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Who Gets Health Care?

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  • Robert W. Fogel
  • Chulhee Lee

Abstract

Around the world, as in the United States, concern is growing about who gets health care. Individuals from different socioeconomic backgrounds face distressingly different prospects of living a healthy life. Disparities in various measures of health between the privileged and the deprived still remain wide, despite the long-term tendency toward a healthier society. Some investigators believe the shift in the health care system in industrial countries from the principle of universal access to a more market-oriented system may be one cause of the growing disparities; rising income inequality is another potential culprit. Policy makers worldwide speak of more efficiently delivering essential' health care---but disagree on what counts as essential and on the optimal mix of private and government components of service. After reviewing the economic and epidemiological literature on disparities in health and health care systems, the question of how to define essential' health care is considered. The paper concludes with a discussion of the policy implications of the analysis.

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Bibliographic Info

Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 9870.

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Date of creation: Jul 2003
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Handle: RePEc:nbr:nberwo:9870

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Cited by:
  1. Neil J. Buckley & Frank T. Denton & A. Leslie Robb & Byron G. Spencer, 2003. "Socioeconomic Influence on the Health of Older People: Estimates Based on Two Longitudinal Surveys," Social and Economic Dimensions of an Aging Population Research Papers, McMaster University 112, McMaster University.
  2. John Komlos & Marieluise Baur, 2003. "From the Tallest to (One of) the Fattest: The Enigmatic Fate of the American Population in the 20th Century," CESifo Working Paper Series 1028, CESifo Group Munich.
  3. Ianina Rossi & Fernanda Tellechea & Fiorella Tramontin & Patricia Triunfo, 2006. "El estado de salud de los uruguayos," Documentos de Trabajo (working papers), Department of Economics - dECON 2106, Department of Economics - dECON.
  4. Neil J Buckley & Frank T Denton & A Leslie Robb & Byron G Spencer, 2005. "Socioeconomic Influences on the Health of Older Canadians: Estimates Based on Two Longitudinal Surveys," Quantitative Studies in Economics and Population Research Reports, McMaster University 402, McMaster University.
  5. R. Todd Jewel & Patricia Triunfo & Máximo Rossi, 2005. "El estado de salud de los jóvenes uruguayos," Documentos de Trabajo (working papers), Department of Economics - dECON 1305, Department of Economics - dECON.
  6. Máximo Rossi & Patricia Triunfo, 2004. "El Estado de Salud del Adulto Mayor en Uruguay," Documentos de Trabajo (working papers), Department of Economics - dECON 1404, Department of Economics - dECON.

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