the authors believe aerosols are the biggest risk...not 'fomites' on surfaces...so, again...masks are the mitigation mechanism of choice. Just as the MIT report told us...using masks (even by un-trained, sloppy users, I would assume) reduces transmission by an order of magnitude.
Show me one study that says masks shouldn't be used...and includes any of the 'failings' you mentioned in support of that contention...I've already shown you some that extoll the use of masks without hesitation or requirement of perfect usage...me thinks you are out on a limb...all alone on this issue.
btw, the CDC does provide advice on proper mask materials...as a physician you could use your position to educate patients on proper mask usage...as per the CDC...do you do that?..
Link: https://www.medpagetoday.com/special-reports/exclusives/92564