Agreed. But sometimes, without the backing of the pharmaceutical company, the study drug cannot be obtained by the researchers. It's a very unfortunate scenario.

There's definitely EBM in Romania. You may have some limitations with regards to access of drugs/technology, but giving someone an aspirin a day for stroke or heart attack prevention is EBM.

A lot of it is, but you'd be surprised how many things clinicians do where there is no data, nor could we compile data because of ethical issues. For example, we do not know what is the optimal timing

Even Cochrane has some flaws to their analytics of data. An example of that is their approach to proning patients with severe ARDS where they stated that there was no convincing evidence of benefit. Those