Nick Troiano | If We Can Keep it

Oct/09

20

Debate on QALYs

520 Comments | Posted by Nick Troiano in On Politics

Today culminated a fast-paced and mind wrenching process of preparing for a debate in my ethics class on the use of Quality Adjusted Life Years determinations in a system of health care rationing. My side argued against the position that morality demanded their use. Our basic argument was that, while we accepted the necessity to ration scarce resources (in a hypothetical nationalized health system), we are morally prohibited from making life-value judgements and instead should focus on a system of valuations for various treatments, like the Saved Young Life Equivalent model. In other words, instead of placing numerical values on the lives of various people to measure health state, as QALYs necessitate, we would instead focus on health improvement, comparing medical interventions with each other, not patients. The debate went well…I think. 

It is a really technical topic that I still don’t completely understand, but it is really relevant to the current debate. Many would say we ration health care present day, based on people’s ability to pay (which, to me, is a preferable system to the QALY process for may reasons). In any case, I think a nationalized health care is an awful idea, though many in Congress want to see us inch in that direction. I spend at least one day each week at my internship hearing from constituents about this issue. It is clear our current system is broken. But I don’t think that’s reason to make it worse through the current proposals. 

Speaking of ethics, I got a paper back today on the current interests approach- evaluating how we should administer treatment to patients that may not be conscious (living wills vs. their family vs. their “current interests”). I really enjoy philosophy writing, and the process of formulating a convincing argument in a really concise and clear way. 

In other news, it seems like the FinApp Committee of GUSA has come very close to not only instituting a new policy regarding our student endowment, but also recovering $300k+ in misallocated students funds. I’d call that a good accomplishment for our first week out.

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