On not trusting doctors

Marcia Angell lays some deadly-fucking-serious smack down on the medical profession in a New York Review of Books article:

The problems I’ve discussed are not limited to psychiatry, although they reach their most florid form there. Similar conflicts of interest and biases exist in virtually every field of medicine, particularly those that rely heavily on drugs or devices. It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of TheNew England Journal of Medicine.

In the case you think that’s a big claim to make, Angell backs it up with over 4000 more words.  Go read ’em. The topic isn’t new to me, but even I was somewhat shaken by the sheer amount and type of evidence Angell is able to muster.

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