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Health Adjusted GDP (HAGDP) Measures of the Relationship Between Economic Growth, Health Outcomes and Social Welfare

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Author Info
Matthew Clarke ()
Sardar M. N. Islam ()
Abstract

Welfare economic analysis of health issues and policies can provide well balanced orderings of the state of the economy. This paper provides an innovative framework for welfare economic analysis of the relationships between economic growth, health outcomes and social welfare for both a developing and a developed country. Economic growth can increase health outcomes and social welfare but its influence is limited by biological laws. Further, achieving economic growth may have negative externalities which reduce health outcomes (particularly when biological health limits are reached). A new health adjusted GDP indicator to investigate the relationship between economic growth, health outcomes and social welfare in both a developing and developed country using social choice perspectives is developed in this paper. This new approach to social welfare analysis is also based on cost-benefit analysis and systems analysis and is called the social choice approach. The importance of good health is crucial when determining social welfare. The major limitation of many health-based indicators is that they can fail to adequately consider social welfare issues, such as equity and efficiency. Social choice theory allows optimal health outcomes to be fully considered in terms of equity and efficiency when determining the impact of economic growth on social welfare. Social choice theory incorporates the various "social concerns" that are not adequately captured using individual preference satisfaction techniques. This paper analyses the health outcomes resulting from economic growth (costs and benefits) using Thailand and Australia as case studies, from 1975 to 1999. Two health adjusted gross domestic product (HAGDP) indices are prepared in this paper by adjusting GDP to reflect the social welfare impacts of achieving economic growth on health outcomes.

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Paper provided by CESifo Group Munich in its series CESifo Working Paper Series with number CESifo Working Paper No. 1002.

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Date of creation: 2003
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Handle: RePEc:ces:ceswps:_1002

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I31 - Health, Education, and Welfare - - Welfare and Poverty - - - General Welfare

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  1. Ayres, Robert U., 1996. "Limits to the growth paradigm," Ecological Economics, Elsevier, vol. 19(2), pages 117-134, November. [Downloadable!] (restricted)
  2. Sen, Amartya K, 1973. "Behaviour and the Concept of Preference," Economica, London School of Economics and Political Science, vol. 40(159), pages 241-59, August. [Downloadable!] (restricted)
  3. Nordhaus, William D, 1991. "To Slow or Not to Slow: The Economics of the Greenhouse Effect," Economic Journal, Royal Economic Society, vol. 101(407), pages 920-37, July. [Downloadable!] (restricted)
  4. William D. Nordhaus, 1998. "The Health of Nations: Irving Fisher and the Contribution of Improved Longevity to Living Standards," Cowles Foundation Discussion Papers 1200, Cowles Foundation, Yale University. [Downloadable!]
  5. William D. Nordhaus & James Tobin, 1971. "Is Growth Obsolete?," Cowles Foundation Discussion Papers 319, Cowles Foundation, Yale University. [Downloadable!]
    Other versions:
    • William D. Nordhaus & James Tobin, 1973. "Is Growth Obsolete?," NBER Chapters, in: The Measurement of Economic and Social Performance, pages 509-564 National Bureau of Economic Research, Inc. [Downloadable!]
    • William D. Nordhaus & James Tobin, 1972. "Is Growth Obsolete?," NBER Chapters, in: Economic Research: Retrospect and Prospect Vol 5: Economic Growth, pages 1-80 National Bureau of Economic Research, Inc. [Downloadable!]
  6. Anand, Sudhir & Ravallion, Martin, 1993. "Human Development in Poor Countries: On the Role of Private Incomes and Public Services," Journal of Economic Perspectives, American Economic Association, vol. 7(1), pages 133-50, Winter. [Downloadable!] (restricted)
  7. Amartya Sen, 1999. "The Possibility of Social Choice," American Economic Review, American Economic Association, vol. 89(3), pages 349-378, June. [Downloadable!] (restricted)
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