Well said.

Another concern with worshipping RCT trials and "expert" clinical guidelines as dogma is that it leads to conformity and treating populations over individuals.

Every patient with disease X is expected to be put on drugs Y and Z because a study said that it will prevent one "terrible outcome 1" if the 87 plebs pop the pill compliantly for 10 years straight.

But it's the needle-in-a-haystack problem that the 1 of 87 who will benefit can't be identified, while the other 86 are exposed to risk, cost and lack of autonomy for no benefit to themselves.