Ethics and Values in Welfarism and Extra-Welfarism

Joanna Coast, Paul Mitchell, Ilias Goranitis

Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)peer-review


This chapter focuses on the ethical values that underpin different types of
economic evaluation. Welfarism, the standard health maximization
approach to extra-welfarism, and a capability approach to extra-welfarism
are all discussed in terms of the different values incorporated. Alternative
decision rules around maximization and sufficiency are also examined.
These theoretical discussions are then supplemented by two case studies
related to mental health. The first considers the relative priority that might
be given to depression treatment relative to a variety of physical health
conditions, using both forms of extra-welfarism. The second explores the
use of health and capability measures in interventions for drug addiction.
The evidence presented indicates that interventions for mental health conditions
will receive different priorities where different value judgements
form the basis for the economic evaluation. This underlines the importance
of these ethical decisions.
Original languageEnglish
Title of host publicationMental Health Economics: The Costs and Benefits of Psychiatric Care
EditorsDenise Razzouk
Number of pages15
ISBN (Electronic)978-3-319-55266-8
ISBN (Print)978-3-319-55265-1
Publication statusPublished - 6 Oct 2017


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