Inadequate Medical Evidence: Political Incentives and the Prospects for Sustainable Reform

Award Year: 2008	Investigator: Alan Gerber, Eric Patashnik	Budget: $335,000	Categories: Evidence-Based Medicine
Abstract: The effectiveness of many medical treatments and procedures remains unknown, despite concerns that the United States spends too much on ineffective care. Why has the federal government invested so very little in rigorous effectiveness research up to now? Co-PIs Alan S. Gerber, Ph.D. and Eric M. Patashnik, Ph.D., M.P.P. believe that the answer lies in the incentives built into our political system. Their project, Inadequate Medical Evidence: Political Incentives and the Prospects for Sustainable Reform, explores the lack of a strong policy response to the need for medical evidence. Drs. Gerber and Patashnik consider a range of factors, including the influence of health care providers and other special interests, lack of policy initiative, insufficient federal agency capacity, the limits of patient advocacy, and the silence of the wealthy and powerful. Results should provide fresh insights into the opportunities and challenges that emerge as the Obama Administration adopts comparative effectiveness research as a strategy for controlling U.S. health care spending by reducing ineffective care.