The somewhat audacious idea of writing a book about the social politics of
health technology assessment and use first occurred to me when I was putting
plans together for a sabbatical leave from the University of Montreal.
At the time I optimistically believed I could, rather effortlessly, write tens
of thousands of words on the subject and that they would naturally find an
audience. Soon after I started to work on the project—instead of just talking
about it—it became vividly clear to me that much more was involved
than simply having the will to write, no matter how stubborn I am.
After convincing myself to devote my precious sabbatical year to the
project, I thereupon needed to persuade an editor, who then needed to
persuade her/his press, that my proposed book would not only be completed
but, just as important, would sell a significant number of copies.
For the latter task, I had somehow to assure serious, time-pressured people
that there is, somewhere “out there,” a substantial audience eager to read
such a work. Because I was far from certain myself that I could convince
anyone that such a specialized horde existed, I should first thank you, my
reader, for devoting your time and energy to reading this book. Next, for
believing in me and in the worth of this project, I extend sincere gratitude
to Michael Bickerstaff, the Routledge editor who was instrumental in
transforming my plans and aspirations into the three-dimensional reality
you presently hold in your hands. I also gratefully acknowledge the
insightful and encouraging comments and suggestions made by
Routledge’s peer reviewers; I hope this book merits their confidence in my
work.