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Even better, authors and actors are bringing her back into the fold of acceptable reference points.
A first step in operationalising the notion of acceptable health as a reference point is to investigate whether people indeed consider some imperfect health states to be acceptable and whether this depends on age.
Acceptable deviations from the reference point would also be difficult to determine.
In this paper, we explore the notion of acceptable health as a reference point in assessing the value of health gains.
Our results suggest that people are capable of indicating acceptable levels of health at different ages, implying that a reference point of acceptable health may exist.
A few pupils e.g. Joan noted that pupils had written their "own rules on the classroom wall," suggesting pupils' participation in constructing their reference point of acceptable behaviour.
This indicates that their reference point for acceptable health was perfect health in each domain (health profile 11111), i.e. no health problems in any of the five domains, up to the age of 90.
If acceptable health is applied as a reference point in priority setting in health care, the societal value attached to health gains may differ based on their position relative to this reference point.
Such reasoning implies that some imperfect but still acceptable health state is used as a reference point [ 14] in assessing the necessity of treatment or the value of health gains.
Shifting the reference point in priority setting from perfect health to acceptable health therefore is likely to have implications for the value attached to health gains according to a very large majority of the population (i.e. 98 %).
But this tests only the most common pesticides and, with no federal tolerance guidelines for marijuana — or tobacco, as a potential reference point — the labs are left to come up with their own thresholds for what is acceptable.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com