Healthcare Economist September 19, 2025
Many policymakers aim to reduce health disparities across groups. In fact, the distributional cost effectiveness analysis (DCEA) approach aims to incorporate treatment value based on the extent to which they reduce inequality. However, what types of inequality are we trying to reduce: ex-post or ex-ante? Ex post inequality means reducing inequality of outcomes at a given point in time. Ex-ante inequality focuses on equal access to care at a given time–even if outcomes do vary.
A key question is how can one estimate inequality aversion from an ex-post or ex-ante perspective?
A paper by Hansen, Kjær and Gyrd-Hansen (2025) summarize current approaches for esimation.
[an] ex post perspective…involves asking respondents to act as social decision makers and to distribute...
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