Key Concepts Flashcards

1
Q

Goods

A

These are the outputs (such as health care) of a production process that involves the combining of different resources such as labour and equipment. Goods (including services) are valuable in the sense that they provide some utility (see below) to individual consumers. They are termed ‘goods’ as they are desirable, as distinct from ‘bads’.

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2
Q

Marginal Analysis

A

An examination of the additional benefi ts or costs arising from an extra unit of consumption or production of a ‘good’.

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3
Q

Opportunity cost (economic cost)

A

As resources are scarce, an individual, in choosing to consume a good, in principle, chooses the good which gives him or her the greatest benefi t, and thus forgoes the consumption of a range of alternative goods of lesser value. The opportunity cost is the value of the benefi t of the next best alternative.

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4
Q

Resources

A

These represent inputs into the process of producing goods. They can be classifi ed into three main elements: labour, capital and land. Different goods would generally require varying combinations of these elements. Resources are generally valued in monetary terms.

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5
Q

Welfare

A

The economic criterion on which a policy change or intervention is deemed to affect the well-being of a society. In general, this is assumed to be determined by aggregation of the utilities experienced by every individual in a society.

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6
Q

Economics

A

Economics is the study of scarcity and the means by which we deal with this problem. Because resources are essentially limited, choices need to be made about how they are to be used. Economics, as a discipline, is concerned largely with how we make these choices in the context of scarcity. One of the key assumptions generally made in economics is that individuals will make these decisions rationally. This means that given good information they will choose to do things, such as utilize health services that will be in their best interests, where ‘best interests’ is defi ned as maximizing their utility given the resources they have at their disposal.

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7
Q

Production

A

Most resources are not, in themselves, useful to us as individuals but they can be combined to make something that is useful. This process is called production, and goods are the result of combining resources in the production process

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8
Q

Goods

A

Goods are either consumption goods, which are then used to directly satisfy people’s wants, or else they are intermediate goods, which are goods used to make other goods. In economics the term utility is used to describe the satisfaction provided by the consumption of goods by individuals while welfare is the sum total of utility experienced across all individuals within a society. Goods are either products that you can hold or touch (e.g. a drug) or else they are services that happen to you (e.g. a consultation). There are two essential characteristics that distinguish different goods.

  1. Physical attributes – an ice cream and a cup of tea are clearly different commodities because they require different manufacturing techniques and because they satisfy different wants.
  2. Context in which the good is consumed – for example: a. The time in which the good is available – an ice cream that is available on a hot summer’s day is a different good from one available in the cold midwinter. b. The place where the commodity is available – a cup of tea available in a fashionable café is a different good from tea that is sometimes sold at a petrol station.
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9
Q

How can individuals benefit from a good?

A

There are three ways in which individuals can benefi t from the ownership of a good. Most immediately, it can be consumed (or used) and thus utility directly derived from it. Taking paracetamol is an example of such consumption because it increases utility by relieving the pain of a headache. Likewise, the use of a non-disposable good (i.e. not designed to be thrown away after use) such as a walking stick provides direct utility for an individual in terms of improved mobility. The second benefi t individuals can derive from (some) goods is their investment value. Although goods provide utility when consumed, goods themselves can also be used as inputs into a production process. For instance, apples might be the output from farm production and consumed immediately, or they can also be used as input into the production of apple pies or cider. People invest because they expect the good to be worth more in terms of its contribution to the production of the fi nal product than its immediate utility. Often, an investment entails a risk such that the end return may be smaller than was expected at the time of investment. The third benefi t derived from a good is exchange value. If you do not invest or consume a commodity then you can sell it and potentially purchase other goods. Figure 1.1 illustrates the different ways of using a resource (consumption, investment and exchange). Whichever route is taken, the result will be increased utility for the owner of the resource. The route chosen by the owner should depend on which one yields the largest increase in utility for them

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10
Q

What is a market?

A

In economics, the term ‘market’ is used to describe any situation where people who demand a good come together with suppliers.

Importantly, a necessary condition for properly functioning markets is a system of property rights to ensure that people can participate in good faith. This means that the transactions made between parties are somehow enforceable and that there are certain understood rules about how people behave in terms of providing information, making payment and delivering goods.

The amount of money that is exchanged for a good is the price. You will fi nd in this book that the price is infl uenced by the number of suppliers in the market and the amount of money they are prepared to accept. The price is also infl uenced by the number of buyers in the market and the amount of money they are prepared to pay. Individual consumers or households are usually thought of as being buyers, while fi rms (or businesses) are associated with supply. However, this is not true in the cases of markets for resources and markets for intermediate goods. For example, in the labour market, households will supply and fi rms will demand labour.

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11
Q

How can government impact the market?

A

In reality, most markets also have some kind of government intervention. Such intervention in the market might involve levying taxes, f i xing prices, licensing suppliers or regulating quality. Alternatively, the government might decide to take control of demand for a commodity and prohibit private demand, or it might decide to take over supply entirely and prohibit private supply. On the other hand, a government might make laws that are intended to ‘free up’ market forces and make markets more easily accessible. Ultimately, as mentioned earlier, markets are generally also underpinned by some form of state intervention through the legal system to uphold a system of property rights.

