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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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Author Info
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://www.bus.qut.edu.au/faculty/schools/economics/documents/discussionPapers/2008/240Lahiri.pdf
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Publisher 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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Related research
Keywords: health; inequality; political economy; income distribution dynamics;

Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
I20 - Health, Education, and Welfare - - Education - - - General
O5 - Economic Development, Technological Change, and Growth - - Economywide Country Studies

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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. 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. [Downloadable!] (restricted)
  2. Oded Galor & David Mayer-Foulkes, 2004. "Food for Thought: Basic Needs and Persistent Educational Inequality," GE, Growth, Math methods 0410002, EconWPA. [Downloadable!]
  3. Gouveia, Miguel, 1997. " Majority Rule and the Public Provision of a Private Good," Public Choice, Springer, vol. 93(3-4), pages 221-44, December. [Downloadable!] (restricted)
    Other versions:
  4. David M. Cutler & Jonathan Gruber, 1995. "Does Public Insurance Crowd Out Private Insurance?," NBER Working Papers 5082, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  5. Radhika Lahiri, 2004. "Liquidity Effects, Variable Time Preference, and Optimal Monetary Policy," Econometric Society 2004 Australasian Meetings 204, Econometric Society. [Downloadable!]
    Other versions:
  6. Quah, Danny T., 1996. "Empirics for economic growth and convergence," European Economic Review, Elsevier, vol. 40(6), pages 1353-1375, June. [Downloadable!] (restricted)
  7. 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. [Downloadable!] (restricted)
  8. 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. [Downloadable!] (restricted)
  9. Shankha Chakraborty & Mausumi Das, 2004. "Mortality, Human Capital and Persistent Inequality," Econometric Society 2004 North American Summer Meetings 100, Econometric Society. [Downloadable!]
    Other versions:
  10. 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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