The Quality-Adjusted Life Year (QALY) is a measure developed by health economists to measure and compare the benefits of healthcare interventions for cost effectiveness analyses relied on to allocate health care. The theoretical underpinning of the QALY is that quality of life can be measured and distilled down to a single number. There are serious ethical concerns with how QALYs are developed and ultimately used. For example, it is well known that QALYs fall short in measuring health preferences for patients with chronic diseases and disabilities. QALYs place greater value on years lived in full health, or on interventions that prevent loss of perfect health while discounting gains in health for individuals with chronic illnesses.