Congleton Roger D
West Virginia University, Morgantown, WV 26501 USA.
Public Choice. 2023;195(1-2):73-100. doi: 10.1007/s11127-021-00915-9. Epub 2021 Jul 1.
In the ordinary course of life, choices vary with age and other factors because one's opportunities vary with one's circumstances. Thus, investments in and expenditures on healthcare (and most other things) vary with age and a variety of other factors, including whether one lives in a rural area, suburb, or central city, health risks, risk aversion, and beliefs about the nature of a good life. Because assessment of the effects of illnesses vary with the same factors, the conclusions reached about best private and governmental health policies also tend to vary. This implies that conformity to "ideal" pandemic policies is more likely to be generated by a federal or polycentric system of policy making than a unitary system, especially ones that are constrained by a generality principle.
在日常生活中,选择会因年龄和其他因素而有所不同,因为一个人的机会会随其所处环境而变化。因此,在医疗保健(以及大多数其他方面)的投入和支出会因年龄以及各种其他因素而有所不同,这些因素包括一个人是生活在农村地区、郊区还是中心城市、健康风险、风险厌恶程度以及对美好生活本质的信念。由于对疾病影响的评估也会因同样的因素而有所不同,所以关于最佳私人和政府卫生政策得出的结论也往往会有所不同。这意味着,与“理想”的大流行政策保持一致,由联邦或多中心决策系统比单一系统更有可能实现,尤其是那些受一般性原则约束的系统。