QALY maximization is not the sole or universal basis for health resource allocation; many frameworks incorporate rule-of-rescue, fair innings, and severity-weighting principles that can offset QALY-based disparities.

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QALY (Quality-Adjusted Life Year)(as used in healthcare ethics and resource allocation): A way of measuring health benefits that combines how long someone lives with how good their quality of life is during that time—essentially trying to put a number on health improvements.
fair innings(as used in healthcare ethics): The idea that everyone deserves a roughly equal chance at a normal lifespan, so giving extra medical resources to very elderly patients might be less important than helping younger people reach that baseline.
health resource allocation(as used in healthcare policy and ethics): The process of deciding how to distribute limited medical resources (like money, treatments, or hospital beds) among different patients or groups.
rule of rescue(as used in medical ethics): The ethical principle that we have a special obligation to save someone's life when they're in immediate danger, even if it's not the most efficient use of resources.

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