Discounting for Delay and the Value of a Life Year lost to Air Pollution

Lead Research Organisation: University of Birmingham
Department Name: Economics

Abstract

A key role of the UK government is to address causes of premature fatality. In the UK, air pollution leads to the loss of 340,000 years of life each year and workplace cancers led to the loss of over 140,000 years of life in 2010. Government policies can address the many causes of premature fatality, but these policies need to be evaluated to ensure they make the best use of public money. The question then becomes: what is the value of increasing a person's life expectancy?

To address this question, researchers have introduced the concept of the Value Of a Life Year (VOLY). This VOLY is used in government policy evaluations as a measure of the benefits of policies including air pollution mitigation and workplace safety regulation, and thus it is crucial it is measured accurately.

The VOLY is estimated using surveys of members of the public, in which people state how much they would pay for a given reduction in their risk of dying, or for a given increase in their life expectancy. The benefits being valued occur in the future. Crucially then, a key component of the VOLY is the effect of timing. Put simply, the further in the future something is, the less we tend to care about it. So a reduction in our risk of dying this year might be more valuable than a reduction in our risk of dying in the future, even if the effect on our overall life expectancy is the same. Unless we understand the influence of this 'discounting' for changes in life expectancy, we cannot accurately disentangle it from the true VOLY. This is the problem we aim to solve with our research.

To solve it, our team of experimental economists will use an innovative mixture of experiments and surveys. Participants will play experimental games designed to include simplified models of the air pollution policies, so our team can learn the best ways to describe and measure discounting as it relates to delayed changes in risk. The survey will use the insights from the experiment and elicit individuals' preferences for reductions in their risks at different points in the future. Taken together, the experiments and survey will provide the first major investigation into how people discount their future life expectancy in the context of the VOLY.

Our results will be important for policymakers in two ways. First, unless we can account for the effects of discounting on the VOLY, then policy estimates of the VOLY taken from current surveys might be wrong. If these incorrect estimates are used in the evaluation of policies aimed at improving life expectancy, then the value of the policies will be over- or under-estimated, which means public money is likely to be spent on the wrong policies. Second, when the government is evaluating policies where improvements in life expectancy happen in the future, as is the case for air pollution policies, they have to apply discounting to the value of the benefits. Our research will provide evidence about how governments should discount future gains in life expectancy, to make sure that public preferences are reflected in policymaking.

Our research is also academically cutting-edge. It combines models from economics with insights from psychology to generate new methodological and empirical evidence about how discounting influences preferences for changes in risk, both for money outcomes (in the experiments) and for fatality risks (in the surveys). It also forges a new methodological agenda, which is the incorporation of incentivised experiments into policy-driven research projects.

Overall, our research aims to provide the basis for changing the VOLY used in government policy, challenge existing guidance for discounting fatality risk reductions, and ultimately change how government money is spent, so that the policies implemented are those that improve the wellbeing of society.

Planned Impact

What is an additional year of life expectancy worth to society? This question lies at the heart of the evaluation of government policies that reduce risks of premature fatality. The proposed research addresses a core question relating to the evaluation of the monetary value of life expectancy gains: how does the 'value of a life year' (VOLY) change according to its timing?

Our main beneficiaries will be policymakers across UK and EU governments. We will use the context of Air Pollution in our survey, so the immediate beneficiaries will be policymakers in the Department for the Environment, Food and Rural Affairs evaluating policies targeting pollution in the air and water. Yet the methods and insights will be transferable across government departments to any policy context that delivers improvements in life expectancy.

Our project is timely, since a cross-governmental group of departments and agencies is currently focussed on clarifying general issues in the valuation of fatality outcomes. Our research fits very well into this framework, since it addresses the discounting of fatality outcomes; a concept of fundamental importance, yet one that is poorly understood. These departments and agencies include the Department of Health which evaluates life-extending interventions; the Department of Transport which evaluates interventions to prevent road traffic fatalities; and the Treasury, which provides cross-governmental guidance on the valuation of non-market outcomes. The Health and Safety Executive (HSE) evaluates policies using estimates of the Value of Prevented Fatalities (VPF), and is our Project Partner. Beyond UK government, the European Chemicals Agency (ECHA) has also expressed interest and will contribute to the project. The HSE's and ECHA's input will help shape the research questions and design and help identify routes by which the results can influence policy.

