Doctors and dietitians love to say the advice they dish out on diet is ‘evidence-based’. The evidence for that leaves a very bad taste in some researchers’ mouths. They say that in its current state, evidence-based medicine props up official dietary guidelines. These guidelines have contributed to the unnecessary suffering and premature deaths of millions worldwide. They say that in nutrition, evidence-based medicine (EBM) has done an excellent job – mostly of improving some scientists, doctors, dietitians and pharmaceutical and food companies’ bottom lines.
US biochemistry professor Dr Richard Feinman is a vociferous critic of the current state of EBM and the influential US dietary guidelines that draw on it. Feinman is professor at SUNY (State University of New York) Medical School’s department of cell biology. He agrees that EBM is little more than ‘the position of experts on one lucrative side of a scientific conflict’. Here, he dissects EBM with surgical, scientific precision, to expose its inability to save lives from the growing pandemics of obesity and diabetes. – Marika Sboros.