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Entitlements to continued life and the evaluation of population health

Author

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  • Juan D. Moreno-Ternero

    (Universidad Pablo de Olavide)

  • Lars Peter Østerdal

    (Copenhagen Business School)

Abstract

We analyze the implications of axioms formalizing entitlements to continued life for the evaluation of population health, when combined with basic structural axioms. A straightforward implication of our analysis is that if the scope of equal entitlements to continued life is not limited, concerns for morbidity are dismissed in the evaluation of population health. Nevertheless, with axioms formalizing a more limited scope of equal entitlement to continued life, we provide several characterization results of focal population health evaluation functions, ranging from lifetime utilitarianism to generalized healthy years equivalent utilitarianism.

Suggested Citation

  • Juan D. Moreno-Ternero & Lars Peter Østerdal, 2023. "Entitlements to continued life and the evaluation of population health," Review of Economic Design, Springer;Society for Economic Design, vol. 27(3), pages 561-579, September.
    • Handle: RePEc:spr:reecde:v:27:y:2023:i:3:d:10.1007_s10058-022-00303-9
    DOI: 10.1007/s10058-022-00303-9
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    1. Marc Fleurbaey & Marie‐Louise Leroux & Pierre Pestieau & Gregory Ponthiere & Stephane Zuber, 2022. "Premature deaths, accidental bequests, and fairness," Scandinavian Journal of Economics, Wiley Blackwell, vol. 124(3), pages 709-743, July.
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    3. Juan D. Moreno-Ternero & Lars Peter Østerdal, 2017. "A normative foundation for equity-sensitive health evaluation: The role of relative comparisons of health gains," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 19(5), pages 1009-1025, October.
    4. Moreno-Ternero, Juan D. & Roemer, John E., 2008. "The Veil Of Ignorance Violates Priority," Economics and Philosophy, Cambridge University Press, vol. 24(2), pages 233-257, July.
    5. Aitor Calo-Blanco, 2020. "Health and fairness with other-regarding preferences," Review of Economic Design, Springer;Society for Economic Design, vol. 24(3), pages 123-141, December.
    6. Aitor Calo-Blanco, 2016. "Fair compensation with different social concerns for forgiveness," Review of Economic Design, Springer;Society for Economic Design, vol. 20(1), pages 39-56, March.
    7. Osterdal, Lars Peter, 2005. "Axioms for health care resource allocation," Journal of Health Economics, Elsevier, vol. 24(4), pages 679-702, July.
    8. Wagstaff, Adam, 1991. "QALYs and the equity-efficiency trade-off," Journal of Health Economics, Elsevier, vol. 10(1), pages 21-41, May.
    9. Hougaard, Jens Leth & Moreno-Ternero, Juan D. & Østerdal, Lars Peter, 2013. "A new axiomatic approach to the evaluation of population health," Journal of Health Economics, Elsevier, vol. 32(3), pages 515-523.
    10. Juan D Moreno-Ternero & John E Roemer, 2006. "Impartiality, Priority, and Solidarity in the Theory of Justice," Econometrica, Econometric Society, vol. 74(5), pages 1419-1427, September.
    11. Moreno-Ternero, Juan D. & Roemer, John E., 2012. "A common ground for resource and welfare egalitarianism," Games and Economic Behavior, Elsevier, vol. 75(2), pages 832-841.
    12. Carmen Herrero & Juan Moreno-Ternero, 2008. "Opportunity analysis of newborn screening programs," Review of Economic Design, Springer;Society for Economic Design, vol. 12(4), pages 259-277, December.
    13. Shah, Koonal K. & Tsuchiya, Aki & Wailoo, Allan J., 2015. "Valuing health at the end of life: A stated preference discrete choice experiment," Social Science & Medicine, Elsevier, vol. 124(C), pages 48-56.
    14. Dolan, Paul, 1998. "The measurement of individual utility and social welfare," Journal of Health Economics, Elsevier, vol. 17(1), pages 39-52, January.
    15. Moreno-Ternero, Juan D. & Platz, Trine Tornøe & Østerdal, Lars Peter, 2023. "QALYs, DALYs, and HALYs: A unifying framework for the evaluation of population health," Journal of Health Economics, Elsevier, vol. 87(C).
    16. Bleichrodt, Han, 1997. "Health utility indices and equity considerations," Journal of Health Economics, Elsevier, vol. 16(1), pages 65-91, February.
    17. Joseph S. Pliskin & Donald S. Shepard & Milton C. Weinstein, 1980. "Utility Functions for Life Years and Health Status," Operations Research, INFORMS, vol. 28(1), pages 206-224, February.
    18. Hasman, Andreas & Østerdal, Lars Peter, 2004. "Equal Value Of Life And The Pareto Principle," Economics and Philosophy, Cambridge University Press, vol. 20(1), pages 19-33, April.
    19. Charles M. Harvey & Lars Peter Østerdal, 2010. "Cardinal Scales for Health Evaluation," Decision Analysis, INFORMS, vol. 7(3), pages 256-281, September.
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    Cited by:

    1. Martínez, Ricardo & Moreno-Ternero, Juan D., 2022. "An axiomatic approach towards pandemic performance indicators," Economic Modelling, Elsevier, vol. 116(C).

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    More about this item

    Keywords

    Axioms; Population health; Equal value of life; Morbidity; Mortality;
    All these keywords.

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I10 - Health, Education, and Welfare - - Health - - - General

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