Tolerance means the willingness to allow the existence of views or practices one disagrees with. It does not mean acceptance of those practices.
That pretty much summarises my message. Thank you very much!
Medicine is not Science, but an Art.
Cor.
Thanks for your interest in my parable, of which I am rather proud. This is way off-topic, but I can't let it pass.
Of course Medicine today is (as far as possible) Science. It does have a major handicap, in that humans may differ in undetectable ways, so that if you apply an identical intervention to two apparently identical individuals you may get completely different results. Unlike upgrading a car engine, where you may invest millions on the basis of results from just two prototypes, you need lots of people to give you any meaningful information.
A guy has symptoms, you take cultures and isolate a bug. You do this with enough people, with and without symptoms, to establish a likely connection between the symptoms and the bug, and you stop sticking leeches on people and start studying ways of sorting out the bug in your laboratory. This is science in action.
And I may be wrong, but I wonder if you are sharing a common misapprehension about science, that it proves facts. It doesn't. The second law of thermodynamics isn't proven, it's just an incredibly robust hypothesis to which no-one has ever found a counter-example. Science is a
method with discrete stages:
1. Observation. Coo, look at that. Oo, it did it again (slightly differently)
2. Curiosity. What could the rules be for that activity?
3. Hypothesis. I wonder if it's the inverse square of the distance.
4. Experiment. As many different ways as possible to test your hypothesis. After a million successes, you're feeling good. But you haven't proved it. One counter-example is all it takes.
Medicine, perforce, a little bit different:
1. Observation. Cor these kids are having a rough time with this illness.
2. Curiosity. I wonder what's going wrong inside?
3. Hypothesis. Could overaction of the grutfamblian system be involved in some cases?
4. Experiment. Give grutfamble transferase inhibitors to some kids, not to others. See what happens.
Results probably less clearcut for reasons given above, but if they seem encouraging, there are calculations you can do that will tell you how likely it is that what you found would have happened anyway. If that likelihood is low, you'll probably want to tell others about it and maybe even practice will be modified, but you won't have proved anything. The medical textbooks are constantly being rewritten.
As far as my paediatricians are concerned, there are limits to which an analogy can be taken. Sure they could embark on a program of trials and meta analysis but the religious types wouldn't get past the first RCT - nobody would agree on outcomes.