In some economies, the government plays such a large role that markets as such scarcely exist at all. Such systems are referred to as command or centrally planned economies. Because of the diffi culties involved with planning a whole economy and the problem of trying to motivate workers and managers, command economies have rapidly diminished in number over the last 50 years or so. Almost every country in the world today has a mixed economy, a system in which market forces and central planning both play a role

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12
Q

Subsistence economy

A

An economy with an absence of exchange.

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13
Q

Barter economy

A

A system where exchange takes place without the use of money.

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14
Q

Mixed economy

A

A market economy with substantial government intervention.

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15
Q

Command economy

A

An economic system where resource allocation decisions are directed by the state.

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16
Q

Market economy

A

An exchange economy with little government intervention.

17
Q

Efficiency

A

A general term used to describe the relationship between inputs and outputs. It is concerned with maximizing benefi ts with the resources available, or minimizing costs for a given level of benefit.

Effi ciency is concerned with maximizing benefi ts with the resources available, or minimizing costs for a given level of benefi t. In health care, benefi ts may be interpreted as health gains, although health services produce a range of benefi ts including less tangible things like information and reassurance.

18
Q

What is the best choice?

A

We must make choices about how best to spend our limited income. ‘Best’ here refers to the way that will give the individual most satisfaction or utility or maximize the population’s gain in social welfare (or simply welfare).

Choices involve trade-offs. More hospitals means fewer clinics. More holidays means fewer cars or clothes. The opportunity cost (also known as the economic cost) of any good (including service) is the satisfaction or benefi t forgone in not being able to use the resources involved to obtain some other good which is also desirable and provides satisfaction.

19
Q

The margin

A

Decisions are rarely made on an ‘all or nothing’ basis; instead they often tend to be made at the margin: if marginal benefi t (the change in benefi t) is greater than marginal cost (the change in cost), we go ahead; if marginal benefi t is less than marginal cost, we do not. One phenomenon which is generally observed is that the marginal benefi ts of most goods tend to diminish as the consumption of those goods increases. This is otherwise known as diminishing marginal utility and is intuitive – the fi rst ice cream will generally be more enjoyable than the second, which in turn will be more enjoyable than the third and so forth. Health programmes also tend to experience diminishing marginal benefi ts as we will see in the next activity.

Ultimately it is rational for a policy-maker to continue to fund a programme when marginal benefi t exceeds marginal cost but to stop once they eventually become equal.

20
Q

What are the different types of efficiency?

A

Technical efficiency: where a given output is produced with the least inputs (i.e. minimizing wastage). Also known as operational effi ciency;

Economic efficiency: where a given output is produced at least cost. Also known as productive effi ciency;

Allocative efficiency: where the pattern of output matches the pattern of demand;

Pareto efficiency: the point at which no one can gain without someone else being made worse off.

21
Q

Equity

A

Equity is another important concern of economists as well as of health services. Equity is about the distribution of benefi ts as opposed to their maximization (as inefficiency).

First, equity usually has something to do with fairness and justice. It is subjective, as it will mean different things to different people and different communities. Second, equity is different to equality. Equity is about fairness but this may or may not mean the equal sharing of a good or service. It may for example be deemed fair that a disadvantaged group in society receive a greater share of resources. Third, equity and effi ciency are often confl icting objectives. For instance, it may be effi cient to fund health services concentrated in a small number of large centres but more equitable in terms of access to services to fund a larger number of dispersed, smaller services.

22
Q

What terms are used to describe the satisfaction gained from consuming a good?

A

Utility’ is the word most often used by economists to refer to the happiness or satisfaction gained from consuming a good or service. The terms ‘welfare’ and ‘social welfare’ are in turn the aggregate utility of a population. ‘Quality of life’ and ‘wellbeing’ are other commonly used terms with roughly the same meaning. It is important to note that the core of economic theory is dependent only on the assumption that people can differentiate between states that have higher or lower utility (it is not necessary to be able to measure utility).

23
Q

Explain the concept of opportunity cost and its relevance to public health.

A

Because resources are limited, choices have to be made on how to best allocate these fi nite resources among investments. For governments, investment choices have to be made between alternative public services. Examples of investment choices include: between malaria prevention and malaria treatment programmes; or, more broadly, between TB, malaria and HIV programmes; or even more broadly between education and housing programmes. Choices involve opportunity costs. These costs refer to the benefi ts of the second best investment that are forgone as a result of using resources in the fi rst best investment. For example, if the alternative investments in malaria were ordered according to the benefi t that they generate, from highest to lowest, the fi rst alternative might be malaria treatment and the second might be malaria prevention. If all the available resources were committed to the malaria treatment programme, the opportunity costs would be the benefi ts of the malaria prevention programme.

24
Q

Microeconomics

A

Microeconomics is concerned with the decisions taken by individual consumers, households and fi rms and with the way these decisions contribute to the setting of prices and output in various kinds of market (‘micro’ implies small scale); in other words, individual decision-making units. This is the focus of most of this book.

25
Q

Macroeconomics

A

Macroeconomics is concerned with the interaction of broad economic aggregates (such as general price infl ation, unemployment of resources in the economy and the growth of national output). It is also concerned with the interaction between different sectors of the economy (‘macro’ implies large scale).

26
Q

Positive Economics

A

Positive economics refers to economic statements that describe how things are. Such statements can be universally true, true in some circumstances or universally false. This can be established through empirical research.

27
Q

Normative Economics

A

Normative economics refers to economic statements that prescribe how things should be. Such statements can be informed by positive economics but can never be shown to be true or false since they depend on value judgement