ICER Value Framework Comments

We write today and offer our review and observations of ICER’s value framework, what it represents and the manifest flaws we believe must be immediately addressed.

I. Use of the QALY

ICER’s statement that “The QALY was developed by health economists and doctors in the
United States” is factually inaccurate.

The QALY was first developed not in the United States, but in Great Britain, specifically at the
University of York’s Centre for Health Economics. Specifically, the QALY was developed and
advocated for by an economist named Alan Williams of the University of York in the 1970s – to
enable the rationing of health care in the UK’s National Health Service.

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