Submitted by: Sam V. on Fri, 02/18/2022

I was a practicing internal medicine doctor for 40 years and 2 years after I retired I developed ALS. There is a lot of bad things I would like to say about ICER's premise, but here's the most important regarding their QALY aspect. In the 1990's there was a study published in JAMA comparing quality of life judged by observers to the patients own quality of life assessment. THEY WERE TOTALLY DIFFERENT. My students would say "I would not live like this" when we rounded at the nursing home, and I said "You can't say that. Ask them if they are happy to be alive." Although I can't do much anymore or talk, I still love to see my family and hope I can continue to do so as long as possible, and that's quality for me. SV

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