The only QALYs that should matter to the US Gov't are American QALYs.
I don't need to be funding $50M worth of condoms to be sent to Gaza. That's a "them" problem, and while there might be second order effects to a population explosion there, I honestly don't care.
I don't need to be funding $50M worth of condoms to be sent to Gaza. That's a "them" problem, and while there might be second order effects to a population explosion there, I honestly don't care.