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Open Access Publications from the University of California

Demand for health risk reductions: A cross-national comparison between the U.S. and Canada

  • Author(s): Cameron, Trudy Ann
  • DeShazo, J. R.
  • Stiffler, Peter
  • et al.

Using a large stated preference survey conducted across the U.S. and Canada, we assess differences in individual willingness to pay (WTP) for health risk reductions between the two countries. Our utility-theoretic choice model allows for systematically varying marginal utilities for avoided future time in different adverse health states (illness-years, recovered/remission years, and lost life-years). We find significant differences between Canadian and U.S. preferences. WTP also differs systematically with age, gender, education, and marital status, as well as a number of attitudinal and subjective health-perception variables. Age profiles for WTP are markedly different across the two countries. Canadians tend to display flatter age profiles, with peak WTP realized at older ages.

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