Department of Comparative Politics, University of Bergen, Bergen, Norway.
Department of Comparative Politics, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
HEC Forum. 2022 Jun;34(2):115-138. doi: 10.1007/s10730-020-09430-8. Epub 2020 Nov 29.
The objective of this article is to explore people's attitudes toward responsibility in the allocation of public health care resources. Special attention is paid to conceptualizations of responsibility involving blame and sanctions. A representative sample of the Norwegian population was asked about various responsibility mechanisms that have been proposed in the theoretical literature on health care and personal responsibility, from denial of treatment to a tax on unhealthy consumer goods. Survey experiments were employed to study treatment effects, such as whether fairness considerations affect attitudes about responsibility. We find that, overall, a substantial minority of the respondents find it fair to let the health care system sanction people-in one way or another-for voluntary behaviors that increase the risk of becoming ill. Quite surprisingly, we find that people are more prone to report that they should themselves be held responsible for unhealthy lifestyles than others.
本文旨在探讨人们对公共卫生保健资源分配中责任的态度。特别关注涉及责备和制裁的责任概念化。我们向挪威代表性人口样本询问了各种责任机制，这些机制在医疗保健和个人责任的理论文献中都有提出，从拒绝治疗到对不健康的消费品征税。我们采用调查实验来研究治疗效果，例如公平考虑是否会影响对责任的态度。我们发现，总体而言，相当一部分受访者认为让医疗系统以某种方式制裁那些会增加患病风险的自愿行为的人是公平的。令人惊讶的是，我们发现人们更倾向于认为自己应该对不健康的生活方式负责，而不是其他人。
