This seems to me like you missed the point of the whole story. Patients want to become healthy, but they don't know what exactly should they do. They rely on various signals... and there is an arms race between finding better signals and gaming the existing ones.
If you could magically remove all the bureaucracy, there would still remain the situation with companies saying "our products will cure you", some experts saying "no they won't", other experts saying "yes they will", and then the two groups of experts accusing each other of incompetence and dishonesty. How is a non-expert patient supposed to transform their desire to become healthy into making better decisions in situations where experts compete to provide convincing arguments for both sides?
EBM seemed like a solution, but now it seems like another system that can be gamed if you spend enough money on it. For example, it seemed like if you take hundreds of studies and make a meta-analysis, the results will be more reliable. Unfortunately, many studies are so crappy, that the people doing the meta-analysis have to throw them away. But then a company can just pay another group to throw away a different subset, in order to achieve the desired conclusion, and say "what? we are doing exactly the same thing as Cochrane, and it proves that homeopathy does cure cancer. it's evidence-based".
You seem to have a mental model where listening to an expert is the only possible way to distinguish whether to do A or B. That's not true.
An alternative would be what Kant called Enlightment. It's interesting that the idea of Enlightment seems so absurd as to be unthinkable.
John Ioannidis has written a very insightful and entertaining article about the current state of the movement which calls itself "Evidence-Based Medicine". The paper is available ahead of print at http://www.jclinepi.com/article/S0895-4356(16)00147-5/pdf.
As far as I can tell there is currently no paywall, that may change later, send me an e-mail if you are unable to access it.
Retractionwatch interviews John about the paper here: http://retractionwatch.com/2016/03/16/evidence-based-medicine-has-been-hijacked-a-confession-from-john-ioannidis/
(Full disclosure: John Ioannidis is a co-director of the Meta-Research Innovation Center at Stanford (METRICS), where I am an employee. I am posting this not in an effort to promote METRICS, but because I believe the links will be of interest to the community)