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from Part VI - Quantifying Disability
Published online by Cambridge University Press: 08 April 2020
The use of quality-adjusted life-years (QALYs) to set healthcare priorities has been criticized as unfair to people with disabilities that affect their health or lifespan. For instance, because many quality-of-life assessments associate paraplegia with lower quality of life, individuals with paraplegia are assigned lower priority for transplantable organs when those organs are distributed using QALY-based approaches. This consequence of using QALYs to set priorities has prompted a variety of responses. Some have argued that priorities should be set using life-years rather than QALYs. Others have argued that discriminating against people with disabilities is justified.
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