Libertarian Paternalism
Transcript
Libertarian Paternalism
Ce.R.D. - Center for research on Risk and Decision DPSS - University of Padova http://decision.psy.unipd.it/ Libertarian Paternalism Behavioral Economics class Faculty of Economics - University of Padova 2010/2011 academic year Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Cognitive limitations and decision Often people make mistakes when they have to decide what it would be the best behavior or the best goal to achieve: As we saw in previous lectures, those mistakes originate from automatic processes induced by cognitive limitations that characterize the way human beings think. The complexity of the world in which we live is so high that on many occasions we are obliged to choose: Without being expert enough. Without having enough information. 2 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Cognitive limitations and decision Decision biases may have consequences not only for single individuals but also for the whole society: If a person does not save enough money for retirement, the collectivity will have to help him/her one way or another (providing some money or paying for health care). If a person rejects a sub-optimal kidney for transplantation the government will have to keep spending for his/her dialysis (about €2600 a month for a single patient). If people do not collect recyclable wastes separately, the whole society will face the consequences of this behavior. 3 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione How to change things for the better Recent approaches based on behavioral economics suggest that it could be possible to modify the interest of economics in a way that is advantageous to both individuals and the society: So far the main interest of economics was to «exploit» and profit from consumer choices... to try and convince them to spend more, eat more, smoke, buy lottery tickets, and make debts with their credit cards. Even companies that appear to be «in favor of the consumer» (selling anti-nicotine or dietetic products) have an interest in seeing them start smoking or eating too much. 4 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione How to change things for the better These new approaches aim at finding ways to favor behaviors that increase both: Individuals wealth and health. Companies profits and a good management of public funds. 5 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione How to change things for the better A particular solution is to «induce» people, thanks to their biases, to behave in a more correct and virtuous way. However, such solution open a contrast between two different positions about social policy: Libertarianism: Based on freedom of choice. Every person is free to choose which alternative or particular behavior they prefer to follow (i.e., whether to save money for retirement or not). Paternalism: Reduction of the number of alternatives when people are unable to engage in healthy behaviors (i.e., obliging them to save by deducting money from their salary). These two positions have long been considered incompatible, but they both offer have positive sides as well as serious limitations. 6 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Libertarian Paternalism Recently, several behavioral economists have proposed less radical forms of paternalism in which freedom of choice is preserved although cognitive biases are used to increase the chance that people makes healthy decisions: These researchers suggest that our knowledge of behavioral economics can be used to design more effective decision contexts. SMART: this is a program that uses principles of libertarian paternalism to increase the number of employees who enroll in a pension plan (Thaler & Benartzi, 2004). This approach to policy making is also defined «light paternalism» or «asymmetric paternalism.» 7 Ce.R.D. Possible interventions Centro di Ricerca sul Rischio e la Decisione Taking advantage from the biases that characterize people’s reasoning and the way they decide it is possible to design social and economical policies that let individuals free to choose what they prefer, while at the same time inducing them to behave better. Several characteristics of the way human beings reason can be used to this end: Defaults (people prefer not to change their status quo) Anchoring Context effects Monetary incentives 8 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Defaults and status quo bias It is possible to design interventions that create defaults corresponding to the choice that is more convenient for the individual (or the community). In this way, it should be expected that only a minority of people decide to modify this initial condition. For instance, in the case of pension plans, if the enrollment is the default, only those employees who have a good reason to leave should do that (i.e., if they have to pay the house loan). 9 Ce.R.D. Defaults and organ donation Centro di Ricerca sul Rischio e la Decisione Mean = 97.56% Opt-in 99.9 98.0 99.9 99.9 99.5 99.6 85.9 Mean = 15.23% (Fonte: Johnson & Goldstein (2003). Do defaults save lives? Science, 302, 1338-1339). Sweden Portugal Poland Hungary France Belgium United Kingdom Netherlands 4.3 12.0 Austria 17.2 Germany 27.5 Denmark 100% 86% 71% 57% 43% 29% 14% 0% Opt-out Ce.R.D. Defaults Centro di Ricerca sul Rischio e la Decisione In an experiment, law school students were asked to answer to one of the following scenarios. The argument of the scenarios concerned laws about paid-vacations: Scenario 1: The law grants 2 weeks of paid-vacation every year. Participants had to estimate their willingness to give up part of their annual salary to get two additional weeks of paid-vacation. Scenario 2: The law grants 2 weeks of paid-vacation every year plus 2 additional weeks that the worker may not take. Participants were asked to estimate the annual salary increase they wanted to give up the two additional weeks of vacation. 