Evidence-Based Alienation

The experience of being excluded or dismissed because the evidence one can provide does not meet the standards of the dominant “evidence‑based” framework. Evidence‑based alienation is common for patients with rare diseases (few studies), for traditional healers (non‑RCT evidence), and for communities that rely on oral history. It creates a two‑tier system of credibility: those who can produce “proper” evidence, and those who cannot.

Evidence-Based Alienation Example: “The community’s oral history was dismissed in court as ‘not evidence’—evidence‑based alienation, privileging written documents over generations of testimony.”

Evidence-Based Alienation by Abzugal Nammugal Enkigal April 15, 2026