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"Unorthodox, troublesome, dangerous and disobedient": a feminist perspective on health economics, CHERE Discussion Paper No 33

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  • Jane Hall

    (CHERE, University of Technology, Sydney)

Abstract

Feminist theory has developed to explore the links between the social construction of scientific disciplines and the social construction of gender (Ferber and Nelson, 1993). The critique of economic theory is a more recent application of feminist theory. Many feminist economists have examined issues of gender bias within neoclassical economics. It is the aim of this discussion paper to outline this feminist critique of economics, particularly neoclassical economics, and to discuss its relevance to health economics. The feminist critique is relevant to health economics for a number of reasons. Health economics draws upon theories developed in other areas of economics such as finance and insurance, industrial organisation, labour and public finance. Therefore, many of the gender related criticisms applied to the discipline of economics can be extended to health economics. It is also relevant simply because women represent the main labour force within health , are the majority of unpaid producers of health care and health, and are the principal consumers of market provided health care. The paper examines how three key assumptions in neoclassical economics have been applied in health economics: the idea of the separative self, the single maximand and the benchmark of perfect competition. It is argued that while the idea of market failure is more central to health economics than to other areas of economics, these key assumptions are evident in the work of health economists, and have implications for androcentric bias in the sub-discipline. The implications of these assumptions are investigated for one of the major areas of work in health economics - that of economic evaluation of health care interventions.

Suggested Citation

  • Jane Hall, 1997. ""Unorthodox, troublesome, dangerous and disobedient": a feminist perspective on health economics, CHERE Discussion Paper No 33," Discussion Papers 33, CHERE, University of Technology, Sydney.
    • Handle: RePEc:her:chedps:33
    as

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    File URL: http://www.chere.uts.edu.au/pdf/dp33.pdf
    File Function: First version, 1997
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    References listed on IDEAS

    as
    1. Groenewegen, Peter D. & King, Susan, 1994. "Women as Producers of Economic Articles: A Statistical Assessment of the Nature and the Extent of Female Participation in Five British and North American Journals 1900-39," Working Papers 201, University of Sydney, School of Economics.
    2. Debreu, Gerard, 1991. "The Mathematization of Economic Theory," American Economic Review, American Economic Association, vol. 81(1), pages 1-7, March.
    3. Evans, R.G. & Stoddart, G.L., 1990. "Producing Health, Consuming Health Care," Centre for Health Services and Policy Research 90:13r, University of British Columbia - Centre for Health Services and Policy Research..
    4. R Evans & G Stoddart, 1990. "Producing Health, Consuming Health Care," Centre for Health Economics and Policy Analysis Working Paper Series 1990-06, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    5. Sugden, Robert, 1982. "On the Economics of Philanthropy," Economic Journal, Royal Economic Society, vol. 92(366), pages 341-350, June.
    6. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 34-58, Spring.
    7. Gwendolyn C. Morrison & Marlene Gyldmark, 1992. "Appraising the use of contingent valuation," Health Economics, John Wiley & Sons, Ltd., vol. 1(4), pages 233-243, December.
    8. repec:ucp:bknber:9780226740867 is not listed on IDEAS
    9. A Gafni, 1990. "Using Willingness-to-pay as a Measure of Benefits: What is the Relevant Question to Ask in the Context of Public Decision Making About Health Care Programs?," Centre for Health Economics and Policy Analysis Working Paper Series 1990-15, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    10. Woolley, Frances R, 1993. "The Feminist Challenge to Neoclassical Economics," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 17(4), pages 485-500, December.
    11. Evans, Robert G. & Stoddart, Gregory L., 1990. "Producing health, consuming health care," Social Science & Medicine, Elsevier, vol. 31(12), pages 1347-1363, January.
    12. Sen, Amartya, 1991. "Welfare, preference and freedom," Journal of Econometrics, Elsevier, vol. 50(1-2), pages 15-29, October.
    13. Ferber, Marianne A. & Nelson, Julie A. (ed.), 1993. "Beyond Economic Man," University of Chicago Press Economics Books, University of Chicago Press, edition 1, number 9780226242019, September.
    14. Stigler, George J & Becker, Gary S, 1977. "De Gustibus Non Est Disputandum," American Economic Review, American Economic Association, vol. 67(2), pages 76-90, March.
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    More about this item

    Keywords

    Feminist thoery; health economics;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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