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			Is the Use of DALYs and QALYs Ethically Permissible in Triage Decisions? COVID-19 and Equity Considerations from a Queer-Crip Perspective
		
		
													Leani, Lautaro y Mastroleo, Ignacio.
					
 Ethic@. An international Journal for Moral Philosophy, vol. 22, núm. 1, 2023, pp. 126-154.
	
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			https://www.aacademica.org/lautaro.leani/18
		Resumen
	
	This paper explores the symbolic and material implications of the use of DALYs and QALYs as priority or tie-breaker criteria in triage decisions. It aims to answer the question  of their  ethical  permissibility  based  on  the  case  of  the  COVID-19 pandemic. For this purpose, theories framed in a queer-crip perspective and ethical frameworks of equity will be used. From a queer-crip perspective, the use of DALYs and  QALYs  in  triage  decisions  discriminates  against  and  excludes  people  with disabilities, as it allocates scarce resources based on ableist value judgments about people's quality of life, rather than on evidence. From the point of view of equity, it  may  imply  and  reinforce  structural  injustices  involving  inequities,  that  is, avoidable or remediable inequalities. This analysis will argue that the use of DALYs and QALYs categories in triage decisions allocates potentially life-saving resources based  on  ableist  value  judgments  that  lead  to  an  unfair  distribution  of  risks, burdens, and costs. Finally, two objections related to the relevance or necessity of using  these  or  similar  categories  as  criteria  will  be  addressed:  the  independent cases  of  structural  inequities  and  the  relevance  ofpatient  functional  status  to maximize lives saved.
	
	
	
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Para ver una copia de esta licencia, visite https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es.
		Para ver una copia de esta licencia, visite https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es.
			
				
  ARK:
								
			https://doi.org/10.5007/1677-2954.2023.e91703