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Wellbeing:
Key Issues
Richard Layard
4 October 2017
THE GOAL
C18 Enlightenment idea:
Judge a society by the
happiness of the people.
→ Judge a policy by
ΔHappiness/ΔNet cost
2
3
“The care of human life and
happiness… is the only legitimate
object of good government”.
Thomas Jefferson
NOT NEW
GDP was never meant to be a
measure of welfare.
4
IN MANY COUNTRIES HAPPINESS HAS
NOT RISEN, DESPITE ECONOMIC GROWTH
5
6
POLITICIANS ARE
INTERESTEDWhat matters to people must be the
guideline for our policies.
Chancellor Merkel (2015)
- OECD now recommends member
governments to make wellbeing the
goal of government.
- UN and World Happiness Report.
- Global Happiness Policy Report. 7
UK’S RECORD
1st country to measure it
Behavioural Insights Team
Mental health reforms
What Works Centre for
Wellbeing
8
9
Chair: Gus O’Donnell
Download Report from
Legatum Institute
(Commission on
Wellbeing and Policy)
www.li.com
10
•How to measure it?
•What evidence is needed?
•Using the evidence (CEA)?
ISSUES
CRITERIA FOR A MEASURE
1. A simple question (not an
index).
2. As comprehensive as
possible.
3. Acceptable to policy-
makers.
→ Life-satisfaction (0-10) 11
Where only other
measures exist, use
conversion factors
See Layard, R. (2016), "Measuring wellbeing and
cost-effectiveness analysis using subjective
wellbeing”, Discussion Paper 1. What Works
Centre for Wellbeing.
https://www.whatworkswellbeing.org/product/
measuring-wellbeing-and-cost-effectiveness-
analysis-using-subjective-wellbeing/
12
SUBJECTIVE EXPERIENCE IS AN
OBJECTIVE PHENOMENON
Self-reports correlate with
electrical activity in the
relevant areas in the brain.
They predict longevity, job
quitting, marital break-up,
childbearing, productivity,
voting. 13
14
HAPPINESS AFFECTS
LONGEVITY
Unhappy people are more likely to die
People originally aged 50 and over
0
10
20
30
Happiest third Middle third Least happy third
Percentage
dying over
the next nine
years
LIFE-SATISFACTION (LS)
AFFECTS VOTING
Incumbent vote share
= 0.64 LS
+ 0.36 Economic Growth
- 0.06 Unemployment
+ 0.15 Inflation
(Partial correlation coefficients)
15
16
“John Stuart Mill taught that the happiness of the individual
is paramount. He didn’t name names, but I suspect that you
and I are the sort of individual he had in mind.”
EVIDENCE NEEDED
1. Which aspects of life matter most
for LS (explained variance)
→ Areas for policy development.
2. How policy-changes in those areas
affect LS.
→ Experiment (often embodied in
models) showing effect on life-
satisfaction and net cost. 17
18
DISTRIBUTION OF LIFE-
SATISFACTION (%) UK
0 0.05 0.1 0.15 0.2
Mental health (diagnosed dep/anx)
Physical health (no. of conditions)
Partnered
Non criminality
Not unemployed
Education (years)
Income
19
WHAT EXPLAINS THE VARIATION
IN LIFE-SATISFACTION?
β
0.09
0.02
0.06
0.06
0.11
0.10
0.19
(Partial correlation coefficients)
20
0.07
0.03
0.09
0 0.02 0.04 0.06 0.08 0.1
Emotional health at 16
Behaviour at 16
Qualifications
HOW ADULT LIFE-SATISFACTION IS
AFFECTED BY CHILD OUTCOMES
β
(Partial correlation coefficients)
COST-EFFECTIVENESS
ANALYSIS
Traditional cost-effectiveness analysis
measures benefits by how much people
would be willing to pay for them.
Not feasible for most government
expenditures. (see over)
→ Measure benefits in units of life-
satisfaction.
