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Comment & Response
June 11, 2014

Economic Incentives and Use of the Intensive Care Unit—Reply

Author Affiliations
  • 1Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
JAMA. 2014;311(22):2337. doi:10.1001/jama.2014.4964

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.