Richard Dawkins in his best seller A Devils Chaplain describes a meme as a mind virus. In common with a computer virus a meme can transmit or propagate from one individual to another with high fidelity if two conditions are met: a readiness to replicate information accurately (ISPOR practice guidelines; textbooks as primers for building imaginary models) and a readiness to obey instructions encoded in the information (education programs, graduate studies, sitting at the feet of the leaders in technology assessment). A

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