Valuing health properly

This comment on Paul Dolan's essay, ‘Developing methods that really do value the “Q” in the QALY,’ seconds his critique of current preference-based methods of valuing health states but disputes both his assumption that health states should be appraised by their bearing on well-being and his conclusion that the bearing of health states on well-being should be measured in terms of subjective experience. This comment defends instead the view that health states should be valued in terms of the range of activities that they permit.