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“ Because EBM is largely an effort to manage the unruly social world in which medicine is practiced via objective scientific procedure, the movement appears to be the latest expression of “scientism”, modernity’s rationalist dream that science can produce the knowledge required to emancipate us from scarcity, ignorance, and error. However, such efforts tend to disguise political interests in the authority of so-called “scientific evidence”. The configuration of policy considerations and clinical standards into questions of evidence conveniently transform normative questions into technical ones. Political issues are not resolved, however, but merely disguised in technocratic consideration and language. Thus the goals of medicine and other normative considerations lie just below the surface of these evidentiary questions, and evidence becomes an instrument of, rather than a substitute for, politics
ScienceDirect - Social Science & Medicine : On evidence and evidence-based medicine: Lessons from the philosophy of science
