The Economic Crisis and it Effects on the Social Determinants of Health
With the economic crisis, the fight against unemployment in most countries 1 is coetaneous to the need to restrain public expenditure in closing budget deficits. As a consequence, spending cuts have started to affect a large number of decisions that directly or indirectly may be expected to have an impact on health. These effects are likely to be unevenly distributed among different groups within the population. Therefore, not just health levels but also its distribution may be at risk with the financial consequences of the crisis. The main message of this paper is to show first social concern on the nature of the trade-offs in redefining expenditure priorities. On the prescriptive side of our work we argue that in the present situation we should not focus so much on health expenditure as we should do on the social protection system as a whole. In addition, to fight against poverty (and not so much focusing on income inequality in itself) should be the most important consideration for health policy design. Thus, more selective, tailored made combination of integrated policies should be addressed. Fragile groups need to be prioritized at this stage in battling for poverty alleviation (poverty induces health losses) and for a sound job creation economy (workfare strategies require health at the same time that they produce health). Universal old-style welfare policies commonly lack focus, are not financially sustainable, and overall, they have lower redistributive impacts. Otherwise, random, not well understood, effects in welfare may result from these policies due to side effects from economic crisis, unemployment and changes in life style. Results may also depend on the type of groups benefiting from sustained social spending in practice. A welfare function is required in order to compare “losers” and “winners”. This is a part of the second welfare theorem where non superior Pareto agreements are achievable, and lack of consensus may easily emerge, in designing health strategies since politics may not build the necessary consensus for policies.
Volume (Year): 201 (2012)
Issue (Month): 2 (June)
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- Hans van Kippersluis & Owen O'Donnell & Eddy van Doorslaer & Tom Van Ourti, 2009.
"Socioeconomic Differences in Health over the Life Cycle in an Egalitarian Country,"
Tinbergen Institute Discussion Papers
09-006/3, Tinbergen Institute.
- van Kippersluis, Hans & O'Donnell, Owen & van Doorslaer, Eddy & Van Ourti, Tom, 2010. "Socioeconomic differences in health over the life cycle in an Egalitarian country," Social Science & Medicine, Elsevier, vol. 70(3), pages 428-438, February.
- Olivier Blanchard & Jordi Gali, 2008.
"Labor Markets and Monetary Policy: A New-Keynesian Model with Unemployment,"
NBER Working Papers
13897, National Bureau of Economic Research, Inc.
- Olivier Blanchard & Jordi Galí, 2010. "Labor Markets and Monetary Policy: A New Keynesian Model with Unemployment," American Economic Journal: Macroeconomics, American Economic Association, vol. 2(2), pages 1-30, April.
- Blanchard, Olivier J & Galí, Jordi, 2008. "Labour Markets and Monetary Policy: A New Keynesian Model with Unemployment," CEPR Discussion Papers 6765, C.E.P.R. Discussion Papers.
- Olivier Blanchard & Jordi Galí, 2006. "Labor markets and monetary policy: A new-Keynesian model with unemployement," Economics Working Papers 1076, Department of Economics and Business, Universitat Pompeu Fabra, revised Mar 2008.
- Paul Contoyannis & Martin Forster, .
"The Distribution of Health and Income: A Theoretical Framework,"
98/22, Department of Economics, University of York.
- Contoyannis, Paul & Forster, Martin, 1999. "The distribution of health and income: a theoretical framework," Journal of Health Economics, Elsevier, vol. 18(5), pages 603-620, October.
- repec:dau:papers:123456789/268 is not listed on IDEAS
- FLEURBAEY, Marc & SCHOKKAERT, Erik, .
"Unfair inequalities in health and health care,"
CORE Discussion Papers RP
2141, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- Hans van Kippersluis & Tom van Ourti & Owen O'Donnell & Eddy van Doorslaer, 2008.
"Health and Income across the Life Cycle and Generations in Europe,"
Tinbergen Institute Discussion Papers
08-009/3, Tinbergen Institute.
- van Kippersluis, Hans & Van Ourti, Tom & O'Donnell, Owen & van Doorslaer, Eddy, 2009. "Health and income across the life cycle and generations in Europe," Journal of Health Economics, Elsevier, vol. 28(4), pages 818-830, July.
- Alain Trannoy & Sandy Tubeuf & Florence Jusot & Marion Devaux, 2010.
"Inequality of opportunities in health in France: a first pass,"
John Wiley & Sons, Ltd., vol. 19(8), pages 921-938, August.
- Trannoy, A & Tubeuf, S & Jusot, F & Devaux, M, 2008. "Inequality in Opportunities in Health in France: A first pass," Health, Econometrics and Data Group (HEDG) Working Papers 08/24, HEDG, c/o Department of Economics, University of York.
- Case, Anne & Fertig, Angela & Paxson, Christina, 2005.
"The lasting impact of childhood health and circumstance,"
Journal of Health Economics,
Elsevier, vol. 24(2), pages 365-389, March.
- Anne Case & Angela Fertig & Christina Paxson, 2004. "The Lasting Impact of Childhood Health and Circumstance," Working Papers 246, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, vol. 26(2), pages 213-232, March.
- Van Ourti, Tom & van Doorslaer, Eddy & Koolman, Xander, 2009. "The effect of income growth and inequality on health inequality: Theory and empirical evidence from the European Panel," Journal of Health Economics, Elsevier, vol. 28(3), pages 525-539, May.
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