How to make policy when happiness is the goal 14th Journées Louis-André Gérard-Varet, Aix-en-Provence, 15 June 2015 Richard Layard Assumption 1. Happiness is the overarching good “The care of human life and happiness… is the only legitimate object of good government”. Thomas Jefferson 2. For a given 𝑯, we prefer a lower SD(H) (social justice) 1+2. Social welfare = 𝒇 𝑯𝟏 , … , 𝑯𝒏 H cardinal (Concave) 2 Agenda Happiness: Measurement Causes Policy evaluation Some policy implications 3 1. Measurement Typical Question: Overall, how satisfied are you with your life nowadays? (where 0 means ‘not at all’, and 10 means ‘completely’) 4 1. Measurement Evidence of validity of answers 1. Correlate with objective measurements of brain function 2. Tally with friends’ assessments 3. Predict (e.g. life expectancy, productivity) 4. Can be explained (by e.g. income, unemployment, family situation, health) H cardinal 5 Mean Happiness in Survey (0-10 Scale) Reported happiness over time in the United States AIPO (1950-1970) 7.5 NORC (1963-1976) GSS (1972-2006) 7.0 6.5 6.0 5.5 1950 1960 1970 1980 Year 1990 2000 6 Mean Happiness in Survey (0-10 Scale) Reported life-satisfaction in West Germany Eurobarometer 1973-2007 7.5 GSOEP 1985-2006 7.0 6.5 6.0 5.5 1970 1980 1990 2000 2010 Year Source: Eurobarometer and German Socio-Economic Panel. Mean life satisfaction reported on a 0-10 scale 7 Reported life-satisfaction in France 8 2. Causes: Income Across individuals within countries (CS + panel) Income has a positive effect and explains under 2% out of the 20% of explained crosssectional variance. Comparators’ income has a negative (and often equally large) effect, especially in richer countries. Confirmed by neuroscience. So relative-income effect helps explain flat time-series. 9 Diminishing marginal utility of income Best functional form H H = α log Y etc. Argues for greater equality. Y Source: Layard, R., Nickell, S.J. and Mayraz, G. (2008). 'The marginal utility of income', Journal of Public Economics, Special Issue: Happiness and Public Economics, vol. 92(8-9), pp. 1846-1857. 10 2. Causes: Income cont. Across countries Cross-section. Poor countries are less happy but for many reasons besides income. Time series. Uncertain. Wolfers v. Easterlin. World happiness up .15 of a within-country SD over last 40 years. 11 Income and Happiness Comparing Countries Average of percent “happy” and percent “satisfied” 100 95 90 85 80 75 70 65 60 55 Netherlands Denmark Canada Switzerland Sweden Finland USA New Zealand Norway Austria Singapore Indonesia Mexico Australia Belgium Colombia UK France El Salvador Czech Republic Nigeria Chile Germany Portugal Venezuela Italy Argentina Vietnam Japan Spain Brazil Uruguay Slovenia Israel Philippines Croatia Greece South Korea Dominican Republic Hungary China Egypt South Africa Algeria Morocco Poland Peru Uganda Slovakia Jordan Iran Estonia India Lithuania Azerbaijan Turkey Bangladesh Macedonia Tanzania Ireland Pakistan 50 Georgia 45 Moldova 40 Latvia Belarus Albania Bulgaria Romania Zimbabwe Ukraine Russia 35 30 0 5,000 10,000 15,000 20,000 25,000 Income per head ($ per year) Source: Layard (2011), Happiness: Lessons from a New Science (2nd Ed) 30,000 35,000 Differences Between Countries Partial correlation coefficients Log GDP per head Healthy life expectancy Social support Freedom Absence of corruption Lifesatisfaction Positive feelings yesterday 0.28 0.25 0.29 0.15 0.18 – 0.24 0.43 0.49 – 2. Causes: Income cont. Conclusion (1) Long-run growth valuable but no more than many other things. N.B. Higher growth does not provide finance for more doctors, nurses, teachers and social workers. (2) Short-run economic fluctuations are very bad and should be avoided even it reduces LR growth. 14 2. Other Causes External Work Family life Community engagement Internal Physical health Mental health 15 Individual life-satisfaction at 34: Current influences (partial correlation coefficients) LIFE-SATISFACTION AT 34 .06 Income .09 Not unemployed ECONOMIC .04 Education level .12 -.07 Married/ Cohabiting SOCIAL Criminality .20 .07 Physical health (recorded 8 years earlier) Emotional health (recorded 8 years earlier) PERSONAL Source: Layard, R., Clark, A.E., Cornaglia, F., Powdthavee, N. and Vernoit, J. (2014). 