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Preferences for equity in health behind a veil of ignorance

Author

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  • 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.

Suggested Citation

  • Fredrik Andersson & Carl Hampus Lyttkens, 1999. "Preferences for equity in health behind a veil of ignorance," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 369-378.
  • Handle: RePEc:wly:hlthec:v:8:y:1999:i:5:p:369-378
    DOI: 10.1002/(SICI)1099-1050(199908)8:5<369::AID-HEC456>3.0.CO;2-Q
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    References listed on IDEAS

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    11. Magnus Johannesson & Ulf-G Gerdtham, 1995. "A pilot test of using the veil of ignorance approach to estimate a social welfare function for income," Applied Economics Letters, Taylor & Francis Journals, vol. 2(10), pages 400-402.
    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.
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    Cited by:

    1. Winslott Hiselius, Lena, 2003. "The Value of Road and Railway Safety - an Overview," Working Papers 2003:13, Lund University, Department of Economics.
    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.
    3. Carl Lyttkens, 2003. "Time to disable DALYs?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 4(3), pages 195-202, September.
    4. 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, Estudios de Economía Aplicada, vol. 25, pages 927-950, Diciembre.
    5. Giacomo Degli Antoni & Marco Faillo & Lorenzo Sacconi & Pedro Francés-Gomez, 2016. "Distributive Justice with Production and the Social Contract. An Experimental study," Econometica Working Papers wp60, Econometica.
    6. Attema, Arthur E. & Brouwer, Werner B.F. & l’Haridon, Olivier & Pinto, Jose Luis, 2015. "Estimating sign-dependent societal preferences for quality of life," Journal of Health Economics, Elsevier, vol. 43(C), pages 229-243.
    7. 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.
    8. Aki Tsuchiya & Richard Edlin & Paul Dolan, 2009. "Measuring the societal value of lifetime health," Working Papers 2009010, The University of Sheffield, Department of Economics, revised May 2009.
    9. Benning, Tim M. & Dellaert, Benedict G.C., 2013. "Paying more for faster care? Individuals' attitude toward price-based priority access in health care," Social Science & Medicine, Elsevier, vol. 84(C), pages 119-128.
    10. Lofroth, Emil & Lindholm, Lars & Wilhelmsen, Lars & Rosen, Mans, 2006. "Optimising health care within given budgets: Primary prevention of cardiovascular disease in different regions of Sweden," Health Policy, Elsevier, vol. 75(2), pages 214-229, January.
    11. John Bone & Paolo Crosetto & John D Hey & Carmen Pasca, 2013. "Chance versus choice: eliciting attitudes to fair compensations," Discussion Papers 13/15, Department of Economics, University of York.
    12. 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.
    13. Monnickendam, Menachem & Monnickendam, Shlomo M. & Katz, Chana & Katan, Joseph, 2007. "Health care for the poor--An exploration of primary-care physicians' perceptions of poor patients and of their helping behaviors," Social Science & Medicine, Elsevier, vol. 64(7), pages 1463-1474, April.
    14. 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.
    15. 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.
    16. Hansen, Fredrik & Anell, Anders & Gerdtham, Ulf-G & Lyttkens, Carl Hampus, 2013. "The Future of Health Economics: The Potential of Behavioral and Experimental Economics," Working Papers 2013:20, Lund University, Department of Economics.
    17. Samuel Shillcutt & Damian Walker & Catherine Goodman & Anne Mills, 2009. "Cost Effectiveness in Low- and Middle-Income Countries," PharmacoEconomics, Springer, vol. 27(11), pages 903-917, November.
    18. Richardson, Jeff & McKie, John, 2007. "Economic evaluation of services for a National Health Scheme: The case for a fairness-based framework," Journal of Health Economics, Elsevier, vol. 26(4), pages 785-799, July.
    19. Anke Gerber & Andreas Nicklisch & Stefan Voigt, 2013. "Strategic Choices for Redistribution and the Veil of Ignorance: Theory and Experimental Evidence," CESifo Working Paper Series 4423, CESifo Group Munich.
    20. Fredrik Andersson & Carl Hampus Lyttkens, 2000. "Uncertainty aversion-a reply to Oliver," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 257-259.

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