Age and the Allocation of Medical Resources
Journal of Medicine and Philosophy. 1988 Feb; 13(1): 101-116.
How are we to decide where our scarce medical resources are most effectively spent? The notion of a quality-adjusted-life-year has been proposed as a way of doing this. Some economists appear to think that this can be done without making ethical assumptions. We examine the application of this notion to the treatment of premature newborns, and especially to comparisons between the value of medical care for newborns, and the value of medical care for older people. We find that some highly questionable ethical assumptions are involved in such comparisons.
Abortion; Adults; Age Factors; Aged; Allowing to Die; Beginning of Life; Biomedical Technologies; Children; Congenital Disorders; Costs and Benefits; Counseling; Economics; Fetuses; Future Generations; Genetic Counseling; Health; Intensive Care Units; Justice; Life; Newborns; Parents; Personhood; Prematurity; Prolongation of Life; Public Policy; Quality Adjusted Life Years; Quality of Life; Reproduction; Resource Allocation; Selective Abortion; Value of Life; Values;
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Singer, Peter; McKie, John; Kuhse, Helga; Richardson, Jeff (1995-06)The use of the Quality Adjusted Life-Year (QALY) as a measure of the benefit obtained from health care expenditure has been attacked on the ground that it gives a lower value to preserving the lives of people with a ...