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Does more medical care improve population health? New evidence for an old controversy

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  • James Thornton

Abstract

This article investigates the aggregate relationship between medical care and health for the US population. I use annual state level panel data for the period 1983 to 2000 to estimate static and dynamic health production function models. I find no compelling evidence that greater aggregate utilization of medical care from application of existing technology improves population health by lowering mortality in the short run or long run. My results suggest that development of new medical technologies that diffuse rapidly throughout the nation and at different rates across states may well explain much of the decline in the age-adjusted death rate over the past several decades, as well as persistent differences in mortality across geographic regions. Overall, my findings suggest that the US may be experiencing 'flat of the curve medicine' with future improvements in mortality from medical care coming from new and better technologies rather than greater intensity of services.

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  • James Thornton, 2011. "Does more medical care improve population health? New evidence for an old controversy," Applied Economics, Taylor & Francis Journals, vol. 43(24), pages 3325-3336.
    • Handle: RePEc:taf:applec:v:43:y:2011:i:24:p:3325-3336
    DOI: 10.1080/00036841003636243
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    1. Richard Auster & Irving Leveson & Deborah Sarachek, 1969. "The Production of Health, an Exploratory Study," Journal of Human Resources, University of Wisconsin Press, vol. 4(4), pages 411-436.
    2. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    3. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    4. Wolfe, Barbara L., 1986. "Health status and medical expenditures: Is there a link?," Social Science & Medicine, Elsevier, vol. 22(10), pages 993-999, January.
    5. James P. Ziliak & Beth A. Wilson & Joe A. Stone, 1999. "Spatial Dynamics And Heterogeneity In The Cyclicality Of Real Wages," The Review of Economics and Statistics, MIT Press, vol. 81(2), pages 227-236, May.
    6. Baltagi, Badi H & Griffin, James M, 1988. "A General Index of Technical Change," Journal of Political Economy, University of Chicago Press, vol. 96(1), pages 20-41, February.
    7. Victor R. Fuchs, 2018. "Reflections on the Socio-Economic Correlates of Health," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 10, pages 115-124, World Scientific Publishing Co. Pte. Ltd..
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    Cited by:

    1. Brown, Timothy Tyler, 2014. "How effective are public health departments at preventing mortality?," Economics & Human Biology, Elsevier, vol. 13(C), pages 34-45.
    2. Svetlana N. Beilfuss & James A. Thornton, 2016. "Pathways and Hidden Benefits of Healthcare Spending Growth in the U.S," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 44(3), pages 363-375, September.
    3. Reed Olsen & Hui-Kuan Tseng, 2016. "The U.S. health care expenditure: evidence from 2001 to 2009," Applied Economics, Taylor & Francis Journals, vol. 48(60), pages 5931-5940, December.
    4. Reed Olsen & Subhasree Basu Roy & Hui-Kuan Tseng, 2019. "The Hispanic health paradox for older Americans: an empirical note," International Journal of Health Economics and Management, Springer, vol. 19(1), pages 33-51, March.
    5. Hui-Kuan Tseng & Reed Olsen, 2016. "The U.S. health production function: evidence from 2001 to 2009," International Journal of Health Economics and Management, Springer, vol. 16(1), pages 51-64, March.

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