Viscusi W Kip
Vanderbilt Law School, 131 21st Ave. South, Nashville, TN 37203 USA.
J Risk Uncertain. 2020;61(2):101-128. doi: 10.1007/s11166-020-09337-2. Epub 2020 Nov 2.
Policies to address the coronavirus disease 2019 (COVID-19) require a balancing of the health risk reductions and the costs of economic dislocations. Application of the value of a statistical life (VSL) to monetize COVID-19 deaths produces a U.S. mortality cost estimate of $1.4 trillion for deaths in the first half of 2020. This article presents worldwide COVID-19 costs for over 100 countries. The total global mortality cost through July 2, 2020 is $3.5 trillion. The United States accounts for 25% of the deaths, but 41% of the mortality cost. Adjustments for the shorter life expectancy and lower income of the victims substantially reduces the estimated monetized losses, but may raise fundamental equity concerns. Morbidity effects of COVID-19 affect many more patients than do the disease's mortality risks. Consideration of the morbidity effects increase the expected health losses associated with COVID-19 illnesses by 10% to 40%.
应对2019年冠状病毒病(COVID-19)的政策需要在降低健康风险与经济混乱成本之间取得平衡。应用统计生命价值(VSL)来将COVID-19死亡进行货币化,得出2020年上半年美国因死亡产生的死亡率成本估计为1.4万亿美元。本文介绍了100多个国家的全球COVID-19成本。截至2020年7月2日,全球总死亡率成本为3.5万亿美元。美国占死亡人数的25%,但占死亡率成本的41%。对受害者预期寿命较短和收入较低的调整大幅降低了估计的货币化损失,但可能引发基本的公平问题。COVID-19的发病影响比该疾病的死亡风险影响的患者要多得多。考虑发病影响会使与COVID-19疾病相关的预期健康损失增加10%至40%。