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When should expenditure per life saved vary?

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  • Joakim Ramsberg

Abstract

Huge variations in expenditure per life saved have been documented in the USA, Sweden, and Japan. Using an original-position argument, this paper examines normative rationales that might permit departures from equalization of marginal lifesaving investments. The conclusion is that adjustment for identifiability, as reflected in strict benefit-cost analysis, is not justified yet adjustments for consideration of longevity, quality of life and productivity are compelling. It is less clear as to whether factors such as ability to pay, voluntariness and catastrophic potential should influence lifesaving expenditures.

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  • Joakim Ramsberg, 2002. "When should expenditure per life saved vary?," Journal of Risk Research, Taylor & Francis Journals, vol. 5(3), pages 249-263, July.
    • Handle: RePEc:taf:jriskr:v:5:y:2002:i:3:p:249-263
    DOI: 10.1080/13669870210122705
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    1. Drummond, Michael & Torrance, George & Mason, James, 1993. "Cost-effectiveness league tables: More harm than good?," Social Science & Medicine, Elsevier, vol. 37(1), pages 33-40, July.
    2. Hahn, Robert W. (ed.), 1996. "Risks, Costs, and Lives Saved: Getting Better Results from Regulation," OUP Catalogue, Oxford University Press, number 9780195211740.
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    Cited by:

    1. Hokstad, Per & Steiro, Trygve, 2006. "Overall strategy for risk evaluation and priority setting of risk regulations," Reliability Engineering and System Safety, Elsevier, vol. 91(1), pages 100-111.

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