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  • Greg Bognar (a1)
  • DOI:
  • Published online: 01 July 2008

Some empirical findings seem to show that people value health benefits differently depending on the age of the beneficiary. Health economists and philosophers have offered justifications for these preferences on grounds of both efficiency and equity. In this paper, I examine the most prominent examples of both sorts of justification: the defence of age-weighting in the WHO's global burden of disease studies and the fair innings argument. I argue that neither sort of justification has been worked out in satisfactory form: age should not be taken into account in the framework of the burden of disease measure, and on the most promising formulations of the fair innings argument, it turns out to be merely an indicator of some other factor. I conclude by describing the role of age in theories of justice of healthcare resource allocation.

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J. J. V. Busschbach , D. J. Hessing and F. Th. de Charro . 1993. The utility of health at different stages in life: A quantitative approach. Social Science and Medicine 37, 153–8.

M. L. Cropper , S. K. Aydede and P. R. Portney . 1994. Preferences for life saving programs: How the public discounts time and age. Journal of Risk and Uncertainty 8, 243–65.

J. Harris 1985. The value of life. London: Routledge & Kegan Paul.

D. M. Hausman 2007. What's wrong with health inequalities? Journal of Political Philosophy 15, 4666.

M. Johannesson and P.-O. Johansson . 1997. Is the valuation of a QALY gained independent of age? Some empirical evidence. Journal of Health Economics 16, 589–99.

M. Johri , L. J. Damschroder , B. J. Zikmund-Fisher and P. A. Ubel . 2005. The importance of age in allocating health care resources: Does intervention-type matter? Health Economics 14, 669–78.

K. Kappel and P. Sandøe . 1992. QALYs, age and fairness. Bioethics 6, 297316.

P. A. Lewis and M. Charny . 1989. Which of two individuals do you treat when only their ages are different and you can't treat both? Journal of Medical Ethics 15, 2832.

J. McMahan 2002. The ethics of killing: Problems at the margins of life. Oxford: Oxford University Press.

C. J. L. Murray and A. K. Acharya . 1997. Understanding DALYs. Journal of Health Economics 16, 703–30.

E. Nord , A. Street , J. Richardson , H. Kuhse and P. Singer . 1996. The significance of age and duration of effect in social evaluation of health care. Health Care Analysis 4, 103–11.

E. Rodríguez , and J. L. Pinto . 2000. The social value of health programs: is age a relevant factor? Health Economics 9, 611–21.

A. Tsuchiya 1999. Age-related preferences and age weighting health benefits. Social Science and Medicine 48, 267–76.

A. Tsuchiya , P. Dolan and R. Shaw . 2003. Measuring people's preferences regarding ageism in health: some methodological issues and some fresh evidence. Social Science and Medicine 57, 687–96.

A. Williams 1997. Intergenerational equity: an exploration of the ‘Fair Innings’ argument. Health Economics 6, 117–32.

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Economics & Philosophy
  • ISSN: 0266-2671
  • EISSN: 1474-0028
  • URL: /core/journals/economics-and-philosophy
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