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Private Choices and Public Health - The AIDS Epidemic in an Economic Perspective (Hardcover)
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Private Choices and Public Health - The AIDS Epidemic in an Economic Perspective (Hardcover)
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Like other dangerous but pleasurable activities, such as downhill
skiing and mountain climbing, engaging in unprotected sex
implicitly involves the weighing of costs and benefits. Recognizing
that the transmission of the AIDS virus is a consequence of
personal choices - often rational and informed - to engage in risky
conduct, the authors employ the tools of economic analysis to
reassess the orthodox approach to AIDS by public health
specialists. Standard predictions of the spread of AIDS, the
authors argue, are questionable because they ignore rational
behavioral responses to the risk of infection. For the same reason,
customary recommended public health measures, such as extensive
testing for the AIDS virus, not only may be ineffective in
controlling the spread of the disease but may actually cause it to
spread more rapidly. The authors examine regulatory measures and
proposals such as mandatory testing, criminal punishments, and
immigration controls, as well as the subsidization of AIDS
education and medical research, the social and fiscal costs of
AIDS, the political economy of the government's response, and the
interrelation of AIDS and fertility risk. Neither liberal nor
conservative, yet on the whole skeptical about governmental
involvement in the epidemic, this book is certain to be
controversial, but its injection of hard-headed economic thinking
into the AIDS debate is long overdue. Although Private Choices and
Public Health is accessible to the interested general reader, it
will also capture the attention of economists - especially those
involved in health issues - epidemiologists, public health
officials, and specialists in sexual behavior and drug addiction.
General
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