Fact Checking Janice Raymond: The NCHCT Report
By Cristan Williams
Raymond’s rhetorical sleight-of-hand
Raymond’s bloody hands
 OHTA, Health Care Technology And Its Assessment In Eight Countries, 1994, p 292
 National Academy of Sciences, National Center For Health Services Research and Health Care Technology Assessment Office of Health Technology Assessment, 1988
 Note: The third party payer that I could find who specifically cited OHTA reports in a lawsuit was Blue Cross Blue Shield. Later in this paper, a governmental review of NCHCT’s work will specifically note that Blue Cross Blue Shield used NCHCT/OHTA reports in making decisions about private insurance coverage.
 Institute of Medicine’s A Consortium for Assessing Medical Technology: Planning Study Report, 11/1983, p 3
 Seymour Perry, M.D., Health Affairs, 8/1982, p 124
 Institute of Medicine’s A Consortium for Assessing Medical Technology: Planning Study Report, 11/1983, p 5
 Seymour Perry, M.D., Health Affairs, 8/1982, p 123
 “Equally dedicated to evaluating novel biomedical technology—thereby rationalizing decisions about appropriate use—was the National Center for Health Care Technology (NCHCT), established in the 1970s within the Public Health Service. This agency, too, received paltry funding and was dismantled by the Reagan administration. Replacing it was the Office of Health Technology Assessment (OHTA), with even less financial support.” – Carolyn L. Wiener, The Elusive Quest: Accountability in Hospitals, p 42
 “An NCD is “a determination by the Secretary [of Health and Human Services] with respect to whether or not a particular item or service is covered nationally under [title XVIII (Medicare)].” Social Security Act (Act) § 1869(f)(1)(B) (42 U.S.C. § 1395ff(f)(1)(B)).1 NCDs are issued by CMS, apply nationally, and are binding at all levels of administrative review of Medicare claims.” – Page 1 ofHHS Appeals Board Decision, 2013
 To be pedantic, I need to note that what HHS calls the 1981 “NCHCT Report” I call the 1981 OHTA report because by the end of 1981, the NCHCT had become the OHTA. The 1981 report states that it’s the product of the OHTA. If I had to guess, HHS refers to it as the “NCHCT Report” because when the report was being written, OHTA was still NCHCT and it’s easier to just refer to the organization as NCHCT instead of having to go into how an why a report which began life as an NCHCT report was published as an OHTA report.