Medicine

Makary

Explains a lot about how the practice of medicine can be improved.

He does not call the medical establishment nefarious; rather, he accuses it of frequently embracing a narrative — that stress causes ulcers, for instance — without evidence, ignoring scientific findings that do not support the idea, and blackballing those who question their position.

Medical journals, for example, are a primary way in which doctors learn about new scientific knowledge that informs the medical care they provide. Most journals use a peer-review process, meaning that an article is only accepted for publication if a panel of experts deems it to be accurate and of high quality.

Makary has written more than 250 peer-reviewed articles in medical journals, but he is no fan of the genre. In his view, editorial boards, the gatekeepers of peer-reviewed publishing “tend to be composed of like-minded friends.”

“I have been shocked to see studies so flawed that the results are rendered invalid, yet they were published in prestigious medical journals and upheld as scientific proof when instead they just support a groupthink narrative,”