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Income, Health and Well-Being around
Journal of Economic Perspectives—Volume 22, Number 2—Spring 2008 —Pages 53–72

Income, Health, and Well-Being around the World: Evidence from the Gallup
World Poll
Angus Deaton

T

he great promise of surveys in which people report their own level of life satisfaction is that such surveys might provide a straightforward and easily collected measure of individual or national well-being that aggregates over the various components of well-being, such as economic status, health, family circumstances, and even human and political rights. Layard (2005) argues forcefully such measures do indeed achieve this end, providing measures of individual and aggregate happiness that should be the only gauges used to evaluate policy and progress. Such a position is in sharp contrast to the more widely accepted view, associated with Sen (1999), which is that human well-being depends on a range of functions and capabilities that enable people to lead a good life, each of which needs to be directly and objectively measured and which cannot, in general, be aggregated into a single summary measure.
Which of life’s circumstances are important for life satisfaction, and which—if any— have permanent as opposed to merely transitory effects, has been the subject of lively debate. For economists, who usually assume that higher incomes represent a gain to the satisfaction of individuals, the role of income is of particular interest.
It is often argued that income is both relatively unimportant and relatively transitory compared with family circumstances, unemployment, or health (for example,
Easterlin, 2003). Comparing results from a given country over time, Easterlin
(1974, 1995) famously noted that average national happiness does not increase over long spans of time, in spite of large increases in per capita income. These

y Angus Deaton is Dwight D. Eisenhower Professor of International Affairs and Professor of
Economics and International Affairs, both at the



References: Shea. 2007. “Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care.” The Commonwealth Fund, Fund Report. Available at http:// www.commonwealthfund.org/publications/ Diener, Ed, and Shigehiro Oishi. 2000. Easterlin, Richard A. 1974. “Does Economic Growth Improve the Human Lot? Some Empirical Evidence.” In Nations and Households in Economic Growth: Essays in Honor of Moses Abramovitz, Easterlin, Richard A. 1995. “Will Raising the Incomes of All Increase the Happiness of All?” Easterlin, Richard A. 2003. “Explaining Happiness.” Proceedings of the National Academy of Science, 100(19): 11176 – 83. Easterlin, Richard A. 2006. “Life Cycle Happiness and Its Sources: Intersections of Psychology, 72 Graham, Carol. 2005. “Insights on Development from the Economics of Happiness.” World Bank Research Observer, 20(2): 201–31. Helliwell, John F. 2003. “How’s Life? Combining Individual and National Variables to Explain Subjective Well-Being.” Economic Modeling, 20(2): Iliffe, John. 1995. Africans: The History of a Continent Inglehart, Ronald, and Hans-Dieter Klingemann. 2000. “Genes, Culture, Democracy, and Happiness.” In Culture and Subjective Well-Being, 2006. “Would You Be Happier If You Were Richer? A Focusing Illusion.” Science, 312(5782): Layard, Richard. 2005. Happiness: Lessons from a New Science Leigh, Andrew, and Justin Wolfers. 2006. Chen. 1992. “Understanding Morbidity Change.” Population and Development Review, 18(3), 481–504. Preston, Samuel H. 1975. “The Changing Relation between Mortality and Level of Economic Development.” Population Studies, 29(2): 231– 48. Robbins, Lionel. 1938. “Interpersonal Comparisons of Utility: A Comment.” Economic Journal, 48(192): 635– 41. Sen, Amartya K. 1999. Development as Freedom. Sen, Amartya K. 2002. “Health: Perception versus Observation.” British Medical Journal, 324(7342): 860 –1. Veenhoven Ruut. 1991. “Is Happiness Relative?” Social Indicators Research, 24(1), 1–34. Williams, Alan. 2001. “Science or Marketing at WHO? A Commentary on ‘World Health 2000.’” World Health Organization. 2000. World Health Report 2000 —Health Systems, Improving Performance Dubois, Miranda Mugford, Lynn J. Frewer. 2011. Subjective Welfare, Well-Being, and Self-Reported Food Hypersensitivity in Four European Countries: Implications for European Policy 4. C. Mellander, R. Florida, J. Rentfrow. 2011. The creative class, post-industrialism and the happiness of

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