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Social Choice and Welfare

Erschienen in:

01.06.2014 | Original Paper

Fairness, freedom, and forgiveness in health care

verfasst von: Aitor Calo-Blanco

Erschienen in: Social Choice and Welfare | Ausgabe 1/2014

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Abstract

This paper focuses on the optimal allocation between health and lifestyle choices when society is concerned about forgiveness. Based on the idea of fresh starts, we construct a social ordering that permits us to make welfare assessments when it is acceptable to compensate individuals who have mismanaged their initial resources. Our social rule also allows for the inclusion of the fairness and responsibility approach in the model. Grounded on basic ethical principles, we propose the application of the minimax criterion to the existing distance between the individual’s final bundle and her ideal choice.

Vorheriger Artikel Health, fairness and taxation

Nächster Artikel On the informational basis of social choice with the evaluation of opportunity sets

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For instance, when society helps those people who want to go back to school or when a public health service treats all individuals who are in a bad health condition, regardless of their previous lifestyle.

Fleurbaey and Schokkaert (2009) list thoroughly what factors should be considered in health and health care as either legitimate or illegitimate sources of inequality.

See Fleurbaey and Schokkaert (2011) for a detailed justification of the use of the level of perfect health as the reference value.

It is worth remarking that both the HEC and the EIS follow this strategy too, albeit, as we have argued above, they are not suitable for a health model with forgiveness.

A group of objects \(a=(a_{i})_{i\in N}\) denotes a list such as \((a_{1},\ldots ,a_{i},\ldots ,a_{n})\).

If such a particular amount of resources does not exist, he proposes to use the lowest level of talent that would make an agent accept a null transfer instead of her current situation.

Østerdal (2005) and Hougaard et al. (2013) obtain some of their results using the idea of equal social gains. However, the axiom they use is different from the one we propose here. More precisely, they consider that “for any health distribution with a pair of individuals (\(j\) and \(k\)) at a given equal health state, a gain in life years for individual \(j\) is, in social terms, as equally good as a gain in life years for individual \(k\) for the same number of years”.

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Titel: Fairness, freedom, and forgiveness in health care
verfasst von: Aitor Calo-Blanco
Publikationsdatum: 01.06.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Choice and Welfare / Ausgabe 1/2014
Print ISSN: 0176-1714
Elektronische ISSN: 1432-217X
DOI: https://doi.org/10.1007/s00355-013-0774-7

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