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Publications » Research In Profile Series » Issue 15, February 2006:
Section Info
Research In Profile is a series of pieces about investigators and their work that focuses on project findings, research insights, and policy implications. Summaries are provided on the website and each issue is available for download in Adobe Acrobat PDF format. Print copies can be requested from the National Program Office by sending an email to depdir@ifh.rutgers.edu.
RichardDeyoDonaldPatrick
Balancing the Hope and Hype of New Drugs and Medical Technology
Richard A. Deyo, M.D., M.P.H. and Donald L. Patrick, Ph.D., M.S.P.H.
Issue 15, February 2006
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Technological and medical advances in the United States promote a culture of expectation that there will always be a cure for any ill. But that expectation incurs a tremendous cost to society: A vast amount of money gets wasted by the use of untested—and perhaps ineffective— “new” technologies and medicines, as well as by the excessive and inappropriate use of others. This ultimately makes health insurance less affordable, and contributes to the growing numbers of Americans who are uninsured. It also shrinks the pool of money available to invest in researching the real-world effectiveness of these new technologies.

“That’s a bad trade-off. We have to stop spending money foolishly so that we can afford treatments that are significantly beneficial for the population,” says Richard A. Deyo, M.D., M.P.H., a professor of medicine and of health services at the University of Washington, Seattle. His colleague, Donald L. Patrick, Ph.D., M.S.P.H., professor of health services and sociology at the University of Washington, agrees: “We have to address the social and cultural forces that lead to a techno-consumptive culture.”

With support from a Robert Wood Johnson Foundation Investigator Award in Health Policy Research, Deyo and Patrick have co-authored a new book, Hope or Hype: The Obsession with Medical Advances and the High Cost of False Promises, that squarely addresses the tough issues surrounding new and evolving health care technologies.

According to Deyo and Patrick, there is no easy cure for the American obsession with medical miracles: After all, hope cuts to the root of the American dream. “There are numerous examples of older, lower-cost technology being as good as the new, but the hope that something new will be better and the hype surrounding it gets us to buy the latest and the greatest,” Patrick says.

A number of forces shape the role that hype plays. The news media, the Food and Drug Administration (FDA), pharmaceutical companies, physicians, and even consumers themselves all contribute. Deyo’s and Patrick’s book casts light on the various actors and interests involved and offers solutions for policymakers, industry, and consumers.

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Issue 31
July 2012

(Current)
Eight New Research Projects to Tackle Complex Problems Facing Health and Health Care
Investigator Awards In Health Policy Research
Issue 30
September 2010

Ten New Research Projects Explore Solutions to America’s Pressing Health Care Challenges
Investigator Awards In Health Policy Research
Issue 29
June 2010

Reputation and Power in the Balance at the FDA
Daniel P. Carpenter, Ph.D.
Issue 28
April 2010

Frank Sloan: Reforming Malpractice Liability to Improve Health Care
Frank A. Sloan, Ph.D.
Issue 27
November 2009

A Conversation with Harold Neighbors on Racial and Ethnic Disparities in the Use of Mental Health Services
Harold W. Neighbors, Ph.D.
Issue 26
September 2009

Innovative Projects Tackle Major Health Policy Challenges in America
Investigator Awards In Health Policy Research
Issue 25
May 2009

Total Cure: SecureChoice for America's Health Care System
Harold S. Luft, Ph.D.
Issue 24
August 2008

Paying the Tab: Reducing the Social Costs of Alcohol Use through Policy
Philip J. Cook, Ph.D.
Issue 23
May 2008

New Research Projects Probe Health Policy Changes in America
Investigator Awards In Health Policy Research
Issue 22
February 2008

Under the Bright Light: When Celebrities Take Illness Public
Barron H. Lerner, M.D., Ph.D.
Issue 21
September 2007

History & Health Policy in the United States: Putting the Past Back In
Rosemary A. Stevens, Ph.D., M.P.H.
Issue 20
June 2007

Researchers Examine Health Policy Changes in America
Investigator Awards In Health Policy Research
Issue 19
May 2007

How Are World Cities Responding to the Challenges of Population Aging?
Victor G. Rodwin, Ph.D., M.P.H.
Issue 18
November 2006

In Sickness and in Health: The Interrelations of Spousal Illness and Death
Nicholas A. Christakis, M.D., Ph.D., M.P.H.
Issue 17
July 2006

Doctor, Heal Thyself: Why Reorganizing the Physician Practice Could Help Cure What Ails American Health Care
Lawrence Casalino, M.D., Ph.D.
Issue 16
March 2006

Researchers Examine U.S. Health Policy
Investigator Awards In Health Policy Research
Issue 15
February 2006

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Issue 14
January 2006

One Nation Uninsured: Why the U.S. Has No National Health Insurance
Jill B. Quadagno, Ph.D.
Issue 13
March 2005

Researchers Take on Major Health Policy Challenges
Investigator Awards In Health Policy Research
Issue 12
February 2005

Improving Patient Safety: The Link Between Nursing and Quality of Care
Linda H. Aiken, Ph.D., F.A.A.N., F.R.C.N., R.N.
Issue 11
August 2004

Learning From Mistakes: Toward Error-Free Medicine
Lucian L. Leape, M.D.
Issue 10
March 2004

New Investigators Tackle Major Health Policy Issues
Investigator Awards In Health Policy Research
Issue 9
January 2004

Competition Under Managed Care: The Antitrust Challenge
Deborah Haas-Wilson, Ph.D. and Martin Gaynor, Ph.D.
Issue 8
August 2003

Consumer Voice in Managed Care: An Alternative for Promoting Accountable Health Care
Marc A. Rodwin, J.D., Ph.D.
Issue 7
March 2003

New Awardees To Explore Critical Challenges in Health and Health Care
Investigator Awards In Health Policy Research
Issue 6
February 2003

When Income Affects Outcome: Socioeconomic Status and Health
Jo C. Phelan, Ph.D. and Bruce G. Link, Ph.D.
Issue 5
August 2002

Moralism, Politics, and Health Policy
James A. Morone, Ph.D.
Issue 4
July 2002

Law and Order in Managed Care: Resolving Conflicts Between Patients and Health Plans
Peter D. Jacobson, J.D., M.P.H.
Issue 3
April 2002

Journal of Health Politics, Policy and Law: Special Issue, Kenneth Arrow and the Changing Economics of Health Care
Mark A. Peterson, Editor Deborah Haas-Wilson, Peter J. Hammer, and William M. Sage, Guest Editors
Issue 2
March 2002

When Walking Fails: Personal and Health Policy Considerations
Lisa I. Iezzoni, M.D., M.Sc.
Issue 1
February 2002

Firearms and Public Health: From Punishment to Prevention
David Hemenway, Ph.D.