#Obamacare How It Will Kill You: The complete lives system discriminates against older people…

The proposal made by DALY advocates; however, the complete lives system justifies preference to younger people because of priority to the worst-off rather than instrumental value. Additionally, the complete lives system assumes that, although life-years are equally valuable to all, justice requires the fair distribution of them. Conversely,DALY allocation treats life-years given to elderly or disabled people as objectively less valuable. Finally, the complete lives system is least vulnerable to corruption. Age can be established quickly and accurately from identity documents. Prognosis allocation encourages physicians to improve patients’ health, unlike the perverse incentives to sicken patients or misrepresent health that the sickest-first allocation creates.

Objections
We consider several important objections to the complete lives system. The complete lives system discriminates against older people.
Age-based allocation is ageism.
Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age.
Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years.
Treating 65-year-olds differently because of stereotypes or falsehoods would be ageist; treating them differently because they have already had more life-years is not. Age, like income, is a “non-medical criterion” inappropriate for allocation of medical resource

 

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