QALYS and the Integration of Claims in Health-Care Rationing

Health Care Analysis 7 (3):239-253 (1999)
Abstract
The paper argues against the polarisation of the health economics literature into pro- and anti-QALY camps. In particular, we suggest that a crucial distinction should be made between the QALY measure as a metric of health, and QALY maximisation as an applied social choice rule. We argue against the rule but for the measure and that the appropriate conceptualisation of health-care rationing decisions should see the main task as the integration of competing and possibly incommensurable normative claim types. We identify the main types as consequences, rights, social contracts, individual votes and community values and note situations in which the contribution of each claim type is limited. We go on to show that the integration of (at least some of) these claim types can be formalised within the mathematical framework provided by non-linear programming
Keywords QALY  rationing  non-linear programming  consequentialism
Categories (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 12,068
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA

No references found.

Citations of this work BETA

No citations found.

Similar books and articles
Lawrence J. Schneiderman (2011). Rationing Just Medical Care. American Journal of Bioethics 11 (7):7 - 14.
Richard D. Lamm (1994). Rationing and the Clinton Health Plan. Journal of Medicine and Philosophy 19 (5):445-454.
Daniel Callahan (2012). Must We Ration Health Care for the Elderly? Journal of Law, Medicine and Ethics 40 (1):10-16.
Analytics

Monthly downloads

Added to index

2010-09-02

Total downloads

16 ( #108,418 of 1,101,833 )

Recent downloads (6 months)

4 ( #91,766 of 1,101,833 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Start a new thread
Order:
There  are no threads in this forum
Nothing in this forum yet.