A Consistent Relaxation of the Consumption Invariant Rate in the Discounted-Utility Model

The main theoretical contribution of this paper is a mechanical result that relates growth rates across n commodities. We examplify through a 2-commodity economy of health and money where the results of current health economic theory are confirmed using this technology. The applications are, however, broad; both with regards to spacial discount rates by making relevant assumptions about interpersonal/international comparability and to sustainable growth by envisioning scenarios for the future.


Introduction
Time preferences are common, important and often lifesaving. Sustainability of factors of production [1], ethical fairness towards future generations [2,3] and cost-effectiveness analyses of preventive programs [4] are a few of the well-known economic debates revolving around different approaches towards valuing of the future. The standard model of intertemporal choice is the discounted utility model (DU-model), which was first introduced by Samuelson [5]. Since then, the axiomatic derivation of the model has been numerous [6][7][8][9][10]. An important assumption of the DU-model is that the discount rate is positive and invariant across time and across all forms of consumptions [11]. However, it is often empirically remarked that individuals do not coordinate their intertemporal preferences with pricing choices [12][13][14][15]. Frederick and Loewenstein [13], among others, found that intertemporal preferences generally did not have the expected mapping properties on intertemporal willingnessto-pay. In the health sector, for example, current arguments in Health Technology Assessments (HTAs) concern the theoretical foundation of differential discounting for costs and health outcomes [16,17]. To that end, we relax the assumption of an invariant rate.
We assume a set of n-commodity-specific discount functions and provide a matrix-vector representation of marginal substitutions based on a model consistent ex-pectation. Since we are concerned with marginals, one need not necessarily specify the "absolute" functions, per se, but rather the relative change of a function compared to another. Our model, being valid in cases of negative discount rates as well, derives from a more general concept. Our conceptualisation gained popularity, mostly among physicists, from Einstein's general theory of relativity in which he considered a set of coordinate system where the metric tensor defined the type of space, flat or curved etcetera. In our case, we note that some function of well-being across time for an n-commodity economy can be geometrically represented by a function of the n-dimensional commodity space where each coordinate changes with time according to some specific functions. With regards to the coordinate transformations, we shall assume that production processes of n different commodities are equivalent to some value-gaining processes such as Rae's instruments [18], where the value gaining processes are, possibly, dissimilar. Thus a single point can be infinitely characterised by alternative time-dependent coordinate systems. Section 2 provides a theorem of the representation which we prove by induction.
Using arguments such as consistency in intertemporal choices and intercommodity wise, we then have a cyclical representation of marginal valuations. Cyclical mechanisms describing the economy have, for the past few decades, gained the attention of several economists [19,20]. The simplicity of the mathematics of input-output systems has led to extending such systems to open ones as well as to intertemporal ones by adding an additional growth term. An important facet in inputoutput systems generally (if not always) includes some arguments of equivalence relation 1 . In our case, we firstly equate commodity i's current input quantities to its future quantity specified by some growth function. Although the quantities of commodities vary stochastically, as a first approach, we propose a model-consistent expectation that assumes that commodities evolve along deterministic (expected) functions of time 2 . Section 3 provides a visual derivation based on some uniform measure of the commodities or purely on physical quantities of the commodities. Our representation however allows for differential discounting which is a major ethical debate in health economics. As such one might want to investigate the cost-effectiveness with regards to net-monetary gains as well as increased life expectancy or increased standards of life. Section 4 introduces illustrations with such marginal valuations and Section 5 concludes.

A Covariance Representation of Coordinate Transformations
Suppose that we have an n-dimensional function, say described by two sets of coordinate systems, say and where the coordinate transformation is given by with , say. Since a differential, d , is uniquely characterised in the q 0 -frame of reference as well as uniquely characterised in the q T -frame of reference, one could consider a differential, which can also be characterised by 1 2 . Assuming that we know the set of partial derivatives in the q 0 -frame of reference, , as well as in the q T -frame of reference, , , ,   n, we can form a matrix with those known components such that the eigenvector of that matrix, corresponding to an eigenvalue 1, represents the bijective coordinate transformation components, 0 1, , We then have a matrix-vector representation of partial derivatives since we are simply concerned with the derivative of an axis with respect to another (not necessarily orthogonal here). Theorem 2.1. Suppose that we have an n-dimensional space characterized by 2 sets of n-dimensional coordinates, q 0 and q T , then, defining by has an eigenvalue of 1 that corresponds to the eigenvector 3 That is Suppose there exists a matrix, X that is non-zero and non-diagonal, given by Copyright © 2013 SciRes. TEL is also true. By induction, X, given by the theorem is deduced.
We now note some properties of the matrix-vector system 4 which makes the usage fairly attractive for economists.
1) All the elements of our matrix are partial differentials valued with time being constant (i.e. each components of the matrix are specific to one and only one time point, either t = 0 or t = T).
2) The elements of the vector are partial differentials relating to a single axis (i.e. each of the elements of the vector is specific to one and only one commodity i, i = either 1 or 2 or···or n). Furthermore, the growth vector, is not specified and the chain rule to be, say, an exponential growth while 2  T f q to be, say, a linear growth, and the general solution of the system of equations is given by:

