HealthcarePapers 4(3) April 2004 : 60-66.doi:10.12927/hcpap..16878

Hard Decisions about Fundamental Values

Andreas Laupacis


The lead paper provides a helpful review of the implications of last-dollar and first-dollar reimbursement of pharmaceuticals. Yet, the issue is extremely complex, and there are no easy solutions. Ultimately, the benefits and costs of drugs will force us as a society to make some very hard decisions about fundamental human values such as access, equity and affordability.



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