Skip to main content

Advertisement

Log in

Abstract

Pauly's analysis of the welfare effects of moral hazard assumes that consumption of health care does not increase with income, however, empirical evidence suggests it does. For health insurance contracts that pay off by reducing price, the income effect is represented by the additional health care consumed because of income transfers from those who remain healthy to those who become ill. This implies a different decomposition of demand than the standard Hicksian decomposition. When the effect of income transfers is removed, the price-related welfare loss is smaller than either the loss suggested by Pauly's analysis or a Hicksian decomposition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arrow, K. J. (1963). “Uncertainty and the Welfare Economics of Medical Care. ” American Economic Review 53, 941–973.

    Google Scholar 

  • Berk, M. L. and A. C. Monheit. (1992). “The Concentration of Health Expenditures: An Update. ” Health Affairs 11(5), Winter, 145–149.

    Google Scholar 

  • Blaug, M. (1985). Economic Theory in Retrospect, Fourth edition. Cambridge, UK: Cambridge University Press. de Meza, D. (1983).

    Google Scholar 

  • De Mesa D. (1983) “Health Insurance and the Demand for Medical Care. ” Journal of Health Economics 2(1), March, 47–54.

    Google Scholar 

  • Ehrlich, I. and G. S. B. (1972). “Market Insurance, Self-Insurance and Self-Protection. ” Journal of Political Economy 80, 623–648.

    Google Scholar 

  • Economic Report of the President: Transmitted to Congress February 1998. Washington, DC: U.S. Government Printing, 1998.

  • Feenberg, D. and J. Skinner. (1994), “The Risk and Duration of Catastrophic Health Care Expenditures. ” Review of Economics and Statistics 76, 333–347.

    Google Scholar 

  • Feldman R. and B. Dowd. (1991). “A New Estimate of the Welfare Loss of Excess Health Insurance. ” American Economic Review 81(1), March, 297–301.

    Google Scholar 

  • Feldstein, M. S. (1973). “The Welfare Loss of Excess Health Insurance. ” Journal of Political Economy 81, March/April 251–280.

    Google Scholar 

  • Feldstein, M. and B. Friedman. (1977). “Tax Subsidies, the Rational Demand for Insurance, and the Health Care Crisis. ” Journal of Public Economics 7, 155–178.

    Google Scholar 

  • Friedman, Milton. (1962). Price Theory: A Provisional Text. Chicago: Aldine Publishing Co.

    Google Scholar 

  • Hausman, J. A. (1981). “Exact Consumer's Surplus and Deadweight Loss. ” American Economic Review 71, 662–676.

    Google Scholar 

  • Hirshleifer, J. (1976). Price Theory and Applications. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Hicks, J. R. (1946). Value and Capital (2nd edition), Oxford: Clarendon Press.

    Google Scholar 

  • Lefkowitz, D. and A. Monheit. Health Insurance, Use of Health Services and Health Care Expenditures (AHCPR Pub. No. 92–0017). National Expenditure Survey Research Findings 12, Agency for Health Care Policy and Research. Rockville, MD: Public Health Service.

  • Manning, W. G., J. P. Newhouse, N. Duan, E. B. Keeler, A. Leibowitz and M. S. Marquis. (1987). “Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment. ” American Economic Review 77(3), June, 251–277.

    Google Scholar 

  • Manning, W. G. and M. S. Marquis. (1996). “Health Insurance: The Tradeoff Between Risk Pooling and Moral Hazard. ” Journal of Health Economics 15(5), October, 609–640.

    Google Scholar 

  • Manning, W. G. and M. S. Marquis. (2001). “Health Insurance: Tradeoffs Revisited. ” Journal of health Economics

  • Mishan, E. J. (1971). Cost-Benefit Analysis: An Introduction. New York: Praeger.

    Google Scholar 

  • Mishan, E. J. (1981). Introduction to Normative Economics. New York: Oxford.

    Google Scholar 

  • Newhouse, Joseph P. (1992). “Medical Care Costs: How Much Welfare Loss?” Journal of Economic Perspectives 6(3), Summer, 3–22.

    Google Scholar 

  • Nyman, J. A. (1991). “Costs, Technology, and Insurance in the Health Care Sector. ” Journal of Policy Analysis and Management 10(1), Winter, 106–111.

    Google Scholar 

  • Nyman, J. A. (1999a). “The Value of Health Insurance: The Access Motive. ” Journal of Health Economics 18(2), April, 141–152.

    Google Scholar 

  • Nyman, J. A. (1999b). “The Welfare Economics of Insurance Contracts that Pay Off by Reducing Price. ” Discussion Paper No. 308. Center for Economic Research, Department of Economics, University of Minnesota: Minneapolis, April.

    Google Scholar 

  • Nyman, J. A. (1999c). “The Economics of Moral Hazard Revisited. ” Journal of Health Economics 18(6), December, 811–824.

    Google Scholar 

  • O'Connell, J. F. (1982). Welfare Economics Theory. Boston: Auburn House.

    Google Scholar 

  • Parkin, D., A. McGuire and B. Yule. (1987). “Aggregate Health Care Expenditure and National Income: Is Health Care a Lusury Good? Journal of Health Economics 6(2), June, 111–127.

    Google Scholar 

  • Pauly, M. V. (1968). “The Economics of Moral Hazard: Comment. ” American Economic Review 3, 531–537

    Google Scholar 

  • Slutsky, E. E. (1952). “On the Theory of the Budget of the Consumer. ” Translated by Olga Ragusa and reprinted in Reading in Economic Theory. Homewood, IL: Irwin.

    Google Scholar 

  • Varian H. R., (1984). Microeconomics Analysis. New York: Norton.

    Google Scholar 

  • Viscusi, W. K. and W. N. Evans. (1990). “Utility Functions that Depend on Health Status: Estimates and Economic Implications. ” American' Economic Review 80, 353–374.

    Google Scholar 

  • Willing, R. D. (1976). “Consumer Surplus Without Apology, ” American Economic Review 66(4), September, 589–597.

    Google Scholar 

  • Zeckhauser, R. (1970). “Medical Insurance: ACase Study of the Tradeoff between Risk Spreading and Appropriate Incentives. ” Journal of Economic Theory 2, 10–26.

    Google Scholar 

  • Zweifel, P. and F. Breyer. (1997). Health Economics. New York: Oxford.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nyman, J.A., Maude-Griffin, R. The Welfare Economics of Moral Hazard. International Journal of Health Care Finance and Economics 1, 23–42 (2001). https://doi.org/10.1023/A:1011547904553

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1011547904553

Navigation