11 Ce.R.D. Defaults Centro di Ricerca sul Rischio e la Decisione In the first condition (scenario 1), participants were willing to give up $6,000 each year in order to get two additional weeks of paid-vacation. In the second condition (scenario 2), participants asked for $13,000 every year to give up the two additional weeks of paid-vacation. Once again, the choice of the default has an effect on both the annual salary received by the employees... and the costs sustained by the employer. 12 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Anchoring When answering to a question without knowing the exact answer we can often be influenced by a number provided from an external source which we use to get a hint for the estimate. However, there are also other ways people are influenced by anchors. This heuristic can be used to increase investments in stock funds by those investors who want to save money for retirement. Traditionally, people do not invest enough in stocks because they judge those investments too risky (loss aversion). However, stocks have better performance than bonds on the long run (risk-return relation and risk premium). 13 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Anchoring Investors fear of stocks is explained by their excessive overestimation of the short term (myopic loss aversion) that leads them to downplay the long term advantages. Suggesting default portfolio allocations that are unbalanced in favor of stock funds it is possible to design a pension plan that induces investors to overcome their bias about how risky stocks are. By setting a stock allocation default of 80% could be possible to increase investors stock allocation by about 10-15% on average therefore getting to a final stock investment of about 50% of the portfolio (Sunstein & Thaler, 2008). 14 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Context effects We talked about context effect in the first lecture, when discussing the violation of the regularity principle. These effects have been introduced in consumer behavior and marketing, however they can be more effective in fileds where the ability to control the decision context by the policy makers is higher. In advertisement and marketing, these strategies have been used by companies to sell their products and prevent consumers from buying products made by a competitor. A goal of Libertarian Paternalism is to make use of paradigms that let people free to choose but still increasing the chance that they make the best choice for their wealth and health and for their community. 15 Ce.R.D. Attraction effect Centro di Ricerca sul Rischio e la Decisione Quality Product B (Competitor) Product A (Target) Cheapness 16 Ce.R.D. Attraction effect Centro di Ricerca sul Rischio e la Decisione Quality Option B (Competitor) Option A (Target) Option D1 (Decoy) Cheapness 17 Ce.R.D. Attraction effect Centro di Ricerca sul Rischio e la Decisione Quality Option B (Competitor) Option D2 (Decoy) Option A (Target) Cheapness 18 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Context effect and transplantation In 2008, we run an experiment applying the attraction effect to the xenotransplantation issue. Xenotransplantation is under study as an approach to increase the number of organs available for transplantation. Such biotechnology foresees the use of animal organs to transplant in human recipients. Animals (most likely pigs) will be grown in laboratory and genetically modified to reduce rejection because of immunological issues. 19 Ce.R.D. Context effects and transplantation Centro di Ricerca sul Rischio e la Decisione Hypotheses: People should be averse to xenotransplantation since, although it increases the number of available organs, it induces strong negative affective reactions. Introducing an alternative which is even more negative (decoy) patients should be more willing to accept a pig liver. Sample: A group of patients waitlisted for liver transplantation. 20 Ce.R.D. Context effect and transplantation Centro di Ricerca sul Rischio e la Decisione In the two alternatives condition, patients were presented with: Pig liver Affective reaction Human liver (Competitor) + Human liver ... 97.5% of respondents choose the human organ, despite it was less available than the pig liver. Pig liver (Target) - Therefore, by choosing the human organ they increased the chance to die before receiving the new organ. 20 40 Organ availability (every 100) 21 Ce.R.D. Context effect and transplantation Centro di Ricerca sul Rischio e la Decisione Affective reaction In the three alternative condition, the majority of patients still choose the human liver... Human liver (Competitor) + However, the number of those choosing the pig liver raises: Pig liver (Target) - From 2.5% Dog liver (Decoy) To 25.6% 20 40 Organ availability (every 100) (Source: Rubaltelli E., Burra P., et al. (2008). Strengthening acceptance for xenotransplantation: The case of the attraction effect. Xenotransplantation). 22 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Use of incentives Many interventions aim at reducing people’s underestimation of future consequences providing: Immediate rewards (or punishments)... and feedbacks about the obtained results. Such interventions are designed to reduce the effects of the hyperbolic time preference (Strolz, 1955). 