Quality of life is very discussed topic in health care sector and this 15D Instrument is one of the tools used by hospitals to measure the healthiness of life years. Unfortunately the quality of life is not any criteria of choosing the right wheelchair for patients lifestyle. For example if the patient owns a summer cottage and would like to go fishing in summer time, but that is not a basic right of having a summer cottage and therefore the wheelchair cannot be chosen according to this fact. He is probably going to have a wheelchair for driving only on steady asphalt topped road. Who the hell would buy a car or even take it for free, if you could drive it only steady roads around 3 months in the year?!
A good wheelchair makes it possible to move also outside home. So why is that so important and has nothing to do with the quality of life? You walking health care decision-maker, what all this would be taken away from you: your job, friends and possibility to go to grocery store, beach, cinema, fishing, summer cottage, eating out with family and now and then meeting friends in pubs. Would you become depressed?
I also argue that mental disorders and loneliness are serious things, which have effects on sleeping, anxiety, sexuality and even rehabilitation of any kind of sickness or injury. As far as I know the wheelchair users want to be seen as independent individuals and not only based of their disability, but thinking and feeling persons. Why this possibility for happy life is not offered to all disabled people in every country, but there are certain elite group of people chosen who gets the best wheelchairs?