Nudge Improving decisions about health, wealth, and happiness

Richard H. Thaler, 1945-

Book - 2009

Offering a study of the application of the science of choice, a guide that uses examples from all aspects of life demonstrates how it is possible to design environments that make it more likely for us to act in our own interests.

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Subjects
Published
New York : Penguin Books 2009.
Language
English
Main Author
Richard H. Thaler, 1945- (author)
Other Authors
Cass R. Sunstein (author)
Edition
Revised and expanded edition
Physical Description
viii, 312 pages : illustrations ; 22 cm
Bibliography
Includes bibliographical references (pages 281-302) and index.
ISBN
9780143115267
  • Acknowledgments
  • Introduction
  • Part I. Humans and Econs
  • 1. Biases and Blunders
  • 2. Resisting Temptation
  • 3. Following the Herd
  • 4. When Do We Need a Nudge?
  • 5. Choice Architecture
  • Part II. Money
  • 6. Save More Tomorrow
  • 7. Naïve Investing
  • 8. Credit Markets
  • 9. Privatizing Social Security: Smorgasbord Style
  • Part III. Health
  • 10. Prescription Drugs: Part D for Daunting
  • 11. How to Increase Organ Donations
  • 12. Saving the Planet
  • Part IV. Freedom
  • 13. Improving School Choices
  • 14. Should Patients Be Forced to Buy Lottery Tickets?
  • 15. Privatizing Marriage
  • Part V. Extensions and Objections
  • 16. A Dozen Nudges
  • 17. Objections
  • 18. The Real Third Way
  • 19. Bonus Chapter: Twenty More Nudges
  • Postscript: November 2008
  • Notes
  • Bibliography
  • Index
Review by Choice Review

Exploring how people make decisions, Thaler and Sunstein (both, Univ. of Chicago) succinctly summarize for a general audience a large amount of academic and popular literature that has been written on this interdisciplinary topic. Entertaining, engaging, and well written, the book's central argument is that people can (and in some cases should) be subtly influenced to change their behavior (i.e., nudged) by using seemingly innocuous persuasion. So instead of instituting restrictive rules and penalties to influence people's decisions (e.g., speeding), it is much better to influence people so they unconsciously make better decisions. For example, people are more likely to pay their taxes (and do many other things) if they believe that nearly everyone pays their taxes. The authors make it clear that humans are fallible--so they will (and many times do) make bad decisions. Many poor decisions, however, result from people's inherent tendency to use their automatic (think: flinching) rather than reflective (think: calculus) thought processes when making decisions. Recognizing the power of this characteristic makes it possible to create effective "nudges" that aid people in making better decisions (without restricting the number of options available). Summing Up: Highly recommended. General readers; undergraduate and graduate students at all levels; professionals. R. H. Scott Monmouth University

Copyright American Library Association, used with permission.
Review by New York Times Review

