I would give absolutely nothing for the theory of Natural Selection, if it requires miraculous additions at any one stage of descent.
Charles Darwin (in a letter to Charles Lyell)
To reject one paradigm without simultaneously substituting another is to reject science itself.
Thomas Kuhn (The Structure of Scientific Revolutions)
One of the websites I most love to hate, "Uncommon Descent", has a post regarding the falsifiability of evolution. Many "intelligent design" proponents (IDiots) are sophisticated enough to claim to concede "common descent", so the poster argues that biologists can't simply invoke Haldane's "rabbit in the pre-Cambrian" argument to drive a wedge between evolution and ID (as the discovery of a rabbit in the Cambrian would falsify both views).
What numerous ID proponents seem to argue for is "common descent with meddling", the meddling being of a conscious nature. But is that really common descent? Such a view suggests discontinuity, which could/should manifest in the fossil record. When arguing with "common descent with meddling" advocates, why shouldn't a "rabbit in the pre-Cambrian" be invoked as a falsification of evolution and a confirmation of ID? The rabbit is admittedly a dramatic example of discontinuity, but it differs with myriad other possibilities (e.g. a mammoth in Australia) only in degree. When an IDiot says that evidence for common descent can never refute ID, an appropriate response may be, "what bizarre version of common descent are you imagining?" Ordinary sexual/asexual reproduction plus occasional/constant creative input from a third/second party designer is quite a distortion of the historical concept. Visualize a "tree of life" with disconnected branches held up by skyhooks. Alternatively, you can place a fairy on every fork.
Another ID view, the front-loading view, is that evolution was somehow programmed from the very beginning to be driven, or accelerated toward some end; a single, primordial instance of meddling. Here, a "rabbit in the pre-Cambrian" would clearly falsify both this view of ID and evolution. So how does a researcher falsify either of these views? I'd say that the IDiots are playing a sneaky game here: they do their damndest to conform to standard theory, sprinkle in a tad of supernaturalism/teleology, and then ask biologists to falsify one view over the other.
Obviously, the more closely a parasitic view wraps itself around the other, the harder it is to falsify one view while leaving the other intact. Given a choice of views, it seems eminently reasonable to opt for that which is supported by peer-reviewed research, practicing biologists, and which dispenses of superhuman entities. Tediously, the "Uncommon Descent" crowd spends a great deal of energy refuting this, invoking worldwide academic conspiracies, the wisdom of engineers who aren't constrained by mere biology, and the Designer Without Inferable Motives or Identity.
Above, one sees that ID takes a number of forms. The rabbit in the pre-Cambrian falsifies some versions, but not others. But proponents like Dembski and Behe fastidiously avoid formulating specific theories of ID, preferring to harp on every perceived weakness in standard evolutionary theory. They wouldn't want to favor the frontloaders versus the tinkerers versus the constant interventionists versus the creationists. At the same time, when arguing that evolution is difficult to falsify over ID, the IDiots can conveniently pull out the version of ID that best makes the case.
Given the fact that some versions of ID are hugely parasitic on standard theory, piggybacking, free-loading at every opportunity, biologists are sometimes challenged to show how evolutionary theory provides any practical benefits that competing "theories" couldn't. The responses of biologists run the gamut, from Dobzhansky's famous "nothing in biology makes sense except in the light of evolution", to Coyne's recent argument that evolutionary theory, like cosmology, need only expand human knowledge to justify its existence.
Personally, it does seem that hardcore biologists sometimes exaggerate the case for evolutionary theory's utility in a clinical setting. A compartmentalizing creationist crystallographer could conceivably concoct cofactors (sorry, couldn't resist) that inhibit enzyme function, believing all the while that the active site was the result of conscious design. However, it occurs to me that one area that ID, in most of its incarnations (we can never say "all", given ID's aforementioned slipperiness) would fail horribly is in that of "ultra-selfish" DNA. We're talking about transposons, retroviral sequences, etc., that function solely to perpetuate themselves through the host's DNA. These sequences are problematic for ID, as they confirm an abundance of "junk DNA" in the genome, something most IDiots dispute with great tenacity. At the same time, these entities are strongly implicated in cancers and other maladies. Certainly, modeling and proposed treatments for such disease pathways should be influenced by whether the sequences are primarily "selfish" or "functional". To simplify, in one case it might be possible to "attack" the sequence and its [selfish] activity; in the other, one would expect any number of side effects.
My own dogma is that scientific insight arises in the minds of those who are already strongly grounded in correct views. Is it any surprise, then, that "ID theorists" contribute nothing to biological understanding?
Below, I'll try to collect articles that do support the utility of evolutionary theory in medicine:
On the Utility of Evolution in Experimental Biology and Medicine
Of What Value is Evolutionary Biology in Medicine?
Evolution as Policy, not Symbolism or Critical Thinking
Of course, I understand that the poobahs of "Intelligent Design" may not be impressed. They'll argue that they don't deny "microevolution", so evolution of antibiotic resistance is no proof of standard theory's superiority to ID. They'll tell you that experiments in synthetic biology are an example of design, not evolution. And, of course, medical inferences based on "common descent" are taken to be "exactly what ID predicts".
The lack of creativity of ID proponents is sometimes mind-blowing. In addition to the aforementioned inability to come up with their own theories and research, there's the consistent flow of arguments that boil down to incredulity...I can't imagine it, so it can't be true. There's also this childish tendency to try to parrot back the criticisms of their opponents: evolution is a religious belief, evolution requires too much faith, blah, blah, blah. This is the tact adopted by children who, having been insulted, can't conjure up a decent comeback.
Click here for a more artful "rabbit in the Cambrian" image.