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Reply #12: More People Will Live More Years Because Of This Decision [View All]

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MannyGoldstein Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Aug-26-09 03:51 PM
Response to Original message
12. More People Will Live More Years Because Of This Decision
The NHS's job is to maximize the good work that can be done for a given expenditure.

Suppose a drug will slow one person's death for a month at a cost of $1,000,000. That same $1,000,000 could perhaps save two years of life for each of 20 recipients of an ICD (implantable defibrillator). Where would you choose to spend the $1,000,000?

Given that we can't spend 100% of GDP on healthcare, we need to make choices. Actually, even if we could spend 100% of GDP on health care, we'd need to make choices.
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  -Cancer drugs fail to win NHS funding acsmith  Aug-26-09 03:30 PM   #0 
  - Gee. I wonder how many approved drugs or treatments are......  Bonhomme Richard   Aug-26-09 03:38 PM   #1 
  - I don't know...  acsmith   Aug-26-09 03:42 PM   #3 
  - there is a LOT of treatments and drugs that are refused here  Donnachaidh   Aug-26-09 03:44 PM   #8 
  - Deleted message  Name removed   Aug-26-09 03:48 PM   #10 
  - We who seemingly want a civil debate are fairly quick to debase this into name calling  digidigido   Aug-26-09 04:06 PM   #21 
  - Deleted sub-thread  Name removed   Aug-26-09 05:06 PM   #37 
  - the point is that...  acsmith   Aug-26-09 04:06 PM   #22 
  - That's odd - really.  enlightenment   Aug-26-09 04:24 PM   #28 
     - from last year but...  acsmith   Aug-26-09 04:54 PM   #35 
        - The strange thing is that when you wade through them as I did last week, they've improved  muriel_volestrangler   Aug-27-09 06:49 AM   #56 
  - That was clearly uncalled for!!  SkyDaddy7   Aug-26-09 06:31 PM   #50 
  - Every large health insurance company has the equivalent.  Gormy Cuss   Aug-26-09 04:00 PM   #17 
     - the citizens can not change the list  acsmith   Aug-26-09 04:14 PM   #24 
        - Apparently the Swiss are feeling the economic pinch if its citizens are taking pay to post on boards  Doremus   Aug-26-09 04:52 PM   #34 
        - CERN  acsmith   Aug-26-09 05:10 PM   #40 
        - I didn't think my original post was so controversial  acsmith   Aug-26-09 05:15 PM   #45 
           - I am sorry to see that a DU member is giving you  joeycola   Aug-26-09 05:39 PM   #47 
        - It's hard for citizens to change the list, true.  mwooldri   Aug-26-09 05:09 PM   #39 
        - Uh, didn't say they could change it, but if enough are unhappy with it, polits can change it.  Gormy Cuss   Aug-26-09 08:06 PM   #51 
  - Yes but being told to go crawl off into a hole and die has a much nicer personal touch coming from a  Wizard777   Aug-26-09 04:21 PM   #27 
  - "not yet evidence of dramatic results"  Barack_America   Aug-26-09 03:41 PM   #2 
  - The further outrage is, most drugs are NOT new, they are repatented for new disease  Gman2   Aug-26-09 04:21 PM   #26 
     - That is not the way it works...  rexcat   Aug-27-09 12:19 AM   #53 
  - From what I can see in this slim report, it was a *results based* decision.  pinto   Aug-26-09 03:43 PM   #4 
  - The NHS is Great At Being Evidence-Based  MannyGoldstein   Aug-26-09 03:52 PM   #14 
  - costly drugs with NO evidence of dramatic results  Donnachaidh   Aug-26-09 03:43 PM   #5 
  - I really don't see a problem here.  stopbush   Aug-26-09 03:43 PM   #6 
  - Exactly  dipsydoodle   Aug-26-09 05:11 PM   #42 
  - Good Lord! What do you imagine insurance companies do here?  Zen Democrat   Aug-26-09 03:44 PM   #7 
  - on your final point you are wrong  acsmith   Aug-26-09 03:51 PM   #13 
     - The EXACT same thing happens here with insurance companies  prolesunited   Aug-26-09 04:32 PM   #30 
     - You are talking pure bullshit.  Nihil   Aug-27-09 06:55 AM   #57 
  - Deleted sub-thread  Name removed   Aug-26-09 03:47 PM   #9 
  - FYI, the FT is --  Hell Hath No Fury   Aug-26-09 03:50 PM   #11 
  - actually  acsmith   Aug-26-09 03:57 PM   #15 
     - It is a conservative paper for the monied.  Hell Hath No Fury   Aug-26-09 04:05 PM   #20 
        - but your point was  acsmith   Aug-26-09 04:08 PM   #23 
           - Nope, FT is a conservative paper whose READERS may be anti-NHS.  mwooldri   Aug-26-09 05:12 PM   #43 
  - More People Will Live More Years Because Of This Decision  MannyGoldstein   Aug-26-09 03:51 PM   #12 
  - Perhaps it's not as stark as you think it is  Warpy   Aug-26-09 03:57 PM   #16 
  - unless they cure they extend suffering  Rosa Luxemburg   Aug-26-09 04:03 PM   #18 
  - Exactly, and the desperate search for a little more time  Warpy   Aug-26-09 05:40 PM   #48 
  - Of course they do, and that is why for instance, breast cancer  JeanGrey   Aug-27-09 07:14 AM   #59 
  - I didn't want to mention it before because I thought it was irrelevant  acsmith   Aug-26-09 04:19 PM   #25 
  - that has nothing to do with the system. That is because there is a shortage of organs.  SemiCharmedQuark   Aug-27-09 11:50 AM   #60 
  - I possibly can answer that. I have stage four cancer that  JeanGrey   Aug-27-09 07:13 AM   #58 
  - Our private insurers do the same. n/t  Cleita   Aug-26-09 04:04 PM   #19 
  - I am sure they do...  acsmith   Aug-26-09 04:24 PM   #29 
     - Based On What?  Mark D.   Aug-26-09 04:43 PM   #32 
     - Most of us don't want NHC like you have in Britain.  Cleita   Aug-26-09 05:10 PM   #41 
  - A Few Things  Mark D.   Aug-26-09 04:35 PM   #31 
  - IT is far better to hash this out among friends, than in the media.  Gman2   Aug-26-09 04:46 PM   #33 
  - .  acsmith   Aug-26-09 05:08 PM   #38 
     - Thanks  Mark D.   Aug-26-09 05:21 PM   #46 
        - don't get me wrong  acsmith   Aug-26-09 05:43 PM   #49 
  - bottom line: it wasn't beneficial so why pay money for it  tomm2thumbs   Aug-26-09 05:01 PM   #36 
  - Some of these drugs are as useful as those Bridges in Alaska...  mwooldri   Aug-26-09 05:13 PM   #44 
  - Oh, it would be "graphic" enough for me.  JeanGrey   Aug-26-09 08:57 PM   #52 
  - to be honest, I don't see what is wrong with restricting funding for  dugaresa   Aug-27-09 06:04 AM   #54 
  - So instead of admitting that "Deat Panels" don't exist, you're redefining what constitutes one?  Dutch   Aug-27-09 06:38 AM   #55 
 

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