[A doctor with ME/CFS highlighted this to me. It's not new (2007) I thought it was worth highlighting as it is timeless. It is not short but the language isn't too dense. Although the author writes about the US healthcare system, most of the points would apply in many other countries (especially in the UK with NICE). Also because of EBM, patients with ME/CFS are being coerced by insurance companies and others to do GET.]
Full free text at:
http://bit.ly/hhTxuh i.e.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2100103/
or
http://www.medscape.com/viewarticle/559977_8 (one can see replies to the article there) (one can register for free)
--------Ethics and evidence-based medicine: is there a conflict?
MedGenMed. 2007 Aug 6;9(3):30.
Loewy EH.
Abstract
This article addresses the advantages, disadvantages, and traps to which evidence-based medicine (EBM) may lead and suggests that, to be ethically valid, EBM must be aimed at the patient's best interests and not at the financial interests of others. While financial considerations are by no means trivial, it is hypocritical - if not dangerous - to hide them behind words like "evidence" or "quality."
Full free text at:
http://bit.ly/hhTxuh i.e.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2100103/
or
http://www.medscape.com/viewarticle/559977_8 (one can see replies to the article there) (one can register for free)