Qiaochu_Yuan comments on MetaMed: Evidence-Based Healthcare - LessWrong

83 Post author: Eliezer_Yudkowsky 05 March 2013 01:16PM

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Comment author: Qiaochu_Yuan 09 March 2013 07:37:13PM 0 points [-]

What ambiguity is there in what I mean by "mainstream medicine" here?

Comment author: ChristianKl 09 March 2013 07:56:24PM 0 points [-]

A lot of people use the term evidence-based medicine interchangeable with mainstream medicine. What's in your opinion medicine that counts as mainstream medicine but that doesn't count as evidence-based medicine?

Comment author: Qiaochu_Yuan 09 March 2013 08:04:47PM 0 points [-]

That doesn't agree with my experience. Evidence-based medicine refers to a specific and recent movement within mainstream medicine, which is much older.

Comment author: ChristianKl 09 March 2013 09:28:12PM 1 point [-]

If a doctor would today practice medicine the exact way it was practiced in 1950 I don't think you would say that the doctor practices mainstream medicine.

If you define "mainstream" by the amount of people who use it than homeopathy is probably "mainstream medicine". Even if you go by the status of the people, when the Queen uses homeopathy it's no low status treatment.

There are two reasons why homeopathy gets classified as "alternative medicine".

(1) It's uses a ideological framework that goes against the reductionist world view.

(2) There's are not enough high quality double blind studies to allow an institution such as cochrane to recommend homeopathy as a treatment.

The term Evidence-Based medicine got made up by a bunch of university professors in 1992 to describe the style of medicine that they were teaching. At the beginning the term intentionally downplayed clinicial experience. Today most medicial schools say that they teach Evidence-Based medicine but they weakened the definition in a way that allows clinicians using their clinical experience but that still focuses on peer reviewed trials.

If you don't pracitice medicine the way the university teach it in their normal programs than you are practicing in my opinion "alternative medicine".