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Volume 335:1465-1466 November 7, 1996 Number 19
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Cost-Effectiveness Analysis and Budget Constraints

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by Ubel, P. A.
To the Editor: Ubel et al. (May 2 issue)1 hypothesize that a budget is to be used in screening for colon cancer. The overriding question is "Who established the budget for medical services?" Before we can begin choosing among effective medical actions, a global budget would have to be mandated. Until then, we simply must make the most effective service available to all who require it, until the money runs out.


Michael F. Patton, M.D.
Spartanburg Regional Medical Center
Spartanburg, SC 29303

References

  1. Ubel PA, DeKay ML, Baron J, Asch DA. Cost-effectiveness analysis in a setting of budget constraints: is it equitable? N Engl J Med 1996;334:1174-1177. [Free Full Text]
 
To the Editor: Ubel et al. do not fairly represent the value that cost effectiveness brings to medical . . . [Full Text of this Article]



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