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Quality-adjusted life years (QALYs) are used to determine how to allocate resources to health programmes or to treatments within those programmes in order to gain maximum utility from those limited, shared healthcare resources. However, if we use those same populationbased QALYs when faced with individual treatment decisions we may act unjustly in relation to that individual or in relation to the wider population.doi:10.1136/medethics-2016-103402 pmid:27451426 fatcat:z57ny545t5amtl44737i6n2z3m