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CALCULATING QALYS: LIBERALISM AND THE VALUE OF HEALTH STATES

  • Douglas MacKay (a1)

Abstract:

The value of health states is often understood to depend on their impact on the goodness of people's lives. As such, prominent health states metrics are grounded in particular conceptions of wellbeing – e.g. hedonism or preference satisfaction. In this paper, I consider how liberals committed to the public justification requirement – the requirement that public officials choose laws and policies that are justifiable to their citizens – should evaluate health states. Since the public justification requirement prohibits public officials from appealing to controversial conceptions of the good life, liberals committed to this principle face a significant puzzle.

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Arneson, R. 1999. Human flourishing versus desire satisfaction. Social Philosophy and Policy 16: 113142.
Bird, C. 2014. Coercion and public justification. Politics, Philosophy and Economics 13: 189214.
Bleichrodt, H. and Quiggin, J.. 2013. Capabilities as menus: a non-welfarist basis for QALY evaluation. Journal of Health Economics 32: 128137.
Brandt, R. 1998. A Theory of the Good and the Right. New York, NY: Prometheus Books.
Brock, D. 2002. The separability of health and well-being. In Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications, ed. Murray, C. J. L., Salomon, J. A., Mathers, C. D. and Lopez, A. D., 115120. Geneva: World Health Organization.
Carter, I. 1999. A Measure of Freedom. New York, NY: Oxford University Press.
Coast, J., Kinghorn, P. and Mitchell, P.. 2015. The development of capability measures in health economics: opportunities, challenges and progress. Patient 9: 119126.
Cookson, R. 2005. QALYs and the capability approach. Health Economics 14: 817829.
Crisp, R. 2006. Hedonism reconsidered. Philosophy and Phenomenological Research 73: 619645.
Crisp, R. 2015. Well-being. In Stanford Encyclopedia of Philosophy, ed. Zalta, E. N.. http://plato.stanford.edu/archives/sum2015/entries/well-being/.
Daniels, N. 1985. Just Health Care. New York, NY: Cambridge University Press.
Dolan, P. and Kahneman, D.. 2008. Interpretations of utility and their implications for the valuation of health. The Economic Journal 118: 215234.
Dorsey, D. 2011. The hedonist's dilemma. Journal of Moral Philosophy 8: 173196.
Feldman, F. 2004. Pleasure and the Good Life: Concerning the Nature, Varieties, and Plausibility of Hedonism. New York, NY: Oxford University Press.
Gaus, G. F. 2003. Contemporary Theories of Liberalism: Public Reason as a Post-Enlightenment Project. Thousand Oaks, CA: Sage.
Gaus, G. F. 2009. The moral foundations of liberal neutrality. In Contemporary Debates in Political Philosophy, ed. Christiano, T. and Christman, J. P., 8198. Hoboken, NJ: Wiley-Blackwell.
Gaus, G. F. 2011. The Order of Public Reason: A Theory of Freedom and Morality in a Diverse and Bounded World. New York, NY: Cambridge University Press.
Goldstein, I. 1989. Pleasure and pain: unconditional, intrinsic values. Philosophy and Phenomenological Research 50: 255276.
Griffin, J. 1986. Well-Being: Its Meaning, Measurement, and Moral Importance. New York, NY: Oxford University Press.
Hausman, D. M. 2006. Valuing health. Philosophy and Public Affairs 34: 246274.
Hausman, D. M. 2010. Hedonism and welfare economics. Economics and Philosophy 26: 321344.
Hausman, D. M. 2015. Valuing Health: Well-Being, Freedom, and Suffering. New York, NY: Oxford University Press.
Hausman, D. M. and McPherson, M. S.. 2009. Preference satisfaction and welfare economics. Economics and Philosophy 25: 125.
Korsgaard, C. M. 1996a. The Sources of Normativity. New York, NY: Cambridge University Press.
Korsgaard, C. M. 1996b. Creating the Kingdom of Ends. Cambridge: Cambridge University Press.
Larmore, C. 1996. The Morals of Modernity. New York, NY: Cambridge University Press.
Lauinger, W. 2011. Dead Sea apples and desire-fulfillment welfare theories. Utilitas 23: 324343.
Nagel, T. 1991. Equality and Partiality. New York, NY: Oxford University Press.
Nord, E. 1999. Cost-Value Analysis in Health Care: Making Sense Out of QALYs. Cambridge: Cambridge University Press.
Nozick, R. 1975. Anarchy, State, and Utopia. New York, NY: Basic Books.
Nussbaum, M. 2001. Women and Human Development. Cambridge: Cambridge University Press.
Parfit, D. 2011. On What Matters: Volume One, ed. Scheffler, S.. New York, NY: Oxford University Press.
Quong, J. 2011. Liberalism Without Perfection. New York, NY: Oxford University Press.
Rachels, S. 2000. Is unpleasantness intrinsic to unpleasant experiences? Philosophical Studies 99: 187210.
Railton, P. 1986. Facts and values. Philosophical Topics 14: 531.
Rawls, J. 1996. Political Liberalism. New York, NY: Columbia University Press.
Rawls, J. 1999. A Theory of Justice. Revised edition. Cambridge, MA: Harvard University Press.
Rawls, J. 2001. Justice as Fairness: A Restatement, ed. Kelly, E.. Cambridge, MA: Harvard University Press.
Ruger, J. P. 2010. Health and Social Justice. New York, NY: Oxford University Press.
Scanlon, T. M. 1998. What We Owe to Each Other. Cambridge, MA: Harvard University Press.
Seligman, D. B. 1970. Masochism. Australasian Journal of Philosophy 48: 6775.
Shiffrin, S. V. 2012. Harm and its moral significance. Legal Theory 18: 357398.
Simon, J., Anand, P., Gray, A., Rugkåsa, J., Yeeles, K. and Burns, T.. 2013. Operationalising the capability approach for outcome measurement in mental health research. Social Science and Medicine 98: 187196.
Sobel, D. 1994. Full information accounts of well-being. Ethics 104: 784810.
Sobel, D. 2009. Subjectivism and idealization. Ethics 119: 336352.
Sumner, L. W. 1996. Welfare, Happiness, and Ethics. New York, NY: Oxford University Press.
Torrance, G. W. 1986. Measurement of health state utilities for economic appraisal: a review. Journal of Health Economics 5: 130.
Ubel, P. A., Richardson, J. and Menzel, P.. 2000. Societal value, the person trade-off, and the dilemma of whose values to measure of cost-effectiveness analysis. Health Economics 9: 127136.
Vallier, K. 2011. Consensus and convergence in public reason. Public Affairs Quarterly 25: 261279.
Vallier, K. and D'Agostino, F.. 2014. Public justification. In Stanford Encyclopedia of Philosophy, ed. Zalta, E. N.. http://plato.stanford.edu/entries/justification-public/.
Venkatapuram, S. 2011. Health Justice: An Argument from the Capabilities Approach. Cambridge: Polity.
Wolff, J., Edwards, S., Richmond, S., Orr, S. and Rees, G.. 2012. Evaluating interventions in health: a reconciliatory approach. Bioethics 26: 455463.
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Economics & Philosophy
  • ISSN: 0266-2671
  • EISSN: 1474-0028
  • URL: /core/journals/economics-and-philosophy
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