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Economics and the Allocation of Resources to Improve Health

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The Price of Health

Part of the book series: Philosophy and Medicine ((PHME,volume 21))

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Abstract

This paper provides a review and critique of various ways in which economists have looked at the problem of allocating resources to health care. Three different perspectives that various economists have used at various times are considered: the so-called human capital view, that version of utilitarianism which leads to willingness to pay as the basis for life valuing, and cost-effectiveness analysis. My purpose is two-fold. First, I want to show that although all these ideas have been advanced within the same disciplinary tradition, they have quite different philosophical roots and justifications. They rely on and/or imply quite different views of the relationship between individuals and the state, and of the objectives at which the state is directed.

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Bibliography

  1. Arrow, K.: 1963, Social Choice and Individual Values, 2nd edition, Yale University Press, New York.

    Google Scholar 

  2. Bentham, J.: ‘The Psychology of Economic Man’, in W. Stark (ed.), Jeremy Bentham’s Economic Writings, Vol 3, George Allen and Ltd., London.

    Google Scholar 

  3. Bergson, A.: 1938, ‘A Reformulation of Certain Aspects of Welfare Economics’, Quarterly Journal of Economics 52, 310–334.

    Article  Google Scholar 

  4. Bergson, A.: 1966, ‘On Social Welfare Once More’, in Essays in Normative Economics, Harvard University Press, Cambridge, Massachusetts, pp. 51–90.

    Google Scholar 

  5. Bunker, J. et al. (eds.): 1977, Costs, Risks, and Benefits of Surgery, Oxford University Press, Oxford.

    Google Scholar 

  6. Cassel, G.: 1935, On Quantative Thinking in Economics, Oxford University Press, Oxford.

    Google Scholar 

  7. Dublin, L. I. and Lotka, A. J.: 1930, The Money Value ofa Man, Ronald Press, New York.

    Google Scholar 

  8. Dupuit, J.: 1952 ‘On The Measurement of the Utility of Public Works’, International Economic Papers 2, 83–110.

    Google Scholar 

  9. Fanshel, S. and Bush, J. W.: 1970, ‘A Health Status Index and its Application’, Operations Research 18, 1021–66.

    Article  Google Scholar 

  10. Farr, W.: 1853, ‘The Income and Property Tax’, Journal ofthe Statistical Society of London 16, 1–44.

    Article  Google Scholar 

  11. Fein, R.: 1972, ‘On Achieving Access and Equity in Health Care’, Milbank Memorial Fund Quarterly50, 157–190.

    Article  Google Scholar 

  12. Fisher, I.: 1927, ‘A Statistical Method for Measuring “Marginal Utility” and Testing the Justice of a Progressive Income Tax’, in Economic Essays in Honor of John Bates Clark, Macmillan and Co., New York.

    Google Scholar 

  13. Fisher, I.: 1930, The Theory of Interest, MacMillan and Co., New York.

    Google Scholar 

  14. Goldsmith, S.: 1972, ‘The Status of Health Status Indicators’, Health Services Reports 87, 213–20.

    Google Scholar 

  15. Graaff, J.: 1957, Theoretical Welfare Economics, Cambridge University Press, Cambridge.

    Google Scholar 

  16. Hicks, J.: 1940, ‘The Valuation of Social Income’, Economica New Series 7, 105–124.

    Google Scholar 

  17. Kaldor, N.: 1939, ‘Welfare Propositions of Economics and Interpersonal Comparisons of Utility’, Economic Journal 49; 549–552.

    Article  Google Scholar 

  18. Landy, M., et al.: Beyond Pluralism: Lessons for Government Policy Making From the Environmental Protection Agency, unpublished manuscript.

    Google Scholar 

  19. Lipsey, R. G. and Lancaster, K.: ‘Welfare Economics and the Theory of the Second Best’, Review of Economic Studies 24, 11–23.

    Google Scholar 

  20. Little, I. M. D.: 1950, Welfare Economics, Oxford University Press, Oxford.

    Google Scholar 

  21. Little, I. M. D.: 1953, The Prince of Fuel, Oxford University Press, Oxford.

    Google Scholar 

  22. MacIntyre, A.: 1981, After Virtue, University of Notre Dame Press, Notre Dame, Indiana.

    Google Scholar 

  23. Marshall, A.: 1890, Principles of Economics, MacMillan and Co., London.

    Google Scholar 

  24. Miller, J. E.: 1970, ‘An Indicator to Aid Management in Assigning Program Priorities’, Public Health Reports 85, 725–31.

