Skip to main content

CBA, Utilitarianism, and Reliance upon Intuitions

  • Chapter
The Price of Health

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

Abstract

In the present essay, I explore the relationship between cost-benefit analysis (CBA) and utilitarianism. I find that CBA receives its greatest theoretical support from utilitarianism. In fact, it is nearly identical to one form of that ethical theory and shares with utilitarianism the ideal of replacing reliance on intuitive judgments with reliance on calculative rationality. At the same time, however, CBA suffers from some of the weaknesses of utilitarianism, which render it unreliable as an analytic tool. While modifications to CBA address some of these weaknesses, they virtually abandon the original ideal of replacing intuitions with calculations, because the modifications can be justified and employed only through the use of intuitions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  1. Bailey, M. J.: 1980, Reducing Risks to Life, American Enterprise Institute, Washington, D.C.

    Google Scholar 

  2. Bentham, J.: 1948, The Principles of Morals and Legislation, Hafner, New York.

    Google Scholar 

  3. Boulding, K. E.: 1969, ‘Economics as a Moral Science’, American Economic Review 59,1–12.

    Google Scholar 

  4. Boyle, A. R.: 1983, Acid Rain, Nick Lyons, New York.

    Google Scholar 

  5. Elliot, M. W. and Beauchamp, T. L.: 1983, ‘Marketing Infant Formula’, in T. L. Beauchamp (ed.), Case Studies in Business, Society and Ethics, Prentice-Hall, Englewood Cliffs, New Jersey, pp. 221–233.

    Google Scholar 

  6. Freeman, A. M. III.: 1979, The Benefits of Environmental Improvement, John Hopkins University Press, Baltimore, Maryland.

    Google Scholar 

  7. Freeman, A. M. III.: 1982, ‘The Ethical Basis of the Economic View of the Environment’, unpublished manuscript prepared for the Sixth Morris Colloquium, Boulder, Colorado.

    Google Scholar 

  8. Hare, R. M.: 1980, ‘Justice and Equality’, in J. Sterba (ed.), Justice, Wadsworth, Belmont, California, pp. 105–119.

    Google Scholar 

  9. Hare, R. M.: 1981, Moral Thinking: Its Levels, Method and Point, Oxford University Press, Oxford.

    Google Scholar 

  10. Harsanyi, J.: 1977, ‘Morality and the Theory of Rational Behavior’, Social Research 44, 623–656.

    Google Scholar 

  11. The Hastings Center: 1980, ‘Appendix D: Values, Ethics, and CBA in Health Care’, in Office of Technology Assessment, U.S. Congress, The Implications of Cost-Effectiveness Analysis of Medical Technology, U.S. Government Printing Office, Washington, D.C., pp. 168–182.

    Google Scholar 

  12. Hicks, J. R.: 1939, ‘The Foundation of Welfare Economics’, Economic Journal 49,696–712.

    Article  Google Scholar 

  13. Institute of Medicine: 1981, Cost of Environment-Related Health Effects: A Plan for Continuing Study, National Academy Press, Washington, D.C.

    Google Scholar 

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

    Article  Google Scholar 

  15. Layard, R.: 1972, Cost-Benefit Analysis, Penguin Books, Middlesex, England.

    Google Scholar 

  16. Mishan, E. J.: 1971, Elements of Cost-Benefit Analysis, Allen and Unwin, London.

    Google Scholar 

  17. Muller, A. and Reutzel, T.: 1984, ‘Willingness to Pay for Reduction in Fatality Risk’, American Journal ofPublic Health 74, 808–812.

    Article  Google Scholar 

  18. Molander, E. A.: 1984, ‘Abbott Laboratories Puts Restraints on Marketing Infant Formula in the Third World’, in T. Donaldson (ed.), Case Studies in Business Ethics, Prentice-Hall, Englewood Cliffs, New Jersey, pp. 189–211.

    Google Scholar 

  19. Nozick, R.: 1974, Anarchy, State and Utopia, Basic Books, New York.

    Google Scholar 

  20. Prest, A. R., and Turvey, R.: 1965, ‘Cost-Benefit Analysis: A Survey’, Economic Journal 75, 683.

    Article  Google Scholar 

  21. Sagoff, M.: 1984, ‘Ethics and Economics in Environmental Law’, in T. Regan (ed.), Earthbound, Random House, New York, pp. 147–178.

    Google Scholar 

  22. Singer, P.: 1974, ‘Sidgwick and Reflective Equilibrium’, The Monist 58, 490–517.

    Google Scholar 

  23. Smart, J. J. C.: 1967, ‘Extreme and Restricted Utilitarianism’, in P. Foot (ed.), Theories of Ethics, Oxford University Press, New York.

    Google Scholar 

  24. Vonnegut, K., Jr.: 1952, Player Piano, Dell, New York.

    Google Scholar 

  25. Wenz, P. S.: Environmental Justice, unpublished manuscript.

    Google Scholar 

  26. Weinstein, M. C. and Stason, W. B.: 1977, ‘Foundations of Cost-Effectiveness Analysis for Health and Medical Practices’, New England Journal of Medicine 296, 716–21.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 D. Reidel Publishing Company

About this chapter

Cite this chapter

Wenz, P.S. (1986). CBA, Utilitarianism, and Reliance upon Intuitions. 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_4

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-4704-7_4

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8592-2

  • Online ISBN: 978-94-009-4704-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics