Implications of Arrow's theorem Arrow's theorem suggests it does not make sense to speak of an "optimal"health policy for a country because societies may not have preferences that can be optimized in the traditional sense. Nevertheless,political decisions do get made and various national health policies have emerged. We will assess these policies by analyzing how well they meet three broad goals:health,wealth,and equity. These assessments cannot reveal which policies are "optimal,"but they allow us to study the tradeoffs inherent in health policy. Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics Implications of Arrow’s theorem Arrow’s theorem suggests it does not make sense to speak of an “optimal” health policy for a country because societies may not have preferences that can be optimized in the traditional sense. Nevertheless, political decisions do get made and various national health policies have emerged. • We will assess these policies by analyzing how well they meet three broad goals: health, wealth, and equity. • These assessments cannot reveal which policies are “optimal,” but they allow us to study the tradeoffs inherent in health policy
THE HEALTH POLICY TRILEMMA Ch 15 The health policy conundrum
Ch 15 | The health policy conundrum THE HEALTH POLICY TRILEMMA
The health policy trilemma Nations have three broad goals in mind when designing health policy Any attempt by a nation to move closer to one of these three goals Health Wealth necessarily involves a tradeoff that moves that nation further away from another goal. Equity For example,any hypothetical policy that combats adverse selection and increases equity would either increase costs or lower health for some. Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics The health policy trilemma Nations have three broad goals in mind when designing health policy Any attempt by a nation to move closer to one of these three goals necessarily involves a tradeoff that moves that nation further away from another goal. • For example, any hypothetical policy that combats adverse selection and increases equity would either increase costs or lower health for some
The health policy trilemma Oh,No sir.…This is There will always Strictly on the House be tradeoffs,so there will never be a perfect health care system where all three goals are maximized. Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics The health policy trilemma There will always be tradeoffs, so there will never be a perfect health care system where all three goals are maximized
The health policy trilemma Furthermore,people disagree about how important each of these three is. Some countries value social equity very highly,and are willing to pay Health Wealth more in taxes to achieve it. Others place a higher value on Equity health,and are willing to tolerate more moral hazard or monopoly pricing to secure it. Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics The health policy trilemma Furthermore, people disagree about how important each of these three is. Some countries value social equity very highly, and are willing to pay more in taxes to achieve it. Others place a higher value on health, and are willing to tolerate more moral hazard or monopoly pricing to secure it