I would guess yes - but that might change depending on details. At the very least, if we decided on some way to measure QALYs (our current methodology is real simple!), and then tried to maximize that measurement, we'd at best get something that looked like pared-down ems.

Ultimately, how you choose between futures is up to you. Even if something has an objective-sounding name like "quality-adjusted life years," this doesn't mean that it's the right thing to maximize.