Is 'evidence-based medicine' a system in crisis?

No, Feetle.
What about a new drug for cancer which has been trialled in animals but there have been only one or two small trials in humans?
Is it romantic foolishness to try it in someone for whom the evidence-based therapies haven't worked, and the new drug is a last resort?
I don't think so.
There has to be a balance between using things that will probably work, and trying new things that might work.

It's only 'medicine' if it's evidence-based - anything else is just romantic foolishness.

It is a useful tool of governments which want to control costs and treat populations and not individual patients, gk.
Not that I'm cynical you understand , but I would like to be treated by clinicians who reviewed available evidence and then interpreted it in the light of their own observations about me, ie, exercised clinical judgement rather than following a recipe.
The problem is that evidence-based medicine is used by government to produce guidelines which clinicians are expected to follow as if they are not guidelines, but rules.

That should be "Also read ... (not thought).