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Comparative Effectiveness Research "Is Not a Bloodless Sport"

June 10, 2009 (LPAC)—In a panel discussion at the Brookings Institution today, a physician challenged his colleagues on the bland way they were bantering about so-called comparative effectiveness research, the method of ruling out and denying medical care to the chronically ill, pioneered by Britain's National Institute for Healthcare and Clinical Excellence (NICE). Brookings was hosting four panels on the subject, introduced by fascist care-cutter Peter Orszag, head of Obama's Office of Management and Budget.

"Comparative effectiveness research is not a bloodless sport," said Dr. Sean Ellis of Mountainview Medical Institute. "You're discussing it all in terms of 'better information for doctor and patient,' but let's face it, you're going to deny payment for a treatment that a national body says is not proven effective, even if the doctor and the patient want it. That's the bloody part, and I think that should be addressed."

Carol Clancy of the Agency for Healthcare Research and Qualtiy (AHRQ) immediately responded, "That's a very important point; the burden of proof is going to be shifted." The founding regulations of Medicare, Clancy noted, say that "'Payment is to be denied if the treatment has been shown to be ineffective.' That puts the burden on the payer, to show it's ineffective. But that burden has already begun to shift. And it's going to shift to where the burden is on the doctor to show that the treatment is effective, or it won't be paid for." AHRQ is the lead Federal Agency for "health care quality measures."


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