...Richard Cookson Abstract In 2009 the UK National Institute for Health and Clinical Excellence (NICE) announced that its health technology appraisal committees would henceforth give special additional weight to health gains from life-extending end-of-life treatments. This was a response to mounting...

... for Clinical Excellence . London: British Medical Association. Bryson, C., and B. New. 2000 . Health Care Rationing: A Cut Too Far? In British Social Attitudes: The 17th Report , ed. R. Jowell. London: Sage. Burke, K. 2002a . NICE May Fail to Stop “Postcode Prescribing,” MPs Told. British Medical...

... differences exist. We review the activities undertaken by the United Kingdom’s National Institute for Health and Clinical Excellence (NICE), Germany’s Gemeinsamer Bundesausschuss (G-­BA; Federal Joint Committee), and France’s Haute Autorité de Santé (HAS; National Authority for Health), which play...

...Figure 1 Reasons for NICE Restrictions: Percentage of Drug Evaluations ( N =24) Source: Adapted from Mason and Drummond 2009 ...

... 24 : 30 -49. CSM Interested in Computerised Monitoring of Adverse Drug Effects. 1976 . Scrip , December 11 , 2 -3. Delamothe, T. 1989 . Drug Watchdogs and the Drug Industry. BMJ 299 : 476 . Dent, T. H. S., and M. Sadler. 2002 . From Guidance to Practice: Why NICE Is Not Enough...

... ): 11 – 29 . Donelan K. Blendon R. J. Schoen C. Davis K. Binns K. . 1999 . The Cost of Health System Change: Public Discontent in Five Nations . Health Affairs 18 ( 3 ): 206 – 216 . Drummond M. F. Sorenson C. . 2009 . Can NICE Be Nicer? Value...

..., for example, the National Institute for Health and Care Excellence (NICE) and the King's Fund to grapple with lessons learned from the UK experience. Given this contrast, I was immediately intrigued by the possibility of creating a special issue from the conference papers. Adam agreed to collaborate as guest...

... to outweigh the demerits will typically vary both across countries at any point in time and within a country over time. Duke University Press 2009 Appleby, J., N. Devlin, and D. Parkin. 2007 . NICE's Cost Effectiveness Threshold. How High Should It Be? BMJ 335 : 358 -359. Bevan, G., and R...

...), England launched the National Institute for Health and Clinical Excellence (NICE), which has established itself as one of the leading agencies for economic evaluation of health technology in the world. Since then, Canada, Australia, and several European countries have started using formal economic...

... for pharmaceuticals already approved for use. The stakes are high. When I arrived in London last October, the front pages of all the newspapers showed entertaining pictures of the scowling chairman of Glaxo Well- come, losing his temper publicly after NICE (the National...

... with no methodological or empirical basis. In comparison with implicit rationing criteria used by NHS purchasers of care, the NICE cutoff appears to be generous. For instance, Martin, Rice, and Smith ( 2008 ) estimated that PCTs' decision criteria approximated to £22,332 per QALY for cancer and £14,909 per QALY...

... drug varies with the manner in which it conducts the cost-effectiveness analysis or comparative-effectiveness analysis. In the United Kingdom, the National Institute for Health Care Excellence (NICE) analyzes the cost-effectiveness of drugs and determines whether the manufacturer's charge (its net...

... and drawing a line when all available resources are spent. QALYs and CEA are famously used in the English National Health Service (NHS) in deciding whether new therapies ought or ought not to be funded from the NHS budget by the National Institute for Health and Clinical Excellence (NICE). Because...

... in decision- making, the influence of cultural traditions in a contemporary professional setting, and the nature of bureaucracy). The text strikes a nice balance of empirical description, theoretically informed analysis, and interesting case-studies and anecdotes; it is also very nicely punctu...

.... In seeking to justify the public health mission, Beauchamp has taken on a com- plicated, difficult task. He makes a noble effort, bringing together an impressive array of source material and nicely synthesizing recent political analyses of the U.S. political scene. He draws on sources as wide...

... of cultural traditions in a contemporary professional setting, and the nature of bureaucracy). The text strikes a nice balance of empirical description, theoretically informed analysis, and interesting case-studies and anecdotes; it is also very nicely punctu- ated with maps, charts, and photographs...

... with systems in Germany, Canada, and the United Kingdom. This book nicely illustrates the complexity of the American health care system. It carefully describes the fundamental components of the system for patients and health care providers (predominantly physicians). It also introduces many important...

... with Multiple Sclerosis . February 4. www.dh.gov.uk/assetRoot/04/01/22/14/04012214.pdf . Devlin, N., and D. Parkin. 2004 . Does NICE Have a Cost-Effectiveness Threshold and What Other Factors Influence Its Decisions? A Binary Choice Analysis. Health Economics 13 : 437 -452. Dolan, P. 1998...

... these articles present. On guns and schools, our plans panned out nicely, with insightful commentaries by David Hemenway and Jackson Toby. In all facets of life, of course, timing is everything. The coordinated terrorist attacks on New York’s World Trade Center and the Pentagon outside the nation’s...