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© The Journal of Risk and Insurance, 2012, Vol. 79, No. 4,1051-1075
DOI: 10.1111/j.l539-6975.2011.01448.x
Abstract
The term "moral hazard" when interpreted literally has a strong rhetorical
tone, which has been used by stakeholders to influence public attitudes to
insurance. In contrast, economists have treated moral hazard as an idiom
that has little, if anything, to do with morality. This article traces the genesis
of moral hazard, by identifying salient changes in economic thought, which
are identified within the medieval theological and probability literatures. The
focus then shifts to compare and contrast the predominantly, normative con
ception of moral hazard found within the insurance-industry literature with
the largely positive interpretations found within the economic literature.
Introduction
The term "moral hazard" originated in the insurance literature. Its modern use in
economics is understood—by economists—to describe loss-increasing behavior that
arises under insurance. As Pauly argued
... the problem of "moral hazard" in insurance has, in fact, little to do with
morality but can be analyzed with orthodox economic tools. (Pauly, 1968,
p. 531)
David Rowell is at the Australian Centre for Economic Research on Health (ACERH UQ),
and The School of Economics, The University of Queensland, Australia. Luke B. Connelly
is at the Australian Centre for Economic Research on Health (ACERH UQ), and Centre of
National Research on Disability and Rehabilitation Medicine (CONROD). David Rowell can
be contacted via e-mail: d.rowell@uq.edu.au. Rowell acknowledges financial support from the
Australian Centre for Economic Research on Health (ACERH) and the Brian Gray scholarship
program, which is jointly funded by the Australian Prudential Regulation Authority (APRA)
and the Reserve Bank of Australia (RBA).
1051
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1052 The Journal of Risk and Insurance
Moral hazard is also manifested when the behavior of insureds affects L, per the
following definition:
whereas more catholic definitions of the term encapsulate both types of moral hazard.
For example, in The Economics of Agency, Arrow (1985, p. 38) simply defined moral
hazard as "hidden action" by the agent. In each of the foregoing cases, it is clear that (1)
moral hazard is defined as a positive concept and (2) that the two words form an idiom,
that is, "[... a] group of words established by usage as having a meaning not deducible
from those of the individual words" (Oxford English Dictionary [OED], 2008). The
English language contains many idioms: clearly, not all "teething problems" require
a dentist and not all "free trade" is free.
The concept of moral hazard has been used by economists to analyze a "wide variety of
public policy scenarios, from unemployment insurance, corporate bailouts, to natural
resource policy" (Hale, 2009, p. 3). For example, when discussing the management of
the Global Financial Crisis, Ben Bernanke, the Chairman of U.S. Federal Reserve, was
quoted in Time as saying:
However, the phrase moral hazard has obvious and powerful rhetorical capabilities
to moderate social attitudes towards insurance. As the term "moral hazard" made the
transition from the confines of the insurance and economic literatures to the public
domain, social scientists writing in the noneconomic literature have questioned the
normative implications of the term. Some of these authors have been strident in their
criticism of economics, economists, and the real or imagined policy consequences of
moral hazard. A remarkable example is as follows:
Other critics have been somewhat more circumspect but have expressed concern
about the normative overtones of this economic idiom:
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A History of the Term "Moral Hazard" 1053
... the concept of moral hazard is widely used and deeply entrenched in the
practice of economics that little attention is paid to the underlying ethical
and moralistic notions suggested by the use of that particular expression
(Dembe and Boden, 2000, p. 258) and
[o]ne thing that should be clear about the terminology of "moral hazard"
is that the language invokes a normative notion. It suggests that there is
a moral danger, a moral problem, associated with the over provision (or
overprovision) of insurance. (Hale, 2009, p. 2)
Finally, pejorative uses of the term moral hazard are also now found within popular
culture. For example, when asked to explain moral hazard, the fictitious New York
banker Gordon Gekko simply said "[i]t means they can steal your money and no one
is responsible" (Wall Street: Money Never Sleeps, 2010).
This article traces the origins of the term "moral hazard" by going back in time
to consider the earliest known developments of insurance as well as touching on
a range of literatures as diverse as the theological and probability literatures and,
latterly, the economics literature. Not surprisingly, we find that the concept of moral
hazard developed with insurance markets. More importantly, we also show that the
use of the term in the early insurance industry literature was ambiguous and, viewed
from the vantage point of the modern economist, was used to describe not only moral
hazard—as that term is understood by economists—but also the distinct phenomenon
of adverse selection.
The article is arranged as follows. The next section provides a brief overview of some
of the earliest-known examples of insurance and of the historical characterization
of risk, in which theology played a central role. Then, relevant developments of
the probability literature, insurance-industry literature, and economics literatures are
described, followed by our conclusion.
Some authors (Hale, 2009; Pearson, 2002) have appeared to suggest that the concept
of moral hazard has developed symbiotically with insurance.
Talk of moral hazards has been around since at least as long as the modern
insurance industry, which some date as far back as 1662. (Hale, 2009, p. 3)
Yet, the term "moral hazard" did not appear until the late nineteenth century (Baker,
1996), which suggests that the concept of moral hazard and the creation of the idiom
did not idly evolve with the development of insurance.
