EBM is actually a surprisingly old field, we just never had the ability to create and store and ingest all the data. There was another problem people discovered during the Renaissance. That the scientific method only worked for concrete measurable problems where every except the exact one you are testing can be controlled, this allows researchers to create falsifiable narratives about their discoveries. Clinical trials are what is known as "soft science" here the naive hopeful solution is that we can pile on more and more data, ignore the unfalsifiable narratives, and ex nihilo happen upon a method that will tell us how to cure a disease.

This isn't so much science as it is outsourcing the "boys club" to a machine.