Evidence-B(i)ased Medicine: Limitations and Non-Superstition-Based Alternatives

Abstract

Introductory Remarks The Evidence-Based Medicine (EBM) movement crystallized in the early 1990’s at McMaster University in Canada (3). The movement originally challenged practitioners to validate their treatments based on reasoning and clinical studies rather than personal authority (9). In this essay, I will argue that, contrary to this wholesome intention, EBM is authoritarian in spirit and actually constricts discourse about how to make clinical decisions.