Changing preferences: An experiment and estimation of market-incentive effects on altruism.


Journal

Journal of health economics
ISSN: 1879-1646
Titre abrégé: J Health Econ
Pays: Netherlands
ID NLM: 8410622

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 30 03 2022
revised: 12 08 2023
accepted: 05 09 2023
medline: 22 11 2023
pubmed: 22 9 2023
entrez: 22 9 2023
Statut: ppublish

Résumé

This paper studies how altruistic preferences are changed by markets and incentives. We conduct a laboratory experiment with a within-subject design. Subjects are asked to choose health care qualities for hypothetical patients in monopoly, duopoly, and quadropoly. Prices, costs, and patient benefits are experimental incentive parameters. In monopoly, subjects choose quality by trading off between profits and altruistic patient benefits. In duopoly and quadropoly, subjects play a simultaneous-move game. Uncertain about an opponent's altruism, each subject competes for patients by choosing qualities. Bayes-Nash equilibria describe subjects' quality decisions as functions of altruism. Using a nonparametric method, we estimate the population altruism distributions from Bayes-Nash equilibrium qualities in different markets and incentive configurations. Competition tends to reduce altruism, but duopoly and quadropoly equilibrium qualities are much higher than monopoly. Although markets crowd out altruism, the disciplinary powers of market competition are stronger. Counterfactuals confirm markets change preferences.

Identifiants

pubmed: 37738704
pii: S0167-6296(23)00085-1
doi: 10.1016/j.jhealeco.2023.102808
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

102808

Informations de copyright

Copyright © 2023 Elsevier B.V. All rights reserved.

Auteurs

Undral Byambadalai (U)

Department of Economics, Boston University, United States; AI Lab, CyberAgent, Inc., Japan. Electronic address: undral@bu.edu.

Ching-To Albert Ma (CA)

Department of Economics, Boston University, United States. Electronic address: ma@bu.edu.

Daniel Wiesen (D)

Department of Business Administration and Health Care Management, University of Cologne, Germany. Electronic address: wiesen@wiso.uni-koeln.de.

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