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willbeurdaddy -> RE: Why not get the Single Payer Health Care System? (7/31/2009 4:53:01 AM)
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quote:
ORIGINAL: Politesub53
quote:
ORIGINAL: willbeurdaddy
Nowhere in my example did I use age, so you can apologize for yet another lie about what I said.
However that is irrelevant to your "NHS policy post". The point is that once you have cost/QALY as a criterion, you no longer need to mention age as a criterion. The extension of years of life available from a procedure is obviously highly dependent on age.
US non-discrimination law recognizes that you don't have to directly reference someones age in a policy for that to be the result of a policy, thus requiring demonstration that a criterion is not simply a proxy for age. For the policy you posted to have any teeth whatsover with regard to age it would need to specify "age or any other criterion which directly or indirectly incorporates age". Goodbye cost/QALY.
quote:
Yours.
If youre expected to live 40 more years, no problem, if youre expected to live 5 more years, problem.
Seems like a clear reference to age to me.
Why are you mentioning a US law ? We were talking about the NHS and your comments on it, I added a remark about NHS policy ( Nice is part of the NHS btw ) It clearly states age cant be used as a reason to disqualify people from treatment.
Qaly is used to assess new drugs, not to assess treatment itself, yet again you fail to show me otherwise but go off on a tangent. If the new drugs are proved not to be cost effective, old treatments are implemented instead. IE, people get treatment of some kind.
Edited to fix quotes
A clear reference to age? Stop trying to cover your lie. We are talking specifically about health care, and how long you are expected to live is obviously in reference to your health status, as well as age.
I mention US law because it is properly written to exclude age as an indirect criterion. Your posted quote doesnt do that, it only limits direct use of age.
QALY is only used to assess new drugs? ORLY. Odd that they dont bother to mention that here
"The QALY is a widely used measure of both quantity and
quality of life. Its benefit for health-care evaluation is that it is
applicable to “all individuals and all diseases” and can therefore
be used to compare interventions across diseases and programs
[2]. It is thus particularly important to outcomes
researchers as they attempt to evaluate the efficacy and cost of
various health-care interventions and to health-care decisionmakers
as they weigh implementation or purchase of healthcare
technologies, including diagnostics, devices, and
medications. The QALY is particularly useful because it enables
comparisons across diseases, populations, and programs. Some
health-care systems, such as the National Institute for Health
and Clinical Excellence (NICE) of the British National Health
Service (NHS) use QALYs to determine health-care priorities
[3]. QALYs are also used in population health, to measure and
compare the health of a community.©
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