JAMA Commentary Examines Medicare Policy Offering Coverage for Certain Treatments to Clinical Trial Participants

"Medicare's Requirement for Research Participation as a Condition of Coverage: Is it Ethical?" Journal of the American Medical Association: In the JAMA article, Steven Pearson, Franklin Miller and Ezekiel Emanuel, all of the Department of Clinical Bioethics at NIH, examine Medicare's coverage with evidence development policy, which allows certain services and treatments to be covered if patients participate in clinical trials. According to the authors, the policy has been used in many high-profile decisions, but critics say the policy is coercive and unfair. The authors say that the policy is not unethical because patients are not automatically entitled to new treatments that would be covered under Medicare. The authors also discuss the cost concerns associated with determining which treatments will be covered through the policy; the policy's importance in making coverage decisions; and whether the policy can play a role in balancing the needs for better effectiveness with the needs and desires of patients for access to new treatments (Pearson et al., JAMA, 8/23).