In my business I look at data. A lot of data. The part that makes it problematic is the different perspectives of the data owners. A whole mess of different lenses--the payer, the patient, the pharmaceutical company,healthcare providers, advocacy groups, governments, and global health authorities. I think you wouldn't be hard to convince that they define "value" quite differently.
In a climate where we listen to the loudest voice and struggle with picking the heaviest fruit--what trade-offs are you willing to make? What do you value?
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In a world of "evidence-based" medicine I am a bigger fan of practice-based evidence.
Remember the quote by Upton Sinclair...
“It is difficult to get a man to understand something, when his salary depends upon his not understanding it!”
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