Risk is proportionate and relative.

When evidence no longer fits reality, it may be time to reconsider how that evidence is generated.

Reality simply is. Human cognition—agile but limited—has developed models to understand it, largely so we can predict what might happen next, or what happens when we intervene this way or that way. When a model works, it earns its place. But when it doesn’t, it is not reality that has failed—it is the model.

Healthcare is one domain where predictive models have, at times, become dogmatic. As though the framework itself carries more authority than the lived experience it is meant to explain.

A friend of mine, in her 60s, recently presented to an emergency department with dizziness. She left with a statin prescription. She is still dizzy.

Models that fail to resolve real problems tend to have short practical lifespans—yet they often persist well beyond their usefulness. There is a surprising tenacity within established paradigms, even when outcomes no longer justify their dominance.

We are now at the dawn of a new era in healthcare. Advances in science, technology, and the democratization of information are enabling more holistic, individualized approaches to health. At times, it feels like a race to keep up.

While adopting new technologies carries risk, so too does uncritical adherence to existing dogma. A sober reassessment of current paradigms is essential if we are to frame risk honestly.

An untested parachute may sound dangerous—but not when you are already falling from 20,000 feet.

Disclaimer This article is intended for general discussion and commentary on healthcare systems, models of evidence, and emerging trends in medicine. It does not constitute medical advice, clinical guidance, or a recommendation for any specific treatment, investigation, or intervention. Any clinical scenarios referenced are illustrative and anonymised, and are not intended to represent individual patient care decisions. Readers should not interpret this content as a substitute for professional medical advice, diagnosis, or treatment, and should seek advice from a qualified healthcare professional regarding any health-related concerns. The views expressed are personal and reflect a broader discussion on healthcare paradigms, not criticism of individual clinicians or institutions.