This is being dumb by design or default. Either way it's dumb.
What is a me-too drug? Does Schnipper regard all medicines that treat HER-2 positive tumors as alike? What about the variations in epigenetics that a range of drugs control for? Should an oral version of an older drug be considered me-too?
And again Schnipper talks about 'marginal gains.' He has previously said 3 months of life is marginal. And he has yet to explain how spending on new medicines to extend life is more of a waste of money than, say, spending money on pre-natal care which has also produced marginal results. Or more broadly, why spending money on new medicines where there is no other treatment available somehow wrecks our economy. Really? When if we DOUBLED what we spent on cancer medicines it would be all of 1 percent of total health care spending??
Schnipper's obsession with ending life by force or fiat is what explains his drive and shapes his desire to ration drugs. And so far, he and ASCO have avoided debating or discussing the cancer rationing app.
That's playiing dumb. By design.
For those of you interested in the other side of this issue, here's my article on the ASCO cancer rationing app.