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Title text: We don't need to do a clinical trial of this change because the standard of care is to adopt new ideas without doing clinical trials.

*insert comment about how the government works here*

Unfortunately, there is nothing about any conditional relationships between the steps.
So it could as well go like this:

1. Come up with new idea:
   Ok, I did some quick thinking and I just got my best idea ever!
   GOTO next step.
2. Convince people it's good:
   Ok, I tried. Some are convinced. Some are not. Most have no idea what I'm talking about.
   GOTO next step.
3. Check whether it works:
   Ok, I checked. It doesn't.
   GOTO next step.
4. New idea is adopted:
   Yes, finally!
   Wait, what was this??