Improved quality of life measurement and fairness criteria
Submitting Institution
London School of Economics & Political ScienceUnit of Assessment
PhilosophySummary Impact Type
PoliticalResearch Subject Area(s)
Medical and Health Sciences: Public Health and Health Services
Economics: Applied Economics
Summary of the impact
Professor Marc Fleurbaey was appointed to the Stiglitz-Sen-Fitoussi
Commission (instituted by
President Sarkozy) on the Measurement of Economic Performance and Social
Progress during
2007-09. His work at the LSE on measures of the quality of life and on
criteria for the fair allocation
of resources significantly shaped the Commission's thinking and had three
forms of impact. A
direct outcome of the Commission's report was fifty changes to the way
that Eurostat and the
associated national statistical institutes of the EU collect, report, and
use data. The Commission's
report also had impact on public debates around the world and was the
subject of discussions in
major media outlets globally and at high-profile conferences. Fleurbaey's
work for the Commission
and his research at LSE also led to his appointment to the
Intergovernmental Panel on Climate
Change (IPCC) and to his role as an advisor to the French Health Authority
and Parliament.
Underpinning research
Research Insights and Outputs:
Fleurbaey contributed to the Stigliz-Sen-Fitoussi Commission firstly with
a background research
document, one of only four such documents used in the writing of the
report. He argued that
leading justifications for using GDP as an indicator of citizens'
wellbeing and command over the
resources they need to pursue their plans of life were seriously flawed.
Furthermore, he critically
reviewed the case for proposed alternative indicators. The paper presented
a comprehensive
analysis of existing arguments for and against various indicators and
offered new justifications for
some of these measures [1]. This document was circulated in the Commission
and discussed in its
first meeting [see Sources 10 and 11]. The Commission's report follows [1]
in arguing that the
standard attempted justifications for using GDP as an indicator of
individual well-being or as an
indicator of individuals' command of important resources are unsuccessful.
The report also follows
Fleurbaey's argument that the following three alternatives to GDP are
especially worth developing:
(1) An "equivalent income" approach. This measure is an individual's
current income minus the
amount she would be willing to pay to have a reference level of
non-monetary quality of life along
various dimensions. For example, suppose the reference non-monetary
quality of life is perfect
health. Also suppose Jones has an actual income of £30,000 and has poor
health. Jones would be
willing to give up £17,000 to be in perfect health. Then her equivalent
income is £30,000 — £17,000
= £13,000. She will then be considered worse off than Smith, who has an
income of £15,000 and
is in perfect health. This approach has a long history in welfare
economics. While at LSE,
Fleurbaey provided a new theoretical justification for its use in
combination with an egalitarian
criterion for judging the distribution of equivalent incomes. (In brief,
Fleurbaey argued that ranking
social states by a fair distribution of equivalent incomes follows if one
weakens one of the axioms
of Arrow's famous "Impossibility Theorem" and adds an axiom that captures
a concern for equality;
see, e.g. [1], sec. 4 and [2].) Moreover, he rebutted well-known critiques
of this criterion. (Among
others, Sen had criticised it for its alleged insensitivity to individual
variations in need. Fleurbaey
argued that one can make the measure sensitive to any number of relevant
personal variables,
such as physical health, education, etc.) He also did new applied work
([3] and [4]).
(2) A "subjective well-being" approach. This draws on both cognitive
evaluations—what people
think of their life, e.g. in answer to "ladder-of-life" questionnaires
asking respondents to rank their
life on a scale between 0 (worst possible life) and 10 (best possible
life)—and on affective reports
(e.g. how they report feeling during particular life episodes).
(3) The "capability approach" propounded by Amartya Sen. The two key
terms in the approach are
"functionings" and "capability sets" and they are defined as follows.
"Functioning" is a catchword for
any doing or being in the life of an individual, such as a consumption
bundle, a health condition, or
a level of education, and so on. At any moment in life, or over the whole
life cycle, the actual
situation of an individual can be described by a functioning vector. A
"capability set" is the set of
potential functioning vectors that an individual can obtain if he so
chooses. Fleurbaey's [1], [5] and
[6] advanced the debate on measuring such capability sets, criticising
some proposed measures
and proposing new ones.
Finally, the report's criticism of average indicators (such as GDP per
capita) and advocacy of
indicators that focus on the whole distribution and that highlight
inequality and the plight of the
worst off was shaped by Fleurbaey's input to the deliberations. His
advocacy of egalitarian
measures drew on the contributions he made to the theory of fair
distribution during his time as a
Lachmann Fellow (see [2], [7], [8] and [9]).
Key Researcher: Fleurbaey was a Lachmann Fellow in the Philosophy
Department from 2006-09.
This is a prestigious research position remunerated through the LSE
payroll. As a staff member of
the LSE, he was submitted for the 2008 RAE. Fleurbaey was also a Visiting
Professor in the 2009-10
academic year.
