Adam Rationing is universal! The Americans ration by willingness and
ability to pay.They discriminate against the poor whereas Europeans try to
discriminate on the basis of whether medical care is any use to you as a
patient and taxpayer. Those who argue only UK-EU states ration care should
be confined to institutions for the care of folk with unsound minds! Alan
On Jul 13 2009, Adam Oliver wrote:
>Hi
>
>I think this is quite interesting. We have Alan telling us that
>cost-effectiveness analysis is the only way to go, and Calum telling us
>that if we (or rather you, Americans) go that route then the spectre of
>'rationing' will undermine major reform effort.
>
>Perhaps we should worry about value for money only when everyone is
>covered? But, then, neither Congress nor the CBO would allow that, would
>they?
>
>I think I would say focus on comparative effectiveness for the time
>being, and remove from the system (if you can, and if there are any) any
>ineffective interventions. It would be a start.
>
>Best,
>Adam
>
>
>-----Original Message-----
>From: Anglo-American Health Policy Network [mailto:[log in to unmask]]
>On Behalf Of Alan Maynard
>Sent: 11 July 2009 09:16
>To: [log in to unmask]
>Subject: Re: WSJ attacks NICE again - but 62 US Medical Societies speak
>out in favor of CER
>
>As ever necessary but not sufficient Simon! EBM stands for economics
>based
>medicine, not mere evidence based medicine! But gather the CBO
>interprets
>comparative effectiveness as cost effectiveness Alan
>
>
>On Jul 10 2009, Stevens, Simon L wrote:
>
>>In case you didn't see it, attached is a constructive intervention in
>>the comparative effectiveness debate from 62 medical societies. They've
>>apparently now written to the Senate in defense of the idea...
>>
>>
>>
>>Simon
>>
>>
>>
>>
>>
>>Simon Stevens
>>
>>UnitedHealth Center for Health Reform
>>
>>www.unitedhealthgroup.com/reform
>>
>>
>>
>>________________________________
>>
>>
>>>From: Anglo-American Health Policy Network
>[mailto:[log in to unmask]
>><mailto:[log in to unmask]> ]
>>>On Behalf Of Jost, Timothy
>>>Sent: July-08-09 8:45 AM
>>>To: [log in to unmask]
>>>Subject: WSJ attacks NICE again
>>
>>
>>
>>
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