Here's how the British have made their system more "efficient." Unfortunately the most efficient system to a bureaucrat is "cost effective" and "least costly" and dying (for some) is the least costly outcome for a government system in search of cost savings. For some treatments NICE has set a limit of $22,000 as a stopping point. But if it's known that a treatment would go beyond that pre-determined stopping point, why go forward with treatment at all?
The WSJ July 7, 22009 –- Of NICE and Men
"How government rations health care: Start with a 'quality adjusted life year.'
Speaking to the American Medical Association last month, President Obama waxed enthusiastic about countries that "spend less" than the U.S. on health care. He's right that many countries do, but what he doesn't want to explain is how they ration care to do it.
Take the United Kingdom, which is often praised for spending as little as half as much per capita on health care as the U.S. Credit for this cost containment goes in large part to the
National Institute for Health and Clinical Excellence, or NICE. Americans should understand how NICE works because under ObamaCare it will eventually be coming to a hospital near you.
The British officials who established NICE in the late 1990s pitched it as a body that would ensure that the government-run National Health System used "best practices" in medicine. As the Guardian reported in 1998: "Health ministers are setting up [NICE], designed to ensure that every treatment, operation, or medicine used is the proven best. It will root out under-performing doctors and useless treatments, spreading best practices everywhere."
What NICE has become in practice is a rationing board. As health costs have exploded in Britain as in most developed countries, NICE has become the heavy that reduces spending by limiting the treatments that 61 million citizens are allowed to receive through the NHS. For example:
Of NICE and Men - WSJ.com
Edit: today I went to my local clinic with a pulled muscle at 12:00 noon. I was given a prescription to go to a nearby MRI business location, and at 1:15 began an MRI which lasted until 3:45. There are more MRI machines in Western Pennsylvania than there are in the whole of Canada, and W. PA is a part of
Appalachia...one of the poorest regions of the U.S.