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  1. Good, Fairness and QALYs.John Broome - 1988 - Royal Institute of Philosophy Lecture Series 23 (1):57-73.
    Counting QALYs (quality adjusted life years) has been proposed as a way of deciding how resources should be distributed in the health service: put resources where they will produce the most QALYs. This proposal has encountered strong opposition. There has been a disagreement between some economists favouring QALYs and some philosophers opposing them. But the argument has, I think, mostly been at cross-purposes. Those in favour of QALYs point out what they can do, and those against point out what they (...)
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  • More and Better Justice.John Harris - 1988 - Royal Institute of Philosophy Lecture Series 23:75-96.
    The principle that people's lives and fundamental interests are of equal value and that they must therefore be given equal weight has immense intellectual appeal and intuitive force. It is often enough to discredit a theory or proposal simply to show that it violates this principle. When measures are said to be discriminatory or unfair it is this principle which is in play. Recent philosophers of widely differing schools and outlooks give versions of this principle a central role in their (...)
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  • Quality of Life and Resource Allocation.Michael Lockwood - 1988 - Royal Institute of Philosophy Lecture Series 23:33-55.
    A new word has recently entered the British medical vocabulary. What it stands for is neither a disease nor a cure. At least, it is not a cure for a disease in the medical sense. But it could, perhaps, be thought of as an intended cure for a medicosociological disease: namely that of haphazard or otherwise ethically inappropriate allocation of scarce medical resources. What I have in mind is the term ‘QALY’, which is an acronym standing for quality adjusted life (...)
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  • Ethics and Efficiency in the Provision of Health Care.Alan Williams - 1988 - Royal Institute of Philosophy Lecture Series 23:111-126.
    1.1. A major purpose in nationalizing the provision of health care in the UK was to affect its distribution between people, and, in particular, to minimize the impact of willingness and ability to pay upon that distribution. It has never been clear, however, what alternative distribution rule is to apply. There is no shortage of rhetoric about ‘equality’ and ‘need’, but most of it is vacuous, by which I mean it does not lead to any clear operational guidelines about who (...)
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  • The value of QALYs.Alan Williams - 2011 - In Stephen Holland (ed.), Arguing About Bioethics. New York: Routledge. pp. 423.
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  • Castigating QALYs.J. Rawles - 1989 - Journal of Medical Ethics 15 (3):143-147.
    The ethical problem of how to apportion limited resources amongst the needy has been forced on us by arbitrary limitation of health expenditure. Its solution would not be required if health expenditure were higher. Distribution of resources according to best value for money, assessed as Quality Adjusted Life Years (QALYs) per unit cost, has been suggested as a possible solution, but leads to absurd anomalies. In the calculation of QALYs the implied value of life is no more than the absence (...)
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