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> that one guy in my econ class who always ranted that if it wasn't backed by a RCT, all theories are BS.

The converse may be true though. If it is not backed by a theory, an RCT is BS.

There are many effective medicines for which the mechanism is unclear or disputed. Should we stop using them?

You can use things for which there is weak or conflicting evidence for, just as you can take a sauna just becuase it makes you feel good. But take them as what they are and accept that doing so does not follow a strict interpretation of the scientific method.

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