Changing the problem to fit the solution: Johannesson and Weinsten's (mis) application of economics to real world problems

Health care decision making does not usually involve the use of incremental cost-effectiveness ratios to determine that a program efficiently uses scarce resources. In the health care field, analysts do not engage in projects that are completely divisible or exhibit constant returns to scale which lead to constant marginal opportunity costs. The evaluation of health care programs should be seen as a method that allocates a given budget to various programs in an effort to maximize the health of the community.