MSD Manual (US): Chronic fatigue syndrome - updated Apr 2020 and Sept. 2021

[SNT Gatchaman]

Evidence-based medicine did that. The cult of "is there a RCT for that?" did that.

It's a very long article but these points are laid out in How EBM fundamentalism was weaponized against public health in 2023

Evidence-based medicine (EBM) has been a very useful paradigm for assessing evidence in medicine. However, like any other framework, it can be misused, particularly when fundamentalist EBM methodolatry leads to its inappropriate application to questions for which it is ill-suited, a misuse that has been weaponized against public health during the pandemic.

 

[Sean]

The problem is not with EBM itself, it is with how it has been perverted.