EMISSION ALLOWANCES, ETHICAL ASPECTS, AND IMPACTS ON PUBLIC HEALTH – A REVIEW
DOI:
https://doi.org/10.18623/rvd.v23.5905Keywords:
Emissions Allowances, Environment, Ethical Aspects, Public Health, Harm Prevention, Environmental Law, Distributive JusticeAbstract
Air pollution represents one of the most significant environmental determinants of public health in modern industrial societies. High concentrations of pollutants generated by the combustion of fossil fuels have long been associated with increased morbidity and mortality in the population. The European Union’s primary and common tool for environmental protection is the European Union Emissions Trading System (EU ETS). However, its implementation and application raise serious ethical dilemmas regarding the interrelationships between human responsibility for the environment, well-being, and the health of the population. The authors of this article have reflected on these dilemmas and set a research objective: to examine the current state of affairs and identify the best possible solutions. After conducting research and a qualitative analysis of expert sources relevant to the topic, the authors reflect on the connections between emissions allowances, the health of the population, and the need for fair distribution and protection of the economically vulnerable segment of the EU population. The qualitative analysis conducted demonstrates a direct link between the introduction of emission allowances and improvements in public health, alongside the need to provide financial subsidies to economically vulnerable segments of the population, with the aim of eliminating adverse health consequences associated with poverty and threats to well-being. The ethical debate on emissions trading systems can be simply interpreted as a tension between two fundamental normative principles of public policy: the principle of harm prevention and the principle of distributive justice.
References
Alfaro, L., Faia, E., Lamersdorf, N., & Saidi, F. (2022). Health externalities and policy: The role of social preferences. Management Science, 68, 6751–6761. https://doi.org/10.1287/mnsc.2022.4461
Azar, C., & Johansson, D. J. A. (2025). Climate justice and a fair allocation of national greenhouse gas emissions. Climate Policy, 25(5), 815–822. https://doi.org/10.1080/14693062.2024.2415400
Bah, M. M., & Saari, M. Y. (2020). Quantifying the impacts of energy price reform on living expenses in Saudi Arabia. Energy Policy, 139, Article 111352. https://doi.org/10.1016/j.enpol.2020.111352
Bailey, M., & Shingruf, A. (2024). Considerations for relational research methods for use in indigenous contexts: Implications for sustainable development. International Journal of Social Research Methodology, 27(4), 431–446. https://doi.org/10.1080/13645579.2023.2185345
Bannon, A., Olivia, S., et al. (2025). Cigarette taxation and socioeconomic inequalities in under-5 mortality across 94 low-income and middle-income countries: A longitudinal ecological study. The Lancet Public Health, 10(5), 380–390.
Basaglia, P., Grunau, J., & Drupp, M. A. (2024). The European Union Emissions Trading System might yield large co-benefits from pollution reduction. Proceedings of the National Academy of Sciences, 121(28), Article 2319908121. https://doi.org/10.1073/pnas.2319908121
Bayer, P., & Aklin, M. (2020). The European Union Emissions Trading System reduced CO₂ emissions despite low prices. Proceedings of the National Academy of Sciences, 117(16), 8804–8812. https://doi.org/10.1073/pnas.1918128117
Biancalani, F., Gnecco, G., Metulini, R., et al. (2024). The impact of the European Union emissions trading system on carbon dioxide emissions: A matrix completion analysis. Scientific Reports, 14, Article 19676. https://doi.org/10.1038/s41598-024-70260-6
Brandt, J., Sigsgaard, T., Geels, C., Gross, A., & Kaas, E. (2013). Assessment of past, present, and future health-cost externalities of air pollution in Europe and the contribution from international ship traffic using the EVA model system. Atmospheric Chemistry and Physics, 13, 7747–7764. https://doi.org/10.5194/acpd-13-5923-2013
Bredin, D., & Muckley, C. (2011). An emerging equilibrium in the EU emissions trading scheme. Energy Economics, 33(2), 353–362. https://doi.org/10.1016/j.eneco.2010.06.009
Bull, J. W., Gordon, A., Law, E. A., Suttle, K. B., & Milner-Gulland, E. J. (2014). Importance of baseline specification in evaluating conservation interventions and achieving no net loss of biodiversity. Conservation Biology, 28(3), 799–809. https://doi.org/10.1111/cobi.12243
Cao, L., Tang, Y., Cai, B., Wu, P., Zhang, Y., Zhang, F., Xin, B., Lv, C., Chen, K., & Fang, K. (2021). Was it better or worse? Simulating the environmental and health impacts of emissions trading scheme in Hubei province, China. Energy, 217, Article 119427. https://doi.org/10.1016/j.energy.2020.119427
Case, A., & Kraftman, L. (2024). Income inequality and health outcomes. Oxford Open Economics, 3(Supplement 1), i499–i528. https://doi.org/10.1093/ooec/odad060
Chang, S., Yang, X., Zheng, H., Wang, S., & Zhang, X. (2020). Air quality and health co-benefits of China's national emission trading system. Applied Energy, 261, Article 114226. https://doi.org/10.1016/j.apenergy.2019.114226
Corburn, J. (2001). Emissions trading and environmental justice: Distributive fairness and the USA's Acid Rain Programme. Environmental Conservation, 28(4), 323–332.
Cuevas, S., Nachtigall, D., Jaber, A. A., Belesova, K., Falconer, J., Haines, A., Reynolds, T., Schuster, T. M., Whitmee, S., & Green, R. (2024). Health co-benefits and trade-offs of carbon pricing: A narrative synthesis. Climate Policy, 24(10), 1346–1364. https://doi.org/10.1080/14693062.2024.2356822
Davies, G., & Vinders, J. (2025). Geoengineering, the precautionary principle, and the search for climate safety. European Journal of Risk Regulation, 16(4), 1223–1234. https://doi.org/10.1017/err.2025.14
Derambarsh, A. (2024). The adoption of an effective European bill will be necessary to reduce food waste. Journal of Science Lyon, 2024. https://doi.org/10.5281/zenodo.11114260
Do, K., & Zhang, Y. (2025). Assessing health risks and socioeconomic disparities associated with ambient air pollution and point sources across the United States. Environmental Pollution, 375, Article 126311. https://doi.org/10.1016/j.envpol.2025.126311
Duvic-Paoli, L.-A. (2018). The precautionary principle in international environmental law. Cambridge University Press. https://doi.org/10.1017/9781108553728
Ekardt, F., & Von Hovel, A. (2009). Distributive justice, competitiveness, and transnational climate protection: One human – one emission right. Carbon, 3(1), 102–113.
Everett, K., de Bruin, K., & Yakut, A. (2025). Co-benefits of the Irish carbon tax and the European Emissions Trading System on outdoor air pollution in Ireland. Economic and Social Review, 56(4), 421–448. https://www.esri.ie/publications/co-benefits-of-the-irish-carbon-tax-and-the-european-emissions-trading-system-on