21
%
Education 11
Transport 3
Health 18
Law and order 4
Defence 6
Welfare 15
Pensions 20
Interest 6
Other (e.g. environment, housing,
social services, industry)
16
100
PUBLIC EXPENDITURE
22
Overall objective: Maximise ΣLS
Assume total expenditure fixed.
So in total we want to maximise
∆𝑳𝑺
𝑪𝒐𝒔𝒕 𝒂𝒗𝒂𝒊𝒍𝒂𝒃𝒍𝒆
23
COST-EFFECTIVENESS ANALYSIS
We require
∆𝑳𝑺
𝑵𝒆𝒕 𝒄𝒐𝒔𝒕 𝒐𝒇 𝒑𝒐𝒍𝒊𝒄𝒚
> Cut-off.
Outcomes are over time, so ΔLS
is measured in point-years
(similar to Quality-Adjusted
Life Years).
24
FOR A POLICY INITIATIVE
WHAT CUT OFF?
Trial and error. Where to start?
NHS has required
∆ 𝑸𝑨𝑳𝒀𝒔
∆ 𝑪𝒐𝒔𝒕
>
𝟏
£𝟐𝟓,𝟎𝟎𝟎
We could require
∆ 𝑳𝑺 𝒑𝒐𝒊𝒏𝒕−𝒚𝒆𝒂𝒓𝒔
∆ 𝑪𝒐𝒔𝒕
>
𝟏
£𝟐,𝟓𝟎𝟎
25
Life-satisfaction
β
Misery
β
Income 0.09 -0.07
Education (years) 0.02 -0.01
Not unemployed 0.06 -0.07
Non criminality 0.06 -0.04
Partnered 0.11 -0.08
Physical health (no. of
conditions)
0.10 -0.09
Mental health (diagnosed
depression/anxiety)
0.19 -0.16
R2 0.19 0.14
WHAT EXPLAINS WHO IS IN
MISERY (LOWEST 10%)?
26
27
£k p.a
Poverty. Raising more people above the
poverty line
160
Unemployment. Reducing unemployment by
active labour market policy
30
Physical health. Raising more people from the
worst 20% of present-day illness
100
Mental health. Treating more people for
depression and anxiety
5
AVERAGE COST OF REDUCING THE
NUMBERS IN MISERY, BY ONE PERSON
1. Use life-satisfaction to measure
benefit, and include it in every
survey/trial.
2. We can explain it.
3. Do policies where
ΔLS/ΔNet cost > 1/2,500
or give extra weight to misery.
28
CONCLUSIONS
29
SOURCESSlides 4-6: Clark, A.E., Flèche, S., Layard, R., Powdthavee, N. and Ward, G. (2018). The Origins of
Happiness: The Science of Wellbeing over the Life Course: Princeton University Press.
Slide 9: O'Donnell, G., Deaton, A., Durand, M., Halpern, D. and Layard, R. (2014). Wellbeing
and policy. London: Legatum Institute.
Slide 12: See Layard, R. (2016), "Measuring wellbeing and cost-effectiveness analysis using
subjective wellbeing”, Discussion Paper 1. What Works Centre for Wellbeing.
https://www.whatworkswellbeing.org/product/measuring-wellbeing-and-cost-
effectiveness-analysis-using-subjective-wellbeing/
Slide 14: Layard, R. and Clark, D.M. (2014). Thrive: The power of evidence-based psychological
therapies, London: Penguin.
Slide 15: Ward, G. (2015). 'Is Happiness a Predictor of Election Results?', CEP Discussion Paper
No. 1343, LSE Centre for Economic Performance.
Slides 18-20: Clark, A.E., Flèche, S., Layard, R., Powdthavee, N. and Ward, G. (2018). The Origins of
Happiness: The Science of Wellbeing over the Life Course: Princeton University Press.
Slide 22: ONS
Slide 26: Clark, A.E., Flèche, S., Layard, R., Powdthavee, N. and Ward, G. (2016) “Origins of
happiness: Evidence and policy implications”, VOX, http://voxeu.org/article/origins-
happiness
Slide 27: Available on request.

