It might be good to experiment with these initiatives, Arlene, but so far the evidence suggests that initiatives that target sustained behaviour change (such as weight loss) are rarely if ever sustained beyond the relative short term. All these bits and pieces of evidence that report positive effect, of which there are probably now hundreds, tend to focus on the short term. There's a good reason for this - those who are peddling these initiatives often have a vested interest in them.
-----Original Message-----
From: Anglo-American Health Policy Network [mailto:[log in to unmask]] On Behalf Of Arlene Bierman
Sent: 12 April 2013 18:39
To: [log in to unmask]
Subject: Re: Nudge and money
Fascinating exchange.
From Todays Globe and Mail
The best way to lose weight? The Biggest Loser may be on to somethingÐ http://www.theglobeandmail.com/life/the-hot-button/the-best-way-to-lose-weig
ht-the-biggest-loser-may-be-on-to-something/article11048768/
"Want to motivate your family members to lose weight? Forget pleading them to do it for health reasons. They¹re more likely to slim down if promised some cold, hard cash.
Last month, The Hot Button noted that a study conducted on Mayo Clinic employees showed people successfully shed extra pounds when money is at stake. Now, new research suggests people are even more likely to reach their weight-loss goals when they are pitted against one another for a share of the winnings."
Arlene Bierman
On 13-04-12 1:10 PM, "Uwe E. Reinhardt" <[log in to unmask]> wrote:
>
>
> This has been an interesting exchange, so far, and I hope it will
> continue, so that I may learn from it.
>
> If, after 20 years of working in the field of behavioral economics,
> Adam still "hasn't mastered it by any stretch of the imagination,"
> imagine the plight of a little country economist from rural New Jersey.
>
> When asked at dinner parties what behavioral economics is, I try to
> get off the hook by explaining that one can think of behavioral
> economics as an academic seminar to which psychologists and other
> disciplines have been invited and at which at least some economists
> discard their century-old hauteur to listen to insights from other disciplines.
>
> So a kindly psychologist might explain to us that people actually do
> not cope with uncertainty in the elegant and simple way imagined by
> the von-Neumann-Morgenstern algorithm. Or we learn that the reaction
> of people to probabilities depends strongly on how that probability is described to them:
> "out of 100 patients undergoing this procedure, 4 die" vs. "out of 100
> patients undergoing this procedure, 96 survive." We learn that "more choice"
> or "more options" is not necessarily better, something some standard
> economists have trouble grasping.
>
> Thus educated, behavioral theorists then think of ways to structure
> the context in which decisions are made in a way that leads to choices
> that are somehow desired by the structurer. At least that is what I
> think of as the normative branch of behavioral economics.
>
> Viewed in this way, behavioral economics is more than just an attempt
> to shore up standard economic analysis. It is an attempt to build
> models of systematic human behavior based on axioms and hypotheses
> that come closer to life here on earth rather than to life on planet
> Econ, as Tsung-Mei Cheng had put it so nicely at a talk at iHEA
> Toronto in the attached slide. It is an attempt to bring models of
> economic behavior back to earth from outer space, to where mathematical standard economics had blasted it.
>
> Best,
>
> Uwe
>
>
>
>
> -----Original Message-----
> From: Anglo-American Health Policy Network
> [mailto:[log in to unmask]] On Behalf Of Michael Gusmano
> Sent: Friday, April 12, 2013 12:25 PM
> To: [log in to unmask]
> Subject: Re: Nudge and money
>
> Thanks for prompting this exchange! I appreciate Adam's work on this
> topic and think it is wonderful that you are discussing the normative
> implications of nudge strategies in particular, and behavioral
> economics generally. I have often had the same reaction as Tom
> regarding "present bias" and so-called hyper-discounting. If the
> extent to which we discount (at an individual or policy level) is
> value choice, the democratic theorist in me would like to encourage an
> explicit public deliberation about this. Indeed, if nudge strategies
> are supposed to work at a subconscious level, I think it is
> particularly important at the policy level to have debates about the
> direction we are pushing. As Tom suggests, the application of some
> nudge strategies seem to define behavior that deviates from the assumptions of mainstream economics as a problem that needs to be solved.
