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A Contextualist Approach to Health Economics

A Contextualist Approach to Health Economics
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Year:    2021

Author:    Davis, John B., McMaster, Robert

Journal of Contextual Economics – Schmollers Jahrbuch, Vol. 141 (2021), Iss. 1-2 : pp. 129–147

Abstract

This paper departs from the standard abstract economics approach to health economics to develop a specifically contextualist approach to the subject emphasizing social and historical circumstances affecting health provision. Following Polanyi, it sees the economy as socially embedded and economic relationships as social relationships. The paper critically examines Grossman’s natural science utility maximization explanation of people’s demand for health and health care, and advances an alternative social science account using a two-way analysis between micro level social relationships and the macro level organization of health in society. Three significant trends affecting the future of health systems are discussed. The paper closes with comments on the influence of psychology in the form of behavioral economics on the future development of a contextualist approach to health economics.

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Journal Article Details

Publisher Name:    Global Science Press

Language:    English

DOI:    https://doi.org/10.3790/schm.141.1-2.129

Journal of Contextual Economics – Schmollers Jahrbuch, Vol. 141 (2021), Iss. 1-2 : pp. 129–147

Published online:    2021-01

AMS Subject Headings:    Duncker & Humblot

Copyright:    COPYRIGHT: © Global Science Press

Pages:    19

Keywords:    I12 A12 A13 Contextualism Polanyi Social Embeddedness Grossman Health Systems Behavioral Economics

Author Details

Davis, John B.

