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Four long-term scenarios for the Dutch government and health-care sector

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Author Info
Frits Bos ()
Rudy Douven ()
Esther Mot ()

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Abstract

This study presents four long-term scenarios for the government and the health-care sector in the Netherlands. In the two scenarios that stress the importance of collective provisions, (Regional Communities and Strong Europe), the share of government production (public administration, defense and subsidised education) will increase from 10.5% of GDP in 2001 to about 12% in 2040. In the other two scenarios, (Transatlantic Market and Global Economy), the government sector will decrease in size to 8% of GDP in 2040.

Due to higher growth rates of GDP per capita, the growth of government services per capita is only marginally smaller than in the more collective scenarios. Health care expenditures as a percentage of GDP will increase in all scenarios from 8.7% in 2001 to between 13.3% and 14.6% in 2040. In all scenarios, ageing and progress in medical technology are major driving factors of the growth in health expenditures.

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Paper provided by CPB Netherlands Bureau for Economic Policy Analysis in its series CPB Documents with number 72.

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Date of creation: Nov 2004
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Handle: RePEc:cpb:docmnt:72

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Related research
Keywords: Long run; scenarios; government services; public administration; defence; education; health care; productivity; ageing; Baumol’s cost disease model; government finance;

Find related papers by JEL classification:
H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
I1 - Health, Education, and Welfare - - Health

This paper has been announced in the following NEP Reports:

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Baumol, William J, 1972. "Macroeconomics of Unbalanced Growth: Reply," American Economic Review, American Economic Association, vol. 62(1), pages 150, March.
  2. Newhouse, Joseph P, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer. [Downloadable!] (restricted)
  3. David M. Cutler, 1996. "Public Policy for Health Care," NBER Working Papers 5591, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. Ruud de Mooij & Paul Tang, 2003. "Four Futures of Europe," CPB Special Publications 49, CPB Netherlands Bureau for Economic Policy Analysis. [Downloadable!]
  5. Robert E. Hall & Charles I. Jones, 2004. "The Value of Life and the Rise in Health Spending," NBER Working Papers 10737, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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