I don’t have any interest in debating the papers.
To be fair, most health professionals haven't the time. At my last count, there were over 2 million articles published in over 20,000 journals
(Mulrow 2004), so we have to rely on secondary research, ie collecting the data, appraising the findings, and coming to some sort of useful conclusion.
Ultimately, when sat in front of a patient, I need to know if intervention
x is going to result in outcome
y. Admittedly, that isn't always the case.
The model isn't perfect, but if you have an alternative, then let's hear it.The inner awkward gitt in me will be most receptive.