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Pré-Publication, Document De Travail Année : 2023

How to deal with an immoral economy? When the Threshold’s politics fails

Résumé

Health care systems in Western countries are nowadays confronted with multiple difficulties that put into question their solvability and their durability. One of these challenges is their capacity to provide effective and efficient care to the population despite the crisis of public finances and the evolution of health problems. The question of the efficiency and effectiveness of treatments for chronic diseases is presented as central for the future, in terms of public health but also in terms of public finances. The expenditures related to patients suffering from chronic disease are identified as a crucial issue for health economics and public authorities. Many kinds of these chronic diseases can be mentioned: chronic kidney disease, chronic obstructive pulmonary disease, asthma, cancer, diabetes, cystic fibrosis, myopathy, etc. Cancer is one of the most important chronic diseases, both in terms of cost for the health care system and incidence in the population. For example, 331 000 cases of cancer were diagnosed in UK in 2011. My interest in the Cancer Drugs Fund is to explore how health innovations imply new political economy of cancer and how the British State try to render accessible drugs that are extremely expensive. It supposes that the “old State’s metrological devices” as costs per Qalys are not able to promote the access to drugs in an effective way. How the Cancer Drugs Fund embedded a new composition of the political economy of cancer that is characterized by two aspects: 1) the possibility for the State to renounce to its costs-effective perspective when it appears that drugs are too important; 2) the incapacity of the State to obtain lower prices for these drugs and the necessity to create a specific fund to buy them.

Domaines

Sociologie
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Dates et versions

hal-04323462 , version 1 (05-12-2023)

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  • HAL Id : hal-04323462 , version 1

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Pierre-André Juven, Pierre-André Juven,. How to deal with an immoral economy? When the Threshold’s politics fails: The Case of the Cancer Drug Funds in United Kingdom. 2023. ⟨hal-04323462⟩
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