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I did a pretty deep dive on that question and what I found was they just blamed everything kings ate. Because back in the day pretty much only royalty got gout.

Jared Leto needed to gain a bunch of weight for a role so he gorged himself on carbs and got gout. When he cut out the carbs the gout went away.

I joke but the issue with modern medicine is that the massive groundbreaking humane advancements (antibiotics, safe general anesthesia making all types of surgery possible, MRI/CT/angiography revolutionizing radiology, typed and crossmatched blood transfusions) are always overshadowed by infinite quackery

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Most doctors are basically ChatGPT but worse.

The whole field has been proceduralized to the point that you're not actually supposed to bring any unique knowledge, just match description to what's written in books. That's something which an AI is insanely good at.
I put a lot of blame on insurance companies for this. Infectious disease specialists have to regularly fight to get non-standard treatments done. I’ve heard stories where doctors will have to say to insurance companies reps stuff like this:
>So this js a recorded line, right? Okay good. Since you’re denying the life saving care that my patient needs, I just want to hear you say that you are the one making the medical decisions and functionally practicing medicine, so that when the wrongful death lawsuit hits it comes to you. Oh really? You won’t say that? You won’t practice medicine without a license? Okay, let’s talk to your boss then!”
on and on for two hours until they finally get approval. It’s insane.
> wrongful death lawsuit

Well that's part of it too, you can't wave the right to sue a doctor - and in a lot of cases, suing them is basically just second-guessing their decision.

So doctors can't make any decision that doesn't have the support of The Scientific Community, and they always have to recommend more tests, more specialists and more drugs at all times.

If they say "you're fine" and then you die, your family is gonna take their house - but if they say "oh you really need this pill" and you take it and die, then as long as their diagnosis was at least plausible, it's on the drug company, and suing the drug company is lolimpossible so the doctor is protected.