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The Limits of Cost-Benefit Analysis as a Guide to Priority-Setting in Rehabilitation

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  • John H. Noble JR

    (Brookings Institution)

Abstract

Policy makers and program managers concerned with targeting resources to meet the rehabilitation needs of the nation cannot rely on the backlog of 18 cost-benefit studies to decide among alternative kinds and amounts of investment. Overly simplistic forecasting of the future earnings of rehabilitants, the insufficiencies of data concerning the benefits and costs of rehabilitation, and the extreme sensitivity of the cost-benefit model's results to its untested underlying assumptions argue against priority-setting based on intuitively appealing class-specific calculations that appear to show greater rates of return for investments in some kinds of disabled persons over others. Until substantial upgrading of the state of the art along certain recommended lines takes place, the political process looks like the only sensible and fair way to approach choice and the assertion ofpriorities.

Suggested Citation

  • John H. Noble JR, 1977. "The Limits of Cost-Benefit Analysis as a Guide to Priority-Setting in Rehabilitation," Evaluation Review, , vol. 1(3), pages 347-380, August.
    • Handle: RePEc:sae:evarev:v:1:y:1977:i:3:p:347-380
    DOI: 10.1177/0193841X7700100301
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    References listed on IDEAS

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    1. Stephen A. Marglin, 1963. "The Social Rate of Discount and The Optimal Rate of Investment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 77(1), pages 95-111.
    2. Musgrave, Richard A, 1969. "Cost-Benefit Analysis and the Theory of Public Finance," Journal of Economic Literature, American Economic Association, vol. 7(3), pages 797-806, September.
    3. Nichols, Alan, 1969. "On the Social Rate of Discount: Comment," American Economic Review, American Economic Association, vol. 59(5), pages 909-911, December.
    4. J. Hirshleifer, 1966. "Investment Decision Under Uncertainty: Applications of the State-Preference Approach," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 80(2), pages 252-277.
    5. J. A. Seagraves, 1970. "More on the Social Rate of Discount," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 84(3), pages 430-450.
    6. Mishan, E J, 1971. "Evaluation of Life and Limb: A Theoretical Approach," Journal of Political Economy, University of Chicago Press, vol. 79(4), pages 687-705, July-Aug..
    7. B. F. Kiker, 1966. "The Historical Roots of the Concept of Human Capital," Journal of Political Economy, University of Chicago Press, vol. 74(5), pages 481-481.
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