... Medicine,University of Utah, USA.4Division of General Internal Medicine, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati,Ohio, USA.5Center for Clinical ... Effectiveness, University of Cincinnati,Cincinnati, Ohio, USA.6Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine, University of California at LosAngeles, ... SSc health state was varied in a “bisection”fashion until the patient no longer had a clear prefer-ence between living in the given health state or living the given amount of time in perfect health...