Despite the growth in published studies year on year, and its adoption as a formal requirement in some jurisdictions, there are still doubts about whether economic evaluation is really useful in health care decision making. This article considers evidence for and against the proposition that...

Equity in health has to be distinguished from equity in access to health care, or equity in the distribution of health care resources. We take as a working definition of health for our purposes the number of quality adjusted life years that a person may expect to enjoy over his or her lifetime....