I’d extend your frame one layer down — from epistemic reliability to systemic energy flow. Scientific unreliability isn’t just noise in the data; it’s the steady-state output of institutions optimizing for exergy throughput under asymmetric incentives.
Once you model pharma, academia, and regulation as dissipative control systems rather than neutral truth engines, patterns like thalidomide, specialty-drug patent-extension combos, or DARPA’s dual-use biomedical programs stop looking like isolated moral lapses and start reading as structural feedback loops. The profit function rewards transient efficacy signals, not long-horizon stability, so the weighting between benefit, chronic side effect, and negative counterfactual is systematically skewed.
In short: the bias is thermodynamic, not merely statistical — energy follows the incentive gradient, even when it flows through Bayesian priors. Even clinical trials select for deception — participants routinely downplay side effects or conceal medical history to stay eligible, turning the evidence base itself into a performative energy market rather than a truth engine. The concept of “evergreening” (making small changes, new formulations, combinations, or regulatory strategies to extend patent life) is well known in pharma criticism literature (though not always legally or scientifically indefensible). The case of thalidomide → Revlimid is one of those.
The tobacco case Emil cites was detectable only because of its massive effect size, ubiquity, and temporal duration; many pharmaceuticals have more modest effect sizes, shorter timeframes, or heterogeneous populations, making distortions from deception or structural bias more influential.
It is true that healthcare, including medicine, is not perfect and has some shortcomings. However, it is a hell of an improvement over the alternative.
I'm 62 and needed medical care from HS Sports injuries requiring surgeries in PA and then many years later again with injury repair, with regular personal doctors visits, enough through the decades to notice a loss of humanity and moral-sickness, and a few many days hospital stays, and the last time I was in isolation with a bone infection, with no family in area to visit and I had 2 nurses one per 12 hour shifts and a MD once in a while with my doctor one a week ..
.
.. I'm a social person that can spend periods alone (as a programmer I have spent 3 days allow with a few hours a sleep here and there, without a problem. But one of those two nurses seemed cold and unwilling to be friendly, but I was willing to do most of the leg-work and why wouldn't she eventually warm us and say an unscripted 'have a good rest of the day ..' or something.
.
One day my doctor visited and said my file had many notes and quotes that the nurse started to record, and that seemed really weird because I'm being a human being interacting with another human.. at least it was wrapped in a human woman's skin.
.
I can't understand a person that will hate another over long periods of time because he is a [white] man, or whatever color sex hair style .., over the years I have been targeted enough times by women psychos like her, always confusing me and now in long years perspective and all the weird unexplainable abuse - they are the kind of human slime that would secretly poison you while smiling and pretending she isn't the kind of dangerous threats to anyone and everyone because who the f- knows and until she is .. thrown off a building or whatever, as long as she breaths no one can think they are safe from bubbling putrid dead souls like her.
--
years ago I had a abdominal hernia 'patch' surgically in place, and besides a stich in my naval, I would not have thought twice about it, except many years later I needed another one or something, and I explained that I had a patch placed over that trouble spot and he said it might have pulled free of the stitched over the years, .. but he wanted me to get a cat scan so I got one and he said I never got that patch at that surgy, and that stitch in naval, will on cat-scan it was clearly a thick stitch from naval to below my sternum, near heart.
.
I never agreed to whatever they did and whatever it is. And I wasn't told.
But really we should not be surprised - after all hospitals and the medical care healers also torture to death while unborn silently screams, and so not only that If I suffered from some Witch-nurse that seems like she would poison me and masturbate, watching may last dying breaths, so where there is one, where are the others, and what is the chance she was the most dangerous - and all the maybe 20 total demonic filled form wrapped in human women skin were only the rare ice-picking cats eyes and you know even better dead for self-defense and defense of all other under her control ..
--
and that secretly implanted thing; drug, tracking device, small charge next to heart and examiner reports not a assassin device set-off and killed me and maybe I'm only 34 murdered that year, so your son and brother probably wouldn't be killed that way, so relax, ..
.
