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Computing the Quality of Life

  • Chapter
The Price of Health

Part of the book series: Philosophy and Medicine ((PHME,volume 21))

Abstract

The title of this paper invites one to raise an eyebrow. Quality of life is a notion which we want to measure with precision, but seemingly cannot. We want to measure it for a variety of reasons. As individuals we wish not just to live long, but to live well. In seeking health care, for example, we wish not simply to survive, but to ease our pain, to ameliorate our handicaps, to shorten the course of our illnesses, to return as quickly as possible to the pursuit of our life plans and valued activities. As a society we similarly formulate some conception of our collective well-being, which we then pursue through public policies promoting, for example, health, education, defense and national culture. In all these activities, we must rely on judgments about the quality of life. These judgments may be rough, and they may not even be explicit; yet, as individuals or collectively as a society we cannot appraise our current lives or make decisions about our future without at least determining which states of affairs are acceptable and which not, and which alternatives are preferable and worthy of pursuit, which to be avoided. Without such basic judgments of value and priority, we would drift aimlessly, making decisions arbitrarily and ineffectually, wasting effort and resources.

The author gratefully acknowledges the editors of this volume, George Agich and Charles Begley, for their help and patience through earlier versions of this paper.

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Bibliography

  1. Aaron, H. J. and Schwartz, W. B.: 1984, The Painful Prescription, The Brookings Institution, Washington, D.C.

    Google Scholar 

  2. Acton, J. P.: 1976, ‘Measuring the Monetary Value of Lifesaving Programs’, Law and Contemporary Problems 40, 46–72.

    Article  Google Scholar 

  3. Avorn, J.: 1984, ‘Benefit and Cost Analysis in Geriatric Care’, New England Journal of Medicine 310; 1294–1301.

    Article  Google Scholar 

  4. Bayles, M. D.: 1978, ‘The Price of Life’, Ethics 80, 20–34.

    Article  Google Scholar 

  5. Bloom, G.: 1984, ‘Some Thoughts on the Value of Saving Lives’, Theoretical Medicine 5, 241–251.

    Article  Google Scholar 

  6. Boyle, M. H., Torrance, G. W., Sinclair, J. C., and Horwood, S. P.: 1983, ‘Economic Evaluation of Neonatal Intensive Care of Very-Low-Birth-Weight Infants’, New England Journal of Medicine 308,1330–1337.

    Article  Google Scholar 

  7. Brody, H.: 1981, Ethical Decisions in Medicine, 2nd edition, Little, Brown & Company, Boston.

    Google Scholar 

  8. Bryant, G. D., and Norman, G. R.: 1980, ‘Expressions of Probability: Words and Numbers’, New England Journal of Medicine 302,411.

    Google Scholar 

  9. Daniels, N.: 1985, ‘Fair Equality of Opportunity and Decent Minimums: a Reply to Buchanan’, Philosophy and Public Affairs 14,106–110.

    Google Scholar 

  10. Devlin, P.: 1971, ‘Morals and the Criminal Law’, in R. A. Wasserstrom (ed.), Morality and Law, Wadsworth Publishing Company, Belmont, California.

    Google Scholar 

  11. Dresser, R. S., and Boisaubin, E. V.: 1985, ‘Ethics, Law and Nutritional Support’, Archives of Internal Medicine 145,122–124.

    Article  Google Scholar 

  12. Dworkin, G.: 1976, ‘Autonomy and Behavior Control’, Hastings Center Report 6, 23–28.

    Article  Google Scholar 

  13. Dworkin, G.: 1982, ‘Autonomy and Informed Consent’, in President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, Making Health Care Decisions, Volume Three: Appendices: Studies on the Foundations of Informed Consent, U. S. Government Printing Office, Washington, D. C., pp. 63–81.

    Google Scholar 

  14. Engelhardt, H. T.: 1984, ‘Allocating Scarce Medical Resources and the Availability of Organ Transplantation’, New England Journal of Medicine 311, 66–71.

    Article  Google Scholar 

  15. Evans, R. W., et al: 1985, ‘The Quality of Life of Patients with End-Stage Renal Disease’, New England Journal of Medicine 312, 553–559.

    Article  Google Scholar 

  16. Fein, R.: 1976, ‘On Measuring Economic Benefits of Health Programs’, in R. M. Veatch and R. Branson (eds.), Ethics and Health Policy, Ballinger Publishing Co., Cambridge, Massachusetts, pp. 261–287.

    Google Scholar 

  17. Feinberg, J.: 1984, Harm to Others, Oxford University Press, New York.

    Google Scholar 

  18. Foot, P.: 1977, ‘Euthanasia’, Philosophy and Public Affairs 6, 85–112.

    Google Scholar 

  19. Fuchs, V. R.: 1980, ‘What is CBA/CEA, and Why Are They Doing This to Us? New England Journal of Medicine 303, 937–938.

    Article  Google Scholar 

  20. Griffin, J.: 1979, ‘Is Unhappiness Morally More Important?’, The Philosophical Quarterly 29, 47–55.

    Article  Google Scholar 

  21. Gutman, R. A., et al.: 1981, ‘Physical Activity and Employment Status of Patients on Maintenance Dialysis’, New England Journal of Medicine 304, 309–313.