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Wellbeing: key issues

  • 2. THE GOAL C18 Enlightenment idea: Judge a society by the happiness of the people. → Judge a policy by ΔHappiness/ΔNet cost 2
  • 3. 3 “The care of human life and happiness… is the only legitimate object of good government”. Thomas Jefferson NOT NEW GDP was never meant to be a measure of welfare.
  • 4. 4 IN MANY COUNTRIES HAPPINESS HAS NOT RISEN, DESPITE ECONOMIC GROWTH
  • 5. 5
  • 6. 6
  • 7. POLITICIANS ARE INTERESTEDWhat matters to people must be the guideline for our policies. Chancellor Merkel (2015) - OECD now recommends member governments to make wellbeing the goal of government. - UN and World Happiness Report. - Global Happiness Policy Report. 7
  • 8. UK’S RECORD 1st country to measure it Behavioural Insights Team Mental health reforms What Works Centre for Wellbeing 8
  • 9. 9 Chair: Gus O’Donnell Download Report from Legatum Institute (Commission on Wellbeing and Policy) www.li.com
  • 10. 10 •How to measure it? •What evidence is needed? •Using the evidence (CEA)? ISSUES
  • 11. CRITERIA FOR A MEASURE 1. A simple question (not an index). 2. As comprehensive as possible. 3. Acceptable to policy- makers. → Life-satisfaction (0-10) 11
  • 12. Where only other measures exist, use conversion factors See Layard, R. (2016), "Measuring wellbeing and cost-effectiveness analysis using subjective wellbeing”, Discussion Paper 1. What Works Centre for Wellbeing. https://www.whatworkswellbeing.org/product/ measuring-wellbeing-and-cost-effectiveness- analysis-using-subjective-wellbeing/ 12
  • 13. SUBJECTIVE EXPERIENCE IS AN OBJECTIVE PHENOMENON Self-reports correlate with electrical activity in the relevant areas in the brain. They predict longevity, job quitting, marital break-up, childbearing, productivity, voting. 13
  • 14. 14 HAPPINESS AFFECTS LONGEVITY Unhappy people are more likely to die People originally aged 50 and over 0 10 20 30 Happiest third Middle third Least happy third Percentage dying over the next nine years
  • 15. LIFE-SATISFACTION (LS) AFFECTS VOTING Incumbent vote share = 0.64 LS + 0.36 Economic Growth - 0.06 Unemployment + 0.15 Inflation (Partial correlation coefficients) 15
  • 16. 16 “John Stuart Mill taught that the happiness of the individual is paramount. He didn’t name names, but I suspect that you and I are the sort of individual he had in mind.”
  • 17. EVIDENCE NEEDED 1. Which aspects of life matter most for LS (explained variance) → Areas for policy development. 2. How policy-changes in those areas affect LS. → Experiment (often embodied in models) showing effect on life- satisfaction and net cost. 17
  • 19. 0 0.05 0.1 0.15 0.2 Mental health (diagnosed dep/anx) Physical health (no. of conditions) Partnered Non criminality Not unemployed Education (years) Income 19 WHAT EXPLAINS THE VARIATION IN LIFE-SATISFACTION? β 0.09 0.02 0.06 0.06 0.11 0.10 0.19 (Partial correlation coefficients)
  • 20. 20 0.07 0.03 0.09 0 0.02 0.04 0.06 0.08 0.1 Emotional health at 16 Behaviour at 16 Qualifications HOW ADULT LIFE-SATISFACTION IS AFFECTED BY CHILD OUTCOMES β (Partial correlation coefficients)
