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Environmental tax revenue and public health care expenditure

Author

Listed:
  • Prince Fosu

    (Rockhurst University)

  • Kevin Sylwester

    (Southern Illinois University)

Abstract

This paper considers to what extent environmental taxes are associated with more public healthcare spending. The double-dividend hypothesis argues that these taxes not only lower pollution but generate revenue that can then be used to enhance welfare such as health care. Using a panel of countries and controlling for pollution to better distinguish between these two dividends, we find that countries with greater environmental tax revenue do, indeed, spend more on public healthcare although this result primarily holds for energy and transportation taxes. This finding arises for both high- and low-income countries but is stronger for democracies.

Suggested Citation

  • Prince Fosu & Kevin Sylwester, 2025. "Environmental tax revenue and public health care expenditure," Economics Bulletin, AccessEcon, vol. 45(4), pages 2041-2054.
    • Handle: RePEc:ebl:ecbull:eb-24-00420
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    File URL: http://www.accessecon.com/Pubs/EB/2025/Volume45/EB-25-V45-I4-P177.pdf
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    References listed on IDEAS

    as
    1. Sugandha D. Tuladhar & W. David Montgomery & Noah Kaufman, 2015. "Environmental Policy for Fiscal Reform: Can a Carbon Tax Play a Role?," National Tax Journal, National Tax Association;National Tax Journal, vol. 68(1), pages 179-194, March.
    2. Paolo Roffia & Alessandro Bucciol & Sara Hashlamoun, 2023. "Determinants of life expectancy at birth: a longitudinal study on OECD countries," International Journal of Health Economics and Management, Springer, vol. 23(2), pages 189-212, June.
    3. Narayan, Paresh Kumar & Narayan, Seema, 2008. "Does environmental quality influence health expenditures? Empirical evidence from a panel of selected OECD countries," Ecological Economics, Elsevier, vol. 65(2), pages 367-374, April.
    4. Gallet, Craig A. & Doucouliagos, Hristos, 2017. "The impact of healthcare spending on health outcomes: A meta-regression analysis," Social Science & Medicine, Elsevier, vol. 179(C), pages 9-17.
    5. Fullerton, Don & Monti, Holly, 2013. "Can pollution tax rebates protect low-wage earners?," Journal of Environmental Economics and Management, Elsevier, vol. 66(3), pages 539-553.
    6. Oueslati, Walid, 2015. "Growth and welfare effects of environmental tax reform and public spending policy," Economic Modelling, Elsevier, vol. 45(C), pages 1-13.
    7. Glomm, Gerhard & Kawaguchi, Daiji & Sepulveda, Facundo, 2008. "Green taxes and double dividends in a dynamic economy," Journal of Policy Modeling, Elsevier, vol. 30(1), pages 19-32.
    8. Ya‐Ming Liu & Chon‐Kit Ao, 2021. "Effect of air pollution on health care expenditure: Evidence from respiratory diseases," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 858-875, April.
    9. Freire-González, Jaume, 2018. "Environmental taxation and the double dividend hypothesis in CGE modelling literature: A critical review," Journal of Policy Modeling, Elsevier, vol. 40(1), pages 194-223.
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    Keywords

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    JEL classification:

    • H2 - Public Economics - - Taxation, Subsidies, and Revenue
    • H5 - Public Economics - - National Government Expenditures and Related Policies

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