We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Cost Allocation and the Evaluation of New Procedures

Arch Intern Med. 1972;130(2):295-296. doi:10.1001/archinte.1972.03650020111020.
Text Size: A A A
Published online


Recently Dr. Lewis Thomas brought sharp focus to bear on the issue of the relative costs of the various technologies available for the practice of medicine.1 He succinctly summarized three forms of technology that physicians now use: the first is the "supportive therapies," or essentially the "nontechnology," which is designed primarily to make patients comfortable and is best illustrated by how we treat "... untreatable intractable cancer, severe rheumatoid arthritis, multiple sclerosis, stroke and advanced cirrhosis," and also how we reassure patients when they are anxious and concerned; the second, are the "halfway technologies," the steps that treat the consequences of illness once it has been established, such as implantable pacemakers for heart block, hip replacement for destructive arthritis, chronic hemodialysis for end-stage glomerulonephritis; and the third are the definitive technologies, such as antimicrobial therapy for bacterial disease, hormone replacement for specific deficiency states, and vaccination to prevent the illness


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.