It has been recognized that, as long ago as 7000 B.C. (Hart, Buchanan, and Howe, 2007),
Chinese merchants employed elementary risk management techniques whereby mer
chants would disperse their cargo across several ships to spread the risk of a loss
(Vaughan, 1997). One of the oldest documented examples of a financial instrument
being used to provide insurance against risk can be found in The Hammurabi Code,
which was written in Babylon in 1790 B.C. Law 48, offered a rudimentary form of
agricultural insurance and states:
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1054 The Journal of Risk and Insurance
If a man owe a debt, and the god Adad has flooded his field, or the harvest
has been destroyed, or the corn has not grown through lack of water, then
in that year he shall not pay corn to his creditor. He shall dip his tablet in
water, and the interest of that year he shall not pay. (Edwards, 1921, p. 20)
Later, Greek and Roman merchants used a similar technique known as "bottomry"
loans to transfer their risk to moneylenders, by borrowing money with a contractual
clause, which annulled the debt if the ship or cargo was lost at sea (Hart, Buchanan,
and Howe, 2007).
... that a proper history of insurance should not only cope with econ
omy but also with conceptions of religion and nature. (English translation
provided by Ceccarelli, 2001, p. 607).
In the Middle Ages, the Church considered random events to be outcomes of divine
will and hence events that are not to be anticipated. Simony was condemned because
it was viewed as the sale of Christ's charisma and usury was condemned because it
was the sale of God's time. In 1234, Pope Gregory IX issued the decretal Naviganti,
which stated that insurance was illicit (Ceccarelli, 2001).
As commercial insurance grew, so did the debate that surrounded it. The early theo
logical discourse tended to focus on the insurer rather than the insured. Debate was
centered on whether insurance was a licit remedy for the commercial costs ensuing
from acts of God. Theologians who supported the Naviganti, such as the Portuguese
Carmelite Joäo Sobrinho [1400-1475], argued that the insurer was selling something
that was not rightfully theirs to sell and that the safety of a venture proceeds only from
God's will. Similarly, the fifteenth-century French theologian Peter Tartaret argued
that the insurer should not profit from human presumption of safety since safety can
only be granted by God (Ceccarelli, 2001).
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A History of the Term "Moral Hazard" 1055
In the case of the insurer having professional skill (i.e., has received relevant
news by mail) or experience having with natural phenomena (i.e., he is
aware that the weather will be good), who knows that the real value
venture risks are less than what the current market place estimates and who
does not reveal it to the other party, still the market price is to be considered
just, because probable profits derive from his professional ability. (Lessius
1605, as quoted in Ceccarelli, 2001, p. 627)
The recognition by Lessius that probable profits were derived from professional ability
and not solely from God's will, was an early example of the change in the perception
of nature that was identified by Febvre (1956). This transformation was a necessary
precursor to the eventual development of a theory of moral hazard.
Probability Literature
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1056 The Journal of Risk and Insurance
Daston (1983) has argued that during the seventeenth century mathematical prob
abilists such as Huygens originally couched probability in terms of expectations
because games of chance were perceived as a subset of aleatory contracts, which
were any agreement involving an element of risk (e.g., annuities, partnerships, in
surance and "cast of a net" fish contracts). These contracts embodied two qualitative
notions of expectation. The first, from law, was the concept of equity. The second, from
economics, was the concept of prudence. Both equity and prudence moderated math
ematical probability with enlighted views of moral rationality and expectation. When
explaining uncertainties, under the influence of individual behavior, mathematicians
were obliged:
... to adapt and amend the theory of probability to tally with reigning
conceptions in the moral sciences, in particular that of an archetypal "rea
sonable man." (Daston 1983, p. 58)
Not only did the probability literature posit that individual characteristics could
affect the likelihood of an uncertain event but this literature also developed a theory
to value risk, which incorporated a nonpejorative use of the word "moral" into its
lexicon. Daston (1983) has argued that eighteenth-century moral scientists, of whom
classical probabilitists considered themselves a subset, studied the deliberations and
behavior of groups of individuals designated as rational with a view to deriving
explicit rules to guide behavior. In 1708, Nicholas Bernoulli [1695-1726] proposed
the following paradox in a letter to the French mathematician Pierre Raymond de
Montmort [1678-1719]:
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A History of the Term "Moral Hazard" 1057
In 1738, Daniel Bernoulli [1700-1782], Nicholas Bernoulli's cousin, resolved the para
dox by identifying two notions of expectation, one "mathematical" and the other
"moral." Mathematical expectation ignored the individual characteristics of the risk
takers and equated outcome value with price. Moral expectation was considered the
utility of the mathematical expectation. Here Bernoulli's use of the phrase "moral ex
pectation" in fact communicates to his contemporaries an assumption of rationality,
rather than a presumption of any ethical expectation. Bernoulli argues his point as
follows:
Somehow a very poor fellow obtains a lottery ticket that will yield with
equal probability either nothing or twenty thousand ducats. Will this man
evaluate his chance of winning at ten thousand ducats? Would he not be
ill-advised to sell this lottery ticket for nine thousand ducats? To me it
seems that the answer is in the negative. On the other hand I am inclined
to believe that a rich man would be ill-advised to refuse to buy the lottery
ticket for nine thousand ducats. If I am not wrong then it seems clear that
all men cannot use the same rule to evaluate the gamble. (Bernoulli, 1954,
p. 24)
Bernoulli proposed that moral expectation (mean utility) was logarithmically related
to wealth. He constructs the following numerical example drawn from marine insur
ance to illustrate that individuals with different wealth endowments will value set
risks differently Caius, a Petersburg merchant, can sell commodities purchased in
Amsterdam for 10,000 rubles if they can be shipped to Petersburg. However, five in
every 100 ships are lost at sea. Actuarially unfair insurance is available at 800 rubles
per cargo. Bernoulli asks:
The question is, therefore, how much wealth must Caius possess apart
from the goods under consideration in order that it be sensible for him to
abstain from insuring them? (Bernoulli, 1954, p. 30)
By setting the expected value of the insured loss equal to the uninsured loss, Bernoulli
calculated that if Caius had an initial wealth greater than 5,043 rubles, he should not
buy insurance. The mathematician Jean Rond d'Alembert [1717-1783] argued that
these calculations were an oversimplification of behavior but he accepted the basic
premise that
2 Specimen Theoriae Novae de Mensura Sortis (Bernoulli, 1738) was translated from Latin into
English by Dr. Sommer for Econometrica in 1954.
