willbeurdaddy -> RE: Why not get the Single Payer Health Care System? (7/31/2009 3:22:56 AM)
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ORIGINAL: Politesub53 quote:
ORIGINAL: willbeurdaddy quote:
ORIGINAL: Politesub53 quote:
ORIGINAL: willbeurdaddy I didnt ask you to acknowledge that Cost/QALY is used, I asked you to contribute something meaningful to the discussion about their ethics/efficacy/implementation. If youve got nothing to say, say nothing. Ive told you what they are used for once. Ive explained your example was bogus, and why. Just to humour you though, I feel the use of cost analysis/qaly to determine what drugs/treatments are cost effective is reasonable. Age, despite your claim, isnt a barrier to treatment, as shown by the following NHS Standard. Please note is says "On clinical need ALONE" If you have proof saying otherwise I would like to see it. "NHS services will be provided, regardless of age, on the basis of clinical need alone. Social care services will not use age in their eligibility criteria or policies, to restrict access to available services." LMAO. You do understand that cost/QALY, without directly referencing age, incorporates it? When you use QALY you dont need to use age. You used age in your example, forgive me for following your lead. I dont suppose you could stop lmao at me and actually back up your claims ? 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.
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