title: Is technological change in medicine worth it?
abstract: Medical technology is valuable if the benefits of medical advances exceed the costs. We analyze technological change in five conditions to determine if this is so. In four of the conditions--heart attacks, low-birthweight infants, depression, and cataracts--the estimated benefit of technological change is much greater than the cost. In the fifth condition, breast cancer, costs and benefits are about of equal magnitude. We conclude that medical spending as a whole is worth the increased cost of care. This has many implications for public policy.
authors.affiliation: Harvard University, Cambridge, Massachusetts, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Cutler
authors.forename: M
authors.initials: M
authors.lastname: McClellan
mesh_terms: D020811:Biomedical Technology; D001943:Breast Neoplasms / Q000191:economics / Q000628:therapy; D002387:Cataract Extraction / Q000191:economics; D003362:Cost-Benefit Analysis; D003866:Depressive Disorder / Q000188:drug therapy / Q000191:economics; D017048:Health Care Costs; D006291:Health Policy; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D009203:Myocardial Infarction / Q000191:economics / Q000628:therapy; D014481:United States