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1058 The Journal of Risk and Insurance
Bernoulli's [1738] assertion that risks of equal mathematical expectation could have
a different moral expectation depending on "the particular circumstance of the per
son making the estimate" (Bernoulli, 1954, p. 24) made a seminal contribution to the
theory of risk. This conceptual milestone made an important contribution to the even
tual development of a theory of moral hazard. The theory of moral hazard predicts
changes in individual behavior following the purchase of insurance. When preventive
effort cannot be observed, an individual may choose to invest less preventive effort
than otherwise to avoid the insured outcome (Shavell, 1979). However, to develop a
theory of behavior it is first necessary to develop a theory of value. Bernoulli's [1738]
paradigm does this. Utilizing the language of Bernoulli's paper, the purchase of actu
arially fair insurance could be defined as the trading of risks of equal mathematical
expectation, such that risks of low moral expectation (the uninsured state) are traded
for risks of high moral expectation (the insured state). The trading of the uninsured
for insured state increases the individual's level of utility (moral expectation). Cru
cially, it is this increase in utility that generates the conditions and incentives for moral
hazard to transpire. It would, however, be another 127 years before the causal link
between insurance and decreased preventative effort would be explicitly identified.
Insurance-Industry Literature
Despite the growth of the medieval insurance industry, there was little evidence of
data collection or evaluation by insurers (Daston, 1988). It was not until 1660 that
the first serious empirical study of shipping losses was conducted (Franklin, 2001).
Pearson (2002) has claimed that although, in principle, insurers in the eighteenth
century differentiated between physical and moral risks, the absence of an actuarial
science meant that this distinction remained theoretical rather than empirical. At
tributions such as character, probity, temperance, ethnicity and class were used to
assess both physical and moral risks. English insurers, for example, identified Irish
and Jewish populations as being morally suspect (Pearson, 2002).
Pearson (2002) has argued that the objective measurement of physical hazards re
mained crude. For example, the mutual society, Amicable, established in 1706, charged
the same membership fee irrespective of age. Life insurers used the pseudo-science
of physiognomy4 to assess the health status of prospective policyholders. The insurer
Royal Exchange sold life assurance policies without medical review until 1838. The
fire insurers, London Assurance and Royal Exchange relied on just three risk classi
fications (common, hazardous and doubly hazardous) to underwrite fire insurance
until the second half of the nineteenth century (Pearson, 2002). The absence of the
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A History of the Term "Moral Hazard" 1059
empirical tools to quantify risk would appear to be an obvious constraint on the iden
tification of moral hazard, which required that the probability of an insurable event
be differentiated between insured and uninsured individuals.
Pearson (2002), however, has argued that eighteenth-century insurers recognized the
concept of moral hazard and implemented measures to control it.
In fact, no clear definition [of moral hazard] was in use by insurance offices
before 1850, and it is not known when the term itself came into vogue.
The concept it embodied, however, was widely recognized, namely the
possibility of unfavourable features of a risk arising from the character of
the insured. (Pearson, 2002, p. 6)
The accuracy of this claim is questionable. Both moral hazard and adverse selection
result in a correlation between insurance and claim; however, the direction of cau
sation is opposite. The distinction is subtle: whereas moral hazard posits that the
purchase of insurance will induce individuals to invest less preventive effort, adverse
selection posits that high-risk individuals (including individuals with fraudulent in
tent) will purchase more insurance. Moral hazard is not "unfavourable features of a
risk arising from the character of the insured," but rather the "unfavourable features
of risk" arising from the purchase of insurance. The phenomenon described in the
quote above seems to be an amorphous conception of behavior under insurance that
includes both adverse selection and moral hazard, without distinction.
The genesis of an idiom is an ill-defined process that pairs concept with phrase.
