G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w8415
来源IDWorking Paper 8415
Toward a Framework for Improving Health Care Financing for an Aging Population: The Case of Israel
Dov Chernichovsky; Sara Markowitz
发表日期2001-08-01
出版年2001
语种英语
摘要The conventional wisdom is that because at any time the aged cost more than the young, there is a positive relationship between aging and health care spending. It is hard, however, to find evidence that aging correlates positively with such spending. Intrigued by the puzzle, we account for the factors that contribute to changes of the age distribution of medical costs and their potential effect on aggregate cost. As changes in costs are not age neutral, the health system needs to facilitate a dynamic shift of resources from those whose relative cost rise less -- the young -- to those whose relative costs rise more -- the old. As there is an apparent market failure associated with uncertainty about growth in longevity (no market for 'death insurance'), the private market does not seem to effectively facilitate this shift. Aging, and its known correlates and antecedents produce a complex picture about the potential effect of aging on total cost of medical care in Israel. Shifting morbidity and mortality to older age can lower cost of care, all other things equal. Growth in incomes and insurance coverage are likely to increase use of care particularly amongst the old. Rising levels of education would have the opposite effect, but among the relatively young. The effect of a key element, technology, remains unknown. The Israeli experience also points to the advantages of a unified publicly financed health system with a timely allocation mechanism.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w8415
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/566018
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Dov Chernichovsky,Sara Markowitz. Toward a Framework for Improving Health Care Financing for an Aging Population: The Case of Israel. 2001.
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