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American Exceptionalism and American Health Care: Implications for the US Debate on Cost-Effectiveness Analysis

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  • Peter J. Neumann

Abstract

Coined by the French historian Alexis de Tocqueville in the early nineteenth century, the term ’American exceptionalism’ refers to the idea that the US is different from other developed nations because of its unique origins, evolution, and institutions. The concept has been debated extensively – whether such a thing indeed exists and, if so, whether it is good or bad for the US and the world. This Briefing explores the debate over the use of cost-effectiveness analysis (CEA) in the American health care system through the lens of American exceptionalism. It explores what about the American character creates resistance to using CEA to guide health care decisions and considers whether, when and how that might change.

Suggested Citation

  • Peter J. Neumann, 2009. "American Exceptionalism and American Health Care: Implications for the US Debate on Cost-Effectiveness Analysis," Briefing 000232, Office of Health Economics.
    • Handle: RePEc:ohe:briefg:000232
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    File URL: https://www.ohe.org/publications/american-exceptionalism-and-american-health-care-implications-us-debate-cost/attachment-321-briefing_neumann/
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    References listed on IDEAS

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    1. Clive Pritchard;Nancy Devlin;Adrian Towse, 2002. "Cost-Effectiveness Thresholds: Economic and ethical issues," Monograph 000473, Office of Health Economics.
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    Cited by:

    1. Andrew M. Jones (ed.), 2012. "The Elgar Companion to Health Economics, Second Edition," Books, Edward Elgar Publishing, number 14021.
    2. Michael Drummond, 2012. "Economic Evaluation and Decision-makers," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 54, Edward Elgar Publishing.
    3. Don Husereau & Anthony Culyer & Peter Neumann & Philip Jacobs, 2015. "How do Economic Evaluations Inform Health Policy Decisions for Treatment and Prevention in Canada and the United States?," Applied Health Economics and Health Policy, Springer, vol. 13(3), pages 273-279, June.
    4. Peter Neumann & Cayla Saret, 2014. "Is the US “leading from behind” on health policy?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(2), pages 113-116, March.

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    Keywords

    American Exceptionalism and American Health Care: Implications for the US Debate on Cost-Effectiveness Analysis;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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