The use of language by the early probability literature appears to have made an es
oteric contribution to the development of this idiom. The contemporary definition
of hazard is "risk of loss or harm, peril, jeopardy" OED (2008). However, the word
hazard ("hassard" or "hasart"), which has French origins, first entered the English
language in 1167 to describe a game of dice. It was not until 1618 that the word "haz
ardous" in the sense of "perilous" appeared in the English language (Harper, 2010).
5 There was no requirement under Irish law for an "insurable interest/' such as kinship, to be
demonstrated by the party taking out the policy on the life of another. This created scope
for gambling and speculation on lives and made underwriting on "other interest" policies
hazardous (Pearson, 2002).
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1060 The Journal of Risk and Insurance
Pascal and Fermât developed probability theory to analyze the division of stakes
from an incomplete game of dice or points. Thus, from its inception, the probability
literature had analyzed games of hazard which, as Baker (1996) pointed out, Victorian
England had considered morally questionable.
During the Middle Ages, two senses of the word moral existed. The first recorded use
of the word "moral," within the English language, appeared in 1387-1395 in Chaucer's
[1343-1400] The Canterbury Tales as, "Sownynge in moral vertu was his speche" (OED,
2008). The word "moral" in this context is consistent with the contemporary meaning
of moral as "excellence of character or disposition, as distinguished from intellectual
excellence, or from the theological virtues of faith, hope, and charity" (OED, 2008).
However, a second interpretation of the word moral also existed. Philosophical and
scientific thought of the Middle Ages was often initially written in Latin and subse
quently translated into English. Although Latin defines the word mörälis as "... of
or belonging to manners or morals, moral" (Lewis and Short, 1879) the etymology
of mörälis comes from the word mos (Daston, 1983), which is defined as "... manner,
custom, way, usage, practice, wont, as determined not by the laws, but by men's will
and pleasure, humor, self-will, caprice" (Lewis and Short, 1879).
The medieval use of the word "moral" often retained its Latin sense, which did not
project the pejorative overtones associated with its English origins. For example, in
the eighteenth century, "moral scientists" studied the behavior of rational individu
als in the hope of establishing rules to guide the broader community (Daston, 1983).
Mathematicians, most notably Daniel Bernoulli, used the concept of "moral expec
tation" to describe the subjective value placed on a probable gain by an individual
(Dembe and Boden, 2000).
It was not until the mid-nineteenth century that concept of moral hazard was rec
ognized and the idiom first appeared within the insurance-industry literature. In
1850, a former attorney-general of Pennsylvania, Horace Binney [1780-1875] gave
an address in which he spoke "... of moral as well as of physical phenomena" (Bin
ney, 1888, supra note, at p. 393 in Baker, 1996, p. 252) to distinguish those events
attributable to the behavior of people from those attributable to nature. In 1853 the
London Bankers Magazine, wrote "risk of a moral as well as a mathematical character"
(J. Smith Homans 1853, as cited in Baker, 1996, p. 249). Then in 1865, the first recorded
use of the idiom moral hazard appeared in The Practice of Fire Underwriting, wherein
moral hazard was defined as:
Baker (1996) contends that the creation of "moral hazard" suited the times; from
"hazard" with its moral overtones of danger; and from "moral," referring to the
moral scientists who made chaste use of the odds.
What combination of words could better signify the serious, scientific and
highly proper—indeed moral—grounding of the insurance enterprise?
(Baker, 1996, p. 248)
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A History of the Term "Moral Hazard" 1061
The idiom resonated and soon became entrenched within the insurance-industry
literature. Baker, (1996) has argued that in 1867 the Aetna Guide to Fire Insurance
Handbook soon developed a dual conception of moral hazard. The first was a moral
hazard, due to character:
Consider first the moral hazard What is the general character borne by
the applicant? Are his habits good? Is he an old resident, or a stranger and
an itinerant? Is he effecting insurance hastily, or for the first time? Have
threats been uttered against him? Is he peaceable or quarrelsome -popular
or disliked? Is his business profitable or otherwise? Has he been trying to
sell out? Is he pecuniarily embarrassed? Is the stock reasonably fresh and
new, or old, shopworn and unsalable? When was the inventory last taken?
Is the amount of insurance asked for, fully justified by the amount and
value of the stock? Is a set of books systematically kept? (Aetna Insurance
Co., 1867, p. 21 in Baker, 1996, p. 250)
The essential idea was that the purchase of insurance encouraged moral hazard which
could manifest as either (1) a deliberate act of fraud or (2) an act of carelessness. The
former behavior was considered immoral and the latter was not. This dual conception
of moral hazard embodied both a pejorative English sense of the word moral and its
more positive, Latin meaning.
