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Public and Private Expenditures on Health in the Presence of Inequality and Endogenous Mortality: A Political Economy Perspective

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  • Radhika Lahiri
  • Elizabeth Richardson

Abstract

In this paper we study an overlapping-generations model in which agents� mortality risks, and consequently impatience, are endogenously determined by private and public investment in health care. The proportion of revenues allocated for public health care is also endogenous, determined as the outcome of a voting process. Higher substitutability between public and private health is associated with a �crowding-out� effect which leads to lower public expenditures on health care in the political equilibrium. This in turn impacts on mortality risks and impatience leading to a greater persistence in inequality and long run distributions of wealth that are bimodal.

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File URL: http://external-apps.qut.edu.au/business/documents/discussionPapers/2008/240Lahiri.pdf
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Bibliographic Info

Paper provided by School of Economics and Finance, Queensland University of Technology in its series School of Economics and Finance Discussion Papers and Working Papers Series with number 240.

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Length: 38 pages
Date of creation: 15 Dec 2008
Date of revision: 15 Dec 2008
Handle: RePEc:qut:dpaper:240

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Web page: http://www.bus.qut.edu.au/faculty/economics/
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Keywords: health; inequality; political economy; income distribution dynamics;

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References

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  1. Shankha Chakraborty & Mausumi Das, 2003. "Mortality, Human Capital and Persistent Inequality," Working papers 119, Centre for Development Economics, Delhi School of Economics.
  2. Miguel Gouveia, 1997. "Majority rule and the public provision of a private good," Public Choice, Springer, vol. 93(3), pages 221-244, December.
  3. David M. Cutler & Jonathan Gruber, 1995. "Does Public Insurance Crowd Out Private Insurance?," NBER Working Papers 5082, National Bureau of Economic Research, Inc.
  4. Lahiri, Radhika, 2002. "The Inflation Tax, Variable Time Preference, And The Business Cycle," Macroeconomic Dynamics, Cambridge University Press, vol. 6(04), pages 496-522, September.
  5. Glomm, Gerhard & Palumbo, Michael G., 1993. "Optimal intertemporal consumption decisions under the threat of starvation," Journal of Development Economics, Elsevier, vol. 42(2), pages 271-291, December.
  6. Radhika Lahiri, 2004. "Liquidity Effects, Variable Time Preference, and Optimal Monetary Policy," Econometric Society 2004 Australasian Meetings 204, Econometric Society.
  7. Heijdra, Ben J. & Romp, Ward E., 2005. "A Life-Cycle Overlapping-Generations Model of the Small Open Economy," Research Report 05C04, University of Groningen, Research Institute SOM (Systems, Organisations and Management).
  8. Kimberly J. Rask & Kevin N. Rask, 2005. "Delivering Public Health Care Services: Substitutes, Complements, or Both?," Contemporary Economic Policy, Western Economic Association International, vol. 23(1), pages 28-39, 01.
  9. Quah, Danny T., 1996. "Empirics for economic growth and convergence," European Economic Review, Elsevier, vol. 40(6), pages 1353-1375, June.
  10. Epple, Dennis & Romano, Richard E, 1996. "Public Provision of Private Goods," Journal of Political Economy, University of Chicago Press, vol. 104(1), pages 57-84, February.
  11. Epple, Dennis & Romano, Richard E., 1996. "Ends against the middle: Determining public service provision when there are private alternatives," Journal of Public Economics, Elsevier, vol. 62(3), pages 297-325, November.
  12. Oded Galor & David Mayer-Foulkes, 2004. "Food for Thought: Basic Needs and Persistent Educational Inequality," GE, Growth, Math methods 0410002, EconWPA.
  13. Ray, Debraj & Streufert, Peter A, 1993. "Dynamic Equilibria with Unemployment Due to Undernourishment," Economic Theory, Springer, vol. 3(1), pages 61-85, January.
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Cited by:
  1. Shuyun May Li, Solmaz Moslehi, Siew Ling Yew, 2012. "Public-Private Mix of Health Expenditure: A Political Economy Approach and A Quantitative Exercise," Department of Economics - Working Papers Series 1157, The University of Melbourne.

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