For starters, the emphasis on randomized controlled trials as the “gold standard” of evidence has meant that any drug that has outperformed a competitor in a trial may now be classified as “evidence-based.” Look no further than the glossy ads in medical journals to discover drugs you did not know you needed for diseases that you never knew existed, such as “female sexual arousal disorder” and “adult attention deficit disorder.”
首先，强调随机控制实验作为证据的“黄金标准”意味着任何在实验中胜过竞争对手的哇哦唔都被归为“基于证据的”。看看医学杂志上的光鲜广告，你就能发现一些你从未听说过的病所需要的你从未听说过的药物，比如“女性性兴奋失调”和“成人注意力缺失”。而有多少药物在拿到执照之前与更自然的非药物疗法——比如用瑜伽治疗高血压，用健步走治疗糖尿病——做过对比实验？