Is the pyramid hierarchy of evidence the best model to use when making medical decisions? At EBM+, we think there is room for improvement.
EBM+ is interested in using evidence of mechanisms in conjunction with evidence of correlation to help evaluate causal claims in medicine. One objection to this idea is that it is hard to do this in practice.
It’s hard but it’s not impossible …
About a year ago the ‘Philosophy and Public Affair’ group (Philosophy Department, University of Amsterdam), invited me to contribute to their seminar. I intended to talk about ‘The political dimension of evidence’, as I wanted to raise the question of whether and how epistemological and methodological debates about evidence bear on etico-political questions, or may affect issues at the etico-political level. Due to chronic lack of time I didn’t develop these issues in the direction I originally intended. Eventually the talk developed more on the ways in which philosophers (of science) ought to engage with scientists, with the public, or with teaching.