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来源类型Working Paper
规范类型报告
DOI10.3386/w13333
来源IDWorking Paper 13333
The Value of Life Near its End and Terminal Care
Gary Becker; Kevin Murphy; Tomas Philipson
发表日期2007-08-21
出版年2007
语种英语
摘要Medical care at the end of life, which is often is estimated to contribute up to a quarter of US health care spending, often encounters skepticism from payers and policy makers who question its high cost and often minimal health benefits. It seems generally agreed upon that medical resources are being wasted on excessive care for end-of-life treatments that often only prolong minimally an already frail life. However, though many observers have claimed that such spending is often irrational and wasteful, little explicit and systematic analysis exists on the incentives that determine end of life health care spending. There exists no positive theory that attempts to explain the high degree of end-of life spending and why differences across individuals, populations, or time occur in such spending. This paper attempts to provide the first rational and systematic analysis of the incentives behind end of life care. The main argument we make is that existing estimates of the value of a life year do not apply to the valuation of life at the end of life. We stress the low opportunity cost of medical spending near ones death, the importance of keeping hope alive in a terminal care setting, the larger social value of a life than estimated in private demand settings, as well as the insignificance in quality of life in lowering its value. We derive how an ex-ante perspective in terms of insurance and R&D alters some of these conclusions.
主题Health, Education, and Welfare ; Health ; Poverty and Wellbeing ; Labor Economics
URLhttps://www.nber.org/papers/w13333
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/571003
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Gary Becker,Kevin Murphy,Tomas Philipson. The Value of Life Near its End and Terminal Care. 2007.
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