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Healthy Skepticism Library item: 9965

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Roehr B
US health experts discuss setting up a centre for effectiveness
BMJ 2007 May 5; 334:(7600):921
http://www.bmj.com/cgi/content/full/334/7600/921-a


Abstract:

The possibility of setting up a centre to evaluate the effectiveness of health care in the United States was discussed at a Capitol Hill policy forum in Washington, DC, last week.

The participants at the forum, which was organised by the Alliance for Health Reform and the Commonwealth Fund, thought that such a centre could be useful because of the escalation in spending on health care-in absolute terms and relative to the economy-and because health outcomes in the US were often poorer than those in other industrialised democracies that spent far less on health.

The forum’s moderator, Stuart Guterman, from the policy think tank the Commonwealth Fund, said that the forum’s consensus was that better information and better decisions were needed.

The health economist Gail Wilensky, a senior fellow at the international charity Project Hope, said that other countries are ahead of the US when it comes to evaluating comparative . . .

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909