Is anyone familiar with H.R. 485? It has been introduced in the House, but it is not yet law.
According to the CRS "This bill prohibits all federal health care programs, including the Federal Employees Health Benefits Program, and federally funded state health care programs (e.g., Medicaid) from using prices that are based on quality-adjusted life years (i.e., measures that discount the value of a life based on disability) to determine relevant thresholds for coverage, reimbursements, or incentive programs".
I think the motivation might be to prevent discrimination against people with disabilities, but it seems to me like it goes too far.
It seems to me it would prevent the use of QALYs for making decisions such as is a particular cure for blindness worthwhile, and how might it compare to treatments for other diseases and conditions.
Is anyone familiar with this bill and able to shed more light on it?
Thanks for the thought experiment!
So, in the example you described, I would pay the 10 $ to get my legs back. However, this is just because I am altruistic, and with my legs minus 10 $ I would have a greater positive impact in the world than without my legs (not having legs surely implies a loss in produtivity due to e.g. having to spend more time to move from one place to the other).
If the expected total hedonistic utility (ETHU) for all the moral patients excluding me was the same in both scenarios, I would be totally indifferent between the 2 options.