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来源类型Working Paper
规范类型报告
DOI10.3386/w6866
来源IDWorking Paper 6866
Demographics and Medical Care Spending: Standard and Non-Standard Effects
David M. Cutler; Louise Sheiner
发表日期1998-12-01
出版年1998
语种英语
摘要In this paper, we examine the effects of likely demographic changes on medical spending for the elderly. Standard forecasts highlight the potential for greater life expectancy to increase costs: medical costs generally increase with age, and greater life expectancy means that more of the elderly will be in the older age groups. Two factors work in the other direction, however. First, increases in life expectancy mean that a smaller share of the elderly will be in the last year of life, when medical costs generally are very high. Furthermore, more of the elderly will be dying at older ages, and end-of-life costs typically decline with age at death. Second, disability rates among the surviving population have been declining in recent years by 0.5 to 1.5 percent annually. Reductions in disability, if sustained, will also reduce medical spending. Thus, changes in disability and mortality should, on net, reduce average medical spending on the elderly. However, these effects are not as large as the projected increase in medical spending stemming from increases in overall medical costs. Technological change in medicine at anywhere near its historic rate would still result in a substantial public sector burden for medical costs.
URLhttps://www.nber.org/papers/w6866
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/564376
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David M. Cutler,Louise Sheiner. Demographics and Medical Care Spending: Standard and Non-Standard Effects. 1998.
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