Eliciting Stated Preferences: An Application to Willingness to Pay for Longevity

The economic analysis of many health policies requires evaluation of the benefits of programs that may prolong human lives. This article contributes to the development of credible values for longevity, demonstrating the feasibility of applying stated-preference market-research techniques to a new area of preference revelation and framing the problem as extending longevity under realistic health states associated with advanced age. Respondents to the authors' stated-preference survey clearly indicated that quality of life affects the value of quantity of life. The results demonstrate the sensitivity of life-extension values to specific health and activity-limitation conditions. The article also discusses problems that remain to be solved before valid and reliable longevity values can be obtained.

[1]  Glenn C. Blomquist,et al.  Value of Life Saving: Implications of Consumption Activity , 1979, Journal of Political Economy.

[2]  E. Mishan Evaluation of Life and Limb: A Theoretical Approach , 1971, Journal of Political Economy.

[3]  Thomas C. Schelling,et al.  The Life you Save May Be Your Own , 1968 .

[4]  M. Johannesson,et al.  Willingness to pay for antihypertensive therapy--further results. , 1993, Journal of health economics.

[5]  J. Hausman,et al.  Contingent Valuation: Is Some Number Better than No Number? , 1994 .

[6]  W. Michael Hanemann,et al.  Valuing the Environment through Contingent Valuation , 1994 .

[7]  Anna Norinder,et al.  Valuing the Benefits of Reducing the Risk of Non-Fatal Road Injuries: The Swedish Experience , 1995 .

[8]  Maureen L. Cropper,et al.  The effect of information on health risk valuations , 1992 .

[9]  Philippe Cattin,et al.  Commercial Use of Conjoint Analysis: An Update , 1989 .

[10]  Michael J. Moore,et al.  Rates of time preference and valuations of the duration of life , 1989 .

[11]  V.Kerry Smith,et al.  The role of site and job characteristics in hedonic wage models , 1983 .

[12]  R. S. Rosomoff,et al.  The life you save may be your own. , 1996, The Clinical journal of pain.

[13]  M. Hammerton,et al.  THE VALUE OF SAFETY: RESULTS OF A NATIONAL SAMPLE SURVEY. IN: URBAN TRANSPORT , 1985 .

[14]  J. Louviere,et al.  Combining Revealed and Stated Preference Methods for Valuing Environmental Amenities , 1994 .

[15]  J. Ratcliffe,et al.  Using willingness to pay to value alternative models of antenatal care. , 1997, Social science & medicine.

[16]  Jon Strand,et al.  Willingness to pay for environmental goods in Norway: A contingent valuation study with real payment , 1990 .

[17]  Robert Cameron Mitchell,et al.  Using Surveys to Value Public Goods: The Contingent Valuation Method , 1989 .

[18]  John D. Leeth,et al.  Compensating wage differentials for fatal injury risk in Australia, Japan, and the United States , 1991 .

[19]  Alan E. Dillingham THE INFLUENCE OF RISK VARIABLE DEFINITION ON VALUE-OF-LIFE ESTIMATES , 1985 .

[20]  Mary Jo Kealy,et al.  Reliability and predictive validity of contingent values: Does the nature of the good matter? , 1990 .

[21]  William H. Desvousges,et al.  Estimating Stated Preferences with Rated-Pair Data: Environmental, Health, and Employment Effects of Energy Programs , 1997 .

[22]  D. Wittink,et al.  Commercial Use of Conjoint Analysis: A Survey , 1982 .

[23]  Robert M. Kaplan,et al.  The Quality of Well-being Scale: rationale for a single quality of life index , 1993 .

[24]  T. McDaniels,et al.  Reference points, loss aversion, and contingent values for auto safety , 1992 .

[25]  Daniel A. Graham,et al.  Cost-Benefit Analysis Under Uncertainty , 1977 .

[26]  C. Propper The Disutility of Time Spent on the United Kingdom's National Health Service Waiting Lists , 1995 .

[27]  Robert S. Smith,et al.  The Feasibility of an “Injury Tax” Approach to Occupational Safety , 1974 .

[28]  Scott E. Atkinson,et al.  THE VALUATION OF RISKS TO LIFE : EVIDENCE FROM THE MARKET FOR AUTOMOBILES , 1990 .

[29]  E. P. Seskin,et al.  The economic value of life: linking theory to practice. , 1982, American journal of public health.

[30]  A. Tversky,et al.  Judgment under Uncertainty: Heuristics and Biases , 1974, Science.

[31]  G. Chakraborty,et al.  Understanding consumers' preferences for dental service. , 1993, Journal of health care marketing.

[32]  Daniel M. Violette,et al.  The value of reducing risks of death: A note on new evidence , 1989 .

[33]  M Ryan,et al.  Using conjoint analysis to assess women's preferences for miscarriage management. , 1997, Health economics.

[34]  Joel Huber,et al.  Pricing environmental health risks: survey assessments of risk-risk and risk-dollar trade-offs for chronic bronchitis☆ , 1991 .

[35]  Michael J. Moore,et al.  The Quantity-Adjusted Value of Life , 1988 .

[36]  J. Lubitz,et al.  Trends in Medicare payments in the last year of life. , 1993, The New England journal of medicine.

[37]  Paul R. Portney,et al.  The Contingent Valuation Debate: Why Economists Should Care , 1994 .

[38]  S. Gerking,et al.  Perceived Risk and the Marginal Value of Safety , 1991 .

[39]  B. Fischhoff,et al.  Rating the Risks , 1979 .

[40]  J. Payne,et al.  How People Respond to Contingent Valuation Questions: A Verbal Protocol Analysis of Willingness to Pay for an Environmental Regulation , 1994 .