That is a deeply personal choice, and as a Brit one that I believe equally deeply should not have the threat of bankruptcy or the lack of funds as a factor in the decision.
Your advice, won through sorrow, may be very good advice. I remmeber when my own mother found out her cancer had returned after a remission, and I know I would fight any move to a society that made "Can we afford it?" a question at that time.
I am sorry for your loss and the OPs pending loss. This is not for you, but for everyone else reading in the US - for fucks sake sort your shit out guys.
QALYs are barely relevant in this discussion. Quality Adjusted Life Years are an attempt to allocate scarce resources in the absence of a pricing mechanism. It is by no means perfect, but thats not the point - it is used at the margins. Do we spend money on this cancer drug that will extend the life of 75 year old prostate cancer patients by 6 months or spend it on heart disease drugs for children giving them 50+ years. Unless you are one of the 75 year olds or children it is a pretty easy question.
But the question we do not ask ourselves is - do you have the means to pay now you are dying of a horribly expensive disease? No-one cares about QALYS here in the UK except when newspaper editors decide to go for a ratings pull
Your advice, won through sorrow, may be very good advice. I remmeber when my own mother found out her cancer had returned after a remission, and I know I would fight any move to a society that made "Can we afford it?" a question at that time.
I am sorry for your loss and the OPs pending loss. This is not for you, but for everyone else reading in the US - for fucks sake sort your shit out guys.