More Treatment for Those Most in Need? A Foregone Conclusion?

More treatment for those most in need? A foregone conclusion?

In the study of McFarlane et al1 a community outreach program was set up to reduce the transition to psychosis in subjects at increased risk. A broad range of subjects (aged 15–25) was included, from low risk to frank psychosis. The design was not randomized on the basis of ethical considerations. Treatment consisted of familyaided assertive community treatment (FACT) and medication in the form...

A Foregone Conclusion?

Recent European guidelines have emphasized the association of vegetation size with embolic risk in endocarditis (1). On these grounds, left-sided vegetations >1 cm, and right-sided vegetations >2 cm are considered to be an indication for surgery. In this issue of iJACC, investigators from the MEDIC (Multicenter Electrophysiologic Device Cohort) registry report the importance of vegetation size ...

Reasoning to a Foregone Conclusion

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Assist Those Most in Need, or Most of Those in Need? The Challenge of Allocative Efficiency for Aid Effectiveness

Against the current backdrop of declining aid budgets, the efficient allocation of aid is of crucial importance for its effectiveness. Allocative efficiency (aid is allocated where it has the largest impact) has become at least as important as operational efficiency (aid is used in a way that maximises results per unit of spending). Donors have committed in international forums in Paris (2005),...

The Price System or Rationing More Effective in Getting a Commodity to Those Who Need It Most?