Tony ([info]quikchange) wrote,
@ 2008-07-02 07:41:00
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Current mood: pensive
Current music:Underdog World Strike - Gogol Bordello
Entry tags:economics, psychology

The dollar value of a human life
This BizWeek article about preemies brings up the issue of how much money it is worth spending to save a human life. A popular knee-jerk reaction is to claim that you cannot put a price on the life of a person. It's easy to demonstrate that this is not true. All I need do is point out the large number of people who die every day from causes are trivially preventable at pretty low costs, often in the double-digit range per person. If we are to make sweeping generalizations about the value of a human life then we need to be consistent about it. A 22 week old foetus in the USA should not have a higher value than an 11 year old child in an impoverished developing country.

No, the truth is that human lives are worth different things to different people. To your immediate family that value may be infinite or priceless but to random strangers (the majority of the worlds population unless you are extremely famous) that value is going to be very low, possibly even zero. It's interesting to think about about the value we place as individuals on the lives of complete strangers. If you haven't already seen the infomercials, I'll enlighten you now that it is indeed possible to keep alive perfectly healthy children for as low as a dollar/day. If you aren't doing that already then you've established the value that you personally place upon the lives of strangers. And it's not very high.

So what are the factors that determine how much society values a human life? For people to whom we don't have an emotional attachment that value is influenced primarily by utility and scarcity just like most other things. If the human race were in danger of extinction then every life would be treasured. With more than 6 billion people alive, there is no scarcity, driving down the value of a life. That leaves utility. It's difficult to calculate the utility of a person because that value is different for every beholder, which is why we probably have slightly different values for the lives of strangers. The labour market is a crude approximation of this value but it has enough problems that we certainly shouldn't rely on it to determine how much people's lives are worth.

Of course, in the absence of a way to measure what we want, humans tend to instead measure they closest approximation we can get. Cory Doctorow described a better system that sounds intriguing, although I'm not sure if it would work in a scarcity-based economy.




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[info]enigmaticdan
2008-07-02 03:03 pm UTC (link)
I'm confused by this entry. In the first paragraph, you say "A 22 week old foetus in the USA should not have a higher value than an 11 year old child in an impoverished developing country." But then you say people have used utility to determine the value of human lives, and that people have valued non-strangers above strangers. Since, for the most part, people have accepted being peas in pods called countries, why shouldn't the local gonna-be-a-child be worth more than a distant already-a-child?

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[info]quikchange
2008-07-02 04:55 pm UTC (link)
Are you implying that national identity is a proxy for familiarity? I.e. American lives are worth more to other Americans than lives of people in other countries? That would explain observations nicely. I wonder if people are willing to admit that they feel that way.

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[info]enigmaticdan
2008-07-02 05:36 pm UTC (link)
Yeah, obviously phrasing it in a "You value foreigners' lives less!" way is hard to swallow, but we are instilled with an idea that our membership in a nation unites us with people in a way. It allows us to share in each other's accomplishments, but also means we have obligations to each other. If resources are scarce, then, we use them to help ourselves before we help others.

If we had an organization that could collect and distribute resources at a global level, instead of a country that collects taxes and delivers (well, funds) health care and other services, then I think we would see the general valuation of a human life to be uniform. My obligation to any two humans that are not me would be the same, because we've all contributed to our global government. But we work and think closer to a country level. So, holding other things constant, both me and my countryman contribute to our nation, so when he has a premie baby, I want my country to support his child's life, because I want my country to support me if I was in the same situation. But someone who is outside of the country doesn't contribute to it through taxes, and thus I feel it's unfair for people in an equivalent (or worse!) situation to get help from me. They are on their own.

I'm operationalizing "the value of a human life" as to what support a person gets from a government, so that could be a flaw in my thinking. Also, obviously, the reality is complicated by NGOs and MNCs and other institutions that have a stake in people being alive or not. My example is a simplification of what I feel the essential process is.

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[info]termdec
2008-07-02 06:38 pm UTC (link)
Why would you assume that medical costs were ever reflective of some objective value or complexity? In america, that is. Once the R&D is done, drugs are cheap to manufacture, but with the right marketing plan and a few sick people you can take every cent they have. People who have a preemie are full of hormones giving them an insanely strong biological incentive to keep it alive, so of course everyone is pretty quick to plug the it into the wall at ridiculous expense. It's easy and profitable to advantage of desperate people (especially healthy parents with sick kids). It hints at some of the larger problems, but we're only focused on this because of the shock value of dead babies. that's why people click the link

dead babies! dead babies! omg

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[info]punk_apple
2008-07-02 08:45 pm UTC (link)
In too many cases, there is no limit... in spending in miracle or desperate cures when there is realistically no hope in keeping someone alive. Or keeping them alive on a way that is worth human life.

