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"it doesn't suggest at all that placebos themselves are doing anything beneficial for patients."

Fair enough. But those patients who don't take their medicine as prescribed are ~25% of all U.S. patients. So in fact adherence studies are a much better measure of the efficacy of medicine than clinical trials, which means that just because a drug has been shown to have clinical efficacy doesn't mean that it actually at all effective in the real world.




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