Traders from the faraway nation of Chplandia have brought infected goods to market in the capital of Pcoria. As a result, a new infectious disease called chpitis is spreading through the Pcorian population. Chpitis is not fatal but leaves victims severely disfigured for the remainder of their lives. The Pcorian government surveys victims to determine how burdensome chpitis is. Respondents claim they are indifferent between living ten years without chpitis and living twelve years covered with chpitis scars. Most respondents explain that they face a major social stigma in Pcoria’s schools and workplaces. What is the implied quality weight q for the aftermath of chpitis? Now assume that a drug company has developed an ointment that can be used to treat chpitis sores and reduce scarring. Surveys indicated that the ointment, which costs $50,000 for a full course of treatment, can improve quality of life from 0.8 to 0.9 for chpitis survivors. What is the ICER for taking the ointment over doing nothing for the typical chpitis victim (a 25-year-old)? Assume that life expectancy in Pcoria is 75 years. Assume that everyone in Pcoria agrees that a QALY is worth $10,000. Will a 25-year-old chpitis victim decide to get the ointment, which costs $50,000? What about a 60-year-old chpitis patient? What about a 69- year-old chpitis patient?

Practical Management Science
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ISBN:9781337406659
Author:WINSTON, Wayne L.
Publisher:WINSTON, Wayne L.
Chapter2: Introduction To Spreadsheet Modeling
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  1. Traders from the faraway nation of Chplandia have brought infected goods to market in the capital of Pcoria. As a result, a new infectious disease called chpitis is spreading through the Pcorian population. Chpitis is not fatal but leaves victims severely disfigured for the remainder of their lives.
    1. The Pcorian government surveys victims to determine how burdensome chpitis is. Respondents claim they are indifferent between living ten years without chpitis and living twelve years covered with chpitis scars. Most respondents explain that they face a major social stigma in Pcoria’s schools and workplaces. What is the implied quality weight q for the aftermath of chpitis?
    2. Now assume that a drug company has developed an ointment that can be used to treat chpitis sores and reduce scarring. Surveys indicated that the ointment, which costs $50,000 for a full course of treatment, can improve quality of life from 0.8 to 0.9 for chpitis survivors. What is the ICER for taking the ointment over doing nothing for the typical chpitis victim (a 25-year-old)? Assume that life expectancy in Pcoria is 75 years.
    3. Assume that everyone in Pcoria agrees that a QALY is worth $10,000. Will a 25-year-old chpitis victim decide to get the ointment, which costs $50,000? What about a 60-year-old chpitis patient? What about a 69- year-old chpitis patient?
    4. Suppose that the Pcorian government enrolls all its citizens in the Universal Insurance Program which pays (with 5% coinsurance) for any treatment. So the ointment costs patients only $2,500 out of pocket. Will a 25-year-old chpitis victim still decide to get the ointment? What about a 60-year-old chpitis patient? What about a 69-year-old chpitis patient?
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