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In Reply We did not argue that ICU admission directly harms patients with low illness severity. Our Viewpoint acknowledged a small potential benefit of close observation in the ICU for these patients. Therefore, we did not use the term supplier-induced demand, which, as Mr Friedman correctly notes, implies but does not require a lack of marginal benefit.1 Instead, we argued that this small potential benefit does not justify the high costs of building and maintaining ICUs.
Gooch RA, Kahn JM. Economic Incentives and Use of the Intensive Care Unit—Reply. JAMA. 2014;311(22):2337. doi:10.1001/jama.2014.4964