Viscusi W Kip
University Distinguished Professor of Law, Economics, and Management Vanderbilt Law School Nashville Tennessee USA.
South Econ J. 2021 Apr;87(4):1064-1089. doi: 10.1002/soej.12492. Epub 2021 Mar 4.
The COVID-19 pandemic poses novel health issues. However, the benefits and costs of the pandemic and policies to address it have a familiar economic structure. Chief among the health-related benefits are the monetized values of the U.S. mortality costs of $3.9 trillion in 2020. The combined U.S. mortality and morbidity costs are $5.5-5.9 trillion. Global mortality costs in 2020 total $10.1 trillion. The skewed age distribution of COVID-19 illnesses has stimulated increased advocacy of downward adjustments in the value of a statistical life (VSL) for older people. This article examines the role of age for policy analysis generally and for the rationing of scarce medical treatments, such as ventilators. Mortality risk reduction benefits should be based on the reduced probability of death multiplied by the pertinent VSL. Effective communication of risks to foster precautions hinges on the credibility of the information source, which public officials have jeopardized. Efficient control of risks imposes limits on personal freedoms to foster health improvements.
新冠疫情带来了新的健康问题。然而,疫情及其应对政策的收益和成本具有常见的经济结构。与健康相关的主要收益是2020年美国死亡成本的货币化价值,达3.9万亿美元。美国死亡和发病成本总计5.5 - 5.9万亿美元。2020年全球死亡成本总计10.1万亿美元。新冠疾病的年龄分布不均衡,促使人们加大了对降低老年人统计生命价值(VSL)的倡导力度。本文探讨了年龄在一般政策分析以及稀缺医疗资源(如呼吸机)分配中的作用。降低死亡风险的益处应基于死亡概率的降低乘以相关的统计生命价值。有效传达风险以促进预防措施,取决于信息来源的可信度,而政府官员已损害了这种可信度。有效控制风险对个人自由施加限制以促进健康改善。