I agree with your sentiment but do not see how it agrees with a previous post. I am in fact opposed to RCT's (random controlled trials) in general as I do not think that they fit the model of heatlhcare.This piece of paper will now behave differently. As with any injury, unless full range of movement is achieved almost immediately, the wrinkled paper effect will occur. This can be reversed with therapy and near full range can be achieved. So what we do will always impact our patient's health.
However the reality of the world is dollars and sense. To sit and argue is to let others who jump on board gain market edge and healthcare dollars, from government, insurance company, grant money etc. Whilst we need not agree with it perhaps we can do some RCT's that even when biased, support our cause. Why not even make it blatnantly biased but correct in methodology. Then we have a strong right to say "See RCT's are not a valid nor reliable measure in the healthcare market"... you see what we just proved. Proving the ridiculous to be true could well be the best way to get people to listen and change course.