•  41
    Double jeopardy and the use of QALYs in health care allocation
    with P. Singer, J. McKie, and H. Kuhse
    Journal of Medical Ethics 21 (3): 144-150. 1995.
    The use of the Quality Adjusted Life-Year (QALY) as a measure of the benefit obtained from health care expenditure has been attacked on the ground that it gives a lower value to preserving the lives of people with a permanent disability or illness than to preserving the lives of those who are healthy and not disabled. The reason for this is that the quality of life of those with illness or disability is ranked, on the QALY scale, below that of someone without a disability or illness. Hence we ca…Read more
  •  44
    Double jeopardy, the equal value of lives and the veil of ignorance: a rejoinder to Harris
    with J. McKie, H. Kuhse, and P. Singer
    Journal of Medical Ethics 22 (4): 204-208. 1996.
    Harris levels two main criticisms against our original defence of QALYs (Quality Adjusted Life Years). First, he rejects the assumption implicit in the QALY approach that not all lives are of equal value. Second, he rejects our appeal to Rawls's veil of ignorance test in support of the QALY method. In the present article we defend QALYs against Harris's criticisms. We argue that some of the conclusions Harris draws from our view that resources should be allocated on the basis of potential improv…Read more
  •  70
    Another peep behind the veil
    with J. McKie, H. Kuhse, and P. Singer
    Journal of Medical Ethics 22 (4): 216-221. 1996.
    Harris argues that if QALYs are used only 50% of the population will be eligible for survival, whereas if random methods of allocation are used 100% will be eligible. We argue that this involves an equivocation in the use of "eligible", and provides no support for the random method. There is no advantage in having a 100% chance of being "eligible" for survival behind a veil of ignorance if you still only have a 50% chance of survival once the veil is lifted. A 100% chance of a 50% chance is stil…Read more
  • Towards a broader conception of values in measuring health care cost-effectiveness
    with P. Menzel, M. R. Gold, E. Nord, J. L. Pinto Prades, and P. Ubel
    Hastings Center Report 29 (3): 7-15. 1999.