I just received an article entitled “The illusion of evidence based medicine“,
in BMJ 2022; 376 doi: https://www.bmj.com/content/376/bmj.o702/article-info Published 16 March 2022: BMJ 2022;376:o702in
The BMJ (the British Medical Journal) is arguably, the world’s premier medical journal in terms of length of service, ethics, reputation and kudos: this editorial is of the utmost importance and I hope that visitors to this website will read it.
The gist of the article is: “Evidence-based medicine has been corrupted by corporate interests, failed regulation, and commercialisation of academia” …… and ………
“The release into the public domain of previously confidential pharmaceutical industry documents has given the medical community valuable insight into the degree to which industry sponsored clinical trials are misrepresented.”
I would add that due to the situation as described, non-academic physicians are actively discouraged from submitting their views and their experience to medical journals.
Articles cannot be presented to medical journals by ordinary physicians and specialists.
No journal will accept a submission for printing unless one of the authors is a member of staff at a teaching hospital.
SO for example, an analysis of my 601 cases of investigation and treatment of DHEA deficiency has not been published and I have been unable to access funding via the Royal College of Physicians & Surgeons (I have enquired thrice) because I do not have a hospital appointment.
By this subterfuge, a valuable education resource, the opinion of your family MD, has been effectively vetoed, in the interest of granting sole proprietorship of information and advancement of knowledge to industry-dependent academics. The experience-based opinion of the observant non-academic physician dies with him, or her.
This BMJ editorial opinion was printed on 16th March, 2022, but on brief inspection of the web I found the following (there are many more):
- 29 June 2020: “Drugs, money and misleading evidence“: “It’s time to take trials out of the hands of pharmaceutical makers, argues the latest in a long line of books on corruption and the pharmaceutical industry.”
- “The Corruption of Evidence Based Medicine – Killing for Profit“, at https//openexcellence.org., on Apr 13, 2018 — “We can’t believe evidence based medicine until the evidence has been cleaned up from …. ” ………….Uh-oh! …….. …… That page doesn’t seem to exist.
- December, 2014 …… How evidence-based medicine is failing due to biased trials and selective publication, https://onlinelibrary.wiley.com/doi/full/10.1111/jep.12147, by Susanna Every-Palmer MBChB FRANZCP MSc, Jeremy Howick BA MSc PhD
- UTUBE by Dr. Jason Fung: Financial Conflicts of Interests and the End of Evidence-Based Medicine, at https://www.youtube.com/watch?v=z6IO2DZjOkY , https://doi.org/10.1111/jep.12147
WHAT CAN YOU DO …… ? I have no suggestions …… if you think of something, or have a question, do send a note !