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At the age of twelve, on hearing that Sir Ross Smith had broken the England-Australia aero record in a Vickers Vimy, Roly Alderson decided that he wanted to fly. Denied a secondary education, orphan Roly was an accomplished engineer by the time he arrived at Cambridge in his home-built car. He left with a degree, a racing Bentley and a pilot’s licence. Alderson had already logged several hundred hours when recruited by Imperial Airways in 1933. His skills were quickly recognized, and he was selected to fly Lord Willingdon, the Viceroy and Governor General of India, on his farewell tour of India. Alderson’s Holy Grail, nevertheless, was to ‘fly boats’, and it was not long before Roly ...
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Modern drugs are invented according to medical needs, making use of the latest innovations in technology. They are sophisticated, efficacious, and costly, but are they effective? Are they superior to existing - and cheaper - alternatives, and is this superiority reflected in increased cost-effectiveness? Are they socially more beneficial? These questions, and those related to the intriguing search for better quality of life, are addressed in this book by experts from the fields of medicine, epidemiology, economics, sociology and the pharmaceutical industry. The book describes the environmental situation in the United States and Europe in which pharmaceutical development takes place; it also explores the grounds for agreement as well as disagreement between the social and the economic evaluations of progress. It tackles the problem of outcome measurements, patients' behavior, quality of life, and individual value judgments and describes methodological boundaries in the socioeconomic evaluation of drugs.
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