.. he's likely to enter the ER or have a schulaled treatment and injected with a parraizing drug and a pretend upset doctor show you that your brothers puples wouldn't even react to light so he's brain dead doctor says, your brother is lying awake listening and shouting in his mind in increasing panic he hears the 'his organs can save some number of people, and she says 'do it' and he and his wheeled bed is taken to basement medical room, and a crew of medical people come in, and he is hoping beyond hope that one of them would realize he wasn't brain dead and so save him .. but hope turned to despair when the main organ stealing murderer bends over face and says something directly to him, and he knows they all know he is awake
the day someone explains why mercury, aluminum, and other neurological toxic metals and spermicides and what else is in vaccines? and the reason makes medical sense and isn't because they want our child to suffer all their lives in and out of hospitals like that one, ..
.
.. then I might not think that every medical and other professional involved in them, all the corporate owners and executives and government servants and Judges, and ..
that Justice might not be their eyes jabbed-out with the vacc needles in public and live streamed around the world, and then all blinded they tied up and left on floors in condemned Wherehouse's with video streams around the world thousands of starving rats are set loose that when the last screams stop the entire building burned to the ground.
.
Yea, I think that would really improve medical care and the psycho murderers and tormentors of helpless people, their co-working understand that justice will assume they knew and supported them, and that co-working would start to wonder what form of Justice he will dies screaming from, and you would know in your pissing fear that whatever they imagine it would be much much worse so others would be helped to not become the kind of person that others would feel safer if you must of slipped and fell up over that 8 foot high roof wall to drop and be crushed and wide awake with snapped bones driven into your belly, and no one would find you until you died many many agonizing hours later and almost every one that was forced to be near you would breath easier and sleep better.
"This kind of research is in my opinion the best kind of evidence against medicine in general."
You seem to believe that since medicine is not perfect, it would be wise to forgo treatment. You are very young and probably will change your opinion when you have a medical issue.
I’d extend your frame one layer down — from epistemic reliability to systemic energy flow. Scientific unreliability isn’t just noise in the data; it’s the steady-state output of institutions optimizing for exergy throughput under asymmetric incentives.
Once you model pharma, academia, and regulation as dissipative control systems rather than neutral truth engines, patterns like thalidomide, specialty-drug patent-extension combos, or DARPA’s dual-use biomedical programs stop looking like isolated moral lapses and start reading as structural feedback loops. The profit function rewards transient efficacy signals, not long-horizon stability, so the weighting between benefit, chronic side effect, and negative counterfactual is systematically skewed.
In short: the bias is thermodynamic, not merely statistical — energy follows the incentive gradient, even when it flows through Bayesian priors. Even clinical trials select for deception — participants routinely downplay side effects or conceal medical history to stay eligible, turning the evidence base itself into a performative energy market rather than a truth engine. The concept of “evergreening” (making small changes, new formulations, combinations, or regulatory strategies to extend patent life) is well known in pharma criticism literature (though not always legally or scientifically indefensible). The case of thalidomide → Revlimid is one of those.
The tobacco case Emil cites was detectable only because of its massive effect size, ubiquity, and temporal duration; many pharmaceuticals have more modest effect sizes, shorter timeframes, or heterogeneous populations, making distortions from deception or structural bias more influential.
https://ijb.utoronto.ca/news/inside-canadas-exploitative-clinical-trial-industry-where-study-participants-say-theyre-incentivized-to-lie-even-about-medications-side-effects/ https://www.astralcodexten.com/p/your-review-participation-in-phase/comments
If Mr. Stenenga's appendix ruptures, or his child comes down with meningococcal meningitis, I certainly hope he avoids medical care.
It is true that healthcare, including medicine, is not perfect and has some shortcomings. However, it is a hell of an improvement over the alternative.
Read Whitaker’s Anatomy of an Epidemic: that might change your mind
I'm 62 and needed medical care from HS Sports injuries requiring surgeries in PA and then many years later again with injury repair, with regular personal doctors visits, enough through the decades to notice a loss of humanity and moral-sickness, and a few many days hospital stays, and the last time I was in isolation with a bone infection, with no family in area to visit and I had 2 nurses one per 12 hour shifts and a MD once in a while with my doctor one a week ..
.
