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An International Comparative Study of Financing Healthcare: The Case of Eight Developed Countries in 1990s- 2000s

Author

Listed:
  • Kazuaki Sato

    (Faculty of Economics, Keio University)

  • Yui Ohtsu

    (National Institute of Population and Social Security Research)

  • Shintaro Kurachi

    (Graduate School of Economics, Keio University)

  • Leo Shimamura

    (Faculty of Economics, Keio University)

  • Yasuto Dobashi

    (Institute of Contemporary British History, King's College London)

Abstract

This paper explores the relationship between healthcare expenditures and fiscal structures by conducting an international comparison. The difference between a social insurance scheme and a taxation scheme has long been recognized to be a major influence on fiscal resources for medical policies, but it cannot help fully explain the ease of finance. Authors present a comparative analysis of the trend of healthcare expenditures and fiscal structures in the period from 1990 to 2010 in eight countries, namely, Japan, the Netherlands, and France on the one hand (which adopted a social insurance scheme), the U.K., Sweden, Denmark, and Norway on the other (which adopted a taxation scheme). This paper found that healthcare expenditures has increased in centralized countries that have an authority to set insurance premiums or tax rates regardless of population aging.

Suggested Citation

  • Kazuaki Sato & Yui Ohtsu & Shintaro Kurachi & Leo Shimamura & Yasuto Dobashi, 2016. "An International Comparative Study of Financing Healthcare: The Case of Eight Developed Countries in 1990s- 2000s," Keio-IES Discussion Paper Series 2016-010, Institute for Economics Studies, Keio University.
    • Handle: RePEc:keo:dpaper:2016-010
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    More about this item

    Keywords

    healthcare expenditure; social insurance scheme; taxation scheme; financial structure; international comparison;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism

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