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):

WHAT CAN YOU DO …… ? I have no suggestions …… if you think of something, or have a question, do send a note !

I am a Toronto-trained Urologist. I practiced in downtown Toronto, from 1977 to 1997, when I went to Saudi Arabia as chief of Urology at the Armed Forces (teaching) hospital in Tabuk. Returning to Toronto in Y2000, I switched to family practice. In 2007, began to prescribe Hormone Restoration Therapy and in 2012, I became a member of the American Academy of Antiaging Medicine [A4M]. I successfully wrote the A4M's written examination in December, 2013 and In May, 2016 I passed the oral examination, for accreditation as a BHRT consultant. In 2014 I began BHRT practice in Collingwood, Ontario and in January, 2017, joined the Stone Tree Naturopathic Clinic. Now I am 82 and have retired, but it seems wasteful to jettison my learning and experience: the medical establishment knows nothing of BHRT / Functonal medicine and I feel obliged to offer my knowledge in the interest of those who are willing to think outside the box. MY QUALIFICATIONS: MB, BS, (from UWI), 1964. LMCC 1969. FRCSC (Urology), 1974. ECFMG 1984. Florida license 1998 [inactive], ABAARM Certification [A4M], 2016. I am a Member of CSAMM [the Canadian Society for Aging and Metabolic Medicine], the OMA&CMA, SUSO, CUA, RCP&S/C. PRACTICE TO DATE: Consultation in Functional Medicine, including assessment of Chronic Fatigue Syndrome, Fibromyalgia, Andropause, Menopause, Teenage and Postpartum Depression/Panic Attacks, Thyroid Hormone malfunction, Infertility, Sexual Dysfunction and “the Undiagnosable”. ALL ARE WELCOME to read, comment or question!