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Future Offspring Costs in Economic Evaluation.

Evelyn Verbeke¹, Jeroen Luyten²

¹Leuven Institute for Healthcare Policy, KU Leuven, Leuven, Belgium. evelyn.verbeke@kuleuven.be.

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|October 29, 2021

Summary

This summary is machine-generated.

Future healthcare costs should include offspring impacts, but only for necessary lives. This approach avoids skewed economic evaluations for fertility-affecting interventions and addresses a gap in Health Technology Assessment (HTA).

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Area of Science:

Health Economics
Population Ethics
Health Technology Assessment (HTA)

Background:

Current economic evaluation guidelines recommend including all future costs.
A significant dimension of future costs, related to offspring, is systematically neglected.
Healthcare interventions can influence patient fertility and future offspring health, incurring substantial costs.

Purpose of the Study:

To highlight the neglect of future offspring costs in economic evaluations.
To propose a framework for including relevant future offspring costs in Health Technology Assessment (HTA).
To address the ethical and methodological challenges of incorporating these costs.

Main Methods:

Analysis of economic evaluation guidelines and their implications for future costs.
Application of the population ethics concept of necessitarianism.
Distinguishing between costs associated with 'necessary' versus 'potential' future lives.

Main Results:

Future offspring costs can be substantial and vary across interventions and demographics.
Systematic inclusion of all future offspring costs presents significant methodological problems.
Applying necessitarianism allows exclusion of costs from 'potential' lives, avoiding skewed outcomes.

Conclusions:

Future generations represent a substantial gap in current Health Technology Assessment (HTA) methodology.
The proposed approach using necessitarianism offers a pragmatic way to account for necessary future costs.
Further discussion is needed to refine HTA methodology regarding the economic implications for future generations.