Fernandez, A. C. G., Pelnekar, S., Robinson, J. F., Shaw, G. M., Padula, A. M., et al. (2025). Climate change and reproductive health. Endocrine Reviews, 46(6), 908–921. https://doi.org/10.1210/endrev/bnaf026
Fine, J., Ettinger, J., Kotcher, J., Mildenberger, M., Leiserowitz, A., et al. (2025). Advancing and integrating climate and health policy in the United States: Insights from national policy stakeholders. The Journal of Climate Change and Health. Advance online publication. https://doi.org/10.1016/j.joclim.2025.100485
Fox, M., Zuidema, C., Bauman, B., Burke, T., & Sheehan, M. (2019). Integrating public health into climate change policy and planning: State of practice update. International Journal of Environmental Research and Public Health, 16(18), 211–224. https://doi.org/10.3390/ijerph16183232
Guo, X., Xu, L., Liu, R., & Zhong, Z. (2025). Who will pay for the 'mine toxic land'? — A dynamic game and simulation study of negative externality governance in rare earth mines based on prospect theory. Managerial and Decision Economics, 46, 3448–3466. https://doi.org/10.1002/mde.4543
Haines, A. (2017). Health co-benefits of climate action. The Lancet Planetary Health, 1(1), 4–5. https://doi.org/10.1016/S2542-5196(17)30003-7
Harman, E., & Azzam, T. (2018). Towards program theory validation: Crowdsourcing the qualitative analysis of participant experiences. Evaluation and Program Planning, 66, 183–194. https://doi.org/10.1016/j.evalprogplan.2017.08.008
Honoré, P. A., Fos, P. J., Wang, X., & Moonesinghe, R. (2011). The effects on population health status of using dedicated property taxes to fund local public health agencies. BMC Public Health, 11, Article 471. https://doi.org/10.1186/1471-2458-11-471
Kettner, C., Bock-Schappelwein, J., Kletzan-Slamanig, D., Sommer, M., Pfaffenbichler, P., et al. (2026). Socially fair decarbonization pathways for housing and mobility – Insights from a multi-model analysis for Austria. Energy Economics, 157, Article 109281. https://doi.org/10.1016/j.eneco.2026.109281
Landrigan, P. J., Fuller, R., Acosta, N. J. R., Adeyi, O., Arnold, R., Basu, N. N., Baldé, A. B., & Bertollini, R. (2018). The Lancet Commission on pollution and health. The Lancet, 391(10119), 462–512. https://doi.org/10.1016/S0140-6736(17)32345-0
Lang, B. (1988). Literary philosophy: The anatomy of philosophical style. Colby Library Quarterly, 24(2), 101–112.
Lin, Y., Xi, Y., Chen, J., Cui, Y., Wang, Z., et al. (2025). Health effects and economic losses due to PM2.5 pollution from oil consumption by mobile sources in China. Frontiers in Environmental Science, 13, 211–222. https://doi.org/10.3389/fenvs.2025.1554150
Lu, Y., Lin, S., Fatmi, Z., Malashock, D., Hussain, M. M., et al. (2019). Assessing the association between fine particulate matter (PM2.5) constituents and cardiovascular diseases in a mega-city of Pakistan. Environmental Pollution, 252(Part B), 1412–1422. https://doi.org/10.1016/j.envpol.2019.06.078
Menon-Coudhary, D., & Shukla, P. R. (2009). An integrated strategy for urban air quality management in India. International Journal of Environment, 39(3/4), 233–252. https://doi.org/10.1504/IJEP.2009.028688
Najafi, M., Dehnavi, H., Shams, L., Wakde, T., Rajaee, R., Shahmoradi, S., & Javadinasab, H. (2025). Facilitators and barriers of implementing sin-tax policies: A scoping review. BMC Public Health, 25(1), Article 3902. https://doi.org/10.1186/s12889-025-25188-5
Pigou, A. C. (1920). The economics of welfare. Macmillan & Co.