23 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Hyperbolic time preference From a psychological point of view this phenomenon is linked to the effort required to resist temptations and emotions: People are more impatient for events happening in the present (when you have to give up something now to get something better in the future)... than they are when facing future events (when they have to give up something good in the future to get something even better at an even later time). 24 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Hyperbolic time preference Many people use to say: «I will start the diet next month!» In such a case people are willing to start giving up high-calorie foods (e.g., cakes) from the next month to get an even further gratifications (being lean when going to the beach!). «However, for today I still want to eat that cake!» 25 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Use of incentives and drug addiction One of the most relevant interventions in this case has been to use incentives to help people overcome addictions: Every day, drug addicted individuals received a coupon to buy goods if their urine test was negative. Often this small incentives have a great effect, despite individuals had already incurred huge losses because of their addiction. The coupon allows these people to get an immediate reward, whereas in normal conditions they would only have an immediate cost (abstention from using drugs which is painful) and a reward which is far away in the future (changing their lives for the better). (Source: Higgins S.T., Wong C.J., et al. (2000). Contingent reinforcement increases cocaine abstinence during outpatient treatment and one year of follow-up. Journal of Consulting and Clinical Psychology, 68, 64-72). 26 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Use of incentives Similar programs have been developed to counteract different types of issues, like: Addition to nicotine (Volpp et al., 2006). Obesity (inducing people to lose weight; Jeffrey et al., 1983). Increasing kids grades in high school (Angrist et al., 2006). It is important to consider that in many cases individuals would like to change behaviors that they judge unhealthy (like smoking): However, they often find it difficult to get motivated day after day in order to get a gratification later in time. 27 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Evaluation of low probabilities Another bias of reasoning is to overestimate low probabilities: This is why individuals buy lottery tickets (or for games like superenalotto) and think this is a good opportunity to gain money. It is also one of the decision implications described in Prospect Theory. This behavior explains why people play the lottery but at the same time refuse to buy an insurance against highly probable (but not sure) accidents. (Source: Kahneman D. & Tversky A. (1979). Prospect theory: An analysis of decision under risk. Econometrica, 47, 263-291). 28 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Evaluation of low probabilities 29 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Lottery and adherence to a medical treatment Starting from people’s overestimation of low probabilities it has been designed a program to increase patients’ adherence to medical treatments: They had to take a drug to prevent a second heart stroke (the drug had little side effects). Every evening, a number corresponding to one of the patients in this program was withdrawn like in a lottery. A small sum of money was given to the corresponding patient. An electronic system allows the physician to know every day which patients have opened a special drawer to take the pills. 30 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Lottery and adherence to a medical treatment Every evening those who took the pill are informed of the winning number and therefore they know they could have won: In this way, the process involved patients’ emotional reactions and in particular the emotion of regret. Regret is the feeling that a person experience when he/she could have obtained something better behaving differently... Usually, people do their best to avoid experiencing a negative emotion like regret (and the feeling of being responsible for a lost opportunity). 31 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Lottery and adherence to a medical treatment In the first two trials of this intervention (each was one-month long) researchers obtained the following increases in the adherence to the treatment: From 66% without lottery to 96% with lottery. From 66% without lottery to 97% with lottery. Overestimation of low probabilities and regret aversion increased significantly the attractiveness of the sum offered through the lottery and, as a consequence, the efficacy of the treatment. 32 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Loss aversion Prospect Theory states that people are averse to losses: They prefer a sure win to an uncertain one when the expected value is held constant: Receiving €100 for sure > 50% chance to receive €200. They prefer an uncertain loss to a sure one when the expected value is held constant: 50% chance to lose €200 > losing €100 for sure. 33 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Loss aversion A research showed that loss aversion can be exploited to induce people to lose wait. Patients were asked to deposit money or other valuable objects and to sign a contract with their physician: Money (and other objects) would have been returned to the patients depending on their ability to honour the schedule relative to the weight loss. Of all the patients enrolled in the program: 47% lost more than 9Kg and 70% lost more (Source: Mann R.A. (1972). The behavior-therapeutic use of contingency contracting to control an adult behavior problem; Whight control. Journal of Applied Behavioral Analysis, 5, 99-102). 