Court rules Fort Worth hospital can’t be forced to allow Ivermectin treatment for COVID

Alright, you are all science minded folks. I have a question at the risk if being called an idiot.

Can someone actually explain the issue with Ivermectin to me? It's being treated as though it's hydroxychloroquin 2.0 (as in "Do not use, useless, harmful") when the WHO merely says it needs more data to be prescribed and doesn't recommend it when there's better options.

We don't need ivermectin if people A) vaccinate preventative and B) treat serious cases with monoclonal antibodies, remdesivir, steroids, and now the new Pfizer pill. But there's plenty of diseases that list less effective treatment options as a second line.

"Meta-analyses based on 18 randomized controlled treatment trials of ivermectin in COVID-19 have found large, statistically significant reductions in mortality, time to clinical recovery, and time to viral clearance. Furthermore, results from numerous controlled prophylaxis trials report significantly reduced risks of contracting COVID-19 with the regular use of ivermectin" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088823/)

The above article demonstrates large n values and significant p values for prophylaxis, treatment, reduction of hospitalization, and reduction of mortality. If I was reading that article for some other drug and it came to the same conclusions, I'd feel perfectly fine ordering it. But with ivermectin there's a huge pushback.

Is it the politics alone? Is it that ivermectin is immediately associated with the veterinarian horse version that clearly should not be taken? Is it the insane adoptions by the antivax movement? Or is there something missed in this metanalysis?

Because to me it looks cheap, widely available, safe with limited side effects, and effective.

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