Bengaluru and Erode, India — working with clients in other time zones

SEO Algorithms & Updates

The Medic update and the birth of E-A-T

Why the August 2018 Medic update hit health and finance sites particularly hard, and how it introduced E-A-T as a formal part of Google's quality evaluation.

Search data reviewed on a laptop

The August 2018 core update, nicknamed Medic by the SEO community because of how disproportionately it affected health-related websites, is one of the most consequential updates in Google's history — not because of what it changed technically, but because of the standard it introduced: E-A-T, for Expertise, Authoritativeness and Trustworthiness.

Why health and finance sites were hit hardest

Medic disproportionately affected what Google's Search Quality Rater Guidelines call 'Your Money or Your Life' (YMYL) content — pages whose accuracy could genuinely affect a reader's health, financial stability or safety. Sites offering medical advice, financial guidance or legal information without demonstrable expertise or authoritative sourcing lost significant visibility, even when their content was well-written and technically optimised.

  • Health and wellness advice without credentialed authorship or medical review.
  • Financial guidance from anonymous or unverifiable sources.
  • Legal information presented without qualified expertise behind it.
  • Content on any topic where being wrong could cause real harm.

What E-A-T actually means in practice

Expertise asks whether the content's creator has genuine, demonstrable knowledge of the subject. Authoritativeness asks whether the site or author is recognised as a go-to source on the topic, by other experts and by the wider web. Trustworthiness asks whether the site is safe, accurate and transparent — correct information, clear sourcing, secure browsing and honest disclosure of who is behind the content.

E-A-T was never a single ranking factor you could tick off — it is closer to a lens Google applies across dozens of existing signals, weighted more heavily for topics where being wrong actually hurts someone.

The evolution to E-E-A-T

In December 2022, Google added a second E for Experience, updating the framework to E-E-A-T. This recognised that first-hand experience with a topic — having actually used a product, visited a place or gone through a medical treatment — is itself a credibility signal distinct from formal expertise. Our full E-E-A-T explainer covers this addition in more detail.

What a YMYL site needs to do differently in 2026

Author bylines with real, verifiable credentials; medical or financial content reviewed by a qualified professional; clear sourcing and citations to primary research; and transparent information about who runs the site and why they should be trusted. These are not optional extras for YMYL content — they are close to a prerequisite for ranking at all.

  • Named authors with real, checkable credentials relevant to the topic.
  • A visible review or fact-check process for sensitive claims.
  • Clear citations to primary sources, studies or regulatory guidance.
  • An accurate, transparent about page and clear contact information.

Google's own documentation

Google publishes its full Search Quality Rater Guidelines publicly, and it is genuinely worth reading the sections on E-E-A-T and YMYL directly if your business touches health, finance, legal or safety topics.

Frequently asked questions

Is E-A-T a direct ranking factor?

Not in the sense of a single measurable score. It is better understood as a quality framework that informs how Google's raters and algorithms evaluate many existing signals together, weighted more heavily for sensitive topics.

Does every website need to worry about E-A-T?

The strictest scrutiny applies to YMYL topics — health, finance, legal, safety and civic information. A recipe blog or a hobby site faces a lower bar, though basic trust signals still help every site.

Can a small business site with genuine expertise compete with larger, more authoritative sites?

Yes, provided it demonstrates real expertise and experience clearly — a named practitioner with genuine credentials on a small site can outperform an anonymous, larger site on a specific, narrow topic.

If you operate in a YMYL category and want an honest assessment of where your E-E-A-T signals currently stand, contact our team for a review.

The takeaway

If you operate in a YMYL category — health, finance, legal, safety — audit your author credentials and sourcing this quarter, since Medic's E-A-T standard still applies most strictly there.


Written by Fibvo — Bengaluru and Erode, India — working with clients in other time zones. Questions, or think we have it wrong? Tell us.

Keep reading

Related articles

Next step

Tell us what you are trying to grow.

Send the problem in a paragraph. We will reply within one working day with an honest view of whether we can help, and what it is likely to cost.

Call +91 93451 90983 WhatsApp us