Dutch consider excluding costly treatments from health insurance

BMJ 2006; 333 doi: (Published 13 July 2006) Cite this as: BMJ 2006;333:113
  1. Tony Sheldon
  1. Utrecht

    A new report commissioned by the Dutch government says that very expensive treatments should no longer be covered by the country's health insurance system.

    It says that the system should not cover treatment that costs more than €80 000 (£55 000; $105 000) for every extra quality adjusted life year (QALY).

    Doctors and patients' groups are concerned that such proposals could exclude treatments such as liver transplantations for people with liver damage resulting from alcohol misuse and argue that care should not be decided just …

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