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Impact of Demographical Structural Change on Public Health Care Expenditure in Malaysia

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  • Yun, Wong Sing

Abstract

The main objective of this paper is to shed light on the empirical relationship between demographic structure and public health care expenditure. A voluminous literature had pointed out the significant impact of demographic changes on public expenditure. Some of the scholars had attributed the growth effects of certain public expenditure to the age-specific effects, others recognized it as the age-transition effects. On a separate note, past researches had identified the aging population as a contributing factor to the increasing health care expenditure. Therefore, this paper empirically examines how the public health care expenditure in Malaysia responds to the population changes using the Autoregressive Distributed Lag (ARDL) Bounds testing approach. Empirical evidence from this finding demonstrated that the demography structure has a significant positive relationship with public health care expenditure. Hence, highlighted the existence of generational conflict in the allocation of health care expenditure. Besides that, bi-directional causality was found running between public health care expenditure and government education spending. This confirmed the correlation between these expenditures. The results also provide important implications that need to be taken into consideration by Malaysian policymakers when developing policies.

Suggested Citation

  • Yun, Wong Sing, 2021. "Impact of Demographical Structural Change on Public Health Care Expenditure in Malaysia," Asian Journal of Applied Economics, Kasetsart University, Center for Applied Economics Research, vol. 28(2).
    • Handle: RePEc:ags:thkase:334384
    DOI: 10.22004/ag.econ.334384
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    1. Lars-Erik Borge & Jørn Rattsø, 1998. "Demographic Shift, Relative Costs and the Allocation of Local Public Consumption in Norway," Chapters, in: Jørn Rattsø (ed.), Fiscal Federalism and State–local Finance, chapter 5, pages 71-92, Edward Elgar Publishing.
    2. David Cantarero, 2005. "Decentralization and health care expenditure: the Spanish case," Applied Economics Letters, Taylor & Francis Journals, vol. 12(15), pages 963-966.
    3. Ezebuilo Romanus Ukwueze, 2015. "Determinants of the Size of Public Expenditure in Nigeria," SAGE Open, , vol. 5(4), pages 21582440156, December.
    4. Johansen, Soren & Juselius, Katarina, 1990. "Maximum Likelihood Estimation and Inference on Cointegration--With Applications to the Demand for Money," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 52(2), pages 169-210, May.
    5. Geetilaxmi MOHAPATRA & A. K. GIRI & Madhu SEHRAWAT, 2016. "Foreign aid, macroeconomic policies and economic growth nexus in India: An ARDL bounds testing approach," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania - AGER, vol. 0(4(609), W), pages 183-202, Winter.
    6. Geetilaxmi MOHAPATRA & A. K. GIRI & Madhu SEHRAWAT, 2016. "Foreign aid, macroeconomic policies and economic growth nexus in India: An ARDL bounds testing approach," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania - AGER, vol. 0(4(609), W), pages 183-202, Winter.
    7. Tauhidur Rahman, 2008. "Determinants of public health expenditure: some evidence from Indian states," Applied Economics Letters, Taylor & Francis Journals, vol. 15(11), pages 853-857.
    8. Gradstein, Mark & Kaganovich, Michael, 2004. "Aging population and education finance," Journal of Public Economics, Elsevier, vol. 88(12), pages 2469-2485, December.
    9. Chor Foon TANG & Yew Wah LAI, 2011. "The Causal Relationship between Health and Education Expenditures in Malaysia," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania - AGER, vol. 0(8(561)), pages 61-74, August.
    10. M. Hashem Pesaran & Yongcheol Shin & Richard J. Smith, 2001. "Bounds testing approaches to the analysis of level relationships," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 16(3), pages 289-326.
    11. Busse, Matthias & Hefeker, Carsten, 2007. "Political risk, institutions and foreign direct investment," European Journal of Political Economy, Elsevier, vol. 23(2), pages 397-415, June.
    12. Kurban, Haydar & Gallagher, Ryan M. & Persky, Joseph J., 2015. "Demographic changes and education expenditures: A reinterpretation," Economics of Education Review, Elsevier, vol. 45(C), pages 103-108.
    13. Cutler, David M & Elmendorf, Douglas W & Zeckhauser, Richard J, 1993. "Demographic Characteristics and the Public Bundle," Public Finance = Finances publiques, , vol. 48(Supplemen), pages 178-198.
    14. Holtz-Eakin, Douglas & Lovely, Mary E. & Tosun, Mehmet S., 2004. "Generational conflict, fiscal policy, and economic growth," Journal of Macroeconomics, Elsevier, vol. 26(1), pages 1-23, March.
    15. Gbesemete, Kwame P. & Gerdtham, Ulf-G., 1992. "Determinants of health care expenditure in Africa: A cross-sectional study," World Development, Elsevier, vol. 20(2), pages 303-308, February.
    16. James M. Poterba, 1997. "Demographic structure and the political economy of public education," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 16(1), pages 48-66.
    17. Peter Zweifel & Stefan Felder & Markus Meiers, 1999. "Ageing of population and health care expenditure: a red herring?," Health Economics, John Wiley & Sons, Ltd., vol. 8(6), pages 485-496, September.
    18. Samuel Preston, 1984. "Children and the elderly: Divergent paths for America’s dependents," Demography, Springer;Population Association of America (PAA), vol. 21(4), pages 435-457, November.
    19. I. Luski & J. Weinblatt, 1998. "A dynamic analysis of fiscal pressure and demographic transition," Applied Economics, Taylor & Francis Journals, vol. 30(11), pages 1431-1442.
    20. Yun, Wong Sing & Yusoff, Remali, 2018. "The Determinants of Public Education Expenditure in Malaysia," Jurnal Ekonomi Malaysia, Faculty of Economics and Business, Universiti Kebangsaan Malaysia, vol. 52(2), pages 109-122.
    21. Korwatanasakul, Upalat & Sirivunnabood, Pitchaya & Majoe, Adam, 2021. "Demographic Transition and its Impacts on Fiscal Sustainability in East and Southeast Asia," ADBI Working Papers 1220, Asian Development Bank Institute.
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    1. Olayiwola, Saheed O. & Osakede, Uche Abamba & Adeyemi, Francis O., 2023. "Fiscal Sustainability and Demographic Transition in Nigeria," African Journal of Economic Review, African Journal of Economic Review, vol. 12(1), March.

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