'What predicts a successful life? A life-course model of well-being', The Economic Journal, vol. 124(F720-738). Percentage of those in misery having the stated characteristics Australia 20 Poor (bottom 10%) 7 Unemployed 48 Ever diagnosed with depression/anxiety 22 Physical health problems (bottom 10%) 0 10 20 30 40 50 60 17 United States 27 Poor (bottom 10%) 13 Unemployed Ever diagnosed with depression/anxiety 61 Physical health problems (bottom 10%) 14 0 20 40 60 Flèche and Layard (2015) “Does more of those in misery suffer from poverty, unemployment or mental illness?”, CEP Discussion Paper 80 18 Individual life-satisfaction at 34: Influences from childhood (partial correlation coefficients) LIFE-SATISFACTION .06 .03 .05 .09 .17 Family Family socioCognitive Emotional Behaviour psychological development economic developof child of child ment of child features features Source: Layard, R., Clark, A.E., Cornaglia, F., Powdthavee, N. and Vernoit, J. (2014). 'What predicts a successful life? A life-course model of well-being', The Economic Journal, vol. 124(F720-738). A model of the life-course Background + Childhood Adult characteristics Lifesatisfaction 20 3. Policy evaluation Assume public expenditure is given. Therefore cost-effectiveness analysis, with a cut-off. Undertake project if ′(𝑾𝒊)Δ𝑾𝒊 𝒊𝒇 𝑵𝒆𝒕 𝒄𝒐𝒔𝒕 >λ 21 3. Policy evaluation Issues 1. Hopefully an RCT gives SR effect, which combined with the model gives ∆ 𝑾𝒊 . 2. Calculating Net Cost also requires a lifecourse model. 3. Weighting ∆ 𝑾𝒊 is a political issue. 4. Life-course model is priority for social science. 22 This could ultimately be main approach for Health Social Care Employment Law and order Environment Redistribution where choice provides little evidence. 23 But revealed preference approach provides much better evidence on Transport Business policy Education 24 Health evaluation Quality-adjusted life years require ratio scale for H 25 26 4. Policy implications: new priority for mental health and social engagement 1.Mental illness should get parity of treatment in healthcare 2.Preventive mental health vital Parenting Couples therapy Schools should promote wellbeing Youth services 3. Employment policy crucial Apprenticeship guarantee + youth job guarantee. NOT EXPENSIVE (ESPECIALLY IN NET TERMS). 27 Economic cost of mental illness Mental illness is 40% of all disability 40% of all absenteeism 40% of all incapacity benefits The main illness of working age. 28 Degree of disability in each age group (Numbers per 1,000) 70 Physical 60 50 40 Mental 30 20 10 0 0-14 15-29 30-44 45-59 60+ Source: World Health Organisation (WHO). (2008). The global burden of disease: 2004 update. Geneva: World Health Organisation. Western Europe 29 Treatable: e.g. Cognitive Behavioural Therapy (CBT) Cost €1,200 for 10 sessions Recovery rates within 4 months Anxiety 50% mostly permanent (better than pills) Depression 50% (with lower risk of relapse than pills) 30 Implication: no net cost to government Gross cost < Savings on disability benefits + lost taxes Gross cost < Savings on excess physical healthcare if person has given physical condition + mental illness 31 Savings due to psychological therapy 91 U.S. trials Cut annual physical healthcare costs by 20% (equivalent to €1,400). In 28 studies, data on cost of therapy showed savings exceeded cost in 26/28 cases. Chiles, J.A., et al. (1999), "The impact of psychological interventions on medical cost offset: a meta-analytic review", Clinical Psychology: Science and Practice, 6(2): 204-220. 32 Improving Access to Psychological Therapy 2008 No evidence-based treatments available in National Health Service 2008-15 6,000 therapists trained 2015 400,000 patients treated 33 34 The case for more health expenditure • In Britain we only authorise treatments which cost less than £40,000 per QualityAdjusted Life Year (QALY). • That cost reduces total life-satisfaction by 0.06 SDs of one year’s life-satisfaction. • One extra QALY increases life-satisfaction by 5 SDs of one year’s life-satisfaction. • We should spend more. 35 Will politicians listen? Life-Satisfaction (LS) affects voting Incumbent vote share = 0.64 LS + 0.36 Economic Growth - 0.06 Unemployment + 0.15 Inflation. Source: Eurobarometer. All variables standardised. Controls include previous vote-share. See Ward, G (2015) “Is happiness a predictor of 36 election results?”, CEP Discussion Paper No. 1343. Individuals www.actionforhappiness.org 37