In closing, the charge to the committee from Congressmen Waxman and Davis was to undertake a study of “whether HHS is ideally organized to meet the public health and health care cost challenges that the nation faces” and to focus on the missions and organization of the individual agencies. Kathy Buto (see dissenting opinion of K. Buto) and I believe that a more appropriate recommendation on improving comparative effectiveness capability might be the following:

The secretary should drive improvements in health care in the United States by leveraging the comprehensive data collected by Centers for Medicare and Medicaid Services, the Food and Drug Administration, the National Institutes of Health, the Agency for Healthcare Research and Quality, and the Centers for Disease Control and Prevention to assess real-world comparative effectiveness of medical interventions and procedures, preventive and treatment technologies, and methods of organizing and delivering care.

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