08/14/2026
“We have become spectacularly overconfident about how effective much of modern medicine actually is.”
That line from a recent Medscape article stopped me in my tracks because it puts words to something I have become increasingly angry about.
https://www.medscape.com/viewarticle/when-medicine-mistakes-confidence-cure-2026a1000rf0?ecd=a2a
The truth is, medicine does an extraordinary amount of good. There is absolutely a time and place when modern evidence-based medicine is the safest and best approach. Surgery. Trauma care. Antibiotics when appropriately indicated. Emergency medicine. Vaccines. Many medications and treatments that have genuinely transformed lives.
But not always.
I constantly hear stories of people being harmed, dismissed, or made sicker while being told they are receiving “evidence-based” care. And this is where I think we need much more humility.
It is frankly infuriating how often people within the medical system dismiss anything outside their training as “woo-woo,” “quackery,” or nonsense.
Yes, quackery exists. Of course it does.
But knowing that some things are quackery does NOT mean that everything outside conventional medicine is quackery.
There is a huge difference between rejecting evidently harmful practices and simply rejecting what you haven't been taught.
And let's talk about the cult-like presentation of certainty.
Medicine is a constantly evolving attempt to understand incredibly complex human beings, and yet the dominant biomedical model is primarily focused on biology, often leaving the mind, spirit, lived experience, and meaning of a person's life outside the framework.
Evidence changes. Recommendations change. Treatments that were once considered standard become obsolete.
But people's fundamental needs don't change. Their relative truth doesn't change.
By “their truth,” I mean their lived experience, their values, their needs, their relationships, their sense of meaning, and what it means to be well in their own life. Those things cannot always be reduced to a lab value, a diagnosis, or a treatment protocol.
Things that were dismissed eventually turn out to have merit. And things that seemed promising sometimes fail when we study them more carefully, or when we look at them from a different perspective.
That doesn't make science bad.
That's what makes science science.
What worries me is any medical system, whether it is conventional, naturopathic, Ayurvedic, Traditional Chinese Medicine, mind-body medicine, shamanic healing, or anything else that acts as though it possesses the whole truth.
It doesn't.
Every medical tradition has things it understands, things it gets wrong, things it hasn't investigated adequately, and things it simply doesn't know yet.
And here's another thing we need to stop confusing:
Insurance coverage is not the same thing as proof of medical value.
Sometimes the thing that may be most helpful to you isn't covered by your insurance because it doesn't fit neatly into the mainstream healthcare model, hasn't been studied in the way insurers require, or simply isn't part of the conventional reimbursement system.
That doesn't automatically mean it's legitimate or effective. You still have to use discernment. But the fact that insurance doesn't pay for something does not, by itself, tell you whether it may be exactly what you need.
Sometimes you may have to pay out of pocket for something rooted in a traditional healing system, a different therapeutic philosophy, or an approach that conventional medicine doesn't offer - for your health.
So yes: use evidence. Demand good evidence. Be skeptical of charlatans. Don't abandon treatments that can save your life.
But also stay curious.
Ask questions.
Look beyond the boundaries of one medical paradigm.
And please, don't confuse “we don't have good evidence for this yet” with “this cannot possibly be helpful.”
I feel angry because intellectual humility in medicine isn't a luxury. It can matter enormously to people's lives.
And if your position is, “I don't trust anything except mainstream medicine,” I would honestly encourage you to reconsider that certainty.
Yes, everything outside mainstream medicine is not right.
And there is no single medical system has a monopoly on truth.
- Dr. Nikita Patel, ND
Smrti Wellness | MindBody Medicine & Shamanic Healing for Chronic Illness
Not every illness has a magic bullet, and assuming otherwise is medicine's quiet overconfidence problem.