  • 21. COST-EFFECTIVENESS ANALYSIS Traditional cost-effectiveness analysis measures benefits by how much people would be willing to pay for them. Not feasible for most government expenditures. (see over) → Measure benefits in units of life- satisfaction. 21
  • 22. % Education 11 Transport 3 Health 18 Law and order 4 Defence 6 Welfare 15 Pensions 20 Interest 6 Other (e.g. environment, housing, social services, industry) 16 100 PUBLIC EXPENDITURE 22
  • 23. Overall objective: Maximise ΣLS Assume total expenditure fixed. So in total we want to maximise ∆𝑳𝑺 𝑪𝒐𝒔𝒕 𝒂𝒗𝒂𝒊𝒍𝒂𝒃𝒍𝒆 23 COST-EFFECTIVENESS ANALYSIS
  • 24. We require ∆𝑳𝑺 𝑵𝒆𝒕 𝒄𝒐𝒔𝒕 𝒐𝒇 𝒑𝒐𝒍𝒊𝒄𝒚 > Cut-off. Outcomes are over time, so ΔLS is measured in point-years (similar to Quality-Adjusted Life Years). 24 FOR A POLICY INITIATIVE
  • 25. WHAT CUT OFF? Trial and error. Where to start? NHS has required ∆ 𝑸𝑨𝑳𝒀𝒔 ∆ 𝑪𝒐𝒔𝒕 > 𝟏 £𝟐𝟓,𝟎𝟎𝟎 We could require ∆ 𝑳𝑺 𝒑𝒐𝒊𝒏𝒕−𝒚𝒆𝒂𝒓𝒔 ∆ 𝑪𝒐𝒔𝒕 > 𝟏 £𝟐,𝟓𝟎𝟎 25
  • 26. Life-satisfaction β Misery β Income 0.09 -0.07 Education (years) 0.02 -0.01 Not unemployed 0.06 -0.07 Non criminality 0.06 -0.04 Partnered 0.11 -0.08 Physical health (no. of conditions) 0.10 -0.09 Mental health (diagnosed depression/anxiety) 0.19 -0.16 R2 0.19 0.14 WHAT EXPLAINS WHO IS IN MISERY (LOWEST 10%)? 26
  • 27. 27 £k p.a Poverty. Raising more people above the poverty line 160 Unemployment. Reducing unemployment by active labour market policy 30 Physical health. Raising more people from the worst 20% of present-day illness 100 Mental health. Treating more people for depression and anxiety 5 AVERAGE COST OF REDUCING THE NUMBERS IN MISERY, BY ONE PERSON
  • 28. 1. Use life-satisfaction to measure benefit, and include it in every survey/trial. 2. We can explain it. 3. Do policies where ΔLS/ΔNet cost > 1/2,500 or give extra weight to misery. 28 CONCLUSIONS
  • 29. 29 SOURCESSlides 4-6: Clark, A.E., Flèche, S., Layard, R., Powdthavee, N. and Ward, G. (2018). The Origins of Happiness: The Science of Wellbeing over the Life Course: Princeton University Press. Slide 9: O'Donnell, G., Deaton, A., Durand, M., Halpern, D. and Layard, R. (2014). Wellbeing and policy. London: Legatum Institute. Slide 12: See Layard, R. (2016), "Measuring wellbeing and cost-effectiveness analysis using subjective wellbeing”, Discussion Paper 1. What Works Centre for Wellbeing. https://www.whatworkswellbeing.org/product/measuring-wellbeing-and-cost- effectiveness-analysis-using-subjective-wellbeing/ Slide 14: Layard, R. and Clark, D.M. (2014). Thrive: The power of evidence-based psychological therapies, London: Penguin. Slide 15: Ward, G. (2015). 'Is Happiness a Predictor of Election Results?', CEP Discussion Paper No. 1343, LSE Centre for Economic Performance. Slides 18-20: Clark, A.E., Flèche, S., Layard, R., Powdthavee, N. and Ward, G. (2018). The Origins of Happiness: The Science of Wellbeing over the Life Course: Princeton University Press. Slide 22: ONS Slide 26: Clark, A.E., Flèche, S., Layard, R., Powdthavee, N. and Ward, G. (2016) “Origins of happiness: Evidence and policy implications”, VOX, http://voxeu.org/article/origins- happiness Slide 27: Available on request.