The science that dares not speak its name

In the current anti-elitist climate where the postmodern fluidity of truth and facts is taken to an unprecedented level, I posit that the underpinnings to this evaluative science would require a fundamental rethink if it were to survive the present existential challenge. I illustrate the evolution of the field with examples in mammography screening and diabetes care and conclude with a possible set of transformative responses for the future.