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We measure the cost of each strategy in thousands of dollars. As shown in the table below. for example= doing nothing involves spending no money
We measure the cost of each strategy in thousands of dollars. As shown in the table below. for example= doing nothing involves spending no money but receiving no benet. Treatment strategy A. on the other hand. costs 340.000.00 and gives a benefit of 0.4 Quality Adjusted Life Years (QALY). We use QALY instead of simply years to reect the fact that we care not just about additional years of life, but additional years of quality life. For example. a year of life in a coma and on a respirator is worth about 0 QALY; a year of good health is worth 1 QALY. A year of life unable to walk is worth fewer QALYs than is a year of life of full mobility. I might value a year of life with a disability dierently 'om how you might value that disability. and that valuation might change as we age. We oen use surveys to score health conditions so that we can estimate the value of a QALY given a certain set of health conditions. Assume you have a medical condition known as W This condition' [5 invariably fatal if left untreated. There are eleven strategies for treating W with the costs and benets as indicated In the following table. Benefit from Treatment Strategy Cost treatment [in QALYS] 540; 000.00 $130,000.00 SIOOCICI $130 000. 00 550 000.00 51m. 000. 00 $180 000. 00 S 1 10,009.00 1 . 40 D SQOJDOOO ***You are Consumer Numberg and your annual income is $150,DOD*** You will be asked to choose a treatment strategy assuming no insurance, and then you will have a choice assuming no insurance. Your post with your choices should include an explanation of why you chose your treatment strategies. Choice 1 You have just been diagnosed with W Assume that your income is the income indicated in the e-mail you lwill receive 'om me. Assume further that you have no comorbidities (you don"t have anotheOlness). Assume that all treatment strategies (except \"Do Nothing") are safe and effective: they are approved by the FDA and other relevant regulators. Finally. assume you don't have health insurance. Which treatment strategy would you choose, and why? Choice 2 This is a new decision-making process. and it does NOT depend on your choice in the preceding round. Make the same assumptions as you did in the rst round. but this time. assume you have Medicare. which will cover 80% of the treatment cost regardless of which treatment strategy you choose: you will be responsible for paying only 20% of the cost. Recall that Medicare is forbidden to conduct a cost benet analysis or a health technology assessment. strategy is more eectiv'e than placebo). 1Which treatment strategy would you choose. and why
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