This presents the RCT criterion uncritically, albeit citing a case where it would be hard to apply.
But RCT fails -- gives a nonsense result -- when the hypothesis under test is incoherent. This wouldn't matter, except that RCT is routinely used in such circumstances, and the results treated as gospel by people in positions of authority.
Consider: Outcome X may have six causes A-F. RCT tests B, and finds that varying B only affects one in six cases. With infinitely many trials, the relationship resolves, but with one trial the difference is indistinguishable from noise.
Substitute a medical symptom for X, and a medical treatment that addresses one of six causes, for B. After one RCT, B is "shown" to be ineffective.
The problem is not B. The problem is that X is ill-defined. X could be a mental illness, or tumors in a given organ. How often do we read "anti-depressants shown ineffective"? The only way we have to distinguish one variety of depression from the next is which treatment works.
The problem is not limited to medicine.