I consider DALY—disability-adjusted life years—better than quality-adjusted.
Basically, I am leery of letting people choose their own factors when given a range of 1 being perfect life and 0 being death. For instance, a charity that cures blindness in impoverished sections of Africa, with a pro-this-charity treatment might choose 0.1 as blind, 0.9 as cured (blindness is hugely disadvantageous, giving back sight is therefore a huge improvement); an anti-this-charity treatment might choose 0.1 as blind and 0.3 as cured (the rest of their life still sucks). This means a QALY-based look at the charity could over- or under-estimate by as much as a factor of 4! Comparisons of charities based on QALYs that are gamed could, possibly, be only viable on order-of-magnitudes.
I suggest the QALY, or quality-adjusted life year.
Yes. Sure you want radio, but they don’t want to die. Who says your wants are more important?
Could you justify killing people for entertainment? Is this any different?
I consider DALY—disability-adjusted life years—better than quality-adjusted.
Basically, I am leery of letting people choose their own factors when given a range of 1 being perfect life and 0 being death. For instance, a charity that cures blindness in impoverished sections of Africa, with a pro-this-charity treatment might choose 0.1 as blind, 0.9 as cured (blindness is hugely disadvantageous, giving back sight is therefore a huge improvement); an anti-this-charity treatment might choose 0.1 as blind and 0.3 as cured (the rest of their life still sucks). This means a QALY-based look at the charity could over- or under-estimate by as much as a factor of 4! Comparisons of charities based on QALYs that are gamed could, possibly, be only viable on order-of-magnitudes.
Is there a standard for DALYs?
I’m told that there’s some kind of difference, but I still think of them as the same unit.
My autonomy.
The fact that it’s her own money?