34 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Loss aversion Asking people for a deposit allows to increase their motivation to lose weight, since: It increases the negative emotion linked to the loss of a the initial deposit. Such a program plays with people’s initial optimism about their ability to stick with their goal of losing weight: Upon starting they are convinced they will achieve their goal... as a consequence, they are willing to put their own money at stake. 35 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Framing effect Framing is one of the most useful effects to design policies that are coherent with the principles of Libertarian Paternalism: Framing does not limit people’s freedom of choice. However, by changing the reference point or the «cosmetic» features of the decision context it is possible to modify choices quite dramatically. 36 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Framing effect A recent research showed that thanks to framing and loss aversion it is possible to increase participation to health insurance plans supported by employers. They are economically convenient for the employees. Enrollment in the program was higher when it was described as a loss: Loss: «Stop losing your money!» Gain: «Start saving your money!» (Source: Schwartz J., Bertrand M., Mullainathan S. & Shafir E. (2006). Boosting program take-up: An experiment with flexible spending accounts. Presented at the “BDRM COnference”, Santa Monica, CA; June 15-17). 37 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Goal gradient hypothesis Usually, people are more and more motivated as they get closer to the goal they want to achieve: For instance, if a brand offer a reward to those achieving a specific amount of loyalty points, costumers who are closer to that score will buy more often the product. Hull (1932) defined this phenomenon as the Goal Gradient Hypothesis. 38 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Goal gradient hypothesis A recent intervention tested in the United States aims at avoiding the use of «Rent-to-own» solutions: These solutions allow to rent a product for several months and to keep it after the rental time (usually around 6 months). These solutions have a big drawback for the consumer as he/she would likely end up paying the product double its original price (but paying something every month rather than in a single solution). 39 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Goal gradient hypothesis The alternative that has been tested is labeled «Save-to-own»: This intervention allows the consumer to open a savings account in which saving money destined to the purchase of a particular product. Money in this account are saved in the following way: Initially, they are saved in small amounts... that are increased as the consumer gets closer and closer to saving the sum needed to buy the product. 40 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Goal gradient hypothesis A similar program is consistent with the fact that people prefer to spend their money now than in the future: Low initial contributions do not influence significantly people’s spending power (so they are easier to accept). Highe contributions toward the end of the program are easier to cope with since the goal is closer (the negative feeling of waiting for something one like will be reduced and that’s good). (Source: Loewenstein G. & Haisley E. (1998). The economist as a therapist: Methodological ramifications of “light” paternalism. In A. Caplin & A. Schotter (Eds.), Perspectives on the Future of Economics: Positive and Normative Foundations. Oxford, England: Oxford University Press). 41 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Limits of Libertarian Paternalism One of the main limits of Libertarian Paternalism is the difficulty at identifying a general principle that can be used to decide: Which is the optimal choice or behavior. Which is the behavior that most people would prefer to do. 42 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices Different criteria can be used and all of them has some kind of limitation or drawback: Some of the criteria proposed are the following: Expected utility. Experienced utility. Limiting welfare to valid choices (decision utility). Informed decision utility. Imperfect pragmatic approach. 43 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 1. Expected utility: This is the same criteria used in the rational theories (von Neumann & Morgenstern, 1947). A huge number of researches in decision making showed that on many occasions people choices do not respect this principle. Often people do not get the highest satisfaction from what should be the «rationally optimal» choice; see: Prospect Theory and the violation of rationality principles. Framing effect, loss aversion, and differences between tasks that are supposed to held similar preferences. Effects due to different information formats that are formally equivalent. 44 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 2. Experienced utility: Kahneman (as well as several other economists and psychologists) proposed to measure people’s welfare on the basis of their happiness: The goal would be to help people maximize their happiness rather than the economic outcome (e.g., salary). Research suggested that amount of salary and happiness are not as strongly associated as it was thought in the past. On average, American are as happy today than they were 60 year ago, despite massive increases in the average annual income. (Source: Kahenman D. & Krueger A.B. (2006). Developments in the measurement of subjective wellbeing. Journal of Economic Perspectives, 20, 3-24). 