YES, there is such a thing as common sense - and thank goodness for that. At least that's this reader's reaction to Richard Thaler and Cass Sunstein's "Nudge," an engaging and insightful tour through the evidence that most human beings don't make decisions in the way often characterized (some would say caricatured) in elementary economics textbooks, along with a rich array of suggestions for enabling many of us to make better choices, both for ourselves and for society. Few people will be surprised to learn that the setting in which individuals make decisions often influences the choices they make. How much we eat depends on what's served on our plate, what foods we pick from the cafeteria line depends on whether the salads or the desserts are placed at eye level, and what magazines we buy depends on which ones are on display at the supermarket checkout line. But the same tendency also affects decisions with more significant consequences: how much families save and how they invest; what kind of mortgage they take out; which medical insurance they choose; what cars they drive. Behavioral economics, a new area of research combining economics and psychology, has repeatedly documented how our apparently free choices are affected by the way options are presented to us. The main insight from which Thaler and Sunstein proceed is that no decision setting is "neutral." Whether it's a restaurant laying out food or a business offering its employees a list of mutual funds in its 401(k) plan or the government presenting different Medicare options, whoever presents choices must frame them in some way. And the framing will affect the decisions. Even "small and apparently insignificant details can have major impacts on people's behavior," the authors write. Some ways of presenting the choices may give a gentler "nudge" than others, and we may think some settings are neutral only because we're so used to them. But whoever is presenting the choices will inevitably bias decisions, in one direction or another. As a result, Thaler and Sunstein argue, many of the familiar arguments for why people should simply be left to make choices on their own, and especially for why government should stay strictly out of the way, have little practical force. In many important areas of choice that matter both to the individual and to the rest of us (for example, when overuse of medical care drives up our insurance premiums and our taxes), the operative question is not whether to bias people's decisions, but in which direction. Thaler, a professor of economics at the University of Chicago, and Sunstein, a law professor formerly at Chicago but now at Harvard, apply this line of argument to a wide array of familiar areas: saving, borrowing, energy consumption, smoking, teenage pregnancy and many others. Along the way they present fascinating findings about how people actually make decisions, together with lots of personal advice: save more, diversify your investments, don't invest much in your employer's stock, don't pay points on mortgages, buy insurance with the biggest deductible you can afford, don't pay for extended warranties. But their main objective is to reshape public policy (Sunstein is an informal adviser to Barack Obama, who has advanced some "Nudge"-like policy ideas), and it's clear that the suggestions they care most about apply to ways in which governments can do a better job of guiding the choices made by their citizens. The goal, in part, is to nudge people toward healthier, safer, more prosperous lives while also addressing pressing issues like environmental damage and the rising cost of health care. If all this sounds paternalistic, that's because it is. Thaler and Sunstein adopt the deliberately oxymoronic label "libertarian paternalism" to describe their general approach. It's libertarian in that people retain the right to make their own choices: they're free to select the savings plan with the lowest projected return if that's what they really want. But the government - or an employer, on the person in charge of laying out the food in the cafeteria - is nonetheless nudging people in the direction that somebody thinks will make them better off. The conceptual argument is powerful, and most of the authors' suggestions are common sense at its best: Set up 401(k) programs so that employees have to opt out if they want, rather than making them opt in. (At present, roughly 30 percent of employees eligible for 401(k)'s don't sign up, despite the enticement of employer matching contributions.) Do the same for organ donation. Make credit card companies offer an automatic full-payment option. Offer investment vehicles that provide automatic portfolio rebalancing. Most of these ideas work because of the human tendency, widely documented, toward what Thaler and Sunstein call "inertia" Most of us just call it laziness. In the end, however, "Nudge" is somewhat thin on practical ideas for public policy that follow from the authors' core insight. Many of the suggestions Thaler and Sunstein make, in contexts like savings and mortgages and credit cards, amount to calls for greater disclosure (what did all of those credit card fees total last year?) or for presenting information in a clearer way (to make price comparisons for mortgages easier). Surely no one except the companies making the profits would oppose more disclosure and clearer information. But we don't need behavioral economics, or libertarian paternalism, to think such proposals might be helpful. And the authors occasionally strike a false note. Their recommendation to allow patients to sign away the right to sue doctors for malpractice, for example presumably in return for lower medical bills - doesn't resemble the argumentation elsewhere in the book. The threat of lawsuits, they reason, gives doctors little incentive to be more careful because malpractice insurance isn't "experience rated"; in other words, the premium charged doesn't depend on the doctor's past record as it does for, say, drivers. (Oddly, they accept the seemingly conflicting view that the threat of lawsuit is expensive because it leads doctors to prescribe unnecessary tests.) Why don't they suggest that malpractice insurance be experience rated too? More important, in contrast to the many other examples they give showing how competitive markets do not necessarily work to consumers' advantage, here Thaler and Sunstein simply assume that the market for doctors' services would pass any savings along to patients. They also simply assume that if the law were changed to allow patients to give up this right, the market would still let them retain it if they wanted. But try getting a brokerage account without signing away the right to sue your broker. Under the law, it's up to brokers and their customers whether people retain that right; but no United States securities firm will take on a customer who doesn't agree in advance to refer any dispute to an industry-sponsored arbitration panel. Thaler and Sunstein also seem naïve in hoping that their program of libertarian paternalism will be equally appealing to those on the left and the right. Their entire line of argument - that people frequently make decisions that are not in their own best interest, that often "free markets and open competition will tend to exacerbate rather than mitigate the effects of human frailty," and especially that in many important contexts "it is pointless to ask government simply to stand aside" since no way of presenting decisions can truly be "neutral" - is deeply subversive of standard free-market, anti-regulation, small-government thinking but supportive of many interventionist inclinations. But regardless of whether Thaler and Sunstein's ideas are ideologically neutral, most of them are the essence of common sense. For that we should all applaud loudly. Benjamin M. Fried man is a professor of economics at Harvard University. His latest book is "The Moral Consequences of Economic Growth."

Copyright (c) The New York Times Company [October 27, 2009]
Review by Library Journal Review

In the first of these two books exploring human behavior and the choices we make, organizational expert Ori Brafman (coauthor, The Starfish and the Spider: The Unstoppable Power of Leaderless Organizations) and his psychologist brother, Rom, an organizational expert, discuss the various psychological forces (e.g., diagnosis bias and loss aversion) that cause people to act irrationally. To help illuminate their discussion, they draw on the latest research in social psychology, behavioral economics, and organizational behavior. In Nudge, Thaler (behavioral science & economics, Graduate Sch. of Business, Univ. of Chicago) and Sunstein (jurisprudence, Univ. of Chicago Law Sch.) consider how the science of choice can gently "nudge" individuals toward making life-improving decisions. They divide the text into five parts--"Humans and Econs," "Money," "Health," "Freedom," and "Extensions and Objections"--and employ numerous examples throughout. Easy to read, conversational in tone, and story-driven, Sway is suitable for public libraries. Nudge, a more research-based analysis full of practical solutions to real-life problems, is strongly recommended for public libraries.--Anita N. Jennings, Newport News P.L., VA (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Common "Nudges" The design of menus gets you to eat (and spend) more. For example, lining up all prices on either side of the menu leads many consumers to simply pick the cheapest item. On the other hand, discretely listing prices at the end of food descriptions lets people read about the appetizing options first...; and then see prices. "Flies" in urinals improve, well, aim. When Amsterdam's Schiphol Airport was faced with the not uncommon issue of dirty urinals, they chose a unique solution: by painting "flies" in the (center of) commodes, men obligingly aimed at the insects, reducing spillage by 80 percent. Credit card minimum payments affect repayment schedules. Among those who only partially pay off credit card balances each month, the repayment level is correlated with the card's minimum payment -- in other words, the lower the minimum payment, the longer it takes a consumer to pay off the card balance. Automatic savings programs increase savings rate. All over the country, companies are adopting the Save More Tomorrow program: firms offer employees who are not saving very much the option of joining a program in which their saving rates are automatically increased whenever they get a raise. This plan has more than tripled saving rates in some firms, and is now offered by thousands of employers. "Defaults" can improve rates of organ donation. In the United States, about one-third of citizens have signed organ donor cards. Compare this to Austria, where 99 percent of people are potential organ donors. One obvious difference? Americans must explicitly consent to become organ donors (by signing forms, for example) while Austrians must opt out if they do not want to be organ donors. Excerpted from Nudge: Improving Decisions about Health, Wealth, and Happiness by Richard H. Thaler, Cass R. Sunstein All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.