“But translating into utility or QALYs already accounts for this; it’s generally easier to increase the utility/health of someone with less.”
I think there are certainly cases where this is true, and the premise of this argument is that there are cases where this might not be the case. If we take the burden of mental health or chronic illnesses, I think there are many possible and actual examples where it may be”easier” to increase the utility of those living in a HIC as opposed to a LMIC
I am also interested as to how you make the distinction between a marginal dollar and a marginal QALY if we recognise there is a significant gap in both income and health outcomes between say, Nigeria and the UK
“But translating into utility or QALYs already accounts for this; it’s generally easier to increase the utility/health of someone with less.”
I think there are certainly cases where this is true, and the premise of this argument is that there are cases where this might not be the case. If we take the burden of mental health or chronic illnesses, I think there are many possible and actual examples where it may be”easier” to increase the utility of those living in a HIC as opposed to a LMIC
I am also interested as to how you make the distinction between a marginal dollar and a marginal QALY if we recognise there is a significant gap in both income and health outcomes between say, Nigeria and the UK