.. I'm a social person that can spend periods alone (as a programmer I have spent 3 days allow with a few hours a sleep here and there, without a problem. But one of those two nurses seemed cold and unwilling to be friendly, but I was willing to do most of the leg-work and why wouldn't she eventually warm us and say an unscripted 'have a good rest of the day ..' or something.
.
One day my doctor visited and said my file had many notes and quotes that the nurse started to record, and that seemed really weird because I'm being a human being interacting with another human.. at least it was wrapped in a human woman's skin.
.
I can't understand a person that will hate another over long periods of time because he is a [white] man, or whatever color sex hair style .., over the years I have been targeted enough times by women psychos like her, always confusing me and now in long years perspective and all the weird unexplainable abuse - they are the kind of human slime that would secretly poison you while smiling and pretending she isn't the kind of dangerous threats to anyone and everyone because who the f- knows and until she is .. thrown off a building or whatever, as long as she breaths no one can think they are safe from bubbling putrid dead souls like her.
--
years ago I had a abdominal hernia 'patch' surgically in place, and besides a stich in my naval, I would not have thought twice about it, except many years later I needed another one or something, and I explained that I had a patch placed over that trouble spot and he said it might have pulled free of the stitched over the years, .. but he wanted me to get a cat scan so I got one and he said I never got that patch at that surgy, and that stitch in naval, will on cat-scan it was clearly a thick stitch from naval to below my sternum, near heart.
.
I never agreed to whatever they did and whatever it is. And I wasn't told.
But really we should not be surprised - after all hospitals and the medical care healers also torture to death while unborn silently screams, and so not only that If I suffered from some Witch-nurse that seems like she would poison me and masturbate, watching may last dying breaths, so where there is one, where are the others, and what is the chance she was the most dangerous - and all the maybe 20 total demonic filled form wrapped in human women skin were only the rare ice-picking cats eyes and you know even better dead for self-defense and defense of all other under her control ..
--
and that secretly implanted thing; drug, tracking device, small charge next to heart and examiner reports not a assassin device set-off and killed me and maybe I'm only 34 murdered that year, so your son and brother probably wouldn't be killed that way, so relax, ..
.
.. he's likely to enter the ER or have a schulaled treatment and injected with a parraizing drug and a pretend upset doctor show you that your brothers puples wouldn't even react to light so he's brain dead doctor says, your brother is lying awake listening and shouting in his mind in increasing panic he hears the 'his organs can save some number of people, and she says 'do it' and he and his wheeled bed is taken to basement medical room, and a crew of medical people come in, and he is hoping beyond hope that one of them would realize he wasn't brain dead and so save him .. but hope turned to despair when the main organ stealing murderer bends over face and says something directly to him, and he knows they all know he is awake
the day someone explains why mercury, aluminum, and other neurological toxic metals and spermicides and what else is in vaccines? and the reason makes medical sense and isn't because they want our child to suffer all their lives in and out of hospitals like that one, ..
.
.. then I might not think that every medical and other professional involved in them, all the corporate owners and executives and government servants and Judges, and ..
that Justice might not be their eyes jabbed-out with the vacc needles in public and live streamed around the world, and then all blinded they tied up and left on floors in condemned Wherehouse's with video streams around the world thousands of starving rats are set loose that when the last screams stop the entire building burned to the ground.
.
Yea, I think that would really improve medical care and the psycho murderers and tormentors of helpless people, their co-working understand that justice will assume they knew and supported them, and that co-working would start to wonder what form of Justice he will dies screaming from, and you would know in your pissing fear that whatever they imagine it would be much much worse so others would be helped to not become the kind of person that others would feel safer if you must of slipped and fell up over that 8 foot high roof wall to drop and be crushed and wide awake with snapped bones driven into your belly, and no one would find you until you died many many agonizing hours later and almost every one that was forced to be near you would breath easier and sleep better.
"This kind of research is in my opinion the best kind of evidence against medicine in general."
You seem to believe that since medicine is not perfect, it would be wise to forgo treatment. You are very young and probably will change your opinion when you have a medical issue.
my next email provides an example: blood test "proves" chronic fatigue is real.
https://studyfinds.org/blood-test-achieves-accuracy-diagnosing-chronic-fatigue-syndrome/
Normal is that which functions according to it's design.