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Consideration of Trade-offs Regarding COVID-19 Containment Measures in the United States: Implications for Canada

Author

Listed:
  • Mayvis Rebeira
  • Eric Nauenberg

Abstract

The economic stimulus package in the United States, which totaled $2.48 trillion, was designed to soften the economic impact of sweeping containment measures including shelter-in-place orders that were put in place to control the COVID-19 pandemic. In healthcare, interventions are rarely justified simply in terms of the number of lives saved but also in terms of a myriad of other trade-off factors including value-for-money or cost-effectiveness. The data suggest the incremental costs per life-year gained related to the economic shutdown can span a wide range depending on the baseline number of deaths in the absence of any containment measures. The results show that in the US, under no scenario for life-years gained does the stimulus package compare favourably to other healthcare interventions that have had favourable cost-effectiveness profiles. However, when comparing value-of-statistical-life-year (VSLY) threshold measures used in other sectors, it is plausible that the stimulus package could be viewed more favourably in the US.

Suggested Citation

  • Mayvis Rebeira & Eric Nauenberg, 2021. "Consideration of Trade-offs Regarding COVID-19 Containment Measures in the United States: Implications for Canada," Working Papers 210003, Canadian Centre for Health Economics.
  • Handle: RePEc:cch:wpaper:210003
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    References listed on IDEAS

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    1. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
    2. Ariizumi, Hideki & Schirle, Tammy, 2012. "Are recessions really good for your health? Evidence from Canada," Social Science & Medicine, Elsevier, vol. 74(8), pages 1224-1231.
    3. Alberini, Anna & Cropper, Maureen & Krupnick, Alan & Simon, N.B.Nathalie B., 2004. "Does the value of a statistical life vary with age and health status? Evidence from the US and Canada," Journal of Environmental Economics and Management, Elsevier, vol. 48(1), pages 769-792, July.
    4. Ha Dao & Luc Godbout & Pierre Fortin, 2014. "On the Importance of Taking End-of-Life Expenditures into Account when Projecting Health-Care Spending," Canadian Public Policy, University of Toronto Press, vol. 40(1), pages 45-56, March.
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    Keywords

    cost-effectiveness; economic stimulus; pandemic; COVID-19; trade-offs;
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