Value of life

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The value of life is an economic value used to quantify the benefit of avoiding a fatality.[1] It is also referred to as the cost of life, value of preventing a fatality (VPF) and implied cost of averting a fatality (ICAF). In social and political sciences, it is the marginal cost of death prevention in a certain class of circumstances. In many studies the value also includes the quality of life, the expected life time remaining, as well as the earning potential of a given person especially for an after the fact payment in a wrongful death claim lawsuit.

As such, it is a statistical term, the cost of reducing the average number of deaths by one. It is an important issue in a wide range of disciplines including economics, health care, adoption, political economy, insurance, worker safety, environmental impact assessment, and globalization.[2]

In industrial nations, the justice system considers a human life "priceless", thus illegalizing any form of slavery; i.e., humans cannot be bought at any price. However, with a limited supply of resources or infrastructural capital (e.g. ambulances), or skill at hand, it is impossible to save every life, so some trade-off must be made. Also, this argument neglects the statistical context of the term. It is not commonly attached to lives of individuals or used to compare the value of one person's life relative to another person's. It is mainly used in circumstances of saving lives as opposed to taking lives or "producing" lives.[2]

Treatment in economics and methods of calculation[edit]

There is no standard concept for the value of a specific human life in economics. However, when looking at risk/reward trade-offs that people make with regard to their health, economists often consider the value of a statistical life (VSL). Note that the VSL is very different from the value of an actual life. It is the value placed on changes in the likelihood of death, not the price someone would pay to avoid certain death. This is best explained by way of an example. From the EPA's website:

Suppose each person in a sample of 100,000 people were asked how much he or she would be willing to pay for a reduction in their individual risk of dying of 1 in 100,000, or 0.001%, over the next year. Since this reduction in risk would mean that we would expect one fewer death among the sample of 100,000 people over the next year on average, this is sometimes described as "one statistical life saved.” Now suppose that the average response to this hypothetical question was $100. Then the total dollar amount that the group would be willing to pay to save one statistical life in a year would be $100 per person × 100,000 people, or $10 million. This is what is meant by the "value of a statistical life.” [3]

This again emphasizes that VSL is more of an estimate of willingness to pay for small reductions in mortality risks rather than how much a human life is worth. Using government spending to see how much is spent to save lives in order to estimate the average individual VSL is a popular method of calculation. The United States government does not have an official value of life threshold, but different values are used in different agencies. It might be that the government values lives quite highly or that calculation standards are not applied uniformly.[4] Using the EPA as an example, the Agency uses estimates of how much people are willing to pay for small reductions in their risks of dying from adverse health conditions that may be caused by environmental pollution in their cost-benefit analyses.[3]

Economists often estimate the VSL by looking at the risks that people are voluntarily willing to take and how much they must be paid for taking them.[5] This method is known as revealed preference, where the actions of the individual reveal how much they value something. In this context, economists would look at how much individuals are willing to pay for something that reduces their chance of dying. Similarly, compensating differentials, which are the reduced or additional wage payments that are intended to compensate workers for conveniences or downsides of a job, can be used for VSL calculations. For example, a job that is more dangerous for a worker’s health might require that the worker be compensated more. The compensating differentials method has several weaknesses. One issue is that the approach assumes that people have information, which is not always available. Another issue is that people may have higher or lower perceptions of risk they are facing that do not equate to actual statistical risk. In general, it is difficult for people to accurately understand and assess risk. It also hard to control for other aspects of a job or different types of work when using this method.[4] Overall, revealed preference may not represent population preferences as a whole because of the differences between individuals.[6]

One method that can be used to calculate VSL is summing the total present discounted value of lifetime earnings. There are a couple of problems using this method. One potential source of variability is that different discount rates can be used in this calculation, resulting in dissimilar VSL estimates. Another potential issue when using wages to value life is that the calculation does not take into account the value of time that is not spent working, such as vacation or leisure.[7] As a result, VSL estimates may be inaccurate because time spent on leisure could be valued at a higher rate than an individual's wage.[4]

Another method used to estimate VSL is contingent valuation. Contingent valuation asks individuals to value an option either that they have not chosen or are unable to currently choose.[4] Economists might estimate the VSL by simply asking people (e.g. through questionnaires) how much they would be willing to pay for a reduction in the likelihood of dying, perhaps by purchasing safety improvements.[8] These types of studies are referred to as stated preference studies. However, contingent valuation has some flaws. The first problem is known as the isolation of issues, where participants may give different values when asked to value something alone versus when they are asked to value multiple things. The order of how these issues are presented to people matters as well.[4] Another potential issue is the “embedding effect” identified by Diamond and Hausman 1994.[9] All of these methods might result in a VSL that is overstated or understated.

