Welfarism vs. extra-welfarism.
'Extra-welfarism' has received some attention in health economics, yet there is little consensus on what distinguishes it from more conventional 'welfarist economics'. In this paper, we seek to identify the characteristics of each in order to make a systematic comparison of the ways in which they evaluate alternative social states. The focus, though this is not intended to be exclusive, is on health. Specifically, we highlight four areas in which the two schools differ: (i) the outcomes considered relevant in an evaluation; (ii) the sources of valuation of the relevant outcomes; (iii) the basis of weighting of relevant outcomes and (iv) interpersonal comparisons. We conclude that these differences are substantive.
Brouwer
Werner B F
WB
Department of Health Policy & Management and institute for Medical Technology Assessment, Erasmus MC, Rotterdam, The Netherlands. Brouwer@bmg.eur.nl
Culyer
Anthony J
AJ
van Exel
N Job A
NJ
Rutten
Frans F H
FF
D005060:Europe; D017059:Models, Econometric; D012946:Social Welfare / Q000191:economics*