rollout of EBM, starting in 1992, a few years after the explosion in the incidence of autism, is a mere coincidence, or if it was a calculated response to the risk of a heinous crime getting exposed.
EBM...it galls me that the word "medicine" is even used in medicine. Every drug and vaccine and other potion the medical community uses is a toxic poison. There is NO true healing medicine involved. And 90% of the evidence is corrupted BS.
Thanks to people like you, windows and doors have been made in the room, apples, granny's soup and other old remedies are being used again, and quite a few children have been healed from their aches! (I first read the six year old part).
This brilliant essay captures what I’ve been screaming about for over 20 years. EBM is a pseudoscientific cult that serves commercial and totalitarian interests, harming patients and destroying the medical profession along the way.
If we are to recover, we must reject EBM in its entirety and return to real science, clinical reasoning, judgment, ethics, and yes, intuition.
I feel like saying that this article is frickin' gorgeous, but don't want the censors to modify my words, so I'll just say this article is very nice.
I add: Your "man with the clip board" does not operate exclusively in the medical world -- he is seen in other fields. Quel pity for the once-bountiful American culture!
This article is a breath of fresh air. For years, I wanted to be an APN. I accomplished that goal at age 50... excited to be a patient advocate. Then, EBM was pushed on me. I was so disillusioned! It did not match with reality. I thought is was my inadequacies!! I never truly followed EBM... just didnt make sense to me. I paid dearly for it career wise... but my patients still got better ..my way, using my brain! Thank you for confirming what my heart and common sense said was so wrong!!!
Evidence Based Medicine only considers statistical evidence, as in "Lies, damn lies, and statistics." The truth, " “Those were just statistics. Real knowing happens in the stories.” Every anecdote is a real story, not a statistic. Statistics are evidence that cannot prove anything about specific cases, about specific stories.
"Who controls the past controls the future: who controls the present controls the past." - G Orwell.
Another well-referenced and brilliant synthesis of the Harmaceutical industry's iatrogenic assault on lifespan & healhspan.
Malagón, M. & Claude (16 May 2026). War is Peace. Freedom is Slavery. Ignorance is Strength. Senescence is Youth. —Medical Oxymorons & Mitochondrial Oxidation, https://doi.org/10.13140/RG.2.2.18551.79523
This article, or at least this information, needs to somehow make its way into the hands and under the eyes of everyone in the "health"-care realm, ie, the medicine-for-profit industry of the West, and especially of the US. The problem is that in my experience the majority will not want to read it, nor take the time to read it even if they think they need to, even if they think it might be important.
Those still "practicing," ie, following the "guidelines" and "protocols" they are mandated and so covered by their malpractice insurance don't feel they have time, nor will most understand what to do with the information once they've read it. They must continue to see patients and keep up with all the propaganda and supposedly important "evidence" they are told they must consume.
I couldn't keep up (retired MD ... solo practitioner starting 1989) and at the same time spend any really substantial time learning the truth and lies about what I might be or should be doing for / to my patients. I really only had the time to study these things well after I retired. I tried to before, but I still had patients I had to "take care of" (along with doing all the documentation) and there didn't seem to be any way to suddenly change horses in the middle of the raging river.
So please keep writing and praying for a new generation that will take a more difficult, challenging path and not be swept up into and brainwashed by the present for-profit death-cult that is our present Western system of toxic treatments of symptoms and diagnoses that essentially forgets about the patient as human, as a whole being, with a marvelously created, incredibly complex, self-repairing body.
'....the EBP process – requires the explicit research evidence and non-research knowledge (tacit knowledge or accumulated wisdom). Clinical decision making is the end point of a process that includes clinical reasoning, problem solving, and awareness of patient and health care context [24]. This process is uncertain and frequently no "correct" decision exists. EBP can help with some of the uncertainties in this decision process by using the explicit knowledge obtainable from research information. But to do so the research information must be transformed into clinicians' knowledge'.
'The wider knowledge and use of these skills will help health professionals meet some of Hurd's list of desired educational outcomes [45] in being able to:
• distinguish evidence from propaganda (advertisement)
• probability from certainty
• data from assertions
• rational belief from superstitions
• science from folklore'
EBP explicitly involved patient centred and/or patient centric care. It was a rational step toward 'best practice' as opposed to 'usual practice'.
That it became increasingly misused as a tool of HMO insurance entities and commercial BigParma commerce and promotion lies ultimately at the feet of those providing the impoverished care, just as it did when the legion of clinicians collaborated with the destruction of ethics and implementation of the society-wide assault by needled barrels of LNP concoctions. The fiscal rewards and FSMB adherence were just too good and too viciously punitive to avoid.