When calculating value of statistical life, it is important to discount and adjust it for inflation and real income growth over the years. An example of a formula needed to adjust the VSL of a specific year is given by the following:

Adjustment of VSL for Inflation and Real Income Growth

where 0 = Original Base Year T = Updated Base Year Pt = Price Index in Year t It = Real Incomes in Year t Ɛ = Income Elasticity of VSL.

Comparisons to other methods[edit]

The value of statistical life (VSL) estimates are often used in the transport sector. In health economics and in the pharmaceutical sector, however, the value of a quality-adjusted life-year (QALY) is used more often than the VSL. Both of these measures are used in cost-benefit analyses as a method of assigning a monetary value of bettering or worsening one’s life conditions. While QALY measures the quality of life ranging from 0-1, VSL monetizes the values using willingness-to-pay.[10]

Researchers have first attempted to monetize QALY in the 1970s, with countless studies being done to standardize values between and within countries. However, as with the QALY, VSL estimates have also had a history of vastly differing ranges of estimates within countries, notwithstanding a standardization amounts countries. One of the biggest movements to do so was the EuroVaQ project which used a sample of 40,000 individuals to develop the WTP of several European countries.[11]

Policy applications of the VSL[edit]

Value of life estimates are frequently used to estimate the benefits added due to a new policy or act passed by the government. One example is the 6-year retroactive study on the benefits and costs of the 1970 Clean Air Act in the period from 1970-1990. This study was commissioned by the U.S. Environmental Protection Agency (EPA), Office of Air and Radiation and Office of Policy, Planning and Evaluation, but was carried out by an independent board of public health experts, economists, and scientists headed by Dr. Richard Schmalensee of MIT.[12]

On conducting the benefit-cost analysis, the team measured each dollar value of an environmental benefit by estimating a how many dollars a person is willing to pay in order to decrease or eliminate a current threat to their health, otherwise known as their “willingness-to-pay” (WTP). The WTP of the U.S. population was estimated and summed for separate categories including mortality, chronic bronchitis, hypertension, IQ changes, and strokes. Thus, the individual WTPs were added to get the value of a statistical life (VSL) for each category considered in the valuation of the act’s benefits.[13] Each valuation in figure 1 was the product of several studies which compiled both solicit WTP information from individuals and estimated WTP estimates from risk compensation demanded in the current labor market and was averaged to find a singular VSL. Such data from the labor market was taken from the Census of Fatal Occupational Injuries collected by the Bureau of Labor Statistics.[14]

For example, the valuation estimates used for mortality were divided by the typical life expectancy of each survey sample in order to get a dollar estimate per life-year lost or saved which was discounted with a 5 percent discount rate.[15]

Using these estimates, the paper concluded that the benefits, ranging from $5.6 to $49.4 trillion in 1990 dollars, of implementing the Clean Air Act from 1970 to 1990 outweighed the economic costs of $523 billion in 1990 dollars.[16]

Uses[edit]

Knowing the value of life is helpful when performing a cost-benefit analysis, especially in regard to public policy. In order to decide whether or not a policy is worth undertaking, it is important to accurately measure costs and benefits. Public programs that deal with things like safety (i.e. highways, disease control, housing) require accurate valuations in order to budget spending.[17]

Since resources are finite, trade-offs are inevitable, even regarding potential life-or-death decisions. The assignment of a value to individual life is one possible approach to attempting to make rational decisions about these trade-offs.

When deciding on the appropriate level of health care spending, a typical method is to equate the marginal cost of the health care to the marginal benefits received.[18] In order to obtain a marginal benefit amount, some estimation of the dollar value of life is required. One notable example was found by Stanford professor Stefanos Zenios, whose team calculated the cost-effectiveness of kidney dialysis. His team found that the VSL implied by then current dialysis practice averages about $129,000 USD per quality-adjusted life year (QALY).[19] This calculation has important implications for health care as Zenios explained:

"That means that if Medicare paid an additional $129,000 to treat a group of patients, on average, group members would get one more quality-adjusted life year."[20]

In risk management activities such as in the areas of workplace safety, and insurance, it is often useful to put a precise economic value on a given life. The Occupational Safety and Health Administration under the Department of Labor sets penalties and regulations for companies to comply with safety standards to prevent workplace injuries and deaths.[21] It can be argued that these high penalties are intended to act as a deterrent so that companies have an incentive to avoid them. As such, the price of the fines would have to be roughly equivalent to the value of a human life. Although some studies of the effectiveness of fines as a deterrent have found mixed results.[22]

In transportation modes it is very important to consider the external cost that is paid by the society but is not calculated, for making it more sustainable. The external cost, although consisting of impacts on climate, crops and public health among others, is largely determined by impacts on mortality rate.

