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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w13333 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w13333 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/571003 |
推荐引用方式 GB/T 7714 | Gary Becker,Kevin Murphy,Tomas Philipson. The Value of Life Near its End and Terminal Care. 2007. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w13333.pdf(156KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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