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Thanks Marin In the Parliamentary report on "top ups" (i.e. whether patients could pay for care not offered by the NHS, mostly because it is not cost effective) I persuaded our politicians to argue that favouring end of life/rare diseases was inefficient and inequitable! I agree it is a nice issue for debate! Best wishes Alan Gemmill, Marin wrote: > Alan, > > Thanks for forwarding the article - one of your paragraphs brought up a > key point that I'm interesting in hearing other views on. That is, > should we prioritize products that extend the life of or the quality of > life of those with terminal illnesses? And I would go further in asking > how much should third parties be willing to pay for end-of-life care? I > think this debate has major implications not only for the UK but also > for the US where we essentially prioritize end-of-life care for the > insured over covering our 46 million (or so) uninsured. > > Marin > > > Marin Gemmill-Toyama, PhD > Senior Research Analyst, Strategic Research > CVS Caremark > > Phone: 410-785-3346 > Fax: 410-785-8140 > [log in to unmask] > > -----Original Message----- > From: Anglo-American Health Policy Network [mailto:[log in to unmask]] > On Behalf Of Maynard, A. > Sent: Friday, May 29, 2009 4:02 AM > To: [log in to unmask] > Subject: NICE WOBBLES > > This piece by Maynard and Bloor will appear in the July JRSM. > I hope it is of interest > Best wishes > Alan > > -------- Original Message -------- > Subject: Proof of article jrsm-10.1258/jrsm.2009.09k031 for > Journal of > the Royal Society of Medicine[Spam score: 8%][Scanned] > Date: Fri, 22 May 2009 16:51:51 +0100 > From: <[log in to unmask]> > Reply-To: <[log in to unmask]> > To: <[log in to unmask]> > CC: <[log in to unmask]> > > > > Dear Author, > > Please find below a link to your paper for Journal of the Royal Society > of Medicine in Portable Document Format (PDF). > > PDF files can be opened using Acrobat Reader, which can be downloaded > free of charge. If you do not already have Acrobat Reader, simply visit > http://www.adobe.com/products/acrobat/readstep.html > > Instructions about return of proofs and a Copyright Transfer Agreement > (if applicable) are included in the file, please read these carefully. > > This Proof is sent to you on behalf of Royal Society of Medicine Press > Limited. > > If you are unable to download the pdf proof email: > [log in to unmask] > > For any other queries about the proofs email: [log in to unmask] > > > PDF Proof > http://www.henryling.co.uk/net/rsm/downloads.aspx?id=fpjrsmm320riitpbepg > a55wftlgxjw515109k031 >