Do taboo trade-offs explain the difficulty in valuing health and social interventions? |
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Authors: | Alan Shiell Daniel Sperber Carly Porat |
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Institution: | aUniversity of Calgary, Population Health Intervention Research Centre, Department of Community Health Sciences, 3330 Hospital Drive NW, Calgary, Alta., Canada T2N 4N1 |
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Abstract: | Persistent anomalies in the results of willingness to pay studies, despite improvements in measurement technique, challenge the assumption in economics that all sources of value are commensurable. Two sources of incommensurability have been identified: interdimensional incommensurability, which refers to the cognitive difficulty that people encounter when trying to assign a monetary value to health; and constitutive incommensurability, which arises when some forms of trade-off are regarded as ‘taboo’. In this paper we explore whether the notion of taboo trade-offs might explain some of the difficulties experienced in health-related willingness to pay studies. |
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Keywords: | Taboo trade-offs Willingness to pay Altruism Incommensurability Valuing health |
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