The increasing popularity of economic evaluation methods, especially cost effectiveness analysis, brings with it the danger of decisions being made on the basis of faulty criteria. This paper explores the underlying faults of orthodox economics, and offers tentatively an alternative means of decision appraisal via John Dewey’s philosophy of instrumentalism and the methods of institutionalist economics.

If the exclusive promotion of values inimical to our basic humanity extends to the health care policy arena, we face a defensive, restricted, impersonal and ultimately impoverished health care system. Americans know it already as ‘managed-care’. This is why it is crucial for health policy analysts to make explicit the role of values in policy-making, especially that involving the input of ‘value-neutral’ economics. The nature of any clinical effectiveness policy will be determined by the understanding of cost-effectiveness employed in its (...) design and implementation. Given that cost-effectiveness is nowadays usually defined according to health economists’ criteria, the battle over the meaning of clinical effectiveness is a significant development in health economics’ move to assume control of the NHS. (shrink)

We argue DIY art provides a relatively pressure-free learning environment, using self-portraits as our main examples.

If the exclusive promotion of values inimical to our basic humanity extends to the health care policy arena, we face a defensive, restricted, impersonal and ultimately impoverished health care system. Americans know it already as ‘managed-care’. This is why it is crucial for health policy analysts to make explicit the role of values in policy-making, especially that involving the input of ‘value-neutral’ economics. The nature of any clinical effectiveness policy will be determined by the understanding of cost-effectiveness employed in its (...) design and implementation. Given that cost-effectiveness is nowadays usually defined according to health economists’ criteria, the battle over the meaning of clinical effectiveness is a significant development in health economics’ move to assume control of the NHS. (shrink)