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来源类型Working Paper
规范类型报告
DOI10.3386/w17937
来源IDWorking Paper 17937
Is There \"Too Much\" Inequality in Health Spending Across Income Groups?
Laurence Ales; Roozbeh Hosseini; Larry E. Jones
发表日期2012-03-29
出版年2012
语种英语
摘要In this paper we study the efficient allocation of health resources across individuals. We focus on the relation between health resources and income (taken as a proxy for productivity). In particular we determine the efficient level of the health care social safety net for the indigent. We assume that individuals have different life cycle profiles of productivity. Health care increases survival probability. We adopt the classical approach of welfare economics by considering how a central planner with an egalitarian (ex-ante) perspective would allocate resources. We show that, under the efficient allocation, health care spending increases with labor productivity, but only during the working years. Post retirement, everyone would get the same health care. Quantitatively, we find that the amount of inequality across the income distribution in the data is larger that what would be justified solely on the basis of production efficiency, but not drastically so. As a rough summary, in U.S. data top to bottom spending ratios are about 1.5 for most of the life cycle. Efficiency implies a decline from about 2 (at age 25) to 1 at retirement. We find larger inefficiencies in the lower part of the income distribution and in post retirement ages.
主题Public Economics ; Public Goods ; National Fiscal Issues ; Health, Education, and Welfare ; Health ; Poverty and Wellbeing
URLhttps://www.nber.org/papers/w17937
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/575613
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Laurence Ales,Roozbeh Hosseini,Larry E. Jones. Is There \"Too Much\" Inequality in Health Spending Across Income Groups?. 2012.
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