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1062 The Journal of Risk and Insurance
Reconsider Baker's (1996, p. 250) quote from the Aetna Guide above "Consider first
the moral hazard..." Only the penultimate sentence, which refers to the amount of
insurance requested, addresses an issue pertaining to moral hazard. The dominant
focus of this quote is the identification of preexisting personal characteristics, which
are supposedly correlated with the individual's propensity to engage in fraud. Thus,
the statement in fact addresses adverse selection rather than moral hazard. Baker's
following sentence, by implication, supports this conclusion:
If the moral hazard is not good, there are no considerations that would
induce the company to accept the risk... (Tiffany, 1882, p. 24 in Baker, 1996,
p. 253)
Moral Hazard- The character of the applicant is usually of the first impor
tance; and where this is not satisfactory, the applicant should be dismissed
at once. (Aetna Insurance Co., 1867, p. 13 in Baker, 1996, p. 253)
Clearly, however, when Ducat (1865) asserted that insurance can offer "a direct incen
tive to crime" (Ducat, 1865, pp. 11-12 in Baker, 1996, p. 251) a contemporary notion
of moral hazard was also understood.
Grammar can be a useful tool to differentiate the alternate meanings of moral hazard.
When "moral hazard" was used as a singular, abstract noun, it described a moral
hazard in the contemporary sense as a response to incentives. Alternatively, when the
phrase was used as a collective noun, moral hazard[s], it described individuals with a
predisposition to file a claim (i.e., adverse selection). The following quote, albeit from
a secondary source, illustrates this point nicely.
That initially moral hazard was a flexible concept that was also used to describe
adverse selection is obtusely supported by the following statement: "[f]or nineteenth
century insurers, moral hazard was a label that applied to people and situations"
(Baker, 1996, p. 240). Although Baker used this terminology, the parallel should be
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A History of the Term "Moral Hazard" 1063
clear. During the nineteenth century when moral hazard was applied to situations, it
embodied moral hazard in the modern sense, that is, a response to incentives. When
moral hazard was applied to people, it reflected an alternative meaning of moral
hazard as de facto, a process of adverse selection.
In 1905, Everett Crosby, the General Agent for the North British and Mercantile
Insurance Company published the following definition of moral hazard in The Annals
of the American Academy of Political and Social Science.
Although Crosby's definition of moral hazard did include illegal acts such as arson,
the focus of the analysis was on the incentives which produced the conduct rather
than an ex ante identification of individuals likely to file a claim. Crosby's "modern"
definition of moral hazard was unambiguous, and did not imply adverse selection.
Furthermore his treatment of moral hazard was, prima facie, nonprejudicial with re
spect to social minorities, as the following quote illustrates:
The record of fire losses has clearly shown that moral hazard is frequently
found among assured of means and of high social standing or with excel
lent mercantile ratings. (Crosby, 1905, p. 226)
Several authors have outlined a rationale for the insurance industry to embrace a
public role. The political scientist Deborah Stone (2002), for example, has argued that
insurance is a social institution, which defines norms and values in political culture
and ultimately shapes the way citizens think about issues of membership, community,
responsibility, and moral obligations. Community attitudes to risk aversion, fraud,
propensity to claim and preventive effort can affect the viability of insurance. Thus,
there is an incentive for insurers to engage in social discourse to shape and define
social norms, which promote individual and mutual responsibility with a view to
maximize commercial prosperity. Pearson (2002) has argued the insurance industry
accepted and promoted the idea that public resources should be committed to the
amelioration of "moral hazard" (and/or adverse selection).
In an imperfect market, however, where costs and benefits were not pre
cisely known, and in a society in which moral precepts dictated that prop
erty should be protected from fraud, theft, and arson whatever the cost,
insurers may have felt that the allocation of both private and public re
sources to combating moral hazard should not be based on economic
factors alone. (Pearson, 2002, p. 8)
Arrow (1963) has also asserted that there is a rationale for insurers to enter the
public sphere to shape community norms. Analyzing insurance and the market for
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1064 The Journal of Risk and Insurance
medical care, he said "[i]n the absence of ideal insurance, there arise institutions
which offer some sort of substitute guarantees" (Arrow, 1963, p. 965). He argued that
to limit physician incentives to overtreat insured patients (i.e., ex post moral hazard)
society has developed norms, in the form of ethical expectations, to guide physician
treatments.
In 1907, H.P. Blunt wrote in the Journal of the Insurance Institute that it was a joint
public duty of the insurance industry and the State to deter moral hazard.
As the insurance industry grew so did its willingness and capacity to engage in public
discourse to influence social norms through rhetorical argument. The insurance
industry literature from the early twentieth century is replete with many examples of
the idiom moral hazard used normatively. For example, in a book entitled A Study of
Accidents and Accident Insurance, moral hazard is described as "[m]en who steal or lie
[or] magnify a slight injury, or be dilatory in resuming work when they are able to do
so" (McNeill, 1900 in Dembe and Boden, 2000, p. 259). Similarly, in the monograph
Insurance and Crime moral hazard is defined "misrepresentation and negligence"
(Campbell, 1902 in Dembe and Boden, 2000, p. 259).