A Derivation with Commodities
Suppose that we have an n-commodity economy where the measures of each commodity evolve through time t, each according to specific growth functions, Without loss of generality, we suppose that 1, , i  n n the commodity bundle is , the n-dimensional Euclidean orthant and the physical quantity of commodity i at time t is denoted . Given that we have a closed economy, the ratio of any arbitrary commodity i to another arbitrary commodity j, is fully specified at all times. Alternatively, given a system of ratios of all commodities to other commodities at different times, a unique vector of growths exists for each of the n commodities through time. Our quest in this section is to specify a matrix whose entries are the ratios of commodity i to commodity j, , ,n    at specific times, say t = 0 and t = T that would correspond to the growth func- which grows up to time T to . We define the growth function, to be the ratio of the future quantity of commodity i to its current quantity.
Let 0 ij q  be the quantity of commodity i at time t = 0 that will exchanged for (used in the production of) commodity j, at time t = T. Splitting commodity i into n parts at the present time, we have is the part of commodity i now that will make up for the part commodity j in the future. At that future time, T, the quantity of commodity j, T j q , 1, , j i , , n    , is composed of the total parts from all n commodities, which at time t = 0 were allocated to its future production, , each forwarded to time T at their respective growth rates, The quantity of commodity j at time t = T is then given by Now, from Equations (2) and (3), we have and from Equations (2) and (4), we have Equating Equation (5) our columns are also specified 6 . That is, given an entry in the upper triangular matrix, say , ij x j i  , an entry in the lower triangular matrix, x ij , is also specified such that Since it is more of our interest to consider how a single ratio changes, we wish to maintain the numerator and denominator so that they represent the ratio of the same commodities; but at dif-Let us consider the solution This solution is the equivalence relation that we shall investigate. In the next section, the continuous version of the equivalence relation, is shown to be a direct conesquence of a major assumption in time preferences, namely the welfare-preserving rate. However, restricting ourselves to physical quantities for the time being, assuming that , and remembering that     , , rather than a ratio of sums, as a sum of ratios 5 , i.e. Equation (6) be- so that it is only the time at which we consi- has an eigenvalu of one correspondi g to the eigenvector, . We thus require that each of the columns of our matrix sum to 1, which is a consequence of equation 3. We therefore condition on the diagonal entries so that x jj equal to , Thus we have specified all entries of our matrix of ratios such that ' '  Xe e . That is  , such that . We shall use the transpose notation Without loss of generality, we could consider partial dif- 0  0  1  1  21  0  0  2  1  1 2  1  1  1  0  0  1  2  2  2  21  2  2  0  0  1  3  12  2  2  2   0  1  1  2  0  1  1  2   1   1   1   T  n  j  n  T  T  T  j  j  n   T  T  n  T  T  j  i  n  T  T  i  j  i  j  n   T  n  T  T  n  n  n  n i  T  T This follows from Euclid's proposition 12, The Elements, Book V. That is: "If any number of magnitudes be proportional, as one of the antecedents is to one of the consequents, so will all the antecedents be to all the consequents". 6 Analogous to Sraffa's note relating to a system in a self-replacing state (page 5 of the production of commodity by means of commodity), our formulation presupposes a system undergoing indefinite growth. As a result such a state is feasible merely by changing the ratios in which the individual equations enter it. 7 To maintain numerator and denominator of ij x and ji x , note that ferentials rather than ratio of quantities 8 . Furthermore, such continuity assumptions often allow the incorporation of some economic definitions fairly well. So, we shall let   0 , 1, , , 0, Copyright © 2013 SciRes. TEL T and consequently redefine the terms of our matrix, , , 1, , , 0, in the traditional partial differential sense. Since the entries of X, only involve the pairwise exchanges, , , 1, , , 0, i.e. the change in quantity of commodity i at time t that comes from commodity j at time 0 divided by the change in quantity of commodity j at time t that comes from commodity i at time 0, then given that can effectively be stated in a much simpler fashion; i.e. the change in commodity j with respect to commodity i at time t 9 , Next, suppose we wish to find the matrix inputs at a given time t = T that corresponds to the vector e. Letting , the partial derivative of commodity j with respect to commodity i at the specific time T, we have the representation theorem.

