I agree with you. Most good studies of cancer treatments' efficacy therefore measure quality-adjusted years of life gained rather than just straight time.My English usage in that post was less than excellent. In particular what I was trying to say is that chemo/radiation often trashes quality of life. Extending life per se is not necessarily a benefit. I have an advance care directive that is essentially a DNR. Let's see what happens in the case I need to make decisions.