    Article  Google Scholar 

  22. Kaplan, R. M., et al.: 1976, ‘Health Status; Types of Validity and the Index of Well-Being’, Health Services Research 11,478–507.

    Google Scholar 

  23. Kavka, G S.: 1982, ‘The Paradox of Future Individuals’, Philosophy and Public Affairs 11, 93–112.

    Google Scholar 

  24. Kenney, R. M.: 1981, ‘Between Never and Always’, New England Journal of Medicine 305, 1097–1098.

    Google Scholar 

  25. Klarman, H. E.: 1967, ‘Present Status of Cost-Benefit Analysis in the Health Field’, American Journal of Public Health 57,1948–1953.

    Article  Google Scholar 

  26. Klarman, H. E.: 1982, ‘The Road to Cost-Effectiveness Analysis’, Milbank Memorial Fund Quarterly 60, 585–603.

    Article  Google Scholar 

  27. Kleinig, J.: 1978, ‘Crime and the Concept of Harm’, American Philosophical Quarterly 15,27–36.

    Google Scholar 

  28. McNeil, B. J., et al.: 1978, ‘Fallacy of the Five-Year Survival in Lung Cancer’, New England Journal of Medicine 299,1397–1401.

    Article  Google Scholar 

  29. McNeil, B. J., et al.: 1981, ‘Tradeoffs Between Quality and Quantity of Life in Laryngeal Cancer’, New England Journal of Medicine 305, 982–987.

    Article  Google Scholar 

  30. Menzel, P. T.: 1983, Medical Costs, Moral Choices, Yale University Press, New Haven.

    Google Scholar 

  31. Mill, J. S.: 1957, Utilitarianism, O. Priest (ed.), Bobbs-Merrill Educational Publishing, Indianapolis.

    Google Scholar 

  32. Mishan, E. J.: 1971, ‘Evaluation of Life and Limb: A Theoretical Approach’, Journal of Political Economy 79, 687–705.

    Article  Google Scholar 

  33. Mishan, E. J.: 1975, Cost-Benefit Analysis, 2nd edition, George Allen and Unwin Ltd, London.

    Google Scholar 

  34. Morreim, E. H.: 1983, ‘Three Concepts of Patient Competence’, Theoretical Medicine 4, 231–251.

    Article  Google Scholar 

  35. Moses, L. E.: 1985, ‘Statistical Concepts Fundamental to Investigations’, New England Journal of Medicine 312, 890–897.

    Article  Google Scholar 

  36. Rice, D. P., and Cooper, B. S.: 1967, ‘The Economic Value of Human Life’, American Journal of Public Health 57, 1954–1966.

    Article  Google Scholar 

  37. Robertson, J.: 1975, ‘Involuntary Euthanasia of Defective Newborns’, Stanford Law Review 27, 251–261.

    Article  Google Scholar 

  38. Robertson, W. O.: 1983, ‘Quantifying the Meanings of Words’, Journal of the American Medical Association 294, 2631–2632.

    Article  Google Scholar 

  39. Sackett, D. L., and Torrance, G. W.: 1978, ‘The Utility of Different Health States as Perceived by the General Public’, Journal of Chronic Disease 31, 697–704.

    Article  Google Scholar 

  40. Scanlon, T. M.: 1975, ‘Preference and Urgency’, The Journal of Philosophy 72, 655–669.

    Article  Google Scholar 

  41. Schelling, T. C.: 1975, ‘Procedures for Valuing Lives’, Public Policy 23, 419–464.

    Google Scholar 

  42. Stason, W. B., and Weinstein, M. C.: 1977, ‘Allocation of Resources to Manage Hypertension’, New England Journal of Medicine 296, 732–739.

    Article  Google Scholar 

  43. Toogood, J. H.: 1980, ‘What Do We Mean by ‘Usually’?’, Lancet 1,1094.

    Article  Google Scholar 

  44. Vaupel, J. W.: 1976, ‘Early Death: An American Tragedy’, Law and Contemporary Problems, 40, 73–117.

    Article  Google Scholar 

  45. Weinstein, M. C.: 1980, ‘Estrogen Use in Postmenopausal Women — Costs, Risks, and Benefits’, New England Journal of Medicine 303, 308–316.

    Article  Google Scholar 

  46. Weinstein, M. C., and Stason, W. B.: 1977, ‘Foundations of Cost-Effectiveness Analysis for Health and Medical Practices’, New England Journal of Medicine 296, 716–721.

    Article  Google Scholar 

  47. Zeckhauser, R.: 1975, ‘Procedures for Valuing Lives’, Public Policy 23, 419–464.

    Google Scholar 

  48. Zeckhauser, R., and Shepard, D.: 1976, ‘Where Now for Saving Lives?’, Law and Contemporary Problems 40, 5–45.

    Article  Google Scholar 

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© 1986 D. Reidel Publishing Company

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Morreim, E.H. (1986). Computing the Quality of Life. In: Agich, G.J., Begley, C.E. (eds) The Price of Health. Philosophy and Medicine, vol 21. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4704-7_3

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  • DOI: https://doi.org/10.1007/978-94-009-4704-7_3

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8592-2

  • Online ISBN: 978-94-009-4704-7

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