We will host a Stakeholders' workshop to bring policymakers and academics together to discuss issues surrounding discounting, the monetary VOLY and related topics. It will combine academic presentations of policy-relevant research with policy-led sessions. This will allow us to showcase the results, increase their visibility in policy circles, strengthen our network with policymakers as well as other existing relationships between academia and policy, and provide opportunities to identify knowledge gaps for future research. We will also disseminate the research to the policymakers identified as the most relevant by presenting in their analytical seminar series and engaging with their relevant committees, to identify remaining barriers to policy change and develop strategies to overcome these. All of our research outputs will be collated on our webpage to maximise the visibility of the findings.

We anticipate our research findings will demonstrate that existing assumptions about discounting underlying the calculation of the VOLY need to be updated - even completely overturned. If so, two specific changes to policy would be called for. First, the VOLY would need to be re-estimated, which could dramatically change the implied monetary value of reducing fatalities attributable to air pollution, as well as a range of other causes of premature fatality. This would change the viability of policies, including those addressing air pollution, and potentially shape government spending. Second, we would call for a fundamental change in discounting advice for public sector policy appraisal of mortality outcomes. For air pollution, guidance currently recommends that costs are subject to discounting at 3.5% per year (declining after the first 30 years), as set out in the Treasury's Green Book. Our research will test whether this practice reflects public preferences. Our research will also provide evidence about the compatibility of the VOLY and VPF approaches to mortality risk evaluation, which is a key concern for the new government initiative.
 
Description We have developed a theoretically grounded elicitation tool that allows us to work out the discount rate individuals use when choosing between sequences of conditional probabilities. This was rolled out during Summer 2019. Participants took part in four linked experimental sessions. This is a significant methodological contribution since it demonstrates the feasibility of running longitudinal experiments online.

The data from the experiment demonstrates that when people choose between changes in risks over time, they don't behave in accordance with the predictions of standard economic theory. Instead, sequences of outcomes seem to matter a lot. For instance, people prefer to spread out risk reductions over time, and save some risk reductions up until later, both of which are in conflict with standard theories. This suggests we need to rethink standard theories of choice under risk and over time.

We developed a new survey paradigm, building on the experiment, which allows us to elicit discounting rates and functional forms from people's choices between risk reductions in the context of fatality risks. We rolled out this survey with 1667 participants with varied ages and a balanced gender profile. We show that people hold strong preferences over the timing of their risk reductions, and about how gains in life expectancy are delivered to them. Their answers can't be reconciled with standard theories of discounting because, like in the experiment, they often wish to save up some risk reduction for later in life. We show that people who prefer later risk reductions tend to be less impatient in general. Overall, the key findings are (1) that it is possible to elicit discounting rates and functional forms from survey data and (2) that people's preferences over the timing of their risk reductions are more complex than standard models would lead us to believe.
Exploitation Route The findings of the empirical work may influence the way that academics measure and conceptualise discounting in the context of conditional risk sequences, and further our understanding of what drives preferences for different risk sequences.
The findings of the survey suggest that policymakers should re-think the way that timing is accounted for in policy evaluations of risk reductions spaced out over time.
In particular, we hope this work will feed in to the expected government tender for eliciting a new estimate of the UK value of a life year (expected this year).
Sectors Communities and Social Services/Policy,Government, Democracy and Justice

 
Description The literature review that I conducted with the RA for this project has fed directly into a report that forms part of "The Provision of a Scoping Study on the Valuation of Risks to Life and Health: the Monetary Value of a Life Year (VOLY)" referred to in "other funding" section. By contributing an in-depth review of the discounting literature, this provided important evidence underpinning recommendations in that report. The Scoping Study report is now published in a UK policy-making report series (branded as a HSE report). This work formed the basis for government's decision to tender for a new empirical study to elicit the monetary value of a life year from a representative sample of the UK population. This tender is expected to be released imminently and both the PI and RF are on a bidding consortium. When publications from this project materialise we will capitalise on the relationships built with the government consortium, maximising the potential for their impact.
First Year Of Impact 2019
Sector Communities and Social Services/Policy,Government, Democracy and Justice
Impact Types Policy & public services

 
Description Literature review contributed to government scoping study on value of a life year
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
 
Description "The Provision of a Scoping Study on the Valuation of Risks to Life and Health: the Monetary Value of a Life Year (VOLY)"
Amount £86,210 (GBP)
Organisation Health and Safety Executive (HSE) 
Sector Public
Country United Kingdom
Start 06/2018 
End 07/2019
 
Description University of Birmingham Business School Bridge Funding to extend research fellow contract after the end of her contract
Amount £7,000 (GBP)
Organisation University of Birmingham 
Sector Academic/University
Country United Kingdom
Start 05/2020 
End 08/2020
 
Title New survey instrument developed and tested 
Description We developed a new survey instrument that allows discount rates and functional forms to be elicited from choices between perturbations to survival curves. This approach has been rolled out to elicit data from 1664 members of the public. 
Type Of Material Improvements to research infrastructure 
Year Produced 2020 
Provided To Others? No  
Impact No impact yet. 
 
