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What Is the Price of Life and Why Doesn't It Increase at the Rate of Inflation?

What Is the Price of Life and Why Doesn't It Increase at the Rate of Inflation? COMMENTARY What Is the Price of Life and Why Doesn’t It Increase at the Rate of Inflation? N ARTICLE in the require $100000 or more are con- they are skeptical, given that the February 2000 is- sidered unaffordable. (A QALY is a $50 000 to $100 000 per QALY sue of JAMA con- measure that allows comparisons be- threshold has persisted for 2 de- cluded that annual tween health care interventions that cades without adjustment? After all, A retinal screening for save lives and those that improve if society was willing to spend many individuals with type 2 dia- quality of life. For example, an in- $50000 for a QALY 20 years ago, betes mellitus may not be war- tervention that cures a patient of a shouldn’t it be willing to spend more ranted on grounds of cost-effective- health condition with a quality of life for one now? ness. Vijan et al reported that, halfway between perfect health and In this article, we discuss one compared with biannual screen- death yields 0.5 QALYs per year, factor that may contribute to phy- ing, annual retinopathy screening for whereas an intervention that saves sicians’ skepticism about using cost- low-risk patients with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

What Is the Price of Life and Why Doesn't It Increase at the Rate of Inflation?

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Publisher
American Medical Association
Copyright
Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinte.163.14.1637
pmid
12885677
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY What Is the Price of Life and Why Doesn’t It Increase at the Rate of Inflation? N ARTICLE in the require $100000 or more are con- they are skeptical, given that the February 2000 is- sidered unaffordable. (A QALY is a $50 000 to $100 000 per QALY sue of JAMA con- measure that allows comparisons be- threshold has persisted for 2 de- cluded that annual tween health care interventions that cades without adjustment? After all, A retinal screening for save lives and those that improve if society was willing to spend many individuals with type 2 dia- quality of life. For example, an in- $50000 for a QALY 20 years ago, betes mellitus may not be war- tervention that cures a patient of a shouldn’t it be willing to spend more ranted on grounds of cost-effective- health condition with a quality of life for one now? ness. Vijan et al reported that, halfway between perfect health and In this article, we discuss one compared with biannual screen- death yields 0.5 QALYs per year, factor that may contribute to phy- ing, annual retinopathy screening for whereas an intervention that saves sicians’ skepticism about using cost- low-risk patients with

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jul 28, 2003

References