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Preparing for future pandemics: A multi‐national comparison of health and economic trade‐offs

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  • Emily Lancsar
  • Elisabeth Huynh
  • Joffre Swait
  • Robert Breunig
  • Craig Mitton
  • Martyn Kirk
  • Cam Donaldson

Abstract

Government investment in preparing for pandemics has never been more relevant. The COVID‐19 pandemic has stimulated debate regarding the trade‐offs societies are prepared to make between health and economic activity. What is not known is: (1) how much the public in different countries are prepared to pay in forgone GDP to avoid mortality from future pandemics; and (2) which health and economic policies the public in different countries want their government to invest in to prepare for and respond to the next pandemic. Using a future‐focused, multi‐national discrete choice experiment, we quantify these trade‐offs and find that the tax‐paying public is prepared to pay $3.92 million USD (Canada), $4.39 million USD (UK), $5.57 million USD (US) and $7.19 million USD (Australia) in forgone GDP per death avoided in the next pandemic. We find the health policies that taxpayers want to invest in before the next pandemic and the economic policies they want activated once the next pandemic hits are relatively consistent across the countries, with some exceptions. Such results can inform economic policy responses and government investment in health policies to reduce the adverse impacts of the next pandemic.

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  • Emily Lancsar & Elisabeth Huynh & Joffre Swait & Robert Breunig & Craig Mitton & Martyn Kirk & Cam Donaldson, 2023. "Preparing for future pandemics: A multi‐national comparison of health and economic trade‐offs," Health Economics, John Wiley & Sons, Ltd., vol. 32(7), pages 1434-1452, July.
  • Handle: RePEc:wly:hlthec:v:32:y:2023:i:7:p:1434-1452
    DOI: 10.1002/hec.4673
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    References listed on IDEAS

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    1. Blayac, Thierry & Dubois, Dimitri & Duchêne, Sébastien & Nguyen-Van, Phu & Ventelou, Bruno & Willinger, Marc, 2022. "What drives the acceptability of restrictive health policies: An experimental assessment of individual preferences for anti-COVID 19 strategies," Economic Modelling, Elsevier, vol. 116(C).
    2. Small, Kenneth A & Rosen, Harvey S, 1981. "Applied Welfare Economics with Discrete Choice Models," Econometrica, Econometric Society, vol. 49(1), pages 105-130, January.
    3. Eichenbaum, Martin S. & Rebelo, Sergio & Trabandt, Mathias, 2022. "The macroeconomics of testing and quarantining," Journal of Economic Dynamics and Control, Elsevier, vol. 138(C).
    4. McPhedran, Robert & Toombs, Ben, 2021. "Efficacy or delivery? An online Discrete Choice Experiment to explore preferences for COVID-19 vaccines in the UK," Economics Letters, Elsevier, vol. 200(C).
    5. Lancsar, Emily & Gu, Yuanyuan & Gyrd-Hansen, Dorte & Butler, Jim & Ratcliffe, Julie & Bulfone, Liliana & Donaldson, Cam, 2020. "The relative value of different QALY types," Journal of Health Economics, Elsevier, vol. 70(C).
    6. Vikas Soekhai & Esther W. Bekker-Grob & Alan R. Ellis & Caroline M. Vass, 2019. "Discrete Choice Experiments in Health Economics: Past, Present and Future," PharmacoEconomics, Springer, vol. 37(2), pages 201-226, February.
    7. Lancsar, Emily & Wildman, John & Donaldson, Cam & Ryan, Mandy & Baker, Rachel, 2011. "Deriving distributional weights for QALYs through discrete choice experiments," Journal of Health Economics, Elsevier, vol. 30(2), pages 466-478, March.
    8. Kathleen Manipis & Deborah Street & Paula Cronin & Rosalie Viney & Stephen Goodall, 2021. "Exploring the Trade-Off Between Economic and Health Outcomes During a Pandemic: A Discrete Choice Experiment of Lockdown Policies in Australia," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 14(3), pages 359-371, May.
    9. Emily Lancsar & Joffre Swait, 2014. "Reconceptualising the External Validity of Discrete Choice Experiments," PharmacoEconomics, Springer, vol. 32(10), pages 951-965, October.
    10. Caspar Chorus & Erlend Dancke Sandorf & Niek Mouter, 2020. "Diabolical dilemmas of COVID-19: An empirical study into Dutch society’s trade-offs between health impacts and other effects of the lockdown," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-19, September.
    11. Rachael L. DiSantostefano & Fern Terris-Prestholt, 2021. "Using Societal Values to Inform Public Health Policy During the COVID-19 Pandemic: The Role of Health Preference Research," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 14(3), pages 303-307, May.
    12. Emily Lancsar & Elizabeth Savage, 2004. "Deriving welfare measures from discrete choice experiments: inconsistency between current methods and random utility and welfare theory," Health Economics, John Wiley & Sons, Ltd., vol. 13(9), pages 901-907, September.
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