Keeping up with the Joneses: Examining relative concerns in health related domains

Abstract

People care about relative position and are willing to engage resources to be above others or at least not below them. Nevertheless, the scarce existing evidence suggests that health is a less positional good: people prefer to be healthy even if others are healthier than them. Unlike previous literature, we use a survey-based study to explore the positionality of several health-related dimensions (e.g., health care reimbursement, cosmetic surgery) in a Choice versus Happiness condition. We find that agents exhibit mainly egalitarian preferences, namely they take into account others' situations but prefer everybody to receive the same amount of health attributes. Moreover, when health attributes are related to physical appearance, agents express significantly higher levels of positional preferences. We draw several policy implications from these egalitarian preferences.