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last week we discussed how to measure the utility value of different health states these utility values can be used as a proxy for quality in measuring how effective therapies are how thats the topic of this weeks healthcare trio last week we established the utility value from moderate seizure disorder is about 0.9 by the standard gamble that means Id take a 10% risk of death to have it cured right now by the time trade off that means Id trade about 10% of my remaining life away to be cured for the rest of my life we can use that utility value to calculate whats known as a quali or a quality adjusted life year thats because it takes into account both how long youre going to live as well as the quality of the life youd have well a lot when you take a utility value and multiply it by a number of years you get a number of qualities lets say moderate seizure disorder has utility of 0.9 then curing me of the illness would gain me 0.9 times about 40 years of remaining life left or