PUBLIC PREFERENCES FOR RESPONSIBILITY VERSUS PUBLIC PREFERENCES FOR REDUCING INEQUALITIES
调查了英国公众在医疗资源分配中，对个人责任导致的健康问题与群体间健康不平等这两个因素的相对重视程度，发现当被认为有责任的群体因行为导致生活质量中度下降时，若其健康前景更差，反而会获得更高优先级。
In cost-utility analysis, the numbers of quality-adjusted life years (QALYs) gained are aggregated by placing the same weight on each QALY. Deviations from this rubric have been proposed on a number of grounds, including the degree to which persons might be deemed responsible for the illness faced, and inequality in lifetime health between groups. Most research has looked at these factors in isolation. This paper analyses public preferences about the relative importance of these factors. Over 500 members of the general public in the UK are interviewed in their homes. Where "blameworthy" groups experience a moderate drop in quality of life due to their behaviour, they appear to receive higher priority than an otherwise "trustworthy" group if they also experience poorer health prospects because the latter is weighted more heavily than the former.