No empirical basis for measuring comparative effectiveness

  • by: |
  • 03/07/2008
Here's Sir Michael Rawlins, the director of NICE, exposing comparative effectiveness as a back of the envelope calculation that has hardened into a tool for rationing:

" It is not based on empirical research, there is no empirical research anywhere in the world, it is really based on the collective judgment of the health economists we have approached across the country. There is no known piece of work which tells you what the threshold should be. There have been ex cathedra statements. For example, the World Health Organisation says it should be somewhere around your GDP per person, but why the GDP per capita? It is elusive."

Who do you trust, your doctor or the collective judgment of health economists and their ex cathedra statements..... Policymakers who support comparative effectiveness as evidence-based are engaging in Orwellian Newspeak.

Read more of the sloppy methodology deployed by cost containers....
http://www.publications.parliament.uk/pa/cm200708/cmselect/cmhealth/uc27-i/uc2702.htm
CMPI

Center for Medicine in the Public Interest is a nonprofit, non-partisan organization promoting innovative solutions that advance medical progress, reduce health disparities, extend life and make health care more affordable, preventive and patient-centered. CMPI also provides the public, policymakers and the media a reliable source of independent scientific analysis on issues ranging from personalized medicine, food and drug safety, health care reform and comparative effectiveness.

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