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In today's general parlance, the term lottery is used to refer to a type of gambling where there is a small (even infinitesimally small) chance for a gain and a large (even exponentially large) chance for an individual losing. In economic parlance, a lottery is a situation that involves an uncertain payoff. Consideration of lotteries by economists has generated many questions related to decision-making behavior in humans. This entry discusses the relationship of lotteries and auctions to human decision making, particularly medical decision making.

Decision-Making Behavior

The purchase of lottery tickets has been used in decision theory to illustrate the example of individuals with risk-seeking tendencies or attitudes in economic models of decision making. This is because a risk-seeking individual may be willing to purchase a lottery ticket even though the cost of that ticket is much more than the expected value of winning the lottery on the basis of that ticket.

In 1948, Milton Friedman and L. J. Savage asked a key question about lotteries: Why do people buy both lottery tickets and insurance against losses? That would seem to make them both risk seeking (lottery) and risk-averse (insurance against losses) at the same time. The proffered answer for Friedman and Savage was that part of the individual's utility function is concave and part is convex. Over one part of the function's range, some humans wish to play it safe, but over another part of the range of the function, these same humans are willing to take gambles. A simple model of decision making can be constructed using simple lotteries and giving the decision maker the flexibility to choose among two actions: play or not.

Yet, the term lottery is also used in a much more general sense in the history of economic thought in expected utility. In this more general sense in expected utility theory, risky alternatives are modeled in terms of “prospects.” Here, the term prospect has been used interchangeably with lottery. And here, one could have the phrase the attempt to model risky alternatives as “prospects” or “lotteries.” John Nash, the Nobel Prize-winning game theorist, developed the notion of the Nash equilibrium for strategic noncooperative games in a setting that is often described in the economic decision-making literature as “choices over lotteries.”

Auctions

An auction is a sale of an item based on bids. Auctions may be low-bid auctions (where an individual—the auctioneer—asks for a first bid, which may be the predetermined minimum price acceptable to the individual owner of the item put up for sale). Bidding in a low-bid auction starts low, and as the auctioneer raises the size of the bid and the auctioneer's suggested higher price is matched by bidders, the process continues until a highest bid is achieved and a winner identified. A high-bid auction starts off with the auctioneer starting the auction with a high asking price, which is then lowered until some bidder is willing to accept the auctioneer's price (or a predetermined minimum price is reached).

Auctions are not lotteries. Auctions and lotteries differ in their consequences and the relationships between the individual or group that places the item as the prize for the auction or the lottery and the bidders for that prize. In many circumstances, the individual or group putting up the prize for an auction will tend to receive more money for their prize in an auction than in a lottery. In addition, auctions can be “less fair” than lotteries because individuals or groups with the deepest pockets (the most wealth) can take over the bidding in any auction until other restrictions of the auctions are put into place that may increase the fairness of the auction. In addition, in any auction, it must be recognized that—unless restrictions are put into place—the more-moneyed bidders can also engage in behaviors with other bidders at the auction to shape the outcome of the auction (collusion).

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