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Literature Review & Commentary

by Alan R. Gaby, MD

Modern Medicine: Dangerous and Expensive

    A mathematical model was developed to estimate the cost of drug-related morbidity and mortality in the United States, including medical costs resulting from adverse drug reactions. Drug-related morbidity and mortality was found to cost more than $76 billion per year in the United States. The largest component of this total was the cost of drug-related hospitalizations.

COMMENT: When considering the cost-effectiveness of so-called "alternative medicine," economists usually focus only on the direct costs of the treatment. However, it is important to remember that alternative treatments hardly ever cause adverse reactions severe enough to land someone in the hospital. According to the present study, on the other hand, adverse drug reactions cost every man, woman, and child in the United States nearly $300 per year. Therefore, even if "alternative medicine" were more expensive than conventional treatment (which it is not), society would probably still save a bundle by embracing safe alternatives.

Johnson JA, Bootman JL. Drug-related morbidity and mortality. A cost-of-illness model. Arch Intern Med 1995;155:1949-1956.  


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