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Innovation and Shortage: The Yin and Yang of the Health Sector

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  • Karen Eggleston

    (Stanford University and National Bureau of Economic Research, Director of the Asia Health Policy Program)

Abstract

The economic challenges countries face when adopting personalized medicine technologies provide an important illustration of many of the concepts articulated by János Kornai in his pioneering research on innovation in market-driven, capitalist surplus economies. In Chinese philosophy, Yin and Yang often represent contradictory yet inseparable opposites – two forces that not merely coexist, but are synergistic and mutually dependent. This concept is an apt analogy for the relationship between innovation and shortage in the health sector. Dangers arise from over-emphasizing the Yin of innovation over the Yang of access, and vice versa. If we over-constrain innovation, we die needlessly early and forfeit quality of life that innovations might have enabled. If we do not distribute access to innovations equitably, we diminish our humanity, suffer backlashes from populism and distrust of science and expertise, and risk social instability, even violent conflict.

Suggested Citation

  • Karen Eggleston, 2018. "Innovation and Shortage: The Yin and Yang of the Health Sector," Acta Oeconomica, Akadémiai Kiadó, Hungary, vol. 68(supplemen), pages 99-114, January.
  • Handle: RePEc:aka:aoecon:v:68:y:2018:i:supplement1:p:99-114
    Note: This paper is dedicated to Professor János KORNAI, an inspiring intellect and mentor, who will turn 90 years old on January 21, 2018. I am grateful to Péter Mihályi for his kind invitation to contribute to this special issue of Acta Oeconomica in honor of János, and to Ross Eric Johnson and Hokuto Asano for excellent research assistance.
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    More about this item

    Keywords

    health sector; personalized medicine; innovation; health technologies;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H57 - Public Economics - - National Government Expenditures and Related Policies - - - Procurement
    • I0 - Health, Education, and Welfare - - General

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