Indirect Costs and Discounting in Health Care Decision-Making: The Role of Distortionary Taxation

IF 1.1 4区 经济学 Q3 ECONOMICS
Liu Liqun, J. RettenmaierAndrew, R. SavingThomas
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引用次数: 4

Abstract

Two important unresolved issues in the evaluation of health care programs are the treatment of indirect costs and the selection of the appropriate discount rate. This paper emphasizes the role of distortionary taxation in addressing these issues. It establishes that: (i) indirect government-paid costs should be treated differently from indirect privately-paid costs; (ii) direct and indirect government costs of a health program should be discounted by the gross rate of return, while consumers' monetary valuations of the program's effects, less direct private costs, should be discounted at the net rate of return; and (iii) the present value of total government costs should be multiplied by a marginal cost of funds before it is comparable to the present value of net private benefits.
医疗保健决策中的间接成本和贴现:扭曲性税收的作用
在医疗保健计划的评估中,两个重要的未解决的问题是间接成本的处理和适当贴现率的选择。本文强调了扭曲性税收在解决这些问题中的作用。它规定:(i)应区别对待政府支付的间接费用和私人支付的间接费用;(ii)卫生方案的直接和间接政府成本应按总回报率折现,而消费者对方案效果的货币估值减去直接私人成本后,应按净回报率折现;(iii)政府总成本的现值应乘以边际资金成本,才能与私人净收益的现值相媲美。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.50
自引率
11.10%
发文量
33
期刊介绍: The B.E. Journal of Economic Analysis & Policy welcomes submissions that employ microeconomics to analyze issues in business, consumer behavior, and public policy. We aim to be an international forum for scholarship, whether the scholarship considers an issue that is general or that pertains to a particular country or region, but authors should bear in mind that our readers come from around the world. Potential issues of interest include: the interaction of firms, the functioning of markets, the effects of domestic and international policy, and the design of organizations and institutions.
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