Richard A Rettig Free eBooks (1)

ISBN: 0309048370, 9780309048378
Authors: richard A. Rettig, Laurence E. Earley,, Richard A. Merrill, Editors; Committee To Study The Use Of Advisory Committees, Institute Of Medicine
Source: www.nap.edu
Keywords: committees, advisory, administration, drug, food
Formats:PDF
Copyrights: Copyrighted

Like many other agencies of the federal government, the Food and Drug Administration (FDA) relies extensively on external advisory committees for independent scientific and technical advice.Recognizing that the existing advisory committee system is essentially sound, this volume recommends ways of enhancing the use of these committees in the evaluation of drugs, biological materials, and medical d......
Authors: Albert P. Williams, Grace M. Carter, Alvin J. Harman, Emmett B. Keeler, Willard G. Manning, C. Richard Neu, L. Pearce, Richard A. Rettig
Source: www.rand.org
Keywords: research, biomedical, federal, analysis, policy
Formats:PDF
Copyrights: Copyrighted

An essay addressing two questions:First, is it possible to perform analysis--cost benefit analysis--that will provide answers to the questions of how much and where the federal government should make its investment in biomedical research?Second, if outright answers are not possible, is it possible to perform analysis that will lead to better informed judgments as to how much, where, and in what ma......
Author: Richard A. Rettig
Source: www.rand.org
Keywords: crusade, cancer, reflections
Formats:PDF
Copyrights: Copyrighted

Testimony presented to the Subcommittee on Nutrition, Committee on Agriculture, U.S.Senate, at hearings on ''Nutrition and Cancer,'' June 12, 1978.It summarizes the events of 1970 and 1971 that led to enactment of the National Cancer Act of 1971.The rhetorical excess of the advocates of an expanded cancer program is criticized, especially for the use of the "moon shot" analogy.Also criticized are ......
Author: Richard A. Rettig
Source: www.ebookdb.org
Keywords: treatment, methadone, regulation, federal
Formats: Read Online And/Or Other Formats
Copyrights: General Copyright

Publisher: National AcademiesPublished Time: National AcademiesPages: 256......
Author: Richard A. Rettig
Source: www.rand.org
Keywords: security, center, rand, domestic, international, health, workshop, report, confronts, administration, homeland, national, food, drug
Formats:PDF
Copyrights: Copyrighted

In the post-September 11, 2001, environment, the U.S. Food and Drug Administration (FDA) faces many new challenges regarding its policies and procedures for confronting the threat of a chemical or biological attack and determining the role the agency would play. On December 19, 2002, the RAND Center for Domestic and International Health Security hosted FDA leaders, Department of Defense officials,......
Author: Richard A. Rettig
Source: www.rand.org
Keywords: program, medicare, disease, renal, stage, implementing
Formats:PDF
Copyrights: Copyrighted

Analyzes the implementation of the End-Stage Renal Disease (ESRD) program of Medicare.Section 299I of Public Law 92-603, October 30, 1972, extends Medicare coverage to over 90 percent of Americans if they have permanent kidney failure and require dialysis or transplantation to live.The program had 11,000 beneficiaries on July 1, 1973; average annual enrollment for 1979 was 56,000 patients; and the......
Author: Richard A. Rettig
Source: www.rand.org
Keywords: policy, management, thresholds, crossing, technology, government, medical, federal
Formats:PDF
Copyrights: Copyrighted

Reviews the changes in federal government involvement in medical technology in the past decade, from prior reliance upon nongovernmental decisionmaking about development, diffusion, and use, to increasingly centralized decisionmaking. The case of end-stage renal disease offers contrasts between the past and present. The cases of Karen Ann Quinlan and CT scanning indicate the source of present skep......
Author: Richard A. Rettig
Source: www.rand.org
Keywords: medical, technology, cost, disease, renal, stage
Formats:PDF
Copyrights: Copyrighted

Reviews developments since Sec. 299I of Public Law 92-603 went into effect, extending Medicare coverage for hemodialysis and renal transplantation for chronic kidney failure. This paper analyzes sources of difficulties surrounding this program, and draws out lessons having potential for other expensive, life-saving technologies. The author reviews the history of hemodialysis and renal transplantat......
Author: Richard A. Rettig
Source: www.rand.org
Keywords: victims, stage, renal, disease, financing, care, lives, policy, debate, patient, valuing
Formats:PDF
Copyrights: Copyrighted

Since 1972, Public Law 92-603, particularly Section 299I, provides Medicare coverage to all victims of end-stage renal disease (irreversible deterioration of kidney function).Medicare covers the high costs of treatment by hemodialysis or renal transplantation.This paper examines the decision to enact Section 299I and the policy debate which preceded it.Four characteristics of that debate are signi......
Authors: Richard A. Rettig, T. C. Webster
Source: www.rand.org
Keywords: regulating, subsidizing, delivery, medical, services, pattern, mixed, stage, renal, disease, program, implementation
Formats:PDF
Copyrights: Copyrighted

In 1972, Congress extended Medicare to individuals under 65 who have chronic renal disease.The End-Stage Renal Disease Program (ESRD) was established to control quality of care and costs.This paper analyzes the cost control strategy and draws lessons for any future national health insurance.Tentative lessons extracted:The design phase of implementation is crucial for cost control.Bureaucratic conf......
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