By the same authors

From the same journal

From the same journal

Understanding Harris' understanding of CEA: is cost effective resource allocation undone?

Research output: Contribution to journalArticle



Publication details

JournalJournal of Health Services Research & Policy
DatePublished - Jan 2013
Issue number1
Number of pages6
Pages (from-to)34-39
Original languageEnglish


We summarise and evaluate Harris' criticisms of cost-effectiveness analysis (CEA) and the alternative processes he commends to health care decision makers. In contrast to CEA, Harris' asserts that individuals have a right to life-saving treatment that cannot be denied on the basis of their capacity to benefit. We conclude that, whilst Harris' work has challenged the proponents of CEA and quality-adjusted life years to be explicit about the method's indirect discriminatory characteristics, his arguments ignore important questions about what 'lives saved' mean. Harris also attempts to avoid opportunity cost by advocating the same chance of treatment for every person desiring treatment. Using a simple example, we illustrate that an 'equal chances' lottery is not in the interest of any patient, as it reduces the chance of treatment for all patients by leaving some of the health budget unspent.

Discover related content

Find related publications, people, projects, datasets and more using interactive charts.

View graph of relations