Solidarity Preferences Towards Lifestyle-Related Diseases: The Influence of Cost Framing, Social Value Orientation and Lifestyle Factors
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2025-07-04
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en
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The increasing prevalence of lifestyle related diseases presents a common pool problem. Although the annual healthcare costs of smokers/people who are obese are higher, the lifetime healthcare costs of smokers/people who are obese are lower. This thesis investigates to which extent the Dutch population support various forms of healthcare differentiation between smokers/people who are obese and healthy individuals via a vignette experimental study. Participants who are presented with information of the lifetime healthcare costs are less in favour of healthcare differentiation than participants who are presented with the annual healthcare costs. The solidarity preferences among inequality averse participants align with their social value orientation and are mostly driven by an aversion against disadvantageous outcomes. However, participants with a joint maximizing social value orientation in the annual healthcare perspective group act in contrast with their social value orientation. Individualistic participants who engage in 2 or less health behaviours are acting according to their social value orientation. However, individualistic participants who engage in 3 or more health behaviours are acting against their social value orientation. Furthermore, more support for differentiation is found for smoking and for insurance premium discount. Females, older participants and smokers are less supportive of healthcare differentiation.
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Faculteit der Managementwetenschappen