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Nannying, nudging, rewarding? A discussion on the constraints and the degree of control over health status

Author

Listed:
  • Christine le Clainche

    (CEE, Economics Department, Paris)

  • Sandy Tubeuf

    (Academic Unit of Health Economics (University of Leeds),)

Abstract

Public health policies typically assume that there are characteristics and constraints over health that an individual cannot control and that there are choices that an individual could change if he is nudged or provided with incentives. We consider that health is determined by a range of personal, social, economic and environmental factors and we discuss to what extent an individual can control those factors. In particular, we assume that observed health status is the result of individual control and constraints to change that an individual faces. We suggest three different constraints: budget, time and psychological constraints and position various determinants of health according to increasing levels of constraint and increasing degrees of individual control. We finally discuss public health policies such as nannying, nudging, and rewarding within this new framework and show that the level of constraints and the degree of individual control over health status are essential dimensions to consider when designing and implementing public health policies.

Suggested Citation

  • Christine le Clainche & Sandy Tubeuf, 2013. "Nannying, nudging, rewarding? A discussion on the constraints and the degree of control over health status," Working Papers 1306, Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds.
    • Handle: RePEc:lee:wpaper:1306
    as

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    File URL: http://medhealth.leeds.ac.uk/download/241/auhe_wp13_06
    File Function: First version, 2013
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    References listed on IDEAS

    as
    1. Almlund, Mathilde & Duckworth, Angela Lee & Heckman, James & Kautz, Tim, 2011. "Personality Psychology and Economics," Handbook of the Economics of Education, in: Erik Hanushek & Stephen Machin & Ludger Woessmann (ed.), Handbook of the Economics of Education, edition 1, volume 4, chapter 0, pages 1-181, Elsevier.
    2. Cawley, John & Ruhm, Christopher J., 2011. "The Economics of Risky Health Behaviors," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 95-199, Elsevier.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    health determinants; equality of opportunity; individual agency; health public policy;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D01 - Microeconomics - - General - - - Microeconomic Behavior: Underlying Principles
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

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