KEEPING UP WITH THE JONESES: EXAMINING RELATIVE CONCERNS IN HEALTH RELATED DOMAINS

Authors

  • Jérémy CELSE ESSCA School of Management
  • Gilles GROLLEAU CEE-M, Univ. Montpellier, CNRS, INRAE, Institut Agro, 34000 Montpellier, France.

DOI:

https://doi.org/10.54695/jdds.039.01.3856

Keywords:

Positional Concerns;, Relative position;, health outcomes, health economics

Abstract

People care about relative position and are willing to engage resources to be above others or at least not below them. Nevertheless, the scarce existing evidence suggests that health is a less positional good: people prefer to be healthy even if others are healthier than them. Unlike previous literature, we use a survey-based study to explore the positionality of several health-related dimensions (e.g., health care reimbursement, cosmetic surgery) in a Choice versus Happiness condition. We find that agents exhibit mainly egalitarian preferences, namely they take into account others' situations but prefer everybody to receive the same amount of health attributes. Moreover, when health attributes are related to physical appearance, agents express significantly higher levels of positional preferences. We draw several policy implications from these egalitarian preferences.

References

Abel, A. B. (1990). Asset Prices Under Habit Formation And Catching Up With The Joneses. The American Economic Review, 80(2), 38–42. https://doi.org/10.1126/science.151.3712.867-a

Alvarez, M. (2017). Plastic surgery: A gift not geared for young people. Fox News, June, 7, https://www.foxnews.com/health/plastic-surgery-a-gift-not-geared-for-young-people

Anderson, C., Kraus, M. W., Galinsky, A. D., & Keltner, D. (2012). The Local-Ladder Effect: Social Status and Subjective Well-Being. Psychological Science, 23(7), 764–771. https://doi.org/10.1177/0956797611434537

Barbara, L., Grolleau, G., Mzoughi, N. (2017). Do you prefer having more or more than others in the workplace? A quasi-experimental survey in Algeria. Managerial and Decision Economics, 38(4): 595-606. https://doi.org/10.1002/mde.2806

Bekir, I., El Harbi, S., Grolleau, G. (2011). (Deceptive) status seeking strategies in France and Tunisia. Journal of Economic Issues, 45, 717-732. https://doi.org/10.2753/JEI0021-3624450311

Blanchflower, D. G., Oswald, A. J., & van Landeghem, B. (2009). Imitative obesity and relative utility. Journal of the European Economic Association. 7(2-3), 528-538. https://doi.org/10.1162/JEEA.2009.7.2-3.528

Bowen, A. (2019). More younger people want plastic surgery. Boston Herald, February, 10, https://www.bostonherald.com/2019/02/10/wfil-10/

Case, A., Garrib, A., Menendez, A., Olgiati, A. (2013). Paying the piper: The high cost of funerals in South Africa. Economic Development and Cultural Change, 62, 1-20. doi: 10.1086/671712

Celse, J. (2017). The behavioural economics of envy: what can we learn from it? In R. H. Smith, M. K. Duffy, & U. Merlone (Eds.), Envy at Work and in Organizations (Oxford Uni, pp. 321–346). New York: Oxford University Press.

Celse, Jérémy. (2012). Is the positional bias an artefact? Distinguishing positional concerns from egalitarian concerns. The Journal of Socio-Economics, 41(3), 277–283. https://doi.org/10.1016/j.socec.2012.01.002

Chao, A. Schor, J.B. (1998). Empirical Tests of Status Consumption: Evidence from Women’s Cosmetics. Journal of Economic Psychology, 19, 107-131. https://doi.org/10.1016/S0167-4870(97)00038-X

Chapman, G. B., Colby, H., Convery, K., Coups, E. J. (2016). Goals and social comparisons promote walking behavior. Medical Decision Making, 36, 472–478. doi:10.1177/0272989X15592156

