Evidence-based medicine, the "gold standard" of medical decision
making, is increasingly unpopular with clinicians. They are right
to have reservations. EBM breaks the laws of so many disciplines
that it cannot be considered scientific or even rational. Decision
science and cybernetics show the disturbing consequences of such
flaws. EBM fosters marginally effective treatments, based on
population averages rather than individual need. Its mega-trials
are theoretically incapable of finding the causes of disease, yet
swallow up research funds. Ultimately, EBM cannot avoid risking
patients' health. It is time for medical practitioners to discard
EBM's tarnished gold standard, reclaim their clinical autonomy, and
provide individualised treatments to patients. This book explains
why and how.
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