Ethnocentric and class-specific formations of moral hazard were also used to moderate
social attitudes toward claims and claiming. Under the entry "moral hazard abroad,"
the Dictionary of Fire Insurance states that
[c]ertain features affect moral hazard abroad which are fortunately absent
in Great Britain. For instance, Central America has long been recognised
as a hotbed of serious moral hazard A type known as Assyrians do
not hesitate to adopt any means or make any statements so as to secure
payment of policy moneys in full. (Remington and Hurren, 1935, p. 328)
Economic Literature
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A History of the Term "Moral Hazard" 1065
Even as regards losses by fire and sea, insurance companies have to allow
for possible carelessness and fraud; and must therefore, independently of
all allowances for their own expenses and profits, charge premiums con
siderably higher than the true equivalent of the risks run by the buildings
or the ships of those who manage their affairs well. (Marshall, 1920, p. 231)
The first identified economist to analyze explicitly moral hazard was Haynes, (1895)
who published an article entitled "Risk as an Economic Factor" in The Quarterly
Journal of Economics. Generally, the treatment of moral hazard by economists did not
utilize the same degree of emotive language that was evidently in use in the insurance
industry . Moral hazard was viewed as a positive rather than normative concept. For
example, Haynes, (1895) introduces the concept of moral hazard as follows:
Note, first, the pluralization of moral hazard[s] and second that this quote contains
no bellwether reference to incentives to identify moral hazard. In this quote, the
term "moral hazards" has embodied the notion of adverse selection, which was, as
discussed above, often evident in the insurance-industry literature. However, when
outlining the disadvantages of technical insurance, Haynes (1895) does identify a
central role for incentives.
When drawing the reader's attention to a form of moral hazard that would now be
referred to as ex post moral hazard, the role of incentives is again emphasized.
There would still remain the moral hazard of excessive estimates of loss
where there was no dishonesty in the origin of the fire. (Haynes, 1895,
p. 445)
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1066 The Journal of Risk and Insurance
The decision to focus on incentives was not surprising since the study of incentives
was an established area of investigation for economists. Some 120 years earlier Adam
Smith demonstrated an intuitive understanding of moral hazard and the role that it
played in a commercial setting, when he wrote
Thus, from its earliest appearances within the economic literature, the concept of
moral hazard was not limited to the analysis of private markets for insurance. For
example, Rubinow [1875-1936], who was trained as a physician and then as an
economist, argued that the concept of insurance could be extended to include a vari
ety of compulsory state schemes (Rubinow, 1904). The implications of moral hazard
in this form of insurance were implicitly recognized.
The one great objection most frequently raised against compulsory state
insurance, either sickness or for accidents is that workingmen abuse the
system, which leads, of course to greater expenditures. (Rubinow, 1904,
P- 371)
However, it was not until the publication of his major work Social Insurance 9 years
later, that this phenomenon was explicitly recognized as [moral] hazard in this ex
panded conceptualization of insurance.
But the most damaging argument in the opinion of many is the charge
that social insurance not only increases hazard, but vastly more stimulates
the simulation of accidents or disease or unemployment; and that encour
ages the professional mendicant, demoralizes the entire working class by
furnishing an easy reward for malingery. (Rubinow, 1913, p. 496)
The application of the moral hazard grew beyond simply markets for private and
social insurance. In Risk, Uncertainty and Profit, Knight (1921) considered the feasibility
of insuring commercial losses. He argued that where the insurer is unable to observe
manager effort, moral hazard would preclude the insurance of commercial profits.
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A History of the Term "Moral Hazard" 1067
Knight (1921) also used the concept of moral hazard to analyze the structure and
efficacy of commercial partnerships. He argued that moral hazard placed a constraint
on the size of partnerships.
In "Uncertainty and the Welfare Economics of Medical Care," Arrow (1963) trans
formed the ethical topography surrounding moral hazard. Whereas Rubinow (1913)
made a normative case for social insurance, which saw moral hazard as phenomena
that might need to be managed, Arrow (1963) outlined an efficiency argument for
public intervention due to moral hazard. Arrow stated that
In markets for medical insurance, ex post moral hazard may occur if the physician and
patient engage in "medical care not completely determined by the illness" (Arrow,
1963, p. 961). Thus, Arrow argues that public intervention in the form of either (1)
public insurance for medical care or (2) the establishment of professional norms may
be warranted to control the worst excess of ex post moral hazard. Pauly (1968) instead
argued that given a zero price for medical care, ex post moral hazard would result in an
increase of the actuarially fair premium, such that some individuals may prefer to self
insure rather than be co-opted into a public insurance scheme. In a rejoinder, Arrow
(1968) reintroduces morality to the discussion by arguing that Pauly's (1968) inference
that "rational economic behavior" and "moral perfidy" are mutually exclusive is not
necessarily correct. He states that ex post moral hazard in the market for medical care
"will certainly not be socially optimal" (Arrow, 1968, p. 538) and that an intervention
such as rationing may be warranted.
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1068 The Journal of Risk and Insurance
occurred when the principal (insurer) could not observe, or found it too expensive
to observe, the effort invested by the agent (insured) to avoid a claim (Holmstrom,
1979; Shavell, 1979; Marshall, 1976). However, the evolving concept of moral hazard
had now irrevocably left the narrow analytical confines of the markets for private
insurance. The idiom moral hazard was used to analyze and discuss an increasingly
diverse range of issues of broad public interest, including unemployment (Foster and
Rosenzweig, 1994), worker's compensation (Butler and Worrall, 1983), and disability
benefits (Chelius and Kavanaugh, 1988), share copping (Cheung, 1969), the stock mar
ket (Diamond, 1967), and family behavior in traditional societies (Becker, 1981). There
is scarcely an area of economic study where consideration of asymmetric information
and consequent incentives do not play a role (Coyle, 2007).
