Aversion to health inequality — Pure, income-related and income-caused

Matthew Robson*, Owen O'Donnell, Tom Van Ourti

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

18 Downloads (Pure)


We design a novel experiment to identify aversion to pure (univariate) health inequality separately from aversion to income-related and income-caused health inequality. Participants allocate resources to determine health of individuals. Identification comes from random variation in resource productivity and information on income and its causal effect. We gather data (26,286 observations) from a sample of UK adults (n = 337) and estimate pooled and participant-specific social preferences while accounting for noise. The median person has strong aversion to pure health inequality, challenging the health maximisation objective of economic evaluation. Aversion to health inequality is even stronger when it is related to income. However, the median person prioritises health of poorer individuals less than is assumed in the standard measure of income-related health inequality. On average, aversion to that inequality does not become stronger when low income is known to cause ill-health. There is substantial heterogeneity in all three types of inequality aversion.

Original languageEnglish
Article number102856
JournalJournal of Health Economics
Publication statusPublished - Mar 2024

Bibliographical note

Publisher Copyright:
© 2024 The Author(s)


Dive into the research topics of 'Aversion to health inequality — Pure, income-related and income-caused'. Together they form a unique fingerprint.

Cite this