Risky Behaviours and Responsibility-Sensitive Fairness in a Non Life-Threatening Health Case: A European Study
Risky behaviours are found to substantially increase medical and social costs and mortality. In this paper, we document the extent to which a sample of European students (from Denmark, France, Italy and Sweden) consider that individuals should assume the financial burden of paying the costs of risky behaviour. Using an empirical social choice methodology, we test in a positive manner the acceptability of different ways of financing costs due to ill-health more or less associated with risky behaviour in accordance with a normative framework relating to responsibility-sensitive fairness. We particularly check the sensitivity of our sample to responsibility in a health context with questions that make it possible to clearly distinguish between risky behaviour under an individual’s control and circumstances beyond the individual’s control. The health conditions chosen in this study are not life-threatening, but the specific disease varies in different parts of the survey. We find that the majority of students approve of responsibility-sensitive fairness but that the specific health context, the type of risky behaviours involved, and the framing all matter as determinants of the choices made by the individuals of our sample in the financing of health care. We also find that students’ nationality has a small influence.
|Date of creation:||Jun 2012|
|Date of revision:||Jun 2012|
|Contact details of provider:|| Postal: Avenue Raymond Dugrand, CS 79606, 34960 Montpellier Cedex 2|
Web page: http://www.lameta.univ-montp1.fr/
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Fleurbaey, Marc, 2012.
"Fairness, Responsibility, and Welfare,"
Oxford University Press, number 9780199653591, December.
- Cappelen, Alexander W. & Norheim, Ole Frithjof, 2006. "Responsibility, fairness and rationing in health care," Health Policy, Elsevier, vol. 76(3), pages 312-319, May.
- Wulf Gaertner & Lars Schwettmann, 2007. "Equity, Responsibility and the Cultural Dimension," Economica, London School of Economics and Political Science, vol. 74(296), pages 627-649, November.
- Viscusi, W. Kip & Hersch, Joni, 2008.
"The mortality cost to smokers,"
Journal of Health Economics,
Elsevier, vol. 27(4), pages 943-958, July.
- Bossert, Walter, 1995.
"Redistribution mechanisms based on individual characteristics,"
Mathematical Social Sciences,
Elsevier, vol. 29(1), pages 1-17, February.
- Bossert W., 1996. "Redistribution mechanisms based on individual characteristics," Mathematical Social Sciences, Elsevier, vol. 31(1), pages 51-51, February.
- Bossert, W., 1993. "Redistribution Mechanisms Based on Individual Characteristics," Working Papers 9307, University of Waterloo, Department of Economics.
- FLEURBAEY, Marc & SCHOKKAERT, Erik, .
"Unfair inequalities in health and health care,"
CORE Discussion Papers RP
2141, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- Schokkaert, Erik & Van de Voorde, Carine, 2004.
"Risk selection and the specification of the conventional risk adjustment formula,"
Journal of Health Economics,
Elsevier, vol. 23(6), pages 1237-1259, November.
- Erik SCHOKKAERT & Carine VAN DE VOORDE, 2000. "Risk Selection and the Specification of the Conventional Risk Adjustment Formula," Working Papers Department of Economics ces0011, KU Leuven, Faculty of Economics and Business, Department of Economics.
- Schokkaert, Erik & Capeau, Bart, 1991. "Interindividual Differences in Opinions about Distributive Justice," Kyklos, Wiley Blackwell, vol. 44(3), pages 325-45.
When requesting a correction, please mention this item's handle: RePEc:lam:wpaper:12-18. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Patricia Modat)
If references are entirely missing, you can add them using this form.