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This book analyzes policy fights about what counts as good evidence of safety and effectiveness when it comes to new health care technologies in the United States and what political decisions mean for patients and doctors.
Medical technologies often promise to extend and improve quality of life but come with many questions: Are they safe and effective? Are they worth the cost? When should they be allowed on the market, and when should Medicare, Medicaid, and private insurance companies be required to pay for drugs, devices, and diagnostic tests? Using case studies of disputes about the value of mammography screening; genetic testing for disease risk; brain imaging technologies to detect biomarkers associated with Alzheimer's disease; cell-based therapies; and new, expensive drugs, Maschke and Gusmano illustrate how scientific disagreements about what counts as good evidence of safety and effectiveness are often swept up in partisan fights over health care reform and battles among insurance and health care companies, physicians, and patient advocates.
Debating Modern Medical Technologies: The Politics of Safety, Effectiveness, and Patient Access reveals stakeholders' differing values and interests regarding patient choice, physician autonomy, risk assessment, government intervention in medicine and technology assessment, and scientific innovation as a driver of national and global economies. It will help readers to understand the nature and complexity of past and current policy disagreements and their effects on patients.
Sommario
AcknowledgmentsChapter 1 Evidence, Politics, and Medical Care Technology
Chapter 2 Evolving Public- and Private-Payer Approaches to Evidence and Health Technology Assessment
Chapter 3 Mammography Screening: Vested Interests and Polarization
Chapter 4 When Medicare Said No for Amyloid PET Imaging
Chapter 5 Placing a Value on Cure: Lessons from the New Generation of Hepatitis C Drugs
Chapter 6 Avastin and the Politics of Accelerated Approval
Chapter 7 The Path to the Clinic for Stem Cell and Other Regenerative Medicine Interventions
Chapter 8 Conclusion: The 21st Century Cures Act and the Future of Health Technology Assessment
NotesBibliographyIndex
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KAREN J. MASCHKE is Assistant Professor of Political Science at Oakland University in Rochester, Michigan. She teaches and writes in the areas of the judicial process, constitutional law, and women and the law.