Its perversion also served to provide opportunistic financial limitations on clinical practice and directed choices provided to patients while collaborating in the melding of funder and provider relationship and in so doing amplified clinical over servicing and unnecessary servicing, while also excluding pathways founded on wisdom or experience.
BMC Medical Education
Sicily statement on evidence-based practice. Martin Dawes, William Summerskill, Paul Glasziou et al. BMC Medical Education 2005, 5:1 doi:10.1186/1472-6920-5-1
Speaking as a physician who opened his practice in 1992, I can say I smelled a rat (not the hantavirus bearing kind) from the moment the EBM paradigm was rolled out. I believe many if not most physicians also recognized at some point that EBM was lipstick on a pig. Many were well behaved unquestioning sorts who lapped up the propaganda like ice cream. What EBM gave the medical boards was a bludgeon to strike out against doctors who didn't obey the paradigm. As Escape Key has well documented, the program is always to first define the rule by grabbing the moral high ground with a virtue signaling descriptor: "for the greater good", "for safety", "for the benefit of patients". Then, castigate anyone who has sinned against this moral imperative, and cast the dissidents out as apostates. Doctors recognized the game, and that the key to winning was compliance. This was of course, the plan from the start. It's always the same plan. First conceive of the desired behavior, then label any deviant behavior as immoral, then punish the few who have the integrity to disobey, then watch people line up to behave in the desired way. It worked for COVID, and the system is still in place. It is operational not only in medicine, but in all areas of government where population control is desired. Next will probably be digital ID and digital currency. Failure to participate will somehow be defined by the powers that be, with a big bullhorn blasting it far and wide, as immoral. What a racket!
This article is spot on! EBM totally coincided with my disillusionment with practicing medicine. It was actually the beginning of my realization that medicine was just a money grab. Thank you for confirming the great lie that so many in the field tauted as Truth!!
Excellent summary of the epistemic situation with classic examples. The author positions this epistemic capture beginning in the 1990's and evolving since then, which I believe to be incorrect. In fact this process started at the turn of the last century - specifically 1910, with the publication of the Flexner Report that promoted Allopathic Medicine to the exclusion of all other forms. This report was funded by the Carnegie Foundation and Abraham Flexner, was subsequently employed by the Rockefeller Foundation that essentially created the pharmaceutical industry and modern medical education. Everything so well described in this essay evolved from this - 80 years before the 1990's. Organized Medicine and the Pharmaceutical industry have been joined at the hip ever since - by design.
I think you are right. The rollout of EBM was more of a formalization and justification for the corruption that had already taken place.
Absolutely brilliant article! "... the redefinition of what counted as knowing". Medicine has certainly become a primary component of the technocratic control system. But what is very interesting are the methods used to condition people to perform tasks requiring some intelligence and capability for logical thought. This is a subtler form of magic. When the spell breaks on these people they are ejected immediately; they are the most dangerous.
Great analysis and explanation. BIASED indeed. It is a system for laundering fraud and bribery.
What counts as fact? This issue parallels what we see in the courtroom. What sort of testimony is admissible? Who can serve as an "expert witness"? In some cases, determinations such as these can serve justice, but often times they are just serving as a gatekeeping mechanism, for disempowering those who are not captured by the powers that be.
It disempowers physicians and others, such as parents of the vaccine injured who have committed the sin of realizing what has harmed their children. Their testimony too is silenced as "anecdotal". One has to wonder if the timing of the rollout of EBM, starting in 1992, a few years after the explosion in the incidence of autism, is a mere coincidence, or if it was a calculated response to the risk of a heinous crime getting exposed.
Such wickedness, masquerading as science.
EBM...it galls me that the word "medicine" is even used in medicine. Every drug and vaccine and other potion the medical community uses is a toxic poison. There is NO true healing medicine involved. And 90% of the evidence is corrupted BS.
Excellent article exposing the corruption in medicine, big pharma and depopulation agenda. The Covid fiasco opened my eyes to this corruption.
Thank you for this revealing, truthful and detailed article.
Thanks to people like you, windows and doors have been made in the room, apples, granny's soup and other old remedies are being used again, and quite a few children have been healed from their aches! (I first read the six year old part).
This brilliant essay captures what I’ve been screaming about for over 20 years. EBM is a pseudoscientific cult that serves commercial and totalitarian interests, harming patients and destroying the medical profession along the way.
If we are to recover, we must reject EBM in its entirety and return to real science, clinical reasoning, judgment, ethics, and yes, intuition.
