The moral and fiscal implications of antiretroviral therapies for HIV in Africa by Paul Collier and Olivier Sterck
By: Collier, Paul
.
Contributor(s): Sterck, Olivier.
Material type: 
ArticlePublisher: 2018Subject(s): SIDA | MEDICAMENTOS | IMPUESTOS | ASPECTOS ETICOS Y MORALES | ÁFRICAOnline resources: Click here to access online
In:
Oxford Economic Papers v. 70, n. 2, April 2018, p. 353-374Summary: Thanks to antiretroviral therapies (ART), people living with HIV (PLHIV) can now have a near-normal life at a cost of a few hundred dollars per year. We postulate that given this new low cost of maintaining lives, there is a moral duty to rescue
those who are infected. This obligation creates a financial quasi-liability which for some African countries is comparable to their debt-to-GDP ratios. We construct a model to show that expenditure on prevention can pre-empt some of these liabilities.
However, even with optimal prevention the quasi-liability is likely to remain too high to be affordable for a significant number of African countries. Extending the model to two players, we show that if the international community accepts part of the quasi-liability, as it does, it should finance a broadly equal share of prevention and treatment of future infections to mitigate moral hazard and avoid sub-optimal investment in prevention.
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| Artículos | IEF | IEF | OP 286/2018/2-2 (Browse shelf) | Available | OP 286/2018/2-2 |
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| OP 286/2018/1-3 Information transmission within federal fiscal architectures | OP 286/2018/2 Oxford Economic Papers | OP 286/2018/2-1 Top incomes and inequality in the UK | OP 286/2018/2-2 The moral and fiscal implications of antiretroviral therapies for HIV in Africa | OP 286/2018/2-3 Fiscal consolidation after the Great Recession | OP 286/2018/3 Oxford Economic Papers | OP 286/2018/4 Oxford Economic Papers |
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Resumen.
Bibliografía.
Thanks to antiretroviral therapies (ART), people living with HIV (PLHIV) can now have a near-normal life at a cost of a few hundred dollars per year. We postulate that given this new low cost of maintaining lives, there is a moral duty to rescue
those who are infected. This obligation creates a financial quasi-liability which for some African countries is comparable to their debt-to-GDP ratios. We construct a model to show that expenditure on prevention can pre-empt some of these liabilities.
However, even with optimal prevention the quasi-liability is likely to remain too high to be affordable for a significant number of African countries. Extending the model to two players, we show that if the international community accepts part of the quasi-liability, as it does, it should finance a broadly equal share of prevention and treatment of future infections to mitigate moral hazard and avoid sub-optimal investment in prevention.
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