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Preferences for equity in health behind a veil of ignorance

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Author Info
Fredrik Andersson (Department of Economics, Lund University, Lund, Sweden)
Carl Hampus Lyttkens
Abstract

Individual attitudes to distributions of life years between two groups in a society are explored by means of an experiment. Subjects are asked to place themselves behind a veil of ignorance which is specified in terms of risk (known probabilities) for some subjects and in terms of uncertainty (unknown probabilities) for some subjects. The latter is argued to be the appropriate interpretation of Rawls' notion. It is found that subjects exhibit convex preferences over life years for the two groups, and that preferences do not differ between the risk and the uncertainty specifications. Copyright © 1999 John Wiley & Sons, Ltd.

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Publisher Info
Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 8 (1999)
Issue (Month): 5 ()
Pages: 369-378
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Handle: RePEc:wly:hlthec:v:8:y:1999:i:5:p:369-378

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Amemiya, Takeshi, 1981. "Qualitative Response Models: A Survey," Journal of Economic Literature, American Economic Association, vol. 19(4), pages 1483-1536, December. [Downloadable!] (restricted)
  2. John C. Harsanyi, 1953. "Cardinal Utility in Welfare Economics and in the Theory of Risk-taking," Journal of Political Economy, University of Chicago Press, vol. 61, pages 434. [Downloadable!] (restricted)
  3. Bleichrodt, Han, 1997. "Health utility indices and equity considerations," Journal of Health Economics, Elsevier, vol. 16(1), pages 65-91, February. [Downloadable!] (restricted)
  4. Johannesson, Magnus & Gerdtham, Ulf-G, 1995. "A Pilot Test of Using the Veil of Ignorance Approach to Estimate a Social Welfare Function for Income," Applied Economics Letters, Taylor and Francis Journals, vol. 2(10), pages 400-402, October. [Downloadable!] (restricted)
  5. Wagstaff, Adam, 1991. "QALYs and the equity-efficiency trade-off," Journal of Health Economics, Elsevier, vol. 10(1), pages 21-41, May. [Downloadable!] (restricted)
  6. Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December. [Downloadable!] (restricted)
  7. Fennema, Hein & Wakker, Peter, 1996. "A Test of Rank-Dependent Utility in the Context of Ambiguity," Journal of Risk and Uncertainty, Springer, vol. 13(1), pages 19-35, July.
  8. Schmeidler, David, 1989. "Subjective Probability and Expected Utility without Additivity," Econometrica, Econometric Society, vol. 57(3), pages 571-87, May. [Downloadable!] (restricted)
  9. Bukszar, Ed & Knetsch, Jack L, 1997. "Fragile Redistribution Choices behind a Veil of Ignorance," Journal of Risk and Uncertainty, Springer, vol. 14(1), pages 63-74, January. [Downloadable!] (restricted)
  10. Johannesson, Magnus & Gerdtham, Ulf-G, 1996. "A note on the estimation of the equity-efficiency trade-off for QALYs," Journal of Health Economics, Elsevier, vol. 15(3), pages 359-368, June. [Downloadable!] (restricted)
  11. Alan Williams, 1997. "Intergenerational Equity: An Exploration of the 'Fair Innings' Argument," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 117-132.
  12. Olsen, Jan Abel, 1997. "Theories of justice and their implications for priority setting in health care," Journal of Health Economics, Elsevier, vol. 16(6), pages 625-639, December. [Downloadable!] (restricted)
  13. Dolan, Paul, 1998. "The measurement of individual utility and social welfare," Journal of Health Economics, Elsevier, vol. 17(1), pages 39-52, January. [Downloadable!] (restricted)
  14. Lindholm, Lars & Rosen, Mans & Emmelin, Maria, 1996. "An epidemiological approach towards measuring the trade-off between equity and efficiency in health policy," Health Policy, Elsevier, vol. 35(3), pages 205-216, March. [Downloadable!] (restricted)
  15. Lars Lindholm & Måns Rosén, 1998. "On the measurement of the nation's equity adjusted health," Health Economics, John Wiley & Sons, Ltd., vol. 7(7), pages 621-628.
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Winslott Hiselius, Lena, 2003. "The Value of Road and Railway Safety - an Overview," Working Papers 2003:13, Lund University, Department of Economics. [Downloadable!]
  2. Paul Dolan & Rebecca Shaw & Aki Tsuchiya & Alan Williams, 2005. "QALY maximisation and people's preferences: a methodological review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 14(2), pages 197-208. [Downloadable!]
  3. Adam Oliver, 2000. "Uncertainty aversion: a reply to the paper by Andersson and Lyttkens," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 253-255.
  4. Katharina Hauck & Rebecca Shaw & Peter C. Smith, 2002. "Reducing avoidable inequalities in health: a new criterion for setting health care capitation payments," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 667-677. [Downloadable!]
  5. Paul Dolan & Jan Abel Olsen & Paul Menzel & Jeff Richardson, 2003. "An inquiry into the different perspectives that can be used when eliciting preferences in health," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 545-551. [Downloadable!]
  6. Fredrik Andersson & Carl Hampus Lyttkens, 2000. "Uncertainty aversion-a reply to Oliver," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 257-259.
  7. Abellán Perpiñán, José Mª & Sánchez Martínez,Fernando I. & Martínez Pérez, Jorge E., 2007. "La medición del bienestar social relacionado con la salud/The Measurement of the Health Related Social Welfare," Estudios de Economía Aplicada, Revista Estudios de Economía Aplicada, vol. 25, pages 823 - 24 , Diciembre. [Downloadable!] (restricted)
  8. John McKie & Jeff Richardson, 2005. "Neglected equity issues in cost effectiveness analysis - part 2: direct and indirect costs, the preservation of hope, the rule of rescue, patient adaptation, and the Ex Ante/Ex Post distinction," Centre for Health Economics Research Papers 8/05, Monash University, Centre for Health Economics. [Downloadable!]
  9. Peter P. Wakker, 2000. "Uncertainty aversion: a discussion of critical issues in health economics," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 261-263.
  10. Jeff Richardson & John McKie, 2005. "Reassurance, regret and uncertainty: testing ex ante sources of (dis)utility and the welfarist account of social welfare," Centre for Health Economics Working Papers 153/05, Monash University, Centre for Health Economics. [Downloadable!]
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