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  • 2020
  • Working Paper
  • HBS Working Paper Series

Spreading the Health: Americans' Estimated and Ideal Distributions of Death and Health(care)

By: Sorapop Kiatpongsan and Michael I. Norton
  • Format:Print
  • | Language:English
  • | Pages:25
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Abstract

The 2010 Patient Protection and Affordable Care Act intensified debates over the role of government in the distribution of healthcare. A nationally-representative sample of Americans reported their estimated and ideal distributions of healthcare (unmet need for prescription medications) and death (gains in life expectancy). Respondents across the demographic and political spectrum wanted mortality and healthcare to be distributed more evenly among the rich and poor than they estimated them to be. For example, respondents estimated that Americans in the poorest quintile lived 1.5 months longer over the previous 20 years while those in the richest quintile lived 4.7 months longer, but reported ideal figures of 2.5 and 3.6 months – both were far more equal than the actual figures: -1.8 and 7.2 months. Despite heated debates about healthcare, Americans share a consensus belief that current disparities in death and healthcare are far from their ideals.

Keywords

Healthcare; Mortality; Inequality; Justice; Equity; Health; Health Care and Treatment; Equality and Inequality; Fairness; Public Opinion; United States

Citation

Kiatpongsan, Sorapop, and Michael I. Norton. "Spreading the Health: Americans' Estimated and Ideal Distributions of Death and Health(care)." Harvard Business School Working Paper, No. 20-114, April 2020.
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About The Author

Michael I. Norton

Negotiation, Organizations & Markets
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  • Consumers Value Effort over Ease When Caring for Close Others By: Ximena Garcia-Rada, Mary Steffel, Elanor F. Williams and Michael I. Norton
  • Communicating Resource Scarcity and Interpersonal Connection By: Grant E. Donnelly, Anne V. Wilson, Ashley V. Whillans and Michael I. Norton
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