[DoreenMichele]

In my experience, bad mental models in medicine lead to all kinds of horrors for entire classes of patients. If they decide to call it a genetic disorder, they throw their hands in the air and give up on actually making you better and trot out phrases designed to politely break you of demanding such, like "the normal progression...", a phrase intended to make you accept that you will get steadily worse, you hurtling towards your death is nothing to be concerned about and please stop annoying your doctor by expecting real help.

[fwungy]

Medicine has become monopolized, politicized, and propagandized. There are many treatments for modern ailments that is legally forbidden for doctors to recommend or prescribe, or will cause the doctor lose their license.

Doctors operate under the Standard of Care rules. If the doctor does not follow SoC they open themselves to medical malpractice liability. Problem is that the SoC is imperfect, especially for less common afflictions. Doctors often know their prescriptions will not help their patients or even worsen conditions, but recommending non SoC treatments will potentially cost them the medical license that came to them at high cost and represents their livelihood.

It can be argued that the SoC maximizes EV and minimizes cost across the population, however, even if that were true on day 1 of the implementation it would quickly degrade as bureaucratic lockin blunted the learning and innovation that doctors have historically used to advance knowledge.