An Illustration in Welfare
The non-specificity of a functional "absolute" form opens doors for the use of the matrix system in various other sectors and for different other purposes. The mathematics of marginal rate of transformation and of marginal rate of substitution, being simply that of marginals or partial differentials, in this subsection, we wish to consider the term "marginal value" as input in our system. In order to justify the matrix approach for marginal substitutions, it is necessary to make various simplifying assumptions: we recall firstly that we have an economy that is closed and is composed of n commodities only; and we further require that our fictitious society satisfies the necessary assumptions required for the existence of an intercommodity and intertemporal indifference curve such as the Von Newman and Morgenstern [21] rationality axioms and the axioms presented by Ok and Masatlioglu [22], for intercommodity and intertemporal conditions respectively. Definition 4.1. Let the social welfare function, at time t, be where x ij is defined as in theorem 2.1. and we have a consistent representation of marginal substitutions. Although the above definitions assume the welfare preserving rate, with other welfare models, adjustments for dw can be made ex-ante since our representation builds on the basis differential, dq. 8 For example 0 0 .
The use of partial differentials in the system provides a broader set of possibilities of definitions. However, restricting ourselves to the purpose of this paper, we treat the usage as being a continuity of proportional change. 10 It is necessary for the chain-rule to hold.

A Representation for Health Economists
Although there have been several debates in literature regarding differential time preferences, we focus on discounting of health outcomes in this subsection and validate our representation with current health-economic literature. While education, for example, is commonly known, with several empirical evidences, to boost both health and income, other economic activities are known, on the one hand, to be favourable to economic growth, while, on the other hand, to impact negatively on the population's health. As Myrdal stated, production is a circular and cumulative sequence of causations [26]. Historians such as [27], for example, also noted that "all forms of economic growth exert intrinsically negative population health effects among the communities that are most directly involved in the transformations which they entail".
of income now. Thus, our 2 × 2 matrix and the NPV approaches provide the same results.

Discussion
sembles, to some degree, that of the Our approach re original cyclical mechanisms that were proposed by Quesnay Tableau economique [28]. We, however, rather than equating the "physical quantity on the side of the means of production to that on the side of the product, both of which consist of the same product" [20], allow for a non-fixed timing of the production process similar to Rae's instruments, which we equate through Euclid's proposition 12. It might not be unimportant to note that, 11 Gravelle and Smith considered a period of time t = 0 and a period of time t = 1 and the definition they used was two-period while we use specific times t = 0 and t = 1 and hence assume a single period. The derivation however follows. that is, "The marginal value of one good (health or in-n devising rates of profits of while this paper addresses consistency in preferences, using growths in physical quantities of a single product, investigations on a sustainable production-consumption cycle seem fairly attractive. Alternatively, plugging in rates of time preferences as growth parameters of different commodities might aid in investigating consistency among social discount rates. As Riccardo's methodology i a farmer by singling out corn as a 'basic' commodity, we choose to, rather, single out health measures as basic commodity. Analogous to Riccardo's conclusion with that regards, we propose that "it is the growth in health that regulate the growth in other trades/commodities". As a generic measure for health, the quality-adjusted life year (QALY) is often used. While the QALY is a multiplicative combination of health quality and life duration which is also consistent with health states that are worse than death or have zero duration of life, the assumption of linear utility of duration is often weakened for simplicity and challenges the actual discounting of the generic concept. We therefore suggest that the QALY be treated as its two different constituents, namely quality of life and the life years; which also strengthens the idea of an array-cost-effectiveness analysis. As such, our representation theorem opens the route to formally investigate potentially different discount rates for quality of life and life years which could especially be important for evaluating cost-effectiveness of life saving and life improving medical interventions differently.