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Everyone is entitled to one or more opinions on a particular subject, and obviously, in medicine this is no different. In addition, of course the physician has the right and the autonomy to base his/her decisions and choices on his/her opinion. That said, and philosophically speaking, the word opinion originates in the Greek (doxa), meaning, “the confused idea about reality and that opposes to the knowledge considered as true.” Scientifically speaking, opinion is the potentiated synonym of its philosophical meaning, since after thousands of years its confused ideas have been echoed thousands of times in a successful attempt to become truth. And that is also manifested in medicine. There are many reasons for the persistency of opinion over the centuries1-3: • At an advanced age, it disguises as outdated, uninformed weakness and without scientific thought. • Since it is devoid of scientific proof, it is easy and inexpensive. • Being ambivalent, it takes advantage of the ignorance, the laziness and the haste of people and nations. • As a cultural substitute/replacement of knowledge, it is valued as a currency and an exercise of power. • Transactions are then fuelled by non-technical, money-intoxicated agreement policies. • Lying, it seeks to bring down the real concepts of acquired experience, autonomy, and ethics. • Engaging a multitude of allies around its various interests, it is dedicated to the educational dissemination of these untruths. • Finally, in an “infinite loop”, beyond persisting, it diminishes scientific knowledge as necessary truth. • By disqualifying science as standard, it inescapably strengthens its power, by simplifying the standard for everything in as “we say so”. • In medicine, this is no different, but the consequences are, since opinion as a standard leaves patients unprotected from lies. However, how does scientific thinking (the source of knowledge) protect the patient from decisions regarding their lives and health1-3? • Establishing standards that are independent from opinions. • Based on consistent models of clinical research. • Refuting direct extrapolation from animal research to humans. • Using comparisons as the main parameter. • Comparing the conducts already in use to identify differences.

Opinion as standard for all? Opposition to scientific evidence and thought