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Lebenserwartung, medizinischer Fortschritt und Gesundheitsausgaben: Theorie und Empirie

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  • Stefan Felder
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    Abstract

    Over the past 50 years Germans have spent a rising share of their income on health and enjoyed substantially longer lives as a result. The rising health share can be explained by a standard economic model: As people get richer they purchase additional years of life and less additional consumption, provided that satiation occurs more rapidly in non-health consumption. The gains in life years increasingly occur late in the lifespan. As a result the incremental cost-benefit ratio of health care deteriorates: marginal costs increase as the marginal productivity of medical inputs decreases in old age while marginal benefits decrease due to a rising hazard rate. On average, medical progress is worth it. Future income growth will further increase the health share, while population ageing will only marginally affect health care expenditures. Copyright Verein für Socialpolitik und Blackwell Publishers Ltd, 2006

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    Bibliographic Info

    Article provided by Verein für Socialpolitik in its journal Perspektiven der Wirtschaftspolitik.

    Volume (Year): 7 (2006)
    Issue (Month): s1 (05)
    Pages: 49-73

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    Handle: RePEc:bla:perwir:v:7:y:2006:i:s1:p:49-73

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    1. Dora L. Costa & Matthew E. Kahn, 2002. "Changes in the Value of Life: 1940-1980," NBER Working Papers 9396, National Bureau of Economic Research, Inc.
    2. Meltzer, David, 1997. "Accounting for future costs in medical cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 16(1), pages 33-64, February.
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    9. Peter Zweifel & Stefan Felder & Andreas Werblow, 2004. "Population Ageing and Health Care Expenditure: New Evidence on the "Red Herring"," The Geneva Papers on Risk and Insurance, The International Association for the Study of Insurance Economics, vol. 29(4), pages 652-666, October.
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    16. David M. Cutler & Ellen Meara, 1999. "The Technology of Birth: Is it Worth it?," NBER Working Papers 7390, National Bureau of Economic Research, Inc.
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    19. Getzen, Thomas E., 2000. "Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures," Journal of Health Economics, Elsevier, vol. 19(2), pages 259-270, March.
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    Cited by:
    1. Hartmut Kliemt, 2006. "Ethische Konflikte im Gesundheitswesen," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 7(s1), pages 27-48, 05.
    2. Ried, Walter, 2006. "Gesundheitsausgaben für Überlebende und Verstorbene im demographischen Wandel: der Einfluss des medizinischen Fortschritts," Wirtschaftswissenschaftliche Diskussionspapiere 10/2006, Ernst Moritz Arndt University of Greifswald, Faculty of Law and Economics.

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