References to the research
1. Fleurbaey, M. (2008a), "Individual well-being and social welfare:
Notes on the theory",
Report Prepared for the Commission on the Measurement of Economic
Performance and
Social Progress, Paris, later published as "Beyond GDP: The quest
for a measure of social
welfare", Journal of Economic Literature (2009) 47: 1029-1075. LSE
Research Online ID
no:51465
2. Fleurbaey, M. and Maniquet, F. (2008). "Fair social orderings", Economic
Theory 34: 25-45.
DOI number:10.1007/s00199-006-0132-4
3. Fleurbaey, M. and G. Gaulier (2007), "International Comparisons of
Living Standards by
Equivalent Incomes", Centre d'Etudes Perspectives et d'Informations
Internationales,
Working Paper No. 03, Paris. Subsequently published in The
Scandinavian Journal of
Economics (2009) vol. 111(3), pp. 597-624.LSE Research Online ID no:
51464
4. Fleurbaey, M., S. Luchini, C. Muller and E. Schokkaert (2009),
"Equivalent income and
economic evaluation of health care", now published in Health Economics,
online first.
Available from LSE on request.
5. Fleurbaey, M. (2007a) "Living standards and capabilities: Equal values
or equal sets?",
Analyse & Kritik 29: 226-234. LSE Research Online ID no 51467
6. Fleurbaey, M. (2007b) "Social choice and the indexing dilemma", Social
Choice and
Welfare 29: 633-648. DOI number:10.1007/s00355-007-0248-x
7. Fleurbaey, M. (2007c) "Social choice and just institutions: New
perspectives", Economics
and Philosophy 23: 15-43.DOI number: 10.1017/S0266267107001204
8. Fleurbaey, M. (2010) "Assessing risky social situations", Journal
of Political Economy 118:
649-680. LSE Research Online ID no: 27006
9. Fleurbaey, M. (2008b) Fairness, Responsibility, and Welfare,
Oxford University Press.LSE
Research Online ID no: 51469
All this research is of high quality: [1] through [8] are all
peer-reviewed and published in economics
or philosophy journals that are "good" (e.g. Analyse & Kritik;
Scandinavian Journal of Economics)
to "top of the field" (e.g. Economics and Philosophy; Journal of
Political Economy). All of these
publications are contributions to long-standing philosophical debates on
the "currency of distributive
justice" and on the fair distribution of this currency. Like some of
Fleurbaey's work, many key
contributions to these debates have been published in economics journals.
Details of the impact
The Commission Report (see Sources 10 and 11) draws on and was informed
by several
publications on which Fleurbaey worked at LSE. It cites several of them on
pp. 57, 154-155, 202-3,
214-215, 251, 255, and 285.
Thereafter:
1. Changes in the data collected, reported and used by the European
Statistical System
[Source 12, p. 1] states:
"In order to translate the recommendations of the Stiglitz-Sen-Fitoussi
Commission report
(...) into concrete actions, the European Statistical System Committee has
decided to work
further on the following priority areas: household perspective and
distributional aspects of
income, consumption and wealth; [and] multidimensional measurement of the
quality of life
(...). It is proposed that about 50 concrete actions will be carried out
by 2020."
Among other things, the European Statistical System (ESS) commits itself
to:
a. The introduction of new cross-country standardised measures of the
following goods: non-market
consumption; leisure time; financial fragility; health; the quality of
social
relationships; and subjective well-being.
b. New multi-dimensional measures of quality of life. The latter include
new data on "material
living conditions, productive and valued activities (incl. work), health,
education, leisure and
social interactions, economic, job and physical insecurity, governance and
basic rights,
natural and living environment as well as overall experience of life"
[Source 13, p. 21].
c. Assess inequalities in these indicators in a comprehensive way [Source
13, p. 21].
For several reasons, these changes are of great importance. First, by
making available new,
reliable, cross-country comparable indices of many aspects of well-being,
the ESS will allow public
debate and decision-making to draw on more than just the established
indicators, which have
traditionally focused on economic matters, such as income and employment.
Second, the richer,
standardized data on the distribution of key indicators in the population
will allow for a better-informed
debate on distributive issues, including the extent and badness of
particular inequalities
within and between particular member states and the sensitivity of
inequality to policies in different
states. Third, the resources of the ESS will be devoted to valuable
innovation in the space of social
indicators. In sum, these commitments by the ESS are an important step
towards ending what the
Stiglitz-Sen-Fitoussi Commission called the "mis-measuring of our lives"
and the impoverishment
of public debate and policy-making that stems from an excessive focus on
average attainment and
on economic indicators.
