The use of labour market outcomes in the Value Based Pricing scheme is inconsistent with the concept of value This year, the Department of Health in the UK will begin using a new system of ‘value based pricing’ (VBP) to… Read More »The ‘value’ in value based pricing
An argument that often comes up when it comes to the distribution of scarce health resources is who should receive them. Many different arguments are posed with varying degrees of sophistication. Various studies have elicited population preferences for distributing scarce… Read More »To whom the benefits?
Here in the UK, NICE sometimes advises against the provision of particular drugs, by the NHS, on the grounds that evidence does not indicate them to be cost-effective. In some cases it appears that these ‘rejections’ are the result of… Read More »Rationing and deprivation in risk sharing schemes
Can we reasonably consider ‘doing nothing’ as an alternative course of action? In many cost-effectiveness analyses the intervention under consideration is compared against a ‘doing nothing’ scenario, although frequently the next best alternative is used. Ultimately the health technology assessment… Read More »The ethics of doing nothing
Recent changes to the NHS raise the potential for health care providers to deny treatment based on an individual’s characteristics, such as their weight or whether they smoke. I think this calls for a reminder of the implications of discriminating in… Read More »The efficiency of treating fat smokers
Last year the UK government announced the establishment of a £600 million cancer drug fund, to be spent over 3 years. This represents a minuscule amount of money compared to the NHS’s annual budget, which is in excess of £100,000,000,000. However, it… Read More »Cancer drugs and public preferences
Many have spoken out in opposition to the bill. Some have spoken out in support. As health economists most of us have done little of either. I recently wrote to health economists asking them to answer a simple question: “With… Read More »Health and Social Care Bill 2011