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...cost per quality-adjusted life year, you are basically deciding how much a year of life is worth? Yes. The most controversial area is where you place the dividing line between what is cost-effective and what is cost-ineffective. That is the "How much is life worth?" question. And there is no real empirical research to guide you. We have looked at what other government departments do. Our Department of Transport, for instance, has a cost-per-life-saved threshold for new road schemes of about 1.5 million GBP per life, or around 30,000 GBP per life year...

Author: /time Magazine | Title: How Much Is a Year of Life Worth? | 3/27/2009 | See Source »

...doesn't NICE take into account other factors in its cost-effectiveness review, such as lost productivity to the workforce? The quick answer is that our statutory instruments specify that we [should not]. But if you give advantage to people who are economically active, it means you disadvantage the economically inactive - the elderly. That's something that British society would find difficult to accept...

Author: /time Magazine | Title: How Much Is a Year of Life Worth? | 3/27/2009 | See Source »

...call "patient-access schemes." Drug companies may either give away certain portions of treatment [such as the last few doses of a course] or reimburse the NHS for those patients who don't respond, which has the effect of reducing the price of the drug and lowering the cost per QALY - even though the reference price stays the same...

Author: /time Magazine | Title: How Much Is a Year of Life Worth? | 3/27/2009 | See Source »

...Three Mile Island atomic reactor near Harrisburg hadn't melted down 30 years ago this Saturday...well, there probably would have been an accident somewhere else. The entire U.S. nuclear industry was melting down in the 1970s, irradiated by spectacular cost overruns, interminable delays and public outrage. Forbes later called its collapse "the largest managerial disaster in business history, a disaster on a monumental scale...

Author: /time Magazine | Title: Three Mile Island at 30: Nuclear Power's Pitfalls | 3/27/2009 | See Source »

...years, even as it was struggling with dangerously complex new technologies and an understandably onerous regulatory process, buffeted by plummeting electricity demand and soaring interest rates. The last nuclear plant ordered by a U.S. utility broke ground in 1973 and took 23 years to finish. The average cost overrun for a reactor approached 300%; the Washington Public Power Supply System-known as "whoops"-walked away from three plants mid-construction, triggering the largest municipal bond default in U.S. history. Even the reactor that failed at TMI was $500 million over budget and five years behind schedule. (Read the original...

Author: /time Magazine | Title: Three Mile Island at 30: Nuclear Power's Pitfalls | 3/27/2009 | See Source »

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