McMaster, Robert

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  125. Kahneman, D. and A. Tversky. 1979. “Prospect Theory: An Analysis of Decision under Risk.” Econometrica 47 (2): 263 – 92.  Google Scholar
  126. Krieger, N. 2012. “Who and What is a ‘Population’? Historical Debates, Current Controversies, and Implications for Understanding ‘Population Health’ and Rectifying Health Inequalities.” Milbank Quarterly 90 (4): 634 – 81.  Google Scholar
  127. Milanovic, B. 2016. Global Inequality: A New Approach for the Age of Globalization. Cambridge, MA: Belknap Press.  Google Scholar
  128. Mooney, G. 2009. Challenging Health Economics. Oxford: Oxford University Press.  Google Scholar
  129. Morgan, J. 2021. “Artificial Intelligence and the Challenge of Social Care in Aging Societies: Who or What Will Care for Us in the Future?” In Post Human Futures: Human Enhancement, Artificial Intelligence and Social Theory, edited by M. Carrigan and D. V. Porpora, 92 – 116. London: Routledge.  Google Scholar
  130. Polanyi, K. (1944) 2001. The Great Transformation: The Political and Economic Origins of Our Time. Boston: Beacon Press.  Google Scholar
  131. Singer, M. 2004. “The Social Origins and Expressions of Illness.” British Medical Bulletin 69 (1): 9 – 19.  Google Scholar
  132. Syme, S. L. 2007. “The Prevention of Disease and the Promotion of Health: The Need for a New Approach.” European Journal of Public Health 17 (4): 329 – 30.  Google Scholar
  133. Wade, D. T. and P. W. Halligan. 2004. “Do Biomedical Models of Illness Make for Good Healthcare Systems?” British Medical Journal 329 (7479): 1398 – 401.  Google Scholar
  134. Wilkinson, R. and K. Pickett. 2010. The Spirit Level: Why Equality is Better for Everyone. London: Penguin.  Google Scholar
  135. Wilkinson, R. and K. Pickett. 2019. The Inner Level: How More Equal Societies Reduce Stress, Restore Sanity and Improve Everyone’s Well-Being. London: Penguin.  Google Scholar
  136. World Health Organization. 2018. “World Health Statistics 2018.” Accessed December 2, 2020. https://www.who.int/docs/default-source/gho-documents/world-health-statistic-reports/6-june-18108-world-health-statistics-2018.pdf.  Google Scholar
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  138. Arrow, K. J. 1963. “Uncertainty and the Welfare Economics of Medical Care.” American Economic Review 53 (5): 941 – 73.  Google Scholar
  139. Boldyrev, I. and E. Svetlova, (eds.). 2016. Enacting the Dismal Science: New Perspectives on the Performativity of Economics. London: Palgrave Macmillan.  Google Scholar
  140. Davis, J. B. 2018. “Agent-Based Modeling’s Open Methodology Approach: Simulation, Reflexivity, and Abduction.” Oeconomia 8 (4): 509 – 29.  Google Scholar
  141. Davis, J. B. and R. McMaster. 2007. “The Individual in Mainstream Health Economics: A Case of Persona Non-grata.” Health Care Analysis 15 (3): 195 – 210.  Google Scholar
  142. Davis, J. B. and R. McMaster. 2015. “Situating Care in Mainstream Health Economics: An Ethical Dilemma?” Journal of Institutional Economics 11 (4): 749 – 67.  Google Scholar
  143. Davis, J. B. and R. McMaster. 2017. Health Care Economics. London: Routledge.  Google Scholar
  144. Deaton, A. 2013. The Great Escape: Health, Wealth, and the Origins of Inequality. Princeton: Princeton University Press.  Google Scholar
  145. Doyal, L. and I. Gough. 1991. A Theory of Human Needs. London: Palgrave Macmillan. Dugger, W. 1999. “Old Age Is an Institution.” Review of Social Economy 57 (1): 84 – 98.  Google Scholar
  146. Engel, G. L. 1977. “The Need for a New Medical Model: A Challenge for Biomedicine.” Science 196 (4286): 129 – 36. Freidson, E. 1970. Professional Dominance: The Social Structure of Medical Care. New York: Atherton Press.  Google Scholar
  147. Freidson, E. 1970. Professional Dominance: The Social Structure of Medical Care. New York: Transaction Publishers.  Google Scholar
  148. Gilbert, M. 2009. “Shared Intention and Personal Intentions.” Philosophical Studies 144 (1): 167 – 87.  Google Scholar
  149. Goldschmidt, N., E. Grimmer-Solem, and J. Zweynert. 2016. “On the Purpose and Aims of the Journal of Contextual Economics.” Schmollers Jahrbuch – Journal of Contextual Economics 136 (1): 1 – 14.  Google Scholar
  150. Groopman, J. 2007. How Doctors Think. Boston: Houghton Mifflin.  Google Scholar
  151. Grossman, M. 1972a. The Demand for Health: A Theoretical and Empirical Investigation. New York: Columbia University Press.  Google Scholar
  152. Grossman, M. 1972b. “On the Concept of Health Capital and the Demand for Health.” Journal of Political Economy 80 (2): 223 – 55.  Google Scholar
  153. Hausman, D. 2015. Valuing Health: Well-being, Freedom, and Suffering. Oxford: Oxford University Press.  Google Scholar
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  227. Kahneman, D. and A. Tversky. 1979. “Prospect Theory: An Analysis of Decision under Risk.” Econometrica 47 (2): 263 – 92.  Google Scholar
  228. Krieger, N. 2012. “Who and What is a ‘Population’? Historical Debates, Current Controversies, and Implications for Understanding ‘Population Health’ and Rectifying Health Inequalities.” Milbank Quarterly 90 (4): 634 – 81.  Google Scholar
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  230. Mooney, G. 2009. Challenging Health Economics. Oxford: Oxford University Press.  Google Scholar
  231. Morgan, J. 2021. “Artificial Intelligence and the Challenge of Social Care in Aging Societies: Who or What Will Care for Us in the Future?” In Post Human Futures: Human Enhancement, Artificial Intelligence and Social Theory, edited by M. Carrigan and D. V. Porpora, 92 – 116. London: Routledge.  Google Scholar
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  233. Singer, M. 2004. “The Social Origins and Expressions of Illness.” British Medical Bulletin 69 (1): 9 – 19.  Google Scholar
  234. Syme, S. L. 2007. “The Prevention of Disease and the Promotion of Health: The Need for a New Approach.” European Journal of Public Health 17 (4): 329 – 30.  Google Scholar
  235. Wade, D. T. and P. W. Halligan. 2004. “Do Biomedical Models of Illness Make for Good Healthcare Systems?” British Medical Journal 329 (7479): 1398 – 401.  Google Scholar
