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Harsanyi, Sen ou Bentham. Quelle perspective adopter pour l'évaluation du bien-être en santé ?


  • Philippe Tessier


Health economists oppose two views of the normative foundations of economic evaluation: a welfarist view, which defines social welfare as a function of individual utilities only, and an extra-welfarist view grounded on Sen’s capability approach. In this paper, we contribute to this debate by investigating the ability of three theories of individual wellbeing (well-being as the satisfaction of preferences, as reported happiness or according to the capability approach) to value individual autonomy and to deal in a satisfactory way with the moral consequences of psychological adaptation. Our analysis underlines the failure of theories of well-being as decision or experienced utility to meet these requirements. We present and discuss possible theoretical and operational solutions using measures of individual well-being relying on Sen’s capability notion and using experienced utility as a valuable functioning. Classification JEL : I10, I31, D61

Suggested Citation

  • Philippe Tessier, 2009. "Harsanyi, Sen ou Bentham. Quelle perspective adopter pour l'évaluation du bien-être en santé ?," Revue économique, Presses de Sciences-Po, vol. 60(6), pages 1309-1333.
  • Handle: RePEc:cai:recosp:reco_606_1309

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    References listed on IDEAS

    1. Charles F. Manski, 1993. "Identification of Endogenous Social Effects: The Reflection Problem," Review of Economic Studies, Oxford University Press, vol. 60(3), pages 531-542.
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    3. Charles F. Manski, 2000. "Economic Analysis of Social Interactions," Journal of Economic Perspectives, American Economic Association, vol. 14(3), pages 115-136, Summer.
    4. Lacroix, Guy & Fortin, Bernard, 1992. "Utility-Based Estimation of Labour Supply Functions in the Regular and Irregular Sectors," Economic Journal, Royal Economic Society, vol. 102(415), pages 1407-1422, November.
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    6. Fortin, B. & Lacroix, G., 1991. "The Marginal Cost of Public Funds in the Presence of an Irregular Sector: An Empirical Investigation," Papers 9129, Laval - Recherche en Energie.
    7. Fortin, Bernard & Lacroix, Guy & Montmarquette, Claude, 2000. "Are Underground Workers More Likely to be Underground Consumers?," Economic Journal, Royal Economic Society, vol. 110(466), pages 838-860, October.
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    11. Sabine Bernabè & Marco Stampini, 2009. "Labour mobility during transition," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 17(2), pages 377-409, April.
    12. Schneider, Friedrich G., 2007. "Shadow Economies and Corruption All Over the World: New Estimates for 145 Countries," Economics - The Open-Access, Open-Assessment E-Journal, Kiel Institute for the World Economy (IfW), vol. 1, pages 1-66.
    13. Mundlak, Yair, 1978. "On the Pooling of Time Series and Cross Section Data," Econometrica, Econometric Society, vol. 46(1), pages 69-85, January.
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    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis


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