My mum complained that my dad's life was 'worth nothing' when he went complain about stomach paints. The doctor diagnosing him made some fatal errors that I want him accounted for, and only for a Russian doctor my mum or dad were in the end able to get the correct diagnosis. Weeks too late. What he was worth after was getting some basic surgery, get him home, .. and watch him die.
If he had been younger.. he'd probably- or at least hopefully- have been diagnosed faster and been done something to keep him alive more. Too late now...

For my own life, there is any value only while I'm alive. When I'm dead, there is no value left, it's all too late then. But I realize I have value to others, as do the people I really care for have value for me. Priceless.

For the generic not-in-my-inmediate-family-or-friends cases, I'd probably get a gross estimate based on average. There are 6,5 billion humans on this planet, and I don't want to value anyone from a specific country more than someone else, only based on country or skin color.

If I sound grumpy, blame the foodless Wednesday.... /sigh.

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[info]yellowtangfish
2008-07-04 01:53 am UTC (link)
Tony
That was an interesting article and ever more controversial comments left by other readers. You could definitely tell who the non-parents were by their tone. It's difficult to imagine the hard choices a parent might have to make. I have a close friend who just had her second child and both were serious preemies. The reason? She suffers from toxemia and has nearly died TWICE trying to get both babies further along so they won't suffer any problems once they are born. The first time it was a surprise that she got toxemia and the second time, it was further along in the pregnancy but still she got it. So she's had her tubes tied during the delivery( obviously it was a c-section). I doubt anyone would want to be her and Steve, knowing the uphill battles ahead of them. Unless you have been in that spot, I don't think it's fair to judge; that said, I"m not a fan of that much intervention that early on. Even when I was only about 12 weeks, the ultrasound technician thought she saw some problems with Jack's heart. My midwife shrugged it off and said not to worry, but I did. I knew in my heart that I wanted to know if something was wrong, and if it was terribly wrong, I'd want to make a decision. At the second ultrasound, I was lying on that table for over an hour while that technician went over every inch of the fetus and I knew in my heart, that if there were serious problems, I'd likely not continue the pregnancy...and that I had only a week or so to make that choice. See, if you know you're carrying a baby with serious health problems, you have only to 20 weeks to abort in Canada. I was relieved to know that we had a perfect baby but still,.... i wouldn't want to relive that hour ever again.
I can't imagine what a mother goes through when she's facing that type of a decision. I just thank God that i live in a country where decisions about continuing care come from the viewpoint of quality of life and not what the HMO says when it cuts you off.

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[info]quikchange
2008-07-04 02:43 am UTC (link)
Your viewpoint on this is enlightening and very much appreciated. The question in my mind is whether God would like those of us born in rich countries (whose resources allow decisions about continuing care to be made based on quality of life) to share some of our resources with those who were born into relative scarcity.

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[info]yellowtangfish
2008-07-04 12:18 pm UTC (link)
I think God very much wants us to help our neighbours in need. And I don't mean only the ones in our own towns. The most enduring commandment Jesus left for us to follow was not pay your tithes, act like a Pharisee or act like the morality police- it was to love your neighbour as yourself.And in doing that, you loved and showed your devotion to Him.

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20 Week Limit?
[info]quikfanclub
2008-07-06 02:20 am UTC (link)
I thought Canada had no restrictions on abortions whatever.
See here: http://en.wikipedia.org/wiki/Abortion_in_Canada

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Re: 20 Week Limit?
[info]yellowtangfish
2008-07-06 12:41 pm UTC (link)
when it says Canada has no restrictions within the criminal law about abortions, it is referring to the fact that the Morgentaler's case resulted in that particular law being struck down. There has been no "law" that regulates abortions other than what is in the Canada Health Act. Because abortion is now a medical procedure, that is where all the regulations about it exist. Interestingly enough, most people who have strong feelings about abortions either way are often frustrated that it wasn't Parliament who struck down the Criminal Code section outlawing abortion because now there can be no real debate about the issue. Some provinces simply get around the issue by limiting access to medical resources, such as PEI. That way, it's not like they're actively denying abortions- it's just that there are no medical resources for them. In any case, the rate of abortions has hovered around the same number since 1989, with no real shift- about 100, 000 a year or so.

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