Estimates of the value of life[edit]

Equivalent parameters are used in many countries, with significant variation in the value assigned.[2]

International VSL with data values

Australia[edit]

In Australia, the value of a statistical life has been set at:

  • $4.2 million (2014)[1]
  • $182,000 per year (2014)

New Zealand[edit]

In New Zealand, the value of a statistical life has been set at:

  • $2 million (1991) by NZTA[23]
  • $3.85 million (2013) by The Treasury[24]
  • $4.14 million (2016) by NZTA[23]

Sweden[edit]

In Sweden, the value of a statistical life has been estimated from 9 to 98 million SEK (€0.9 - 10.6 million).[25]

  • 34.6 million SEK (€3.7 million) mean of studies in Sweden from 1995 and on
  • 23 million SEK (€2.5 million) median of studies in Sweden from 1995 and on
  • 22 million SEK (€2.4 million) recommended by official authorities

Turkey[edit]

Studies by Hacettepe University estimated the VSL at about half a million purchasing power parity adjusted 2012 US dollars,[26] the value of a healthier and longer life (VHLL) for Turkey at about 42,000 lira (about $27,600 in PPP-adjusted 2012 USD), and the value of a life year (VOLY) as about 10,300 TL (about $6,800 in PPP-adjusted 2012 USD), all as of 2012.[27]

As of 2016 the estimated produced economic value for a life time for Turkey was US$59,000 which was 5.4 times GDP per capita.[28]

Russia[edit]

According to different estimates life value in Russia varies from $40,000 up to $2 million. On the results of opinion poll life value (as the cost of financial compensation for the death) in the beginning of 2015 was about $71,500.[29]

United States[edit]

The following estimates have been applied to the value of life. The estimates are either for one year of additional life or for the statistical value of a single life.

  • $50,000 per year of quality life (the "dialysis standard",[30] which had been a de facto international standard most private and government-run health insurance plans worldwide use to determine whether to cover a new medical procedure)[31]
  • $129,000 per year of quality life (an update to the "dialysis standard")[32][31]
  • $9.1 million (Environmental Protection Agency, 2010)[33]
  • $7.9 million (Food and Drug Administration, 2010)[33]
  • $9.2 million (Department of Transportation, 2014)[34]
  • $9.6 million (Department of Transportation, Aug. 2016)[35]

The income elasticity of the value of statistical life has been estimated at 0.5 to 0.6.[36] Developing markets have smaller statistical value of life.[36] The statistical value of life also decreases with age.[36]

Historically, children were valued little monetarily, but changes in cultural norms have resulted in a substantial increase as evidenced by trends in damage compensation from wrongful death lawsuits.[37]

See also[edit]

References[edit]

