During Health Care Markup, Rep. Ryan Lies About Medical Treatment Research

March 15, 2010 4:04 pm ET

During the House Budget Committee's markup of the health care reform "fix" on March 15, 2010, Rep. Paul Ryan (R-WI) falsely claimed comparative effectiveness research (CER) would "restrict" doctors' decisions about which treatment they could offer their patients.  In reality, the CER board would simply conduct research to evaluate the effectiveness of various medical treatments, NOT recommend or "restrict" treatments.

Rep. Ryan Resorts To Disproven republican Talking Points

REP. PAUL RYAN (R-WI): It empowers a comparative effectiveness board created by last year's stimulus bill that will restrict providers' decisions about what treatments are best for their patients.

Comparative Effectiveness Research Was Not Created By The Recovery Act

NIH Had A Budget Of $335 Million For Comparative Effectiveness Research Under President Bush.  According to Steven Pearlstein of the Washington Post, "there's nothing particularly new about comparative effectiveness research -- the National Institutes of Health, along with the Agency for Healthcare Research and Quality, have been doing it for years, with a budget last year of about $335 million." [Washington Post, 2/13/09]

Comparative Effectiveness Research Is Not Rationing

Comparative Effectiveness Research council will simply evaluate treatments, NOT "restrict," approve, or recommend clinical treatments.

Council "Will Not Recommend Clinical Guidelines."  The published guidelines for the Council are very clear about the decisions its members will make: The Federal Coordinating Council For Comparative Effectiveness Research "will not recommend clinical guidelines for payment, coverage or treatment." [HHS.gov, 3/19/09, emphasis added]

Comparative Effectiveness Research Is The Comparison Of Medical Treatments.  According to the Washington Post's Steven Pearlstein, "comparative effectiveness research" refers to "research done by doctors and statisticians who troll through large number of patient records to determine, for any particular disease, which treatments work best." [Washington Post, 2/13/09]

CER Supplements Physicians' Knowledge To Ensure The Best Treatment Is Provided To The Patient.  David Dale, MD of the American College of Physicians, testified in a House Ways and Means Committee hearing: "The availability of valid, comparative effectiveness data supplemented by the physician's clinical experience and professional knowledge, helps ensure that an effective treatment choice is made-one that meets the unique needs and preferences of the patient." [American College Of Physicians' Statement for the Record, 6/12/07]

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