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Does money really make you happy: An economic approach

A couple of weeks ago when I was out shopping with a friend, after informing him that I had never bought a scratch card from the shop he persuaded me to buy one to tick it off the list of things to do in life. It cost a whole £2, much to my amazement I won a walloping £5, this short term ‘victory’ delighted me and definitely brought me a short term utility boost. It’s amazing the affect that winning can have on someone in the short term, but what about the longer term?

We always hear stories about lottery winners who say they wish they’d never won or about how it made their life a misery and all their friends abandoned them etc e.g. http://articles.moneycentral.msn.com/SavingandDebt/SaveMoney/8lotteryWinnersWhoLostTheirMillions.aspx

So what’s the truth behind it all….is this the exception or the rule?

Does money really make you happy?

After a bit of research I found an excellent paper by Gardner and Oswald (2007) in the Journal of Health Economics, which you can read here http://tiny.cc/3zee7. This longitudinal study examines medium sized lottery winners who won between £1000 and £120,000 in 1998 British pounds with a sample of n = 137. There were two control groups, small winners and people who didn’t win. Although this is a relatively small sample and results should therefore be taken with caution I would argue it is large enough to draw reasonable conclusions. Mental well being was measured using the general health questionnaire (GHQ) which is a measure of psychological strain or stress. When followed up 2 years after winning… compared to the control groups, medium sized lottery winners using the GHQ had a 1.4 GHQ increase. This probably means nothing to the majority. To give some perspective the impact of being widowed (the worst observable impact on GHQ) leads to a 5 GHQ point decrease. Given this, it is clear that this is not just a statistically significant increase in mental well being but a substantial increase in mental well being.

So what conclusions can we draw from this?

The obvious headline from this is that money makes us happy. In the medium term for medium sized lottery winners anyway. As good a study as this is it however leaves some questions unanswered. Here are a few of interest to me. Firstly, this only follows individuals for 2 years so we don’t know whether in the long term there are any adaptation effects. As frequently seen in health economics and discussed by Sen (and provides the basis for the capabilities approach), humans, adapt to new situations and over time expectations adjust and the situation becomes ‘normal’. Essentially in this case, people get used to having money. It would be interesting to see whether this is the case for lottery winners. Again a longitudinal approach would be ideal for testing this. Furthermore due to the infrequency of ‘large’ winners the authors did not investigate whether a large win has a larger or smaller effect on well being than a medium sized win. One wonders if and if so, at what point diminishing marginal utility becomes disutility and what is an optimal amount to win if this is the case. I would also be interested to know how happiness is affected by money when comparing earned money to won money. Is money the same regardless of whether it’s earned or won? These are all questions I hope to one day see answered (if not already!!). At the end of the day it seems like money does in fact lead to improved mental well being, in the medium term at least, we can only speculate whether these medium term improvements carry on into the long term.

Reference:

Gardner and Oswald (2007), ‘Money and mental well being: A longitudinal study of medium-sized lottery wins’, Journal of Health Economics, Vol. 26, No.1, pp. 49-60.

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Life, liberty and the pursuit of unhappiness

I recently listened to a radio show that got me thinking about something, which, to my knowledge, has never been explored.

We all know the famous phrase from the United States Declaration of Independence about the ‘inalienable’ rights of man; “Life, liberty and the pursuit of happiness”. However, some new research highlighted in the aforementioned radio programme argued that the act of constantly pursuing happiness can actually make us less happy! The UK government is now pushing the ‘happiness’ issue more than ever. As many a health economist has argued (Dolan, Gandjour, Brazier), the line between happiness and good health is extremely blurry. This made me think…

In the pursuit of good health, do we become any healthier?

Now, in this question I am referring only to the pursuit of good health on an individual level; I am not questioning the value of promoting public health. In eating healthily, doing more exercise, brushing our teeth and generally trying to get a flat stomach, is the average person likely to gain anything? I believe the ‘blur’ between good health and happiness to be largely made up of mental health. Do we actively pursue good mental health? I think not – many of our day-to-day activities are very stressful, tiring, and leave us little time for dealing with our emotions. It seems possible (maybe probable) that the pursuit of good (physical) health could actually be damaging to our mental health. Failure to achieve goals and expectations, for example, could be very damaging to an individual’s self-esteem.

I believe that this is something which could be tested quite easily (I may do it myself one day). The British Household Panel Survey, for example, includes a question on satisfaction with health. It seems safe to assume that if one is dissatisfied with their health then they will be seeking to become satisfied with it. This could then be compared with measures of health and well-being and examined longitudinally to see if those who go from being dissatisfied with their health to being satisfied actually have any significant gain in health over and above those who remain dissatisfied. Data on physical activity and diet could also be incorporated. I’m sure that, with extra thought, more robust methods could be figured out; I am just floating the idea.

If this is the case then surely it would have serious implications for health economics and public health more generally.

Please share your knowledge on this topic in the comments box below. If you know of any relevant literature then please discuss.

 

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Satisfaction with life: The UK government’s bid to measure happiness

The UK government recently announced plans to “measure happiness” in the country, at an apparent cost of £2 million. The Prime Minister’s argument for this being that GDP is too crude a measure for the achievements of a nation or, more likely, a government dealing in deficit reduction. In the last couple of days the ONS announced what questions would be included in the ‘happiness survey’, with the key question being one of satisfaction with life.

But haven’t economists been doing this for years?

Depending on your own interpretation of ‘utility’, economists have been studying it for centuries. There has certainly been a recent development of a wide literature on the economics of well-being, and a resurgence in experienced utility theory. Furthermore, questions on satisfaction with life have been included in the British Household Panel Survey for no less than the last 12 years (begging the question, “£2 million for what?”)! This is nothing new.

But what does this mean for health economists?

The cynical view, held by this contributor, is that this is no more than a politically-driven PR stunt; inspired by the government’s knowledge that it will be unable to generate any significant GDP growth over the next few years. Nevertheless, I believe there will be implications for future research and policy. In recent years there have been suggestions in the literature that health economists could be adopting satisfaction with life, well-being or happiness as a maximand for policy and evaluation. In the future we may see these ideas being strengthened and supported by government policy, and potentially being forced upon the wider health economics community. I, for one, believe this to be a potentially positive move for the field; if measures of well-being undergo more thorough analyses in relation to health.

But is this a popular move amongst health economists? Probably not. Are NICE vulnerable to an overhaul of their reference case? Possibly. Will this policy influence future health economics research in the UK? Surely.

Please share your thoughts in the comments box below.

 
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Posted by on February 28, 2011 in Health and its Value

 

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