    Article  Google Scholar 

  25. Mishan, E. J.: 1965, ‘A Survey of Welfare Economics 1939–1959’, in Surveys of Economic Theory 1, St. Martins, New York, pp. 154–222.

    Google Scholar 

  26. Mishan, E. J.: 1971, ‘Evaluation of Life and Limb: A Theoretical Approach’, Journal of Political Economy 79, 687–705.

    Article  Google Scholar 

  27. O’Donnell, T. F. et al.: 1980, ‘The Economic Impact of Acute Variceal Bleeding: Cost-Effectiveness Implications for Medical and Surgical Therapy’, Surgery 88, 693–701.

    Google Scholar 

  28. Pareto, V.: 1897, Cours d’Economic Politique Professé à la Université Lausanne, F. Rouge, Lausanne.

    Google Scholar 

  29. Petty, Sir W.: 1699, Political Arithmetick, Robert Clavael, London.

    Google Scholar 

  30. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: 1983, Securing Access to Health Care, Volume One: Report, U.S. Government Printing Office, Washington D.C.

    Google Scholar 

  31. Prest, A. R. and Turvey, R.: 1966, ‘Cost Benefit Analysis: A Survey’, in Surveys of Economic Theory 3, St. Martins Press, New York, pp. 155–207.

    Google Scholar 

  32. Rice, D.: 1967, ‘Estimating the Cost of Illness’, American Journal of Public Health 57, 424–440.

    Article  Google Scholar 

  33. Rice, D. and Cooper, E.: 1967, ‘The Economic Value of Human Life’, American Journal of Public Health 57, 1954–1956.

    Article  Google Scholar 

  34. Roberts, S. D. et al.: 1980, ‘Cost Effective Care of End Stage Renal Disease: A Billion Dollar Question’, Internal Medicine 92, 943–48.

    Google Scholar 

  35. Samuelson, P. A.: 1947, Foundations of Economic Analysis, Harvard University Press, Cambridge, Massachusetts.

    Google Scholar 

  36. Samuelson, P.: 1950, ‘Evaluation of Real National Income’, Oxford Economic Papers, New Series2, 1–40.

    Google Scholar 

  37. Sandel, M. J.: 1982, Liberalism and the Limits of Justice, Harvard University Press, Cambridge, Massachusetts.

    Google Scholar 

  38. Schelling, P. C.: 1968, ‘The Life you Save May be Your Own’, in S. B. Chase, Jr. (ed.), Problems in Public Expenditure Analysis, Brookings Institution, Washington, D.C., pp. 127–163.

    Google Scholar 

  39. Scitovsky, T.: 1941, ‘A Note on Welfare Propositions in Economics’, Review of Economic Studies 9, 77–88.

    Article  Google Scholar 

  40. Stokey, E. and Zeckhauser, R.: 1978, A Primer for Policy Analysis, W. W. Norton, New York.

    Google Scholar 

  41. Thaler and Rosen: 1976, ‘The Value of Saving a Life: Evidence from the Labor Market,’ in N. Terleckyz (ed.), NBER Studies in Income and Wealth, Number 40, Columbia University Press, New York.

    Google Scholar 

  42. Walzer, M.: 1983, Spheres of Justice, Basic Books, Inc., New York.

    Google Scholar 

  43. Wennberg, J. and Gittlesohn, A.: 1982, ‘Variations in Medical Care Among Small Areas’, Scientific American 246, 120–134.

    Article  Google Scholar 

  44. Wicksteed, P. H.: 1979, ‘The Scope and Method of Political Economy’, Economic Journal24, 1–23.

    Article  Google Scholar 

  45. Williams, B: 1985, Ethics and the Limits of Philosophy, Harvard University Press, Cambridge.

    Google Scholar 

  46. Zeckhauser, R. and Shepard, D.: 1976, ‘Where Now for Saving Lives’, Law and Contemporary Problems 40, 4–45.

    Article  Google Scholar 

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© 1986 D. Reidel Publishing Company

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Roberts, M.J. (1986). Economics and the Allocation of Resources to Improve Health. In: Agich, G.J., Begley, C.E. (eds) The Price of Health. Philosophy and Medicine, vol 21. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4704-7_1

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  • DOI: https://doi.org/10.1007/978-94-009-4704-7_1

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8592-2

  • Online ISBN: 978-94-009-4704-7

  • eBook Packages: Springer Book Archive

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