Alternatives to QALYs (such as WELLBYs) have been put forward from within the EA movement. But if we’re trying to help others, it seems plausible that we should do it in ways that they care about. Most people care about their quality of life or well-being, as well as the amount of time they’ll have to experience or realise that well-being.
I’m sure there are people who would say they are most effectively helping others by “saving their souls” or promoting their “natural rights”. They’re free to act as they wish. But the reason that EAs (and not just EAs, because QALYs are widely used in health economics and resource allocation) have settled on quality of life and length of life is frankly because they’re the most plausible (or least implausible) ways of measuring the extent to which we’ve helped others.
Alternatives to QALYs (such as WELLBYs) have been put forward from within the EA movement. But if we’re trying to help others, it seems plausible that we should do it in ways that they care about. Most people care about their quality of life or well-being, as well as the amount of time they’ll have to experience or realise that well-being.
I’m sure there are people who would say they are most effectively helping others by “saving their souls” or promoting their “natural rights”. They’re free to act as they wish. But the reason that EAs (and not just EAs, because QALYs are widely used in health economics and resource allocation) have settled on quality of life and length of life is frankly because they’re the most plausible (or least implausible) ways of measuring the extent to which we’ve helped others.