Pisoni, E., Thunis, P., De Meij, A., Wilson, J., Bessagnet, B., Crippa, M., Guizzardi, D., Belis, C. A., & Van Dingenen, R. (2023). Modelling the air quality benefits of EU climate mitigation policies using two different PM2.5 related health impact methodologies. Environment International, 172, Article 107760. https://doi.org/10.1016/j.envint.2023.107760
Reyes-García, V., Villasante, S., Benessaiah, K., Pandit, R., Agrawal, A., et al. (2025). The costs of subsidies and externalities of economic activities driving nature decline. Ambio, 54(7), 1128–1141. https://doi.org/10.1007/s13280-025-02147-3
Riungu, M., Nyamute, W., et al. (2025). Intervening role of the poverty level on public health care and tax revenues linkage: Evidence from the East Africa Community Member Countries. European Journal of Development Studies, 5(2), 11–19. https://doi.org/10.24018/ejdevelop.2025.5.2.402
Sakulniyomporn, S., Kubaha, K., & Chullabodhi, C. (2011). External costs of fossil electricity generation: Health-based assessment in Thailand. Renewable and Sustainable Energy Reviews, 15(8), 3470–3479. https://doi.org/10.1016/j.rser.2011.05.004
Shao, S., Xu, L., & Fan, M. (2022). The effect of emission trading system on infant health: Evidence from China. Environmental Geochemistry and Health, 44(9), 3021–3033. https://doi.org/10.1007/s10653-021-01173-w
Shindell, D., et al. (2018). Health and climate benefits of mitigation. Nature Climate Change, 8(4), 291–295. https://doi.org/10.1038/s41558-018-0108-y
St-Amour, P. (2024). Valuing life over the life cycle. Journal of Health Economics, 93, Article 102842. https://doi.org/10.1016/j.jhealeco.2023.102842
Tobias, A., Querol, X., Roque, M., Suu Lwin, K., Yuan, L., et al. (2025). Short-term exposure to desert dust and sandstorms and all-cause and cause-specific mortality and morbidity: A systematic review and meta-analysis. Environment International, 196, Article 109277. https://doi.org/10.1016/j.envint.2025.109277
Vandyck, T., Keramidas, K., Kitous, A., et al. (2018). Air quality co-benefits for human health and agriculture counterbalance costs to meet Paris Agreement pledges. Nature Communications, 9, Article 4939. https://doi.org/10.1038/s41467-018-06885-9
Wang, Z., & Zhao, L.-T. (2021). The impact of the global stock and energy market on EU ETS: A structural equation modeling approach. Journal of Cleaner Production, 289, Article 125140. https://doi.org/10.1016/j.jclepro.2020.125140
Weishaar, S. (2007). CO2 emission allowance allocation mechanisms, allocative efficiency and the environment: A static and dynamic perspective. European Journal of Law and Economics, 24(1), 29–70. https://doi.org/10.1007/s10657-007-9020-z
Wennick, D. (2023). How ideas shape the EU's climate policy: Moving toward the sufficiency paradigm for the EU ETS. European Policy Analysis, 10, 206–224. https://doi.org/10.1002/epa2.1186
Wiese, C., Cowart, R., & Rosenow, J. (2020). The strategic use of auctioning revenues to foster energy efficiency: Status quo and potential within the European Union Emissions Trading System. Energy Efficiency, 1–12. https://doi.org/10.1007/s12053-020-09894-0
World Bank. (2022). The distributional impacts of health taxes. World Bank.
Wright, A., Smith, K. E., & Hellowell, M. (2017). Policy lessons from health taxes: A systematic review of empirical studies. BMC Public Health, 17(1), Article 583. https://doi.org/10.1186/s12889-017-4497-z
Xie, Y., Liu, X., Li, D., Zhao, M., Weng, Z., Zhang, L., & Xu, M. (2023). Health and economic benefits of reducing air pollution embodied in the GBA's green and low-carbon development. Urban Climate, 52, Article 101755. https://doi.org/10.1016/j.uclim.2023.101755
Yan, D., Ji, H., Fu, H., Jiang, J., Su, B., et al. (2024). The effect of fine particulate matter (PM2.5) pollution on health inequality: An intergenerational perspective. Environmental Geochemistry and Health, 46(6), Article 195. https://doi.org/10.1007/s10653-024-01982-9
Zheng, J., Bo, Y., Wang, Y., Liu, G., Lu, X., et al. (2026). Research on government carbon allowance allocation mechanism from the perspective of the differential game. Clean Technologies and Environmental Policy, 28(4), 1–21. https://doi.org/10.1007/s10098-026-03448-1
Zheng, Y., Wang, J., Zhao, Z., & Guo, J. (2026). Evaluating the well-being effects of a carbon emissions trading system: Evidence from 273 Chinese cities. Systems, 14(1), Article 59. https://doi.org/10.3390/systems14010059
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