Fair Innings: An Empirical Test

Matthew D. Adler, Maddalena Ferranna, James K. Hammitt, Eugénie de Laubier and Nicolas Treich
Additional contact information
Matthew D. Adler: Duke University [Durham]
Maddalena Ferranna: Princeton University
James K. Hammitt: TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - Comue de Toulouse - Communauté d'universités et établissements de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement
Eugénie de Laubier: TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - Comue de Toulouse - Communauté d'universités et établissements de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement

Working Papers from HAL

Abstract: The fair innings principle states that fairness requires allocating life-saving treatments to younger rather than older patients when each would gain the same extension in longevity. It is motivated by the notion that older patients have already benefited from a longer life and so have less claim to scarce treatment resources than younger patients who have not yet lived their "fair innings." The principle can be theoretically justified by a prioritarian social welfare function applied to lifetime wellbeing. We conducted an online survey to test whether there is support for the principle in the general population (in France). We find substantial but not universal support. When choosing to allocate a treatment that would provide the same life extension to an older or a younger patient, about one-half the respondents would allocate the treatment to the younger patient while about one-third are indifferent to which patient is treated and about one-fifth would allocate treatment to the older patient. Holding the life extension to the older patient fixed, decreasing the life extension to the younger patient decreases (increases) the fraction of respondents that would allocate treatment to the younger (older) patient. These results highlight the tension between principles of equal treatment and of giving priority to those who are worse off that confound healthcare policy.

Keywords: Prioritarianism; Health; Ethical preferences; Questionnaire study; Covid-19; Life saving; Fair innings (search for similar items in EconPapers)
Date: 2025-11-06
Note: View the original document on HAL open archive server: https://hal.science/hal-05350960v1
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Related works:
Journal Article: Fair Innings: An Empirical Test (2025)
Working Paper: Fair innings: an empirical test (2025)
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