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Politics : A US National Health Care System?
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To: Lane3 who wrote (3465)12/24/2007 4:09:02 PM
From: Alastair McIntosh  Read Replies (2) of 42652
 
Rationing care...

I believe that there is an attempt to develop models based on both quality and length of life resulting from any particular medical intervention. The number of years of expected additional life is given a weighting based on the perceived quality of life of those years.

For example, confined to a nursing home unable to get out of bed or toilet oneself would have a lower quality score than would living a normal life independently at home. In this case the number of remaining years of life would be adjusted downwards because of the quality of those years.

Intervention would occur more often with a lower ratio of cost to adjusted years of remaining life.

I recognize that coming up with the "quality" factor is difficult and the calculation has to balanced against the expected outcome of no treatment. People informally make these sorts of calculations for themselves when they have serious illnesses such as cancer.
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