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Titolo:
DISCOUNTING THE FUTURE - INFLUENCE OF THE ECONOMIC-MODEL
Autore:
WEST RR;
Indirizzi:
UNIV WALES COLL MED,HEATH PK CARDIFF CF4 4XN S GLAM WALES
Titolo Testata:
Journal of epidemiology and community health
fascicolo: 3, volume: 50, anno: 1996,
pagine: 239 - 244
SICI:
0143-005X(1996)50:3<239:DTF-IO>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH;
Tipo documento:
Editorial Material
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
R.R. West, "DISCOUNTING THE FUTURE - INFLUENCE OF THE ECONOMIC-MODEL", Journal of epidemiology and community health, 50(3), 1996, pp. 239-244

Abstract

Objective - To consider the effect of the economic discount rate on health care policy and the rationale for discounting the collective future of society generally. Design - A review of the concept of discounting the future vis a vis the present from the points of view of individuals (who pass on) and of societies (that continue) and reconsideration of the application of discounting to typical public health scenarios. Setting - A public health service, within a basically stable society, which can reasonably anticipate a nearly certain future. Results - Discounting necessarily overvalues the ''here and now'' compared with the future. While applications of discount rates, typical of those employed in health economic studies in recent years, may seem rational inhealth care programmes directed at middle aged employed people, they do not for the young and the elderly, important recipients of health care. The consequences of discounting do not accord with the aims and objectives of public health. Conclusions - The ''time preferences'' of transient individuals within a stable society do not provide a rational basis for time preference of a stable society collectively. Discounting inevitably encourages ''short termism'' and hence biases public policy decision making. The neoclassical theory that gave rise to the concept of discounting requires revision.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 06:24:02