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Foreword

Published online by Cambridge University Press:  05 October 2014

M. G. Myriam Hunink
Affiliation:
Erasmus Universiteit Rotterdam
Milton C. Weinstein
Affiliation:
Harvard University, Massachusetts
Eve Wittenberg
Affiliation:
Harvard School of Public Health, Massachusetts
Michael F. Drummond
Affiliation:
University of York
Joseph S. Pliskin
Affiliation:
Ben-Gurion University of the Negev, Israel
John B. Wong
Affiliation:
Tufts University, Massachusetts
Paul P. Glasziou
Affiliation:
Bond University, Queensland
Harvey V. Fineberg
Affiliation:
Harvard University
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Summary

Suppose we are sitting in a room, and I tell you that if you walk out a certain door, you will die instantly. However, if you remain in your chair for another five minutes, you can leave when you like with no ill effects. If you believe me, and you value your life, you will stay put, at least for five minutes.

This situation poses an easy choice. It requires little thought and no analysis, and the best option is transparently clear. A number of attributes make this an easy case: First, the choice is stark, with only two extreme outcomes, live or die. Second, the consequences are certain-live if you stay, die if you leave. Third, the outcomes are immediate, with no time delay. Fourth, there are no financial costs involved, and if anything the preferred choice (staying in your chair) is easier than getting up and leaving. And finally, you are making this choice for yourself; you are the one who decides and who will experience the outcomes.

Type
Chapter
Information
Decision Making in Health and Medicine
Integrating Evidence and Values
, pp. viii - ix
Publisher: Cambridge University Press
Print publication year: 2014

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