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A Theory of Medical Effectiveness, Differential Mortality, Income Inequality and Growth for Pre-Industrial England

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  • DAVID CROIX
  • ALESSANDRO SOMMACAL

Abstract

The interactions between mortality reductions and income growth are studied, with a special attention at their relationship prior to the Industrial Revolution, when income per head was stagnant. The choice of individual medical spending is modelled, giving a rationale for individual health expenditures even when medicine is not effective in postponing death. The rise of effective medicine is then explained by a learning process function of expenditure on health. The rise in effective medicine is linked to the economic growth of the eighteenth century through life expectancy increases which foster capital accumulation. The rise of effective medicine has also had an effect on the relationship between growth and inequality and on the intergenerational persistence of differences in income. These channels are operative through differential mortality induced by medical effectiveness that turns out to determine a differential in the propensity to save among income groups.

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Bibliographic Info

Article provided by Taylor & Francis Journals in its journal Mathematical Population Studies.

Volume (Year): 16 (2009)
Issue (Month): 1 ()
Pages: 2-35

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Handle: RePEc:taf:mpopst:v:16:y:2009:i:1:p:2-35

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Related research

Keywords: differential mortality; health expenditure; life expectancy; propensity to save;

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References

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  1. Oded Galor & Omer Moav, 1999. "From Physical to Human Capital Accumulation: Inequality in the Process of Development," Working Papers 99-27, Brown University, Department of Economics.
  2. Galor, Oded & Moav, Omer, 2005. "Natural Selection and the Evolution of Life Expectancy," CEPR Discussion Papers 5373, C.E.P.R. Discussion Papers.
  3. David de la Croix & Omar Licandro, . "Life expectancy and endogenous growth," Working Papers 97-23, FEDEA.
  4. Zhang, Junsen & Zhang, Jie & Lee, Ronald, 2001. "Mortality decline and long-run economic growth," Journal of Public Economics, Elsevier, vol. 80(3), pages 485-507, June.
  5. Climent, Amparo Castello & Rafael Domenech, 2003. "Human Capital Inequality, Life Expectancy and Economic Growth," Royal Economic Society Annual Conference 2003 46, Royal Economic Society.
  6. Matteo Cervellati & Uwe Sunde, 2005. "Human Capital Formation, Life Expectancy, and the Process of Development," American Economic Review, American Economic Association, vol. 95(5), pages 1653-1672, December.
  7. Shankha Chakraborty & Mausumi Das, 2003. "Mortality, Human Capital and Persistent Inequality," Working papers 119, Centre for Development Economics, Delhi School of Economics.
  8. Raouf Boucekkine & David de la Croix & Omar Licandro, 2003. "Early Mortality Declines at the Dawn of Modern Growth," Scandinavian Journal of Economics, Wiley Blackwell, vol. 105(3), pages 401-418, 09.
  9. David N. Weil & Oded Galor, 1999. "From Malthusian Stagnation to Modern Growth," American Economic Review, American Economic Association, vol. 89(2), pages 150-154, May.
  10. David N. Weil & Oded Galor, 2000. "Population, Technology, and Growth: From Malthusian Stagnation to the Demographic Transition and Beyond," American Economic Review, American Economic Association, vol. 90(4), pages 806-828, September.
  11. Robinson, James A & Verdier, Thierry, 2002. "The Political Economy of Clientelism," CEPR Discussion Papers 3205, C.E.P.R. Discussion Papers.
  12. Chakraborty, Shankha, 2004. "Endogenous lifetime and economic growth," Journal of Economic Theory, Elsevier, vol. 116(1), pages 119-137, May.
  13. Olivier Morand, 2004. "Economic growth, longevity and the epidemiological transition," The European Journal of Health Economics, Springer, vol. 5(2), pages 166-174, May.
  14. Nicolini, Esteban A., 2004. "Mortality, interest rates, investment, and agricultural production in 18th century England," Explorations in Economic History, Elsevier, vol. 41(2), pages 130-155, April.
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Cited by:
  1. Pierre Pestieau & Gregory Ponthiere, 2012. "The Public Economics of Increasing Longevity," Hacienda Pública Española, IEF, vol. 200(1), pages 41-74, March.
  2. repec:hal:cesptp:halshs-00318677 is not listed on IDEAS
  3. DE LA CROIX, David, . "Adult longevity and economic take-off from Malthus to Ben-Porath," CORE Discussion Papers RP -2108, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  4. de la Croix, David & Licandro, Omar, 2007. "‘The Child is Father of the Man:’ Implications for the Demographic Transition," CEPR Discussion Papers 6493, C.E.P.R. Discussion Papers.
  5. Mariani, Fabio & Pérez-Barahona, Agustín & Raffin, Natacha, 2009. "Life Expectancy and the Environment," IZA Discussion Papers 4564, Institute for the Study of Labor (IZA).
  6. Thomas Seegmuller & Stefano Bosi, 2010. "Mortality Differential, Labor Taxation And Growth: What Do We Learn From The Barro-Becker Model?," Working Papers halshs-00472732, HAL.
  7. repec:hal:wpaper:halshs-00676492 is not listed on IDEAS

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