How Should Willingness-to-Pay Values of Quality-Adjusted Life-Years Be Updated and According to Whom?

Before updating any willingness-to-pay (WTP) per quality-adjusted life-year (QALY) threshold, a few points must be recognized. Ethical justification for using WTP thresholds and QALYs lies in incorporating the preferences of those whose treatment could affected by resulting resource allocations. For thresholds, such depends on sufficiency match between group-members an insurance pool from which health care payments services are drawn-and is potentially affected. QALYs, that eliciting right persons' to inform quality-adjustment ratings; balance it should who have conditions being rated. Because value simply alive not adequately accounted for, how life extension quality improvement combined constructing QALY its most significant shortcoming as measure. Although might better than them, this manuscript suggests why drawing less fundamentally flawed concept conventional more important.