>
> Michael
>
> ________________________________________
> From: Anglo-American Health Policy Network [[log in to unmask]] on
> behalf of Adam Oliver [[log in to unmask]]
> Sent: Friday, April 12, 2013 9:21 AM
> To: [log in to unmask]
> Subject: Re: Nudge and money
>
> Dear Tom,
>
> Behavioural economists fall into many camps, which I agree is messy,
> but there you go. I think you have summarised the position of one camp
> - that is, they identify systematic patterns of behaviour that deviate
> from the standard model, and consider these to be of descriptive
> rather than normative import (probably most behavioural economists sit here).
> Another camp believe that if the patterns are systematic, there must
> be something deliberate about them and therefore how can we say they
> are non-normative (i.e. that people should not behave in these ways).
> We can say that they should not behave in these ways if people ought
> to be expected utility maximisers, but many behavioural economists,
> including me, do not believe that people necessarily ought to be EU
> maximisers in all circumstances. Another camp of behavioural
> economists recognise that the systematic patterns exist, but feel that
> outcomes maximisation of any sort is too strong a position to take.
> They'd rather just maximise opportunity of choice, warts (i.e. anomalies) an' all.
>
> A fundamental problem, as I see it, with the area of nudge and
> behavioural economics (loosely defined) is that many people who see
> themselves as having expertise in this area, don't. I've been studying
> behavioural economics since 1990, and I haven't mastered it by any
> stretch of the imagination.
>
> You pose good questions, though.
>
> Best,
> Adam
>
>
>
> -----Original Message-----
> From: Anglo-American Health Policy Network
> [mailto:[log in to unmask]] On Behalf Of Tom Foubister
> Sent: 12 April 2013 14:09
> To: [log in to unmask]
> Subject: Re: Nudge and money
>
> Adam
>
> Suppose that mainstream economics rests on a model of individual
> behaviour which fails to represent accurately, even adequately, how
> people actually behave. I believe this is a presupposition of
> behavioural economics.
>
> Behavioural economics, in contrast, takes how people actually behave
> (using empirical observation and experiment to do so) as its practical
> starting point.
>
> Like mainstream economics, behavioural economics rests on a pretty
> stable model of the economic individual - attributes such as present
> bias and so on being constants here. Being economics it has to.
>
> What I'm wondering is this:
>
> The way behavioural economics structures the economic individual is
> essentially as a series of deviations from the mainstream economics
> model, a series of 'falling-shorts', or errors - all negative
> attributes given positive defining force by behavioural economics, and
> for whose positive and enabling equivalents we have the mainstream model to thank.
>
> So behavioural economics, at bottom, starts from, shares, reproduces
> (in a shadow kind of way) and ultimately reinforces the mainstream
> model. It certainly doesn't challenge it as a normative model. The key
> difference is this: for mainstream economics the model reflects the
> reality (even if individual economists don't quite fully believe
> that); for policy-oriented behavioural economics reality needs to be
> helped to better reflect the mainstream model.
>
> Perhaps the term 'present bias' itself says all that needs to be said.
> To call it present 'bias' is automatically to consider it a flaw
> relative to the un-flawed mainstream model, a model whose value is in
> consequence affirmed. But I wonder if, for instance, a Buddhist would
> see the 'bias' in it, or an Epicurean, or other worldviews.
>
> Are there any implications to this? Probably not, it's just a thought.
> But I think we need to think carefully about the claim - implicit or
> stated - behavioural economics makes to present a challenge to the
> mainstream economics model; and we should also fully agree with you
> that mainstream economists really oughtn't to be dismissive of
> behavioural economics.
>
> Tom
> -----Original Message-----
> From: "Oliver,AJ" <[log in to unmask]>
> Sender: Anglo-American Health Policy Network
> <[log in to unmask]>
> Date: Fri, 12 Apr 2013 11:32:36
> To: <[log in to unmask]>
> Reply-To: "Oliver,AJ" <[log in to unmask]>
> Subject: Nudge and money
>
> Hi,
>
> If you are interested in the subject of paying people to make
> healthier choices, I've written a very short blog on the subject,
> relating it to
> nudge:
> http://blogs.lse.ac.uk/healthandsocialcare/2013/04/12/nudging-with-mon
> ey
> /
>
> Best,
> Adam
>
>
> Please access the attached hyperlink for an important electronic
> communications disclaimer: http://lse.ac.uk/emailDisclaimer
>
> Please access the attached hyperlink for an important electronic
> communications disclaimer: http://lse.ac.uk/emailDisclaimer
>
> Please access the attached hyperlink for an important electronic
> communications disclaimer: http://lse.ac.uk/emailDisclaimer
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