title: Can NICE be nicer? In a world of budget constraints there are no easy solutions.
abstract: A recent article comments on some of the shortcomings of the National Institute for Health and Clinical Excellence (NICE) in the United Kingdom. This counterpoint article discusses the key issues in more detail and suggests ways in which NICE might improve, given the difficulties in making resource allocation decisions under a budget constraint.
authors.affiliation: Centre for Health Economics, University of York, York, UK. md18@york.ac.uk
authors.forename: Michael
authors.initials: M
authors.lastname: Drummond
authors.forename: Corinna
authors.initials: C
authors.lastname: Sorenson
mesh_terms: D003362:Cost-Benefit Analysis; D016527:Drug Costs; D006291:Health Policy; D009937:Organizational Objectives; D004364:Pharmaceutical Preparations / Q000191:economics / Q000600:supply & distribution*; D011787:Quality of Health Care / Q000191:economics; D013222:State Medicine / Q000191:economics / Q000458:organization & administration; D006113:United Kingdom
chemical_list: D004364:Pharmaceutical Preparations