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Is more health always better for society? Exploring public preferences that violate monotonicity

机译：健康对社会总有好处吗？探索违反单调性的公共偏好

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There has recently been some literature on the properties of a Health-Related Social Welfare Function (HRSWF). The aim of this article is to contribute to the analysis of the different properties of a HRSWF, paying particular attention to the monotonicity principle. For monotonicity to be fulfilled, any increase in individual health—other things equal—should result in an increase in social welfare. We elicit public preferences concerning trade-offs between the total level of health (concern for efficiency) and its distribution (concern for equality), under different hypothetical scenarios through face-to-face interviews. Of key interests are: the distinction between non-monotonic preferences and Rawlsian preferences; symmetry of HRSWF; and the extent of inequality neutral preferences. The results indicate strong support for non-monotonic preferences, over Rawlsian preferences. Furthermore, the majority of those surveyed had preferences that were consistent with a symmetric and inequality averse HRSWF.
机译：最近有一些关于健康相关的社会福利功能（HRSWF）的属性的文献。本文的目的是为分析HRSWF的不同属性做出贡献，尤其要注意单调性原理。为了实现单调性，个人健康的任何提高（在其他条件相同的情况下）都应导致社会福利的提高。我们通过面对面的访谈，在不同的假设情景下，在总体健康水平（关注效率）与其分布（关注平等）之间寻求折衷方案。主要利益是：非单调偏好和罗尔斯偏好之间的区别； HRSWF的对称性；以及不平等中立偏好的程度。结果表明，相对于罗尔斯式偏好，非单调性偏好得到了强有力的支持。此外，大多数受访者的偏好与对称且不平等的厌恶HRSWF相一致。

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