Chen, J. T., Nayar, H. S., & Rao, V. K. (2017). 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center. Plastic and Reconstructive Surgery - Global Open, 5(9). https://doi.org/10.1097/GOX.0000000000001459

Clark, A. E., Frijters, P., & Shields, M. A. (2008). Relative income, happiness, and utility: An explanation for the Easterlin paradox and other puzzles. Journal of Economic Literature, 46(1), 95–144. https://doi.org/10.1257/jel.46.1.95

Daly, M., Boyce, C., & Wood, A. (2015). A social rank explanation of how money influences health. Health Psychology, 34(3), 222–230. https://doi.org/10.1037/hea0000098

de Tocqueville, A. (1840), Democracy in America. English Edition. Edited by Eduardo Nolla. Translated from the French by James T. Schleifer. (Indianapolis: Liberty Fund, 2012). Vol. 2. https://oll.libertyfund.org/titles/2737

Druckman, J. N., & Kam, C. D. (2011). Students as Experimental Participants: A defense of the “Narrow Data Base.” In J. N. Druckman, D. P. Green, J. H. Kuklinski, & A. Lupia (Eds.), Handbook of Experimental Political Science (pp. 41–57). New York: Cambridge University Press.

Exadaktylos, Filippos, Antonio M. Espín, & Brañas-Garza, P. (2013), “Experimental subjects are not different,” Nature Scientific reports, 3(1213). https://doi.org/10.1038/srep01213

Frank, R. H. (1996). Consumption Externalities and the Financing of Social Services. In V. R. Fuchs (Ed.), Individual and Social Responsibility: Childcare, Education, Medical Care, and Long-term Care in America (pp. 175–194). Chicago, IL: University of Chicago Press.

Frank, R. H. (2005). Positional externalities cause large and preventable welfare losses. American Economic Review, 95(2), 137–141. DOI: 10.1257/000282805774670392

Graafland, J. J. (2006). Economics, ethics and the market: Introduction and applications. Economics, Ethics and the Market: Introduction and Applications. https://doi.org/10.4324/9780203966334

Graf, L., König, A., Enders, A., & Hungenberg, H. (2012). Debiasing competitive irrationality: How managers can be prevented from trading off absolute for relative profit. European Management Journal, 30(4), 386–403. https://doi.org/10.1016/j.emj.2011.12.001

Griffin, D., & Gonzalez, R. (2013). The endowment-contrast model: A lens for happiness research. The Oxford handbook of happiness (Ed. Boniwell, I., David, SA. Conley Ayers, A.), pp. 35-59, Oxford University Press, New York, NY.

Grolleau, G., Galochkin, I., & Sutan, A. (2012). Escaping the Zero-Sum Game of Positional Races. Kyklos, 65(4), 464–479. https://doi.org/10.1111/kykl.12002

Grolleau, G., & Saïd, S. (2008). Do you prefer having more or more than others? Survey evidence on positional concerns in France. Journal of Economic Issues, 42(4), 1145–1158. https://doi.org/10.1080/00213624.2008.11507206

Harbi, S. El, Bekir, I., Grolleau, G., & Sutan, A. (2015). Efficiency, equality, positionality: What do people maximize? Experimental vs. hypothetical evidence from Tunisia. Journal of Economic Psychology, 47, 77–84. https://doi.org/http://dx.doi.org/10.1016/j.joep.2015.01.007

Lanza, H. I., Echols, L., & Graham, S. (2013). Deviating from the norm: Body mass index (BMI) differences and psychosocial adjustment among early adolescent girls. Journal of Pediatric Psychology. https://doi.org/10.1093/jpepsy/jss130

Li, H., Gail, M. H., Braithwaite, R. S., Gold, H. T., Walter, D., Liu, M., … Makarov, D. V. (2014). Are hospitals “keeping up with the Joneses”?: Assessing the spatial and temporal diffusion of the surgical robot. Healthcare (Amsterdam, Netherlands), 2(2), 152–157. https://doi.org/10.1016/j.hjdsi.2013.10.002

McAdams, R.H. (1992). Relative preferences. The Yale Law Journal, 102(1), 1-104.

