This paper argues that the Quality Adjusted Life Year or QALY is fatally flawed as a way of priority setting in health care and of dealing with the problem of scarce resources. In addition to showing why this is so the paper sets out a view of the moral constraints that govern the allocation of health resources and suggests reasons for a new attitude to the health budget.

The national budget affects life and death via its allocations in areas such as traffic safety, flood control, public health and the like. When the cost-effectiveness of an intervention is evaluated, common effect measures are the number of lives extended (saved) and the expected lifeyears gained. The latter are usually adjusted for quality of life, giving QALYs, and discounted. In models that ...

introduction: periodontal disease is one of the most important diseases in health topics. the aim of this study was to determine the effect of periodontal treatment on quality of life. materials and methods: in this quasi-experimental, interventional study, 45 patients with chronic periodontitis were asked to complete the “quality of life” questionnaire before starting the treatment and four mo...

in this article, it has been tried to analyze the mental satisfaction of the quality of life in different regions in terms of objective development. for this purpose, districts no. 3, 6, and 9 of mashhad city which through the measures of education, income, and employment were respectively among the deprived, the average, and the privileged regions were selected as the case study areas. moreove...

Background:  The objective of the study was to appraise the total dollar value of human life losses (TDVHL) associated with COVID-19 in Canada. Methods: The net output approach (also known as human capital approach) was applied in the dollar valuation of the 6,062 human life losses associated with COVID-19 in Canada as of 23 May 2020. The economic model was rerun five times: (a) using the nati...