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Cost-Effectiveness and the Distinction Between Quantitative and Qualitative Disability Discrimination
1Philosophy, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark. lasseni@sdu.dk.
Journal of Bioethical Inquiry
|July 22, 2025
Summary
Discriminating against people with disabilities in healthcare resource allocation may be justified based on lifespan, not quality of life. This research explores the ethical considerations for fair priority setting in healthcare.
Area of Science:
- Bioethics
- Health Economics
- Disability Studies
Background:
- Standard health economics models often devalue disabilities, leading to concerns about unfair healthcare resource allocation.
- The justification for discriminating against individuals with disabilities in healthcare priority setting remains a debated ethical issue.
Purpose of the Study:
- To analyze the normative basis of disability discrimination in healthcare resource allocation.
- To defend the ethical justification of discriminating based on lifespan considerations over quality of life assessments for people with disabilities.
Main Methods:
- Conceptual analysis of ethical arguments concerning disability discrimination.
- Development and defense of the 'asymmetry intuition' using the 'Reasonable Impartial Interest Argument'.
Main Results:
- The study argues that lifespan considerations provide a more justifiable basis for discrimination in healthcare allocation than quality of life assessments.
- The 'Reasonable Impartial Interest Argument' is presented as a robust framework for defending this 'asymmetry intuition'.
Conclusions:
- Prioritizing healthcare resources based on lifespan, rather than perceived quality of life, may offer a more ethically defensible approach to avoid unjust discrimination against people with disabilities.
- This ethical framework advances the discussion towards cost-effective healthcare priority setting that is equitable for all individuals.
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