How Can Cost-Effectiveness Information Help Control Unsustainable Growth in U.S. Health Care Spending?

  1. Neil M. Kirschner, PhD;
  2. Stephen G. Pauker, MD; and
  3. Joseph W. Stubbs, MD
  1. From the American College of Physicians, Philadelphia, PA 19106; Tufts Medical Center, Boston, MA 02111; and Albany, GA 31707.

    TO THE EDITOR:

    Garber (1) and Wilensky (2) both recognize the importance of information about comparative effectiveness and cost in making rational choices among alternative therapies. Extending Garber's analogy, without information about comparative effectiveness and cost-effectiveness, we are ordering not only from a menu without prices but also, for many, from a menu written in a foreign …

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