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How to know if its science or consensus

I like the idea of  best practice medicine . These are the recommendations or guidelines by which we live with when treating patients.  The problem with these is that many of the guidelines are based on consensus and not science.  This results in healthcare providers offering profligate or surreptitious treatment to our patients, and often with the side effect of frustration, burnout, and apathy. If you know that what you are ordered to do is a complete waste of time and money, and you have no choice but to do as you are told in order to keep your job, chances are that you are well aware that medicine is not based on science but consensus.  As John described a while back, a consensus is not science .  If it comes to a vote, it's not science, it's a consensus. If it's believed because it's popular, it's not science. Science is infiltrated with consensus.  So how do you know if it's science or consensus?  When you go to school, teachers must teach you th...