Medvec, V. H., Madey, S. F., & Gilovich, T. (1995). When less is more: counterfactual thinking and satisfaction among Olympic medalists. Journal of Personality and Social Psychology, 69(4), 603–610. https://doi.org/10.1037/0022-3514.69.4.603

Mujcic, R. & Frijters, P. (2015). Conspicuous consumption, conspicuous health, and optimal taxation. Journal of Economic Behavior & Organization, 111, 59–70. https://doi.org/10.1016/j.jebo.2014.12.017

Oswald, A. J., & Powdthavee, N. (2007). Obesity, Unhappiness, and The Challenge of Affluence: Theory and Evidence. Economic Journal, 1(34), 1–24. https://doi.org/10.1007/s10669-012-9429-y

Rablen, M. D., & Oswald, A. J. (2008). Mortality and immortality: The Nobel Prize as an experiment into the effect of status upon longevity. Journal of Health Economics, 27(6), 1462–1471. https://doi.org/10.1016/j.jhealeco.2008.06.001

Read, D. (2005). Monetary incentives, what are they good for? Journal of Economic Methodology, 12(2), 265–276. https://doi.org/10.1080/13501780500086180

Rubinstein, A. (2001). A theorist’s view of experiments. European Economic Review, 45(4), 615–628. https://doi.org/https://doi.org/10.1016/S0014-2921(01)00104-0

Slevec, J., & Tiggemann, M. (2010). Attitudes toward cosmetic surgery in middle-aged women: Body image, aging anxiety, and the media. Psychology of Women Quarterly. https://doi.org/10.1111/j.1471-6402.2009.01542.x

Solnick, S., & Hemenway, D. (1998). Is more always better?: A survey on positional concerns. Journal of Economic Behavior & Organization, 37(3), 373–383. https://doi.org/10.1016/S0167-2681(98)00089-4

Thaler, R. H. (1987). The psychology of choice and assumption of economics. In A. E. Roth (Ed.), Laboratory Experimentation in Economics: Six points of view (pp. 99–130). Cambridge: Cambridge University Press.

Thaler, R. H. (2015). Misbehaving: the making of behavioral economics. W.W. Norton Company.

Tversky, A., & Griffin, D. (1991). Endowment and contrast in judgments of wellbeing. In F. Strack, M. Argyle, & N. Schwarz (Eds.), Subjective Well-being (pp. 101–118). Pergammon.

Walker, C. E., Krumhuber, E. G., Dayan, S., & Furnham A. (2019). Effects of social media use on desire for cosmetic surgery among young women, Current Psychology, https://doi.org/10.1007/s12144-019-00282-1

Wouters, S., van Exel, N. J. A., van de Donk, M., Rohde, K. I. M., & Brouwer, W. B. F. (2015). Do people desire to be healthier than other people? A short note on positional concerns for health. The European Journal of Health Economics, 16(1), 47–54. https://doi.org/10.1007/s10198-013-0550-8

Zell, E., & Alicke, M. D. (2013). Local dominance in health risk perception. Psychology & Health, 28(4), 469–476. https:// https://doi.org/10.1080/08870446.2012

Zuckerman, D., & Abraham, A. (2008). Teenagers and Cosmetic Surgery: Focus on Breast Augmentation and Liposuction. Journal of Adolescent Health. https://doi.org/10.1016/j.jadohealth.2008.04.018

Published

2021-10-29

How to Cite

CELSE, J., & GROLLEAU, G. (2021). KEEPING UP WITH THE JONESES: EXAMINING RELATIVE CONCERNS IN HEALTH RELATED DOMAINS. Journal De Gestion Et D économie médicales, 39(01), 21. https://doi.org/10.54695/jdds.039.01.3856

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