45 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 2. Experienced utility: The problem with hedonic adaptation: Dialysed patients report happiness ratings similar to healthy individuals. People tend to adapt to the situation they live in (even negative situations). A similar principle would not allow to conclude that a chronic disease is an undesirable outcome (it does not necessarily reduce perceived happiness). (Source: Riis J., Loewenstein G., et al. (2005). Ignorance of hedonic adaptation to hemo-dyalisis: A study using ecological momentary assessment. Journal of Experimental Psychology: General, 134, 3-9). 46 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 2. Experienced utility: A second issue is how to measure happiness; at present, there are several measures but none is consistently reliable: Usually, people use their general conditions as a reference point; on other occasions they compare themselves with other people around them. Moreover, these measures are sensitive to: Mood at the time a respondent answers. Weather. Previous questions respondents had to answer to. 47 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 3. Limiting welfare to valid choices (decision utility) This approach is to use the criterium of actual choice made by a person, while limiting the range of available alternatives. The hypothesis is that individuals will try to maximize their happiness, but... sometimes they are unable to do so because of the influence of intense emotions or instincts (Source: Loewenstein G. & Haisley E. (1998). The economist as a therapist: Methodological ramifications of “light” paternalism. In A. Caplin & A. Schotter (Eds.), Perspectives on the Future of Economics: Positive and Normative Foundations. Oxford, England: Oxford University Press). 48 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 3. Limiting welfare to valid choices (decision utility) Obviously, an issue with this approach is how to decide which alternatives are important (and must be available) and which are not. Several ways have been proposed (e.g., letting individuals choose the sub-set of relevant options) but they all received several critics. A solution would be to run fMRI studies to understand which tasks and contextual factors sap decision makers cognitive resources. However, we will have to wait a long time before finding a pattern of brain activation precise enough to be useful. 49 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 4. Informed decision utility: This approach suggest to consider people’s choices as an index of utility maximization, but only when: Everything has been attempted to proved full information about each alternative. Possible examples of this approach are the following: Labels on food and drugs packaging. Furthermore, such approach should be applied providing to the decision maker: Information about possible decision biases (e.g., framing). 50 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 4. Informed decision utility: Again, there are several limits that should be considered when using such an approach: Seldom it can be applied without making an a priori inference about the actual utility of a choice: It is fundamental to decide whether to provide full information about a specific decision domain or not. Provide full information can help only in some circumstances but not always: For instance, it would not solve issues raised by lack of self control by the decision maker (like not saving for retirement). 51 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 5. Imperfect pragmatic approach: Sometimes selecting the solution that would increase people’s welfare is quite simple: It is the case in which one of the following principles is observed: Dominance Clearly negative outcomes Self-officiating policies (policies required by the decision makers). (Source: Loewenstein G. & Hubel P. (in press). Hedonic adaptation and the role of decision and experience utility in public policy. Journal of Public Economy). 52 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 5. Imperfect pragmatic approach: Dominance On some occasions, people should be helped to reach an outcome that dominates the one they would choose by themselves: This is the case of pension funds in the USA where the employer can match the employee contribution (company match): Many employees give as «last contribution» a sum that is inferiore to the maximum value that the company is willing to match. Starting from the hypothesis that employees would prefere an higher pension, maximizing the company match should be a better choice. 53 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 5. Imperfect pragmatic approach: Clearly negative outcomes In some situations, people make decisions whose outcomes are below their present status quo: In these cases, there is no need for a criteria of welfare as it is clear that people would be better off avoiding to incur in a loss. 54 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices 5. Imperfect pragmatic approach: Self-officiating policies This principle leaves the decision about the goal to achieve to the people who are involved in the situation (e.g., losing weight or quit smoking): In this case, the only thing to do is to apply policies based on: Restrictions. Incentives. Information aiming at support people self-control. ... in order to help the individual to reach his/her objective. 55 Ce.R.D. Centro di Ricerca sul Rischio e la Decisione Reference principle to induce better choices Therefore, the best approach seems to combine all those described above in order to maximize the chance to increase peoples welfare and the efficacy of their choices: Depending on the specific domains it is possible to use: Expected utility. Experienced utility. Informed choice utility. 56
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