Measuring health burden without discriminating against the disabled.
measures of population health, like the Disability Adjusted Life Year (DALY), are important for health policy and planning. Some worry, however, that these measures discriminate against the disabled.



This paper provides an analysis of the disability discrimination problem. Then, adapting a fixed-plus-variable framework proposed in welfare economics to the case of health measurement, it proposes a novel measure called the Ethically Adjusted Life Year (EALY).



The EALY, in at least some formulations, can avoid discriminating against the disabled. It is different from, and has some advantages over, alternative ways of avoiding discrimination.



There is reason to consider using the EALY in measuring health burden and the impact of health interventions.
School of International Development, University of East Anglia, Norwich NR47TJ, UK.
Lucio
L
Esposito
SUNY Binghamton University, Binghamton, NY, USA.|Hope & Optimism Project at Cornell University, 410 Thurston Avenue Ithaca, NY 14850, USA.
Nicole
N
Hassoun
D017281:Cost of Illness; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D008017:Life Expectancy; D015233:Models, Statistical; D019057:Quality-Adjusted Life Years
DALY; Global Burden of Disease; disability discrimination; health interventions; health measures