Makary's claim of "no data" illustrates the classic EBM failure mode. Too many don't understand science outside their "gold standard" kiddie pool, everything inside it is slow and retrospective, and without mechanistic understanding they can't generalize - everything is just memorized special cases.

Trump’s cronies aren’t what broke public health

The structural blind spots that undermine medical progress and how to fix them.

canadahealthwatch.ca

Aaron Rupar@atrupar.com · last yr.

Margaret Brennan totally exposes FDA Commissioner Makary for making it up as he goes and making conflicting recommendations in order to cast doubt on covid vaccines. He's so terrible during this interview that Brennan is left shaking her head as she wraps it up.

There is a recurring pattern of institutional research integrity offices shielding influential clinical studies and the researchers responsible for them from accountability, and ignoring harm to the public. This is far from an isolated incident.

Cheryl White@ladyscorcher.bsky.social · last yr.

This paper needs to be retracted. The study contained errors that harmed me but at this point it’s seeming more like fraud not to retract it. Let’s get it done befor any more young women are harmed. @uoft.bsky.social @uoftmedicine.bsky.social @cmaj-jamc.bsky.social

For what it’s worth, here’s the editorial I sent the Globe and Mail April 5. The Globe took a pass. Balancing Individual Rights and Community Health Requires Knowledge of History

I have started to refer to it as "RCT Fundamentalism", as the EBM movement seems to have embraced a kind of nihilism, where only randomized trials have standing to be considered evidence. And that is starting to generate policy and practice that flies in the face of evidence, broadly stated

A thread on quality, evidence and EBM: Clinical research often labels evidence as "high quality" or "low quality," but how reliable are these categories? How meaningful is this "quality" construct?

Trump’s cronies aren’t what broke public health. The structural blind spots that undermine medical progress and how to fix them, by Mark Ungrin canadahealthwatch.ca/2025/04/18/t... via @canadahealthwatch.bsky.social @nicktsergas.ca

Trump’s cronies aren’t what broke public health

The structural blind spots that undermine medical progress and how to fix them.

canadahealthwatch.ca

One of the strongest arguments against allowing secretive bodies like the Canadian Task Force on Preventative Health Care to make guidance in back rooms, without transparency or scientific oversight, is the behaviour they exhibit when forced out into the open. canadahealthwatch.ca/2025/03/11/h...

Health guidelines should be transparent. The Task Force’s aren’t

The Task Force oversimplifies the criticisms of its detractors.

canadahealthwatch.ca

My opinion on a few of the many problems with the Canadian Task Force on Preventive Health Care and what they failed to disclose in their recent petition.

Canada Healthwatch 🍁@canadahealthwatch.ca · last yr.

Health guidelines should be transparent. The Task Force’s aren’t canadahealthwatch.ca/2025/03/11/h... @shielaappavoo.bsky.social

Health guidelines should be transparent. The Task Force’s aren’t canadahealthwatch.ca/2025/03/11/h... @shielaappavoo.bsky.social

Health guidelines should be transparent. The Task Force’s aren’t

The Task Force oversimplifies the criticisms of its detractors.

canadahealthwatch.ca

Terrific op ed about modernizing our screening guidelines development body. #cancer

André Picard @picardonhealth @picardonhealth.bsky.social · last yr.

We to talk have a serious discussion about #cancer screening. Canada’s cancer screening guidelines lag far behind the latest science, and Canadians are paying with their lives, by Dr. Anna Wilkinson canadahealthwatch.ca/2025/03/10/c... via @canadahealthwatch.bsky.social @nicktsergas.ca

So apparently the government asked a group of experts in EBM to review the work of the task force and based on that review the government has asked the task force to pause their work for a month.

Shiela Appavoo MD @shielaappavoo.bsky.social · last yr.

The pause on the Task Force was the result of an External Experts Review (EER) by a panel of many well qualified individuals, including family docs and population specialists. www.canada.ca/en/public-he... Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔

The pause on the Task Force was the result of an External Experts Review (EER) by a panel of many well qualified individuals, including family docs and population specialists. www.canada.ca/en/public-he... Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔

André Picard @picardonhealth @picardonhealth.bsky.social · last yr.

Here is an English version: Pause of the Canadian Task Force on Preventive Health Care: An Unacceptable Decision That Weakens the Health of Canadians. docs.google.com/document/d/1... via @rwittmer.bsky.social @gen-bois.bsky.social

Has the impact of Cochrane reviews and GRADE on health outcomes ever been evaluated in a randomized controlled trial? 😬

https://ascopubs.org/doi/pdf/10.1200/JCO.23.00348?role=tab Important new publication supporting the experts’ recommendation to screen 40-49 yo women for breast cancer. #40not50

This was one of the most beautiful portraits of a friendship I have ever read. Also superb sports writing. Do yourself a favor, and sit down with it today.

The Washington Post@washingtonpost.com · 3y ago

Tennis icons Chris Evert and Martina Navratilova met as teens, forged one of the greatest rivalries in sports and then became close friends. After 50 years, Chris and Martina understand each other like no one else can. When cancer came, they both knew where to turn. https://wapo.st/3NR7Qet