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Is more health always better? Exploring public preferences that violate monotonicity

Abásolo, I. and Tsuchiya, A. (2009) Is more health always better? Exploring public preferences that violate monotonicity. Working Paper. Department of Economics, University of Sheffield ISSN 1749-8368

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Abásolo and Tsuchiya (2004a) report on an empirical study to elicit public preferences regarding the efficiency-equality trade-off in health, where the majority of respondents violated monotonicity. The procedure used has been subject to criticisms regarding potential biases in the results. The aim of this paper is to analyse whether violation of monotonicity remains when a revised questionnaire is used. We test: whether monotonicity is violated when we allow for inequality neutral preferences and also if we allow for preferences that would reject any option which gives no health gain to one group; whether those who violate monotonicity actually have non-monotonic or Rawlsian preferences; whether the titration sequence of the original questionnaire may have biased the results; whether monotonicity is violated when an alternative question is administered. Finally, we also test for symmetry of preferences. The results confirm the evidence of the previous study regarding violation of monotonicity.

Item Type: Monograph (Working Paper)
Copyright, Publisher and Additional Information: The Sheffield Economics Research Paper (SERP) series offers a forum for the research output of the academic staff and research students of the Department of Economics, University of Sheffield. Papers are reviewed for quality and presentation by a departmental editor. However, the contents and opinions expressed remain the responsibility of the authors. All papers may be downloaded free on the understanding that the contents are preliminary and therefore permission from the author(s) should be sought before they are referenced.
Keywords: health related social welfare functions, monotonicity, Rawlsian, equality-efficiency trade-off
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Social Sciences (Sheffield) > Department of Economics (Sheffield) > Sheffield Economics Research Papers Series
Depositing User: Repository Officer
Date Deposited: 23 Oct 2009 13:54
Last Modified: 08 Feb 2013 16:59
Published Version: http://www.shef.ac.uk/economics/research/serps/yea...
Status: Published
Publisher: Department of Economics, University of Sheffield
Identification Number: Sheffield Economic Research Paper Series 2009014
URI: http://eprints.whiterose.ac.uk/id/eprint/10010

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