Yet within the discipline of economics, this idiom remained largely free of strong moral
overtones. Dembe and Boden (2000) argued that it was unlikely that the use of the
term "moral hazard" by economists such as Arrow (1951) or Drèze (1987) carried the
same ethical overtones that were evident in the overtly moralistic insurance-industry
literature. During the mid-twentieth century, the economic literature had revisited
Bernoulli [1738] to develop further a theory of utility. The concept of "moral expecta
tion" was central to the development of this new literature. Contributions from von
Neumann and Morgenstern (1953), Friedman and Savage (1948), and Stigler (1950)
would ensure that "moral" as subjective expectation rather than ethical judgment con
tinued to influence the currency of the phrase "moral hazard" within the economic
literature (Dembe and Boden, 2000).
The prejudicial language, which was sometimes used by the insurance-industry lit
erature to describe moral hazard during the first half of the twentieth century, has
since abated for social and cultural reasons. Dembe and Boden (2000) have said that
from about 1940 to 1980 insurance texts drew a distinction between moral hazard
and morale hazard. For example, the insurance text Risk Management Vaughan (1997)
states:
This taxonomy, although not frequently used, may also be confusing. What insur
ers evidently have called morale hazard, "carelessness due to incentives," is what
economists such as Pauly (1974), Shavell (1979), and others have continued to call
moral hazard. What the insurance-industry literature has termed "moral hazard," that
is, "evil tendencies," the authors of this article have called "adverse selection," with
the following caveat. The concept of asymmetric information is central to the economic
concepts of moral hazard and adverse selection. If the "evil tendencies" were unob
servable to the insurer then any unobserved self-selection by potential policyholders
will result in a process of adverse selection. If the "evil tendencies" were observable
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A History of the Term "Moral Hazard" 1069
then the insurers will risk rate their policyholders accordingly and no process of
adverse selection will occur.
It can be seen therefore that the contemporary insurance texts continue to advance
definitions of moral hazard that embody self-selection. For example, moral hazard
has been variously defined as:
... behaviour may change after the insurance has been purchased.
(Pindyck and Rubinfeld, 1989, p. 620)
The importance of a clear distinction between moral hazard and adverse selection is
not an idle one. Following the theoretical analysis of moral hazard in the 1960s and 70s,
a number of economists were subsequently motivated to estimate the moral hazard
effect empirically in an assortment of markets for insurance, for example, automobile
insurance (Abbring, Chiappori, and Pinquet, 2003; Chiappori and Salanie, 2000) or
physician services (Chiappori, Durand, and Geoffard 1998; Koc, 2011). For a review
of the empirical literature of tests for moral hazard and adverse selection in insurance
markets, see the excellent review by Cohen and Siegelman (2010). One of the primary
challenges that must be addressed in investigations of this nature is to distill the effects
of moral hazard from adverse selection. Both phenomena can induce a correlation
between insurance and the probability distribution of the insured event, but the
underlying data-generating processes are distinct. Clearly, a sound appreciation of
these differences is germane to any empirical investigation of moral hazard in an
insurance setting.
Conclusion
The phrase "moral hazard" was initially developed within insurance-industry lit
erature 150 years ago to describe a positive correlation between the possession of
insurance and incidence of the insured event. The incorporation of the word "moral"
in the phrase "moral hazard" has a powerful rhetorical character, which has been
used by a variety of interests, most notably insurers, to influence the public's attitude
to claims and claimers. The discipline of economics has since assimilated the term
"moral hazard" within its own literature to consider the role of incentives in a broad
range of principal-agent relationships. As the idiom has entered the public domain,
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1070 The Journal of Risk and Insurance
The claim has been made by some authors that moral hazard developed naturally
with insurance (Hale, 2009; Pearson, 2002), when clearly the existence of insurance in
Europe can be seen to predate the creation of the term "moral hazard" by almost five
centuries. Two principal impediments to the conceptual development of a theory of
moral hazard were identified. The first constraint was theoretical. The early theolog
ical debate, which surrounded the liceity of insurance, suggests that a fundamental
view of providence prevailed in the Middle Ages. If this view is accepted as evidence
of a widespread "belief," these theological documents imply that although ever ran
dom events such as the sinking of a ship were solely attributable to the will of God,
the concept of moral hazard, which posits that that individuals can affect the prob
ability of an event, could not evolve. Febvre's (1956) supporting argument—which
states that as the insurance industry grew in the Middle Ages the perceptions of
nature changed—had implications for the development of a concept of moral hazard
as the capacity of the individual to affect future events was incorporated into our
understanding of risk.
The second constraint was an empirical one. It was not until the beginning of the
seventeenth century that the science of probability commenced development. Fur
thermore, the application of these new empirical tools was slowly embraced by the
insurance industry. Pearson (2002) has argued that it was not until the nineteenth
century that insurers began to fully incorporate these actuarial techniques into their
commercial practice. The identification of moral hazard required sufficient actuarial
acumen to differentiate the probability of an insured and uninsured adverse event.
