Darwinian Medicine: A Prescription for Failure Randy J. Guliuzza, P.E., M.D. Although the field of medicine experienced major advances in the 20th century, it also embraced mistakes and outright atrocities caused by the introduction of evolutionary thinking. Setbacks to the profession are bad, but thousands of patients "treated" with Darwinian medical principles suffered needlessly, experiencing confusion, painful surgery, and even death...