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One reason why the process is often protracted is that NICE usually has to compare more than one drug.
What we learn here is that "Nice to see you" is always safer than "Nice to meet you".
The reason, presumably, is that NICE makes its decisions in public and uniformly, rather than ad hoc and behind closed doors and the average citizen, who tends to be less cold-heartedly rational than the average health-care wonk, looks to his religion for comfort as well as for salvation.
One of the main flaws they identify is that Nice (the National Institute for Health and Care Excellence) in England and Wales, and the SMC (Scottish Medicines Consortium), decide not only the clinical value of a drug but also its cost-effectiveness.
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Cristina Valenza
Retail Lead Linguist @ Apple Inc.