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Volume 328:1360-1361 May 6, 1993 Number 18
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Economics and Ethics in Health Care
Managing the Medical Arms Race: Innovation and Public Policy in the Medical Device Industry

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By Susan Bartlett Foote. 285 pp., illustrated. Berkeley, Calif., University of California Press, 1992. $35. ISBN 0-520-07591-9.

A major contributor to escalating health care costs is the proliferation and use of expensive forms of medical technology. Without control of these "medical arms," it is unlikely that the steady increase in health care expenditures will be attenuated. What is most bothersome about this problem is that medical techniques are frequently developed for use in treating the later stages of uncommon, often fatal diseases. Such forms of technology benefit a relatively small population, mostly in the later stages of life and often in situations requiring the use of heroic measures. Hence, increased spending on medical technology may divert funds . . . [Full Text of this Article]




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