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Published online by Cambridge University Press: 21 November 2024
In this chapter, the authors study the applicability of quality-adjusted life years (QALYs) within the best-known extra-welfarist framework, Sen’s capability approach. They propose a procedure to value capability sets and provide a foundation for QALYs within Sen’s capability approach. They show that, under appropriate conditions, the ranking of capabilities can be represented locally by a QALY measure and that a willingness to pay for QALYs can be defined. The validity of QALYs as a general measure of health requires the same stringent conditions as in a welfarist framework. They consider the application of the proposed approach to the analysis of public health measures adopted in response to the COVID-19 pandemic.
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