I feel like saying that this article is frickin' gorgeous, but don't want the censors to modify my words, so I'll just say this article is very nice.
I add: Your "man with the clip board" does not operate exclusively in the medical world -- he is seen in other fields. Quel pity for the once-bountiful American culture!
This article is a breath of fresh air. For years, I wanted to be an APN. I accomplished that goal at age 50... excited to be a patient advocate. Then, EBM was pushed on me. I was so disillusioned! It did not match with reality. I thought is was my inadequacies!! I never truly followed EBM... just didnt make sense to me. I paid dearly for it career wise... but my patients still got better ..my way, using my brain! Thank you for confirming what my heart and common sense said was so wrong!!!
Great post, Unbekoming! EBM... Oxymoronically-named to be sure. I've had a column within my blog on this topic for years. Have a barf bag handy.... https://doctorschierling.com/?s=Evidence+Based+Medicine
Evidence Based Medicine only considers statistical evidence, as in "Lies, damn lies, and statistics." The truth, " “Those were just statistics. Real knowing happens in the stories.” Every anecdote is a real story, not a statistic. Statistics are evidence that cannot prove anything about specific cases, about specific stories.
Every datum is a condensed anecdote.
"Who controls the past controls the future: who controls the present controls the past." - G Orwell.
Another well-referenced and brilliant synthesis of the Harmaceutical industry's iatrogenic assault on lifespan & healhspan.
Malagón, M. & Claude (16 May 2026). War is Peace. Freedom is Slavery. Ignorance is Strength. Senescence is Youth. —Medical Oxymorons & Mitochondrial Oxidation, https://doi.org/10.13140/RG.2.2.18551.79523
https://captainmanimalagonusnret.substack.com/p/war-is-peace-freedom-is-slavery-ignorance
Outstanding!
This article, or at least this information, needs to somehow make its way into the hands and under the eyes of everyone in the "health"-care realm, ie, the medicine-for-profit industry of the West, and especially of the US. The problem is that in my experience the majority will not want to read it, nor take the time to read it even if they think they need to, even if they think it might be important.
Those still "practicing," ie, following the "guidelines" and "protocols" they are mandated and so covered by their malpractice insurance don't feel they have time, nor will most understand what to do with the information once they've read it. They must continue to see patients and keep up with all the propaganda and supposedly important "evidence" they are told they must consume.
I couldn't keep up (retired MD ... solo practitioner starting 1989) and at the same time spend any really substantial time learning the truth and lies about what I might be or should be doing for / to my patients. I really only had the time to study these things well after I retired. I tried to before, but I still had patients I had to "take care of" (along with doing all the documentation) and there didn't seem to be any way to suddenly change horses in the middle of the raging river.
So please keep writing and praying for a new generation that will take a more difficult, challenging path and not be swept up into and brainwashed by the present for-profit death-cult that is our present Western system of toxic treatments of symptoms and diagnoses that essentially forgets about the patient as human, as a whole being, with a marvelously created, incredibly complex, self-repairing body.
'....the EBP process – requires the explicit research evidence and non-research knowledge (tacit knowledge or accumulated wisdom). Clinical decision making is the end point of a process that includes clinical reasoning, problem solving, and awareness of patient and health care context [24]. This process is uncertain and frequently no "correct" decision exists. EBP can help with some of the uncertainties in this decision process by using the explicit knowledge obtainable from research information. But to do so the research information must be transformed into clinicians' knowledge'.
'The wider knowledge and use of these skills will help health professionals meet some of Hurd's list of desired educational outcomes [45] in being able to:
• distinguish evidence from propaganda (advertisement)
• probability from certainty
• data from assertions
• rational belief from superstitions
• science from folklore'
EBP explicitly involved patient centred and/or patient centric care. It was a rational step toward 'best practice' as opposed to 'usual practice'.
That it became increasingly misused as a tool of HMO insurance entities and commercial BigParma commerce and promotion lies ultimately at the feet of those providing the impoverished care, just as it did when the legion of clinicians collaborated with the destruction of ethics and implementation of the society-wide assault by needled barrels of LNP concoctions. The fiscal rewards and FSMB adherence were just too good and too viciously punitive to avoid.
Its perversion also served to provide opportunistic financial limitations on clinical practice and directed choices provided to patients while collaborating in the melding of funder and provider relationship and in so doing amplified clinical over servicing and unnecessary servicing, while also excluding pathways founded on wisdom or experience.
BMC Medical Education
Sicily statement on evidence-based practice. Martin Dawes, William Summerskill, Paul Glasziou et al. BMC Medical Education 2005, 5:1 doi:10.1186/1472-6920-5-1