  236. Wilkinson, R. and K. Pickett. 2010. The Spirit Level: Why Equality is Better for Everyone. London: Penguin.  Google Scholar
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  242. Davis, J. B. 2018. “Agent-Based Modeling’s Open Methodology Approach: Simulation, Reflexivity, and Abduction.” Oeconomia 8 (4): 509 – 29.  Google Scholar
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  247. Doyal, L. and I. Gough. 1991. A Theory of Human Needs. London: Palgrave Macmillan. Dugger, W. 1999. “Old Age Is an Institution.” Review of Social Economy 57 (1): 84 – 98.  Google Scholar
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  251. Goldschmidt, N., E. Grimmer-Solem, and J. Zweynert. 2016. “On the Purpose and Aims of the Journal of Contextual Economics.” Schmollers Jahrbuch – Journal of Contextual Economics 136 (1): 1 – 14.  Google Scholar
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  253. Grossman, M. 1972a. The Demand for Health: A Theoretical and Empirical Investigation. New York: Columbia University Press.  Google Scholar
  254. Grossman, M. 1972b. “On the Concept of Health Capital and the Demand for Health.” Journal of Political Economy 80 (2): 223 – 55.  Google Scholar
  255. Hausman, D. 2015. Valuing Health: Well-being, Freedom, and Suffering. Oxford: Oxford University Press.  Google Scholar
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  270. Wilkinson, R. and K. Pickett. 2010. The Spirit Level: Why Equality is Better for Everyone. London: Penguin.  Google Scholar
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  276. Davis, J. B. 2018. “Agent-Based Modeling’s Open Methodology Approach: Simulation, Reflexivity, and Abduction.” Oeconomia 8 (4): 509 – 29.  Google Scholar
  277. Davis, J. B. and R. McMaster. 2007. “The Individual in Mainstream Health Economics: A Case of Persona Non-grata.” Health Care Analysis 15 (3): 195 – 210.  Google Scholar
  278. Davis, J. B. and R. McMaster. 2015. “Situating Care in Mainstream Health Economics: An Ethical Dilemma?” Journal of Institutional Economics 11 (4): 749 – 67.  Google Scholar
  279. Davis, J. B. and R. McMaster. 2017. Health Care Economics. London: Routledge.  Google Scholar
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  281. Doyal, L. and I. Gough. 1991. A Theory of Human Needs. London: Palgrave Macmillan. Dugger, W. 1999. “Old Age Is an Institution.” Review of Social Economy 57 (1): 84 – 98.  Google Scholar
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  284. Gilbert, M. 2009. “Shared Intention and Personal Intentions.” Philosophical Studies 144 (1): 167 – 87.  Google Scholar
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  287. Grossman, M. 1972a. The Demand for Health: A Theoretical and Empirical Investigation. New York: Columbia University Press.  Google Scholar
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  289. Hausman, D. 2015. Valuing Health: Well-being, Freedom, and Suffering. Oxford: Oxford University Press.  Google Scholar
  290. Hodgson, G. M. 2001. How Economics Forgot History: The Problem of Historical Specificity in Social Science. London: Routledge.  Google Scholar
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  293. Hurley, J. 2000. “An Overview of the Normative Economics of the Health Sector.” In Handbook of Health Economics, Vol. 1, edited by A. J. Culyer and J. P. Newhouse, 55 – 118. Amsterdam: Elsevier.  Google Scholar
  294. Jackson, W. A. 2001. “Age, Health and Medical Expenditure.” In The Social Economics of Health Care, edited by J. B. Davis, 195 – 218. London: Routledge.  Google Scholar
  295. Kahneman, D. and A. Tversky. 1979. “Prospect Theory: An Analysis of Decision under Risk.” Econometrica 47 (2): 263 – 92.  Google Scholar
  296. Krieger, N. 2012. “Who and What is a ‘Population’? Historical Debates, Current Controversies, and Implications for Understanding ‘Population Health’ and Rectifying Health Inequalities.” Milbank Quarterly 90 (4): 634 – 81.  Google Scholar
  297. Milanovic, B. 2016. Global Inequality: A New Approach for the Age of Globalization. Cambridge, MA: Belknap Press.  Google Scholar
  298. Mooney, G. 2009. Challenging Health Economics. Oxford: Oxford University Press.  Google Scholar
  299. Morgan, J. 2021. “Artificial Intelligence and the Challenge of Social Care in Aging Societies: Who or What Will Care for Us in the Future?” In Post Human Futures: Human Enhancement, Artificial Intelligence and Social Theory, edited by M. Carrigan and D. V. Porpora, 92 – 116. London: Routledge.  Google Scholar
  300. Polanyi, K. (1944) 2001. The Great Transformation: The Political and Economic Origins of Our Time. Boston: Beacon Press.  Google Scholar
  301. Singer, M. 2004. “The Social Origins and Expressions of Illness.” British Medical Bulletin 69 (1): 9 – 19.  Google Scholar
  302. Syme, S. L. 2007. “The Prevention of Disease and the Promotion of Health: The Need for a New Approach.” European Journal of Public Health 17 (4): 329 – 30.  Google Scholar
  303. Wade, D. T. and P. W. Halligan. 2004. “Do Biomedical Models of Illness Make for Good Healthcare Systems?” British Medical Journal 329 (7479): 1398 – 401.  Google Scholar
  304. Wilkinson, R. and K. Pickett. 2010. The Spirit Level: Why Equality is Better for Everyone. London: Penguin.  Google Scholar
  305. Wilkinson, R. and K. Pickett. 2019. The Inner Level: How More Equal Societies Reduce Stress, Restore Sanity and Improve Everyone’s Well-Being. London: Penguin.  Google Scholar
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Section Title Page Action Price
John B. Davis / Robert McMaster: A Contextualist Approach to Health Economics 129
Abstract 129
1. The Methodological Assumptions of Grossman’s Demand for Health Model 131
2. An Alternative Contextualist Approach to Health Economics 134
3. Contextualist Health Economics at the Macro Level 137
3.1 The Overall Organization of Health Care in the Market-Based Approach to Health 137
3.2 The Overall Organization of Health Care in a Contextualist Approach to Health 129
4. Three Significant Trends Affecting the Future of Health Care 129
4.1 The Aging of Populations and an Increased Need for Health Care 129
4.2 High Levels of Social and Economic Inequality 129
4.3 The Emergence of New TechnologiesAffecting Health Care 129
References 129