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cover of episode The Spreadsheet of Life and Death

The Spreadsheet of Life and Death

2020/6/26
logo of podcast Cautionary Tales with Tim Harford

Cautionary Tales with Tim Harford

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Clive Stone
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Tim Harford
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Clive Stone: 因无力承担昂贵药物的费用而无法获得治疗,这让他感到愤怒和不公,并促使他发起倡议争取权益。他亲身经历了医疗系统在资源有限的情况下做出的艰难抉择,以及个体生命在面对冰冷的成本效益计算时的脆弱。他最终选择自费治疗,体现了个人在面对生死抉择时的无奈和决心。 Tim Harford: 通过Clive Stone的案例,探讨了医疗资源分配的困境,以及如何评估生命价值的问题。文章分析了NICE在药物审批中的角色,以及政治因素对医疗决策的影响。同时,文章也介绍了John von Neumann和Thomas Schelling的理论,以及QALY等评估方法在医疗资源分配中的应用。 John von Neumann: 他的案例说明了在军事战略中,单纯的成本效益分析忽略了人的生命价值,这需要一个更全面的评估方法,不能仅仅考虑金钱成本而忽略人的生命。 Thomas Schelling: 他提出的“统计生命价值”的概念,为量化生命价值提供了一种方法,即通过人们愿意为避免微小死亡风险支付的费用来估算。这为在医疗资源有限的情况下做出更理性的决策提供了参考。 David Cameron: 他的竞选承诺和癌症药物基金的设立,体现了政治因素对医疗决策的影响,以及民粹主义在医疗政策中的作用。然而,癌症药物基金的实际效果和效率却受到质疑,这反映了在复杂的政策领域中,民粹主义和简单化的决策方法的局限性。

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Clive Stone, a retired bank manager with kidney cancer, campaigns for access to an expensive new drug, highlighting the ethical dilemmas in healthcare funding decisions.

Shownotes Transcript

Clive had a deadly form of cancer, but fortunately there was a new drug to treat it. Imagine his anger when he was told the treatment was too expensive. He’d entered a world where unique human lives are given a value in a mathematical formula. So how much should we spend to extend or save a life? And are some lives worth more than others?

Read more about Tim's work at http://timharford.com/)

Tim's latest books 'Fifty Inventions That Shaped The Modern Economy' and 'The Next Fifty Things That Made The Modern Economy' are available now.

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