“There is a further (non-distributional) consideration that can affect an assessment of a life’s quality. Arguably, once a life reaches a certain threshold of badness (considering both the amount and the distribution of its badness), no quantity of good can outweigh it, because no amount of good could be worth that badness. It is just this assessment that Donald (‘Dax’) Cowart made of his own life—or at least of that part of his life following a gas explosion that burnt two-thirds of his body. He refused extremely painful, life-saving treatment, but the doctors ignored his wishes and treated him nonetheless. His life was saved, he achieved considerable success, and he reattained a satisfactory quality of life. Yet, he continued to maintain that these post-burn goods were not worth the costs of enduring the treatments to which he was subjected. No matter how much good followed his recovery, this could not
outweigh, at least in his own assessment, the bad of the burns and treatment that he experienced.”