To: Pogeu Mahone who wrote (200657 ) 8/6/2023 12:49:06 PM From: marcher Read Replies (1) | Respond to of 217542 at ~19:00 mcnamara says she is directed by the "standards of care" (and not a systematic review of research). so, gotta wonder how the "standards of care" are developed and why they do not require verification by systematic research review... medical standards of care: "... In the late 1980s the Agency for Healthcare Quality and Research called for improvements in healthcare delivery... In the wake of these changes, professional medical societies, governments, and insurers in turn created their own guidelines. ... Another problem is a lack of scientific evidence to back the stated guidelines . As well as conflicting information, there is the problem of biased guidelines emanating from private health insurance companies and the like. "...While there is no standard definition for the meaning of ‘standard-of-care’ per se, a medical definition of what is meant by the term is given as follows (Stöppler, 2021). 1. A diagnostic and treatment process that a clinician should follow for a certain type of patient, illness, or clinical circumstance. 2. In legal terms, the level at which the average, prudent provider in a community would practice; how similarly qualified practitioners would have managed the patient's care under the same or similar circumstances.news-medical.net the above article indicates medical standards of care are developed by medical societies, governments, and insurers. thus, medical folks appear to be outnumbered by politics and profiteers. golly, no research (really) required. just go-along-get-along and make lots of money. easy peasy................. ama from 2004:journalofethics.ama-assn.org