this article should not describe 's personal opinion as fact the nsf is an important institution yes but it is not a medical institution it is not a part of the nih people who come to this article and walk away thinking that the predominate definition in western society is the definition from an obscure nsf paper rather than the definition used more recently by the u s institute of medicine and the cochrane collaboration have been basically mislead it doesn't matter how many editors agree to this definition it does not fly consensus is not majority for a reason it protects minorities as it is biased towards the correct approach t c