alt Hacker NewsYup, strongly agree with all of this, especially the RCT stuff.
This has all been profoundly obvious for at least well over a decade or even two now. A consequence has been that too many serious people are driven away from academia and research, to the detriment of science generally.
I've no idea what to do about all this, because people have voiced obvious and easy solutions for decades, but they are all routinely ignored.
I think political lobbying for legal changes might be the only realistic pathway, in that current legislation (eg. GDPR in the EU) is extremely punitive even for minor violations.
I personally am trying to float using local LLMs to create anonymized case files and auto-suggest publishing cases in my hospital, which knowing how things work will probably never amount to anything.
Or if you want to float truly insane ideas I guess you can shop around with blackhat groups and see if anyone has stolen some juicy records/data during all the ransomware attacks and databreaches over the years, and do some rogue scientific publishing. Obviously that's crazy, but I have to admit that the notion of pirate scientists plundering and publishing data is hilarious to me.