  1. ^ a b "Best Practice Regulation Guidance Note: Value of statistical life" (PDF). Department of the Prime Minister and Cabinet. December 2014.
  2. ^ a b c Miller, Ted R (May 2000). "Variations between Countries in Values of Statistical Life" (PDF). Journal of Transport Economics and Policy. 34: 169–188. ISSN 0022-5258. Retrieved 30 April 2017.
  3. ^ a b "Mortality Risk Valuation". EPA. 2014-04-21. Retrieved 2017-04-25.
  4. ^ a b c d e Gruber, Jonathan. Public Finance and Public Policy (5 ed.). Worth Publisher. pp. 226–233.
  5. ^ Mankiw, Gregory (2012). Principles of Economics. ISBN 978-0-538-45305-9.
  6. ^ Rohlfs, Chris (2015). "New Estimates of the Value of a Statistical Life Using Air Bag Regulations as a Quasi-experiment". American Economic Journal: Economic Policy. 7 (1): 331–59. doi:10.1257/pol.20110309. hdl:10419/67207.
  7. ^ Keeler, Emmett (2001). "The value of remaining lifetime is close to estimated values of life". Journal of Health Economics: 141–143.
  8. ^ Murphy, JJ (2005). "A meta-analysis of hypothetical bias in stated preference valuation". Environmental and Resource Economics: 152.
  9. ^ Diamond, Peter (1994). "Contingent Valuation: Is Some Number Better than No Number?". American Economic Association. 8 (4): 45–64. doi:10.1257/jep.8.4.45.
  10. ^ Viscussi, W. Kip (2005). "The Value of Life" (PDF). Harvard John M. Olin Discussion Paper Series (517).
  11. ^ "European Value of a Quality Adjusted Life Year". Newcastle University.
  12. ^ U.S. Environmental Protection Agency (October 1997). "The Benefits and Costs of the Clean Air Act, 1970 to 1990- Retrospective Study". Environmental Economics Research Inventory: I-3.
  13. ^ U.S. Environmental Protection Agency (October 1997). "The Benefits and Costs of the Clean Air Act, 1970 to 1990- Retrospective Study". Environmental Economics Research Inventory: 44.
  14. ^ "Census of Fatal Occupational Injuries (CFOI)- Current and Revised Data". Bureau of Labor Statistics. United States Department of Labor.
  15. ^ Viscusi, W. Kip (1995). Fatal Tradeoffs. New York: Oxford University Press. ISBN 978-0195102932.
  16. ^ U.S. Environmental Protection Agency (October 1997). "The Benefits and Costs of the Clean Air Act, 1970 to 1990- Retrospective Study". Environmental Economics Research Inventory: 8.
  17. ^ Rice, Dorothy (1967). "The Economic Value of Human Life". American Journal of Public Health. 57 (11): 1954–1966. doi:10.2105/AJPH.57.11.1954. PMC 1227852. PMID 6069745.
  18. ^ Hall, Robert (2007). "The Value of Life and the Rise of Health Spending" (PDF). Quarterly Journal of Economics: 39–72.
  19. ^ Zenios, Stefanos (2009). "An Empiric Estimate of the Value of Life: Updating the Renal Dialysis Cost-Effectiveness Standard". Value in Health. 12 (1): 80–87. doi:10.1111/j.1524-4733.2008.00401.x. PMID 19911442.
  20. ^ Kingsbury, Kathleen (2008-05-20). "The Value of a Human Life: $129,000". TIME. Retrieved 10 March 2019.
  21. ^ "OSHA". OSHA. Department of Labor. Retrieved 10 March 2019.
  22. ^ Kennedy, Christopher (1985). "Criminal Sentences for Corporations: Alternative Fining Mechanisms". California Law Review. 73 (2). doi:10.15779/Z385X6G.
  23. ^ a b "Social cost of road crashes and injuries 2016 update" (PDF). NZTA. March 2017.
  24. ^ "Guide to Social Cost Benefit Analysis". The Treasury. 27 July 2015.
  25. ^ Hultkrantz, Lars (20 September 2012). "The value of a statistical life in Sweden: A review of the empirical literature". Health Policy. 108 (2–3): 302–310. doi:10.1016/j.healthpol.2012.09.007. PMID 23084655.
  26. ^ Ara, Shihomi; Tekeşin, Cem (4 July 2014). "Measuring the Value of Mortality Risk Reductions in Turkey". International Journal of Environmental Research and Public Health. 11 (7): 6890–6922. doi:10.3390/ijerph110706890. PMC 4113852. PMID 25000150.
  27. ^ Tekeşin, Cem; Ara, Shihomi (29 September 2017). "The Monetary Valuation of Lifetime Health Improvement and Life Expectancy Gains in Turkey". International Journal of Environmental Research and Public Health. 14 (10): 1151. doi:10.3390/ijerph14101151. PMC 5664652. PMID 28961227.
  28. ^ Tuna, E.; Yenilmez, F. B.; Kockaya, G. (2016-11-01). "Estimation Of Value Of Life With A Model Approach Depending On Net Present Value For Turkey". Value in Health. 19 (7): A477. doi:10.1016/j.jval.2016.09.756. ISSN 1098-3015.
  29. ^ "Стоимость человеческой жизни в России в 2015 году составила 4,5 млн. рублей" (PDF). Center for Strategic Researches RGS.
  30. ^ Hirth, Richard A. (2000). "Willingness to pay for a quality-adjusted life year: in search of a standard". Medical Decision Making. 20 (3): 332–342. doi:10.1177/0272989X0002000310. PMID 10929856.
  31. ^ a b Kingsbury, Kathleen (20 May 2008). "The Value of a Human Life: $129,000". time.com.
  32. ^ Lee, Chris P. (2009). "An Empiric Estimate of the Value of Life: Updating the Renal Dialysis Cost-Effectiveness Standard". Value in Health. 12 (1): 80–87. doi:10.1111/j.1524-4733.2008.00401.x. PMID 19911442.
  33. ^ a b Appelbaum, Binyamin (Feb 16, 2011). "As U.S. Agencies Put More Value on a Life, Businesses Fret". The New York Times.
  34. ^ "Guidance on Treatment of the Economic Value of a Statistical Life" (PDF). US Department of Transportation. 13 June 2014.
  35. ^ "DoT 2016" (PDF). 2016-08-08. Retrieved 2017-04-23.
  36. ^ a b c Viscusi, W. Kip; Aldy, Joseph E. (2003). "The Value of a Statistical Life: A Critical Review of Market Estimates Throughout the World". Journal of Risk and Uncertainty. 27 (1): 5–76. doi:10.1023/A:1025598106257.
  37. ^ Mayyasi, Alex. "How Children Went from Worthless to Priceless". Priceonomics. Retrieved 8 July 2016.

Further reading[edit]

External links[edit]