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Healthcare Expenditure and Baumol Cost Disease in Sub-Sahara Africa

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  • Jamiil Jeetoo

    (Open University of Mauritius)

Abstract

Previous studies have shown that the unbalanced growth model of Baumol (1967) provides a potential explanation for the observed secular rise in healthcare expenditure in developed countries. The model implies that healthcare expenditure is driven by wage increases in excess of productivity growth. However, no study has tested this hypothesis in the developing world. This study formally examines if healthcare costs in Sub-Sahara Africa (SSA) are affected by the Baumol Cost Disease. It relies on an empirical test proposed by Hartwig (2008) and extended by Colombier (2012), and uses a panel data set of 44 countries covering the period 2004–2016. The results suggest that the healthcare sector in SSA is partly contracted by the Baumol Cost Disease. Further, the result suggests that productivity gains over the period under study were over compensated in SSA overall, suggesting that marginal income is higher than marginal productivity in the economy.

Suggested Citation

  • Jamiil Jeetoo, 2020. "Healthcare Expenditure and Baumol Cost Disease in Sub-Sahara Africa," Economics Bulletin, AccessEcon, vol. 40(4), pages 2704-2716.
    • Handle: RePEc:ebl:ecbull:eb-20-00447
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    References listed on IDEAS

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    1. Keun Lee & Sanika Sulochani Ramanayake, 2018. "Adding-Up Problem and Wage–Productivity Gap in Exports of Developing Countries: A Source of the Middle-Income Trap," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 30(5), pages 769-788, December.
    2. Vogelsang, Timothy J., 2012. "Heteroskedasticity, autocorrelation, and spatial correlation robust inference in linear panel models with fixed-effects," Journal of Econometrics, Elsevier, vol. 166(2), pages 303-319.
    3. Edward Nketiah-Amponsah, 2019. "The Impact of Health Expenditures on Health Outcomes in Sub-Saharan Africa," Journal of Developing Societies, , vol. 35(1), pages 134-152, March.
    4. Jamiil Jeetoo, 2020. "Spillover effects in public healthcare expenditure in Sub‐Saharan Africa: A spatial panel analysis," African Development Review, African Development Bank, vol. 32(2), pages 257-268, June.
    5. Baumol, William J, 1993. "Health Care, Education and the Cost Disease: A Looming Crisis for Public Choice," Public Choice, Springer, vol. 77(1), pages 17-28, September.
    6. Colombier, Carsten, 2012. "Drivers of health care expenditure: Does Baumol's cost disease loom large?," FiFo Discussion Papers - Finanzwissenschaftliche Diskussionsbeiträge 12-5, University of Cologne, FiFo Institute for Public Economics.
    7. John C. Driscoll & Aart C. Kraay, 1998. "Consistent Covariance Matrix Estimation With Spatially Dependent Panel Data," The Review of Economics and Statistics, MIT Press, vol. 80(4), pages 549-560, November.
    8. M. Hashem Pesaran, 2015. "Testing Weak Cross-Sectional Dependence in Large Panels," Econometric Reviews, Taylor & Francis Journals, vol. 34(6-10), pages 1089-1117, December.
    9. Karim Barkat & Zouhair Mrabet & Mouyad Alsamara, 2016. "Does Official Development Assistance for health from developed countries displace government health expenditure in Sub-Saharan countries?," Economics Bulletin, AccessEcon, vol. 36(3), pages 1616-1635.
    10. Murthy, Vasudeva N.R. & Okunade, Albert A., 2009. "The core determinants of health expenditure in the African context: Some econometric evidence for policy," Health Policy, Elsevier, vol. 91(1), pages 57-62, June.
    11. Eric Arthur & Hassan E. Oaikhenan, 2017. "The Effects of Health Expenditure on Health Outcomes in Sub-Saharan Africa (SSA)," African Development Review, African Development Bank, vol. 29(3), pages 524-536, September.
    12. Bates, Laurie J. & Santerre, Rexford E., 2013. "Does the U.S. health care sector suffer from Baumol's cost disease? Evidence from the 50 states," Journal of Health Economics, Elsevier, vol. 32(2), pages 386-391.
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    Cited by:

    1. Kaan Celebi & Jochen Hartwig & Anna Pauliina Sandqvist, 2024. "Baumol's Cost Disease in Acute vs. Long-term Care - Do the Differences Loom Large?," Chemnitz Economic Papers 062, Department of Economics, Chemnitz University of Technology.

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    More about this item

    Keywords

    Baumol Cost Disease; Healthcare Expenditure; Unbalanced Growth;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • C5 - Mathematical and Quantitative Methods - - Econometric Modeling

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