Valuing life over the life cycle

IF 3.6 2区 经济学 Q1 ECONOMICS Journal of Health Economics Pub Date : 2024-01-01 Epub Date: 2023-12-01 DOI:10.1016/j.jhealeco.2023.102842
Pascal St-Amour
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Abstract

Adjusting the valuation of life along the (i) person-specific (age, health, wealth) and (ii) mortality risk-specific (beneficial or detrimental, temporary or permanent changes) dimensions is relevant in prioritizing healthcare interventions. These adjustments are provided by solving a life cycle model of consumption, leisure and health choices and the associated Hicksian variations for mortality changes. The calibrated model yields plausible Values of Life Year between 154K$ and 200K$ and Values of Statistical Life close to 6.0M$. The willingness to pay (WTP) and to accept (WTA) compensation are equal and symmetric for one-shot beneficial and detrimental changes in mortality risk. However, permanent, and expected longevity changes are both associated with larger willingness for gains, relative to losses, and larger WTA than WTP. Ageing lowers both variations via falling resources and health, lower marginal continuation utility of living and decreasing longevity returns of changes in mortality.

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重视生命甚于生命周期。
根据(i)个人特定(年龄、健康、财富)和(ii)死亡率风险特定(有益或有害、暂时或永久性变化)的维度调整生命的估值,与确定医疗保健干预措施的优先次序有关。这些调整是通过解决消费、休闲和健康选择的生命周期模型以及与死亡率变化相关的希克斯变量来提供的。校正后的模型得出的生命年值在15.4万美元至20万美元之间,统计寿命值接近600万美元。支付意愿(WTP)和接受补偿意愿(WTA)对于死亡率风险的一次性有益和有害变化是相等和对称的。然而,永久性和预期寿命变化都与更大的收益意愿(相对于损失)以及比WTP更大的WTA相关。老龄化通过资源和健康的下降降低了这两种变化,降低了生存的边际延续效用,降低了死亡率变化的寿命回报。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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