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2. Health inequality and non-monotonicity of the health related social welfare function

Author

Dutta, Indranil

Subjects
*SOCIAL problems, *PUBLIC welfare policy, *SOCIAL science research, *MEDICAL economics, *ECONOMICS literature
Abstract

Abstract: In a recent paper in this journal Abasolo and Tsuchiya [Abasolo, I., Tsuchiya, A., 2004. Exploring social welfare functions and violation of monotonicity: an example from inequalities in health. Journal of Health Economics 23, 313–329] have strongly argued for the use of a non-monotonic health related social welfare function. This note discusses both the limitations of the measure proposed by Abasolo and Tsuchiya [Abasolo, I., Tsuchiya, A., 2004. Exploring social welfare functions and violation of monotonicity: an example from inequalities in health. Journal of Health Economics 23, 313–329] and the problems associated with their empirics. We are able to show how non-monotonicity may lead to paradoxical results and policies. Further we examine the empirics of Abasolo and Tsuchiya [Abasolo, I., Tsuchiya, A., 2004. Exploring social welfare functions and violation of monotonicity: an example from inequalities in health. Journal of Health Economics 23, 313–329] and provide an alternative explanation to the observed patterns in the data that do not violate monotonicity. Finally we briefly mention why the Atkinson-Sen framework may be more appropriate as a way forward. [Copyright &y& Elsevier]

Published
2007
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9. Health Inequality and Development:Achieving Better Health in Developing Countries

Author

Mark McGillivray, Indranil Dutta, David M. Lawson, McGillivray, Mark, Dutta, Indranil, and Lawson, David

Subjects
Economic growth, Labour Force Participation, media_common.quotation_subject, Longevity, Developing country, Health outcomes, Health Inequality, Child Nutrition, Health equity, Quantile regression, Child mortality, Quality of life (healthcare), Child Mortality, Life expectancy, Economics, Quantile Regression, Demography, media_common
Abstract

Throughout most of the last century there has been steady improvement in health outcomes. Among them are improvements in life expectancy, which has increased significantly across countries. On average people now live longer and healthier than even 50 years ago. Life expectancy improved globally from a lowly 48 years in 1955 to 68 years by 2005, and for a number of countries it currently exceeds 80 years (WHO 1996; UNDP 2007). This substantial increase in longevity has been coupled by a dramatic control of infectious diseases that has further improved the average quality of life. Despite this massive improvement in health outcomes there is a growing concern that disparities in health achievements are increasing. Consider the life expectancy for African females, which was 49 years in 1978 compared to the world average of 63. By 1998, the average life expectancy for females improved by six years, whereas in African countries it only increased by two years, thus widening the life expectancy gap (WHO 1999).

Published
2010

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