QUALY is not conditioned on work productivity, Ezekiel Emanuel has done a poor job of representing it to the public. The truth of the matter for most people th

QUALY is not conditioned on work productivity, Ezekiel Emanuel has done a poor job of representing it to the public. The truth of the matter for most people though is that if they are unable to do meaningful (to them) work this leads to depression. For the anecdote given by the author, the grandmother could perform meaningful work (counseling) still.