Oh boy, yet another "actshually" filled with emotions that supposed to give "another view". You precisely know what Emanuel and Lee mean when they quanyify that someone with 25 years is a greater loss than someone with 60 years. This emotional story about grandmother does nothing to change their statement.
That's not the point that the article takes issue with. Not the difference in time, which the author acknowledges is important, but the classification of those later years as being inherently less valuable than the younger ones.
Is it justified to extend the life of a terminal cancer patient for another miserable few months with chemotherapy, at full cost to everyone else in the pool?
I dare say not, and QUALY is the measure we use to calculate this, imperfect as it may be. It also is worth noting that QUALY is not conditioned on worker productivity, as suggested in the article.