[TallGuyShort]

Why is non-school-medicine inherently non-evidence based? Yeah there's a ton of garbage out there, but I think it's been abundantly shown that incentives are screwed up enough that many mainstream healthcare providers will often ignore potential treatments or even conditions for which there is evidence (but for which they don't have a pill to sell you) or leading to it not getting studied enough to be considered evidence-based.

Classic example is fibromyalgia: family member of mine believed they had it and now has a formal diagnosis, but was told by multiple doctors that it wasn't a real thing and probably all in her head. Went to a chiropractor who dabbled in all sorts of stuff who ended up helping her manage it really well with some diet and lifestyle changes. Now I don't know how well those recommendations were backed up by evidence, but I was blown away at how a few months later there was a widely-advertized FDA-approved drug to treat a condition that according to at least 5 or 6 doctors in our town didn't exist (and they all suddenly recognized it and had fliers for it in their offices). It's amazing how suddenly the "evidence" came up the minute it had a marketable drug.