Book contents
- Disability, Health, Law, and Bioethics
- Disability, Health, Law, and Bioethics
- Copyright page
- Dedication
- Contents
- Notes on Contributors
- Introduction
- Preface
- Acknowledgments
- Part I Disability: Definitions and Theories
- Part II Disability in the Beginning and the End of Life
- Part III Disability in the Clinical Setting
- Part IV Equality, Expertise, and Access
- Part V Disability, Intersectionality, and Social Movements
- Part VI Quantifying Disability
- Introduction to Part VI
- 17 Can We Universally Accommodate Mental Health and Should We? A Systematic Review of the Evidence and Ethical Analysis
- 18 Algorithmic Disability Discrimination
- 19 The Pathways Approach to Priority Setting: Considering Quality of Life While Being Fair to Individuals with Disabilities
- 20 Measuring Health-State Utility via Cured Patients
19 - The Pathways Approach to Priority Setting: Considering Quality of Life While Being Fair to Individuals with Disabilities
from Part VI - Quantifying Disability
Published online by Cambridge University Press: 08 April 2020
- Disability, Health, Law, and Bioethics
- Disability, Health, Law, and Bioethics
- Copyright page
- Dedication
- Contents
- Notes on Contributors
- Introduction
- Preface
- Acknowledgments
- Part I Disability: Definitions and Theories
- Part II Disability in the Beginning and the End of Life
- Part III Disability in the Clinical Setting
- Part IV Equality, Expertise, and Access
- Part V Disability, Intersectionality, and Social Movements
- Part VI Quantifying Disability
- Introduction to Part VI
- 17 Can We Universally Accommodate Mental Health and Should We? A Systematic Review of the Evidence and Ethical Analysis
- 18 Algorithmic Disability Discrimination
- 19 The Pathways Approach to Priority Setting: Considering Quality of Life While Being Fair to Individuals with Disabilities
- 20 Measuring Health-State Utility via Cured Patients
Summary
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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- Disability, Health, Law, and Bioethics , pp. 255 - 265Publisher: Cambridge University PressPrint publication year: 2020