Introduction / David Wasserman, Jerome Bickenbach and Robert Wachbroit -- 1. Assessing quality of life : clinical versus health policy uses / Robert Wachbroit -- 2. Predicting genetic disability while commodifying health / Anita Silvers -- 3. Preventing genetically transmitted disabilities while respecting persons with disabilities / Dan W. Brock -- 4. Disability, ideology, and quality of life : a bias in biomedical ethics / Ron Amundson -- 5. Values for health states in QALYs and DALYs : desirability versus well-being and worth / Erik Nord -- 6. Preventing the existence of people with disabilities / Jeff McMahan -- 7. Where is the sin in synecdoche? : prenatal testing and the parent-child relationship / Adrienne Asch and David Wasserman -- 8. The social context of individual choice / Tom Shakespeare -- 9. Disability and health systems assessment / Jerome Bickenbach