TRIAGING TREATMENTS The problems with the U.S. health care system described by Sharon Begley in “ The Best Medicine ” are accurate. It is gratifying that the National Institutes of Health is finally willing to fund real comparative effectiveness research. But the NIH, under pressure from Congress, has been reluctant to fund studies directly comparing the costs of competing treatments. I retired from the medical research field in part because of this refusal to look for the most effective and least costly answers and to support research on how to reduce unnecessary care.