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Why Income Inequality Indexes Do Not Apply to Health Risks

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  • Louis Anthony (Tony) Cox

Abstract

Several recent papers have sought to apply inequality measures from economics, such as the Atkinson Index (AI) for inequality of income distributions, to compare the risk inequality of different mortality risk distributions in an effort to help promote efficiency and environmental justice in pollution‐reducing interventions. Closer analysis suggests that such applications are neither logically coherent nor necessarily ethically desirable. Risk inequality comparisons should be based on axioms that apply to probabilistic risks, and should consider the multidimensional and time‐varying nature of individual and community risks in order to increase efficiency and justice over time and generations. In light of the limitations of the AI applied to mortality risk distributions, it has not been demonstrated to have ethical or practical value in helping policymakers to identify air pollution management interventions that reduce (or minimize) risk and risk inequity.

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  • Louis Anthony (Tony) Cox, 2012. "Why Income Inequality Indexes Do Not Apply to Health Risks," Risk Analysis, John Wiley & Sons, vol. 32(2), pages 192-196, February.
    • Handle: RePEc:wly:riskan:v:32:y:2012:i:2:p:192-196
    DOI: 10.1111/j.1539-6924.2011.01756.x
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    References listed on IDEAS

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    1. Neal Fann & Henry A. Roman & Charles M. Fulcher & Mikael A. Gentile & Bryan J. Hubbell & Karen Wesson & Jonathan I. Levy, 2011. "Maximizing Health Benefits and Minimizing Inequality: Incorporating Local‐Scale Data in the Design and Evaluation of Air Quality Policies," Risk Analysis, John Wiley & Sons, vol. 31(6), pages 908-922, June.
    2. Jayavel Sounderpandian, 1989. "Ex Ante Equity in Public Risk," Operations Research, INFORMS, vol. 37(4), pages 528-530, August.
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    4. Thibault Gajdos & John Weymark & Claudio Zoli, 2010. "Shared destinies and the measurement of social risk equity," Annals of Operations Research, Springer, vol. 176(1), pages 409-424, April.
    5. Thibault Gajdos & John Weymark & Claudio Zoli, 2010. "Shared destinies and the measurement of social risk equity," Annals of Operations Research, Springer, vol. 176(1), pages 409-424, April.
    6. Louis Anthony (Tony) Cox, 2012. "Reassessing the Human Health Benefits from Cleaner Air," Risk Analysis, John Wiley & Sons, vol. 32(5), pages 816-829, May.
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    Cited by:

    1. Carole Bernard & Christoph M. Rheinberger & Nicolas Treich, 2018. "Catastrophe Aversion and Risk Equity in an Interdependent World," Management Science, INFORMS, vol. 64(10), pages 4490-4504, October.
    2. Sam Harper & Eric Ruder & Henry A. Roman & Amelia Geggel & Onyemaechi Nweke & Devon Payne-Sturges & Jonathan I. Levy, 2013. "Using Inequality Measures to Incorporate Environmental Justice into Regulatory Analyses," IJERPH, MDPI, vol. 10(9), pages 1-21, August.
    3. Glenn Sheriff & Kelly B. Maguire, 2020. "Health Risk, Inequality Indexes, and Environmental Justice," Risk Analysis, John Wiley & Sons, vol. 40(12), pages 2661-2674, December.

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