It is not surprising, therefore, that it was not until 1865 that Ducat first identified
a correlation between insurance and the occurrence of the insured event, which he
called "moral hazard."
The creation of an idiom, which matches a meaning with a set of words, is an imprecise
process. Several intriguing historical coincidences may have contributed to varying
degrees to the creation of this ambiguous idiom. The science of probability began ana
lyzing games of hazard (dice). Although the English meaning of moral as "excellence
of character..." was subjective, the Latin meanings of mörälis "belonging to man
ners" (Lewis and Short, 1879) and its root mos "manner and custom... determined
... by men's will and pleasure" (Lewis and Short, 1879) saw a less deprecatory use
of the term "moral" by medieval scholars. For example, eighteenth-century "moral
scientists" studied the behavior of rational individuals and probabilists coined the
term "moral expectation" (utility) to evaluate risk. The notion of expectation and the
"reasonable man" embraced by the early probabilists reflects a normative concep
tion of chance events. It is speculative to quantify the net contribution of any single
root influence, however, taken en masse; they reflect the ambiguity that continues to
surround the use of this idiom today.
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A History of the Term "Moral Hazard" 1071
The modern conception of moral hazard implies more than correlation; it involves
causation: that insurance changes behavior and induces claims. Initially, moral haz
ard was sometimes used to describe the actuarial process of adverse selection. At the
turn of the twentieth century the principal contributors to the academic literature 7
expressed a positive concept of moral hazard (i.e., insurance changes behavior) that
could be unambiguously distinguished to the evolving notion of adverse selection
(i.e., high-risk individuals are more likely to buy insurance and/or to buy more insur
ance) (Dawson, 1894; McClintock, 1892). However, the insurance-industry literature
was to adopt a different perspective.
Several authors (Arrow, 1963; Pearson, 2002; Stone, 2002) have outlined theoretical
reasons as to why they believed there was a public role for the insurance industry.
Documentation from the turn of the century confirms that the insurance industry also
perceived a public role for itself (Blunt, 1907). Several examples of the normative ap
plication of the phrase moral hazard by contributors to the early insurance-industry
literature have been cited (Campbell, 1902; McNeill, 1900; Remington and Hurren,
1935; Rupprecht, 1940; Shepherd and Webster, 1957). Although the normative and
emotive treatment of moral hazard abated through the course of the twentieth cen
tury, the insurance-industry literature continues to conceive of and define the phe
nomenon of moral hazard in moral terms (Hart, Buchanan, and Howe, 2007; Mehr
and Cammack, 1976). This normative conception of moral hazard can also be found
within other fields. For example, legal scholars such as Baker (1996) and philosophers
such as Hale (2009) have attempted to address and refute the ethical arguments that
the term "moral hazard" may imply.
In contrast, the theoretical treatment of moral hazard within the economics litera
ture has differed in two important ways. First, economists (e.g., Smith [1776]) have,
from the outset, explored and analyzed the effect of incentives. Thus, it is perhaps
not surprising that the early analysis of moral hazard (Haynes, 1895; Knight, 1921;
Rubinow, 1913) was focused on incentives. Dembe and Boden (2000) have argued that
the focus on a theory of utility and the resulting use of Bernoulli's [1738] phrase "moral
expectation" contributed to a value-neutral concept of moral hazard by economists.
Second, economists have expanded the application of the term moral hazard. First,
Knight (1921) considered the implications of moral hazard for corporate structure.
Arrow (1963,1968) and Pauly (1968) debated the extent to which moral hazard jus
tified publicly funded medical insurance. The Arrow-Pauly debate ensured that the
concept of moral hazard would be seen as not only interesting to economists but also
of importance to the wider public.
This article offers at least three useful insights. First, two contrasting treatments of
moral hazard by the economic and insurance-industry literatures sowed the seeds
for an energetic public debate. The economic literature has applied a "value-neutral"
idiom, which has been used pejoratively within the confines of the insurance-industry
7 The principal contributors to the moral hazard literature were the economists Haynes (1895),
Rubinow (1913), and the General Agent North British and Mercantile Insurance Company
Evert U. Crosby (1905) who was published in The Annals of the American Academy of Political
and Social Science.
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1072 The Journal of Risk and Insurance
The phrase "moral hazard" has the potential to alienate readers from noneconomics
backrounds and there is an attendant potential for the use of the term to obfuscate
the positive message that economists mean to convey with the idiom. Second, other
social scientists interested in the history of moral hazard and insurance could consider
the context in which the phrase moral hazard appears in the economics literature
by seeking to understand the clear distinction that economists make between the
concepts of moral hazard and adverse selection. Sometimes what at first appears
to be a discussion—in the noneconomics literature, or in popular usage—of moral
hazard is, on closer inspection more appropriately viewed as a discussion of adverse
selection. Third, to this day definitions of moral hazard found within the insurance
industry literature also do not always correspond with the concept as it is used
by economists. The insurance industry may also benefit in breaking from historical
practice and adopting the clear distinction that economists make between moral
hazard (whereby insurance contracting moderates insured behavior) and adverse
selection (whereby insurance type moderates insurance contracting).
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