New debate on how to decide best health treatments
By ERICA WERNER, Associated Press Writer, Mar 12, 09
WASHINGTON – People's lives and plenty of money are at stake when it comes to determining which medical treatments work best.
So some prominent health industry and patient advocacy groups are trying to reframe the debate over how such decisions are made in order to ensure their interests are protected.
Spurred by $1.1 billion in the recent economic stimulus bill for "comparative effectiveness research," their coalition unveiled a new campaign Thursday with a prominent Democrat and disability rights advocate, former California Rep. Tony Coelho, as its spokesman.
Coelho, who suffers from epilepsy and was a key sponsor of the Americans With Disabilities Act, said the issue comes down to whether disabled people and other patients would get the medical care they need.
"On this issue we need to be at the table," Coelho said in an interview with The Associated Press. "Comparative analysis is wonderful, if it's done appropriately."
Coelho's concerns about what could happen if it's not done right line up with those articulated most loudly until now by Republicans and conservative commentators — that "comparative effectiveness" could morph into "cost effectiveness," with bean-counting government bureaucrats refusing treatments to patients who need them.
It's a big concern for drug and biotech companies too since they could lose out if a treatment they've developed is found to be less effective than a competitor's. But a drug company's bottom line isn't likely to draw as much public sympathy as a disabled person's needs.
That makes Coelho a good face for the Partnership to Improve Patient Care, which formed as the issue began to surface last fall and is funded by groups including the Easter Seals, Friends of Cancer Research, the Alliance for Aging Research, the Advanced Medical Technology Association and the powerful pharmaceutical and biotech industry lobbies.
The partnership also includes some minority and women's groups, mostly as nonpaying members. These groups say they can be underrepresented in studies of medical procedures and want to ensure that doesn't happen with the stimulus money.
The fear is that "research done with a very limited segment of the population would be applied to everyone," Alicia Diaz, federal affairs director for the Cuban American National Council, said after the partnership's press conference Thursday.
Obama administration officials insist that won't happen, noting that the economic stimulus bill specifies that comparative effectiveness research include minorities and women, and promising that disabled people will be included, too.
The purpose of the research is to provide doctors and patients with good information to help them get the best outcomes, and improve the performance of the U.S. health system, administration officials say.
"Information about the relative advantages of different treatments is critical to helping people with disabilities be better advocates for their own care," Health and Human Services spokeswoman Jenny Backus said Thursday.
Asked whether saving money was also a goal, Backus said the first step was to conduct the research and the program is "really about quality of care."
But controversy was stoked when language accompanying a House version of the bill suggested the result of comparative effectiveness research would be that less effective and in some cases more expensive procedures "will no longer be prescribed."
The final bill had different language, specifying there was no intention to "mandate coverage, reimbursement or other policies for any public or private payer."
On the Net: Partnership to Improve Patient Care: http://www.improvepatientcare.org/
Copyright © 2009 The Associated Press.
UPDATE: The issue of electronic records and privacy concerns the public in the UK where their NHS plans to make documents avialable to pharamcists...
D. Mail 12.2.09 "CHEMISTS COULD BE GIVEN ACCESS TO PATIENT DATA"
High street chemists will be able to view patients' medical records under controversial plans, it emerged last night. But doctors - including the BMA - & campaigners warn that patient confidentiality could be put at serious risk.
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I have been involved in health freedom activities since the 1960s when I worked in mental health and later on in Haight-Ashbury and at a famous commune in conjunction with the local public health nurse.
From there I stopped off at Chicago 68 and then back home to the east coast for more education in the health professions, future studies, management and whole systems design.
This is some of the path I travelled to get where I am now, an advocate for health freedom and a person known internationally for helping you learn to do the same.
Now we have a clear picture of the backwards spiral, or what you may also call positive entropy, as the system falls in on itself.
Speak Now!
Council for Comparative Effectiveness Research
Columnist George Will in the January 29 issue of the Washington Post first noted that “The stimulus legislation creates a council for Comparative Effectiveness Research. This is about medicine but not about healing the economy. The CER would identify (this is language from the draft report on the legislation) medical ‘items, procedures, and interventions’ that it deems insufficiently effective or excessively expensive. They ‘will no longer be prescribed’ by federal health programs….” Private insurers are expected to follow suit. The CER would dramatically advance government control—and rationing—of healthcare, and the natural health community will have to make its case to this governmental body.
There is deepening cause for concern regarding government involvement in healthcare as the stimulus legislation becomes law. There is abundant evidence that vested interests, which have become pervasive in every aspect of federal legislation, are pulling attention away from wellness, individual responsibility, and true innovation in healthcare. AAHF’s drive to reform the FDA stems from the fact that the FDA—which is truly our government’s involvement in medicine—is responsible for many flawed and destructive policies. The FDA:
• systematically obstructs medical science and innovation;
• forbids and censors the communication of legitimate, peer-reviewed scientific research;
• protects entrenched medical monopolies that pay the FDA’s bills and hire its employees;
• interferes with the rights of consumers to learn about good science (especially relating to food and supplements) that could prolong and save lives and promote health; and
• unnecessarily drives up the cost of healthcare to the point where employers can no longer afford to hire new employees (or even keep old ones), and the entire American economy is threatened.
Every American citizen who values health care freedom of choice must remain ever vigilant that the federal stimulus plan threatens to put a huge government footprint on their healthcare. Help us reform the FDA now!
Thank you to American Association for Health Freedom
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