Category: International

UK doesn’t flinch from making hard choices to control costs

published date
October 11th, 2006 by

UK doesn’t flinch from making hard choices to control costs

The UK’s National Institute for Health and Clinical Excellence (NICE) has decided not to cover Alzheimer’s drugs Aricept (donepezil), Reminyl (galantamine), Exelon (rivastigmine) and Ebixa (memantine) for those in the early stages of the disease. The first three can be used for moderate cases and Ebixa was ok’d for more severe cases.

I wonder whether NICE considered whether to allow use in the early stages (when patients still can function) but scrap coverage for moderate patients. It would be an interesting tradeoff to see analyzed. Under that scenario, once a patient progressed to moderate they would lose coverage.

I believe it’s just a matter of time (probably 5 years) before NICE-style decision-making comes to the US.

Underworked docs in the UK

published date
October 11th, 2006 by

Underworked docs in the UK

An article in the Daily Telegraph, Britain will need to hire thousands more “junior” doctors due to European Union work restrictions. The docs can currently work 58 hours per week, but an EU directive will compel a drop to 56 hours in 2007 and 48 hours in 2009. What’s more, time on call must be counted in the total.

There’s such a thing as a doctor working too many hours, but this is ridiculous.