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Who Gets Health Care?

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Author Info
Robert W. Fogel
Chulhee Lee

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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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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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Find related papers by JEL classification:
I1 - Health, Education, and Welfare - - Health
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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  1. 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," Social and Economic Dimensions of an Aging Population Research Papers 139, McMaster University. [Downloadable!]
    Other versions:
  2. 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," Quantitative Studies in Economics and Population Research Reports 387, McMaster University. [Downloadable!]
    Other versions:
  3. R. Todd Jewel & Patricia Triunfo & Máximo Rossi, 2005. "El estado de salud de los jóvenes uruguayos," Documentos de Trabajo (working papers) 1305, Department of Economics - dECON. [Downloadable!]
    Other versions:
  4. Máximo Rossi & Patricia Triunfo, 2004. "El Estado de Salud del Adulto Mayor en Uruguay," Documentos de Trabajo (working papers) 1404, Department of Economics - dECON. [Downloadable!]
    Other versions:
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