As another example of the general drift into insanity that seems to be happening, try this paper:
Holmes D, Murray SJ, Perron A, Rail G. Deconstructing the evidence-based discourse in health sciences: truth, power and fascism. Int J Evid Based Healthc 2006;4:180-186 [PDF]
It argues that evidence based medicine is a microfascism, indicative of a wider slide into fascism within society. This is from the concluding section of the paper:
When the pluralism of free speech is extinguished, speech as such is no longer meaningful; what follows is terror, a totalitarian violence. We must resist the totalitarian program
â€“ a program that collapses words and things, a program that thwarts all invention, a program that robs us of justice, of our meaningful place in the world, and of the future that is ours to forge together.
I have spent the past few days doing some work on the evidence base supporting the use of zoledronic acid in metastatic prostatic cancer. The company who make it would argue it is of benefit, my assessment was less enthusiatic after reading clinical trials. In my opinion, after assessing the evidence base, it arguably provides little net therapeutic benefit. Little did I know, that by doing so I was supporting a totalitarian programme imposed by a fascist governing structure.
It’s amazing what you can do with a link to PubMed and a copy of Word these days.
Bad Science, where I found this paper, correctly points out the founder of evidence based medicine, Archie Cochrane, actually fought in Spain against fascists. They also attempt to enlist Orwell, another Veteran of the Spanish Civil war, to support their argument.
I’m sure they would have had a high regard for a bunch of nurses fighting George Bush’s fascism (read the paper) from the frontline (a School of Nursing in Ottawa).