Article: Inescapable trade-offs; New drugs.(Cost-benefit analysis in health care)

All for one and one for all

Weighing up the costs as well as the benefits from new medicines is vital

OVER the past few months there has been a rumbling row about Herceptin, an expensive breast-cancer drug that patients are struggling to get through the publicly funded National Health Service for an aggressive form of early-stage breast cancer. The current position is a mess, with payment for the drug depending on where patients live, rekindling the charge that the NHS is a "postcode lottery".

The controversy has highlighted the question of how costly new therapies are to be introduced into the NHS. This week, for example, doctors called on the ...

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