Economics and Philosophy 33 (2):161-186 (2017)

Authors
Joseph Millum
National Institutes of Health
Tyler John
Rutgers University - New Brunswick
Abstract
One widely used method for allocating health care resources involves the use of cost-effectiveness analysis (CEA) to rank treatments in terms of quality-adjusted life-years (QALYs) gained. CEA has been criticized for discriminating against people with disabilities by valuing their lives less than those of non-disabled people. Avoiding discrimination seems to lead to the ’QALY trap’: we cannot value saving lives equally and still value raising quality of life. This paper reviews existing responses to the QALY trap and argues that all are problematic. Instead, we argue that adopting a moderate form of prioritarianism avoids the QALY trap and disability discrimination.
Keywords QALY  disability  priority setting  health care  prioritarianism
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Reprint years 2017
DOI 10.1017/s0266267116000237
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References found in this work BETA

Practical Ethics.John Martin Fischer - 1983 - Philosophical Review 92 (2):264.

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Disability and Justice.David Wasserman - forthcoming - Stanford Encyclopedia of Philosophy.

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