Title Questionnaire to elicit discounting from conditional risk sequences 
Description We have designed and programmed a new survey module that can reveal time preferences from choices between conditional risk sequences. This has been a significant step forward in theoretical and empirical discounting elicitation procedures. We are getting ready to pilot this module currently. 
Type Of Material Improvements to research infrastructure 
Year Produced 2019 
Provided To Others? No  
Impact None yet. 
 
Title Experimental data on risk, time and sequence preferences 
Description 250 participants' data collected using a longitudinal experimental design from which we can infer preferences over timing and sequence of changes to risks of losing money. This dataset is of interest to academics studying behavioural and experimental economics in a variety of applications. Whilst not yet made available, the data will be publicised when our paper is written and accepted. 
Type Of Material Database/Collection of data 
Year Produced 2020 
Provided To Others? No  
Impact No impact yet. 
 
Title Survey data on public preferences for timing in the value of a life year 
Description Large (n=1664) survey dataset of public preferences over perturbations to their survival curves that result in gains in life expectancy delivered through risk reductions at different times. The data includes a core of 500 participants who are representative of the UK on age and biological sex. The rest of the participants have the same distribution of age and gender but are not restricted to be resident in the UK. The dataset includes answers to iterated pairwise choices revealing their strength of preferences between the perturbation options, and the discount rate estimates implied by their choices. It also includes other relevant preference measures like risk, time and sequence preferences, as well as demographics. Whilst not yet made available, the data will be publicised when our paper is written and accepted. 
Type Of Material Database/Collection of data 
Year Produced 2023 
Provided To Others? Yes  
Impact The dataset forms the basis of the analysis of the role of discounting and hence was the core data for this project overall. Future applications are potentially many, including inclusion in time preference meta analyses or as an input to future studies of time preferences. 
URL https://reshare.ukdataservice.ac.uk/856244/
 
Description Collaboration with Harvard University 
Organisation Harvard University
Department Harvard T.H. Chan School of Public Health
Country United States 
Sector Academic/University 
PI Contribution Research visit for two weeks by PI and RF to the group led by Prof Jim Hammitt. I gave a presentation of our experimental results and developed the survey in conjunction. I communicated about our research. I proposed a follow-up research project, the proposal and application for which are now in preparation.
Collaborator Contribution The team at Harvard contributed their expertise and ideas in helping us to shape the survey part of our project. Furthermore, Jim Hammitt has agreed to collaborate on a project with us that directly links to this project and the proposal is underway.
Impact None yet
Start Year 2019
 
Description Discussion with European Chemicals Agency 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Presentation at conference where audience member was from our project partner at the European Chemicals Agency (Dr Christoph Rheinberger) followed by one-to-one discussion with Christoph about the project.
Year(s) Of Engagement Activity 2020
 
Description ESRC Festival of Social Sciences - Experiments for the Social Good 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact A team of experimental economists shared how experiments can be used for the social good. As part of the session, McDonald and Arroyos-Calvera presented a debate about measurement of public preferences for safety. We drew on insights from the ESRC project in this debate. 112 participants, drawn from the general public, signed up to hear the session. They had the chance to participate in a stripped down version of the types of questions we ask in the project, and see their results and what is implied. We had positive feedback on how engaging and interesting the event was.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=Z1ctr55-sho&list=PL5TjiPIpilP9js50AOPVL8oumy4A7Ov_1&index=4
 
Description Value of a life year workshop for potential suppliers 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Invited to attend a workshop on the potential for new empirical research; discussed the results of our research and how this should feed in to future tenders for a new government estimate of the value of a life year.
Year(s) Of Engagement Activity 2020
 
Description Visit to Health and Safety Executive 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Visit to HSE to discuss the research aims and objectives including how to make the project beneficial to members of the HSE. The HSE invited policymakers and practitioners from other UK government departments and quasi-governmental bodies including Food Standards Agency Scotland, Department of Health and Social Care, Department for Transport and others. They fed in to the discussion how the project can be shaped to help provide useful information for their use in policymaking. We intend to have at least 2 further such meetings during the course of the project.
Year(s) Of Engagement Activity 2018