Eldon Spackman

Health Economist at the University of Calgary

[The Campbell Lab @CampbellLab_yyc]

Latest publication from the FoodRx team, led by Dr. Steer: The Impact of Providing Material Benefits to Improve Access to Food in People with Diabetes. Read it here: https://t.co/SCRM019Gbv

[Dr. Deborah A Marshall Research Team @Marshall_HEcon]

Thrilled to share that our team lead, Deborah Marshall, is local co-chair with @aidanhollis for the 16th iHEA World Congress (@healtheconomics). Join us in Calgary July 2025!

@UCalgaryMed @UCalgary @IHE_Canada

[Eldon Spackman @eldon_spackman]

@frasertingle What?!? You promised me millions.

[The Campbell Lab @CampbellLab_yyc]

👉 New piece in @TheLancetEndo - We found the experience of homelessness is associated with mortality among people with diabetes who use hospital services ➡️ 1.45x higher hazard of all-cause mortality and 1.25x higher hazard of cardiovascular specific mortality

[International Health Economics Association (IHEA) @healtheconomics]

The International Health Economics Association (IHEA) is pleased to announce that Calgary, Alberta, has been selected as the location for the IHEA Congress 2025 to be hosted by the University of Calgary and the Institute of Health Economics (IHE).

[Eldon Spackman @eldon_spackman]

@shafer_soc Maybe his brand is hyperbole

[Eldon Spackman @eldon_spackman]

@mikepaulden @Basucally @djvanness I think this is a really good point. Preferences don’t actually matter. There is a change in health due to a change in supply of health. Whether beneficiaries or payers really understand the consequences or not.

[Eldon Spackman @eldon_spackman]

@Basucally @djvanness Isn't it the payers preferences that we care about? They determine if a new treatment is covered. It is their preference between new tx and the number of beneficiaries that they are going to lose. From the payers perspective the # they lose is a probability.

[Eldon Spackman @eldon_spackman]

@Basucally @djvanness I agree that their decision takes into account their own budget constraint. I think I am assuming that to estimate their WTP you have to know the beneficiaries expenditures, but I think Dave's comment addresses my concern.

[Eldon Spackman @eldon_spackman]

@Basucally @djvanness A true demand side threshold would estimate their WTP. Here their WTP affects their decision but is not estimated.

[Eldon Spackman @eldon_spackman]

@Basucally For this to be a demand supply threshold we would want to look at individual's annual expenditures compared to their own expected health rather than the insurance companies expenditures compared to the groups health.

[Eldon Spackman @eldon_spackman]

@Basucally I also agree that the insurers decision affects more than those that decided to forego HI, but I don't think that is a seperate issue.

[Kris Kanthak @kramtrak]

Everyone is kind of freaking out right now, so I think I will start a thread of quotes from Republicans saying that the election will be fair, votes will be counted, and the person with the most votes will be the next president (a thread)

[Eldon Spackman @eldon_spackman]

@Basucally @JamesLomas88 Can you link the paper?
I am not sure which one you are talking about.

[Eldon Spackman @eldon_spackman]

@Basucally Can you explain this statement?

“Once you relax health care budget, any concept of supply side threshold goes out the window.”

[Eldon Spackman @eldon_spackman]

@Basucally @JamesLomas88 To make this threshold appropriate to be used in a societal analysis wouldn’t they have had to measure the change in productivity/care giver effects and not just the patients QALYs?

[Eldon Spackman @eldon_spackman]

@Basucally @JamesLomas88 Ahh... I think I see what you mean.

“the perspective is driven by the budget constraint and not the objective function”

I think you are talking about the perspective of the threshold here and not a CEA which would reflect these things on both side of the equation?