2. Public debates around the world
The Report of the Commission on the Measurement of Economic Performance
and Social
Progress was launched on September 14, 2009. It had an immediate impact on
the debate among
the public, opinion-makers, politicians and global institutions. The
report was published on major
newspapers' websites, and was discussed extensively by at least 60 leading
newspapers around
world, including the Wall Street Journal, The Guardian, Time,
etc. (See Source [14].) Several major
conferences on the report were organised, including by the Bertelsmann
Stiftung in Berlin and the
OECD in Paris (see Sources [15] and [16]). As of September 2013, according
to Google Scholar,
the report has been cited in academic research and government institutes'
documents over 1000
times.
3. Policy debates in international and national organisations
The work Fleurbaey undertook for the Commission and at LSE has led to
further policy-relevant
use of his ideas:
- In recognition of the importance of Fleurbaey's contribution to the
Stiglitz-Sen-Fitoussi
Commission, he was appointed to the Working Group III of the IPCC, 5th
Assessment Report
(2010-2014). Chapter 3 of this Working Group's report (on Social,
Economic and Ethical
Concepts) is strongly influenced by work Fleurbaey did at LSE; he is
coordinating lead author
of Chapter 4 (on Sustainability and Equity).
- In France, steps towards using the "equivalent incomes" approach
advocated by Fleurbaey in
the reimbursement of medicines were discussed with Fleurbaey at the
French Health Care
Authority (Haute Autorité de Santé) on 30/10/2012 and at the French
Parliament on
22/11/2012 with his co-author Prof. Erik Schokkaert (see Source [17]).
(Schokkaert held the
2012-13 Belgian Chair in the LSE Philosophy Department and is currently
a Visiting Professor.)
- Schokkaert and Bovens ran a conference on Fleurbaey and Schokkaert's
work in June 2013
with participation of the UK Office of National Statistics and the OECD
(see Source [18].)
These impacts are important for several reasons. Politicians and the
public rightly want to know: (i)
what matters to the quality of individuals' lives; (ii) how to measure the
things that matter; (iii) how
these things are distributed in the population; and (iv) how they
should be distributed on grounds of
fairness. Through his work at the Commission, the IPCC, and his engagement
with policy-makers,
Fleurbaey's research at LSE has impacted on all four issues. Fleurbaey's
collaboration with the
department on these research topics remains close—he has co-published on
these topics with
Voorhoeve, Bovens, and Schokkaert.
Sources to corroborate the impact
All Sources listed below can also be seen at https://apps.lse.ac.uk/impact/case_study/view/100
- Minutes of the first plenary session of the Commission on the
Measurement of Economic
Performance and Social Progress Paris, 22 - 23 April 2008.
https://apps.lse.ac.uk/impact/download/file/1603
- Report by the Commission on the Measurement of Economic Performance
and Social
Progress (2009) http://www.stiglitz-sen-fitoussi.fr/documents/rapport_anglais.pdf
https://apps.lse.ac.uk/impact/download/file/1606
- ESS (2011a) Measuring Progress, Well-Being and Sustainable
Development: The response of
the European Statistical System to the Report of the
Stiglitz-Sen-Fitoussi Commission.
http://epp.eurostat.ec.europa.eu/portal/page/portal/pgp_ess/0_DOCS/estat/Measuring_Progress_Well_being_sustainable%20development.pdf
https://apps.lse.ac.uk/impact/download/file/1607
- ESS (2011b) Sponsorship Group on Measuring Progress, Well-being and
Sustainable
Development Final Report adopted by the European Statistical System
Committee November
2011.
http://epp.eurostat.ec.europa.eu/portal/page/portal/pgp_ess/0_DOCS/estat/SpG_Final_report_Progress_wellbeing_and_sustainable_deve.pdf
https://apps.lse.ac.uk/impact/download/file/1608
- OECD (2009) Media Review of Articles about the Commission on the
Measurement of
Economic Performance and Social Progress.
http://www.oecd.org/site/progresskorea/mediareview.htm
- Muller, Almut (2009) "The Stiglitz-Sen-Fitoussi Report in Berlin."
http://www.berlinbrief.org/?p=499
- Cowan, Lisa (2011) "Two years after the Stiglitz-Sen-Fitoussi report,
What Well Being and
Sustainability Measures?" http://www.ethicalmarkets.com/2011/11/02/two-years-after-the-stiglitz-sen-fitoussi-report-what-well-being-and-sustainability-measures/
https://apps.lse.ac.uk/impact/download/file/1609
- Testimonial corroborating French Parliament impact. This source is
confidential.
- LSE Choice Group (2013) "Conference on Measuring Well-Being in the UK,
Europe, and the
OECD."
http://www.lse.ac.uk/CPNSS/research/currentResearchProjects/ChoiceGroup/events/measuringWell-BeingInTheUKEuropeAndOECDCountries.aspx
Source files:
https://apps.lse.ac.uk/impact/download/file/1610