Are doctors, as a group, becoming stupider? I’m not trying to troll by asking that question. I legitimately feel, as a patient of a large HMO, that the doctors I interact with aren’t very bright, making frequent mistakes about stuff they could google as quickly as they give out wrong information, but instead confidently insist upon something they’re misremembering or have never learned correctly in the first place. It feels like the profession has been optimizing for the wrong things: quick recall of a breadth of information rather than a scientific orientation towards the work. Perhaps I’m just seeing downstream effects of the reform of health economics in the last decade. Perhaps it’s elite overproduction. In any case reading the featured article, I’m just not at all optimistic about current medical practices experiencing any sort of kuhnian paradigm shift. They can’t even get the basics right, and seem prone to extreme group think bordering on religiosity.