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Income and Health Spending: Evidence from Oil Price Shocks

  • Daron Acemoglu

    (MIT and NBER)

  • Amy Finkelstein

    (MIT and NBER)

  • Matthew J. Notowidigdo

    (University of Chicago, Booth School of Business, and NBER)

Health expenditures as a share of GDP in the United States have more than tripled over the past half-century. A common conjecture is that this is a consequence of rising income. We investigate this hypothesis by instrumenting for local area income with time series variation in oil prices interacted with local oil reserves. This strategy enables us to capture both partial equilibrium and local general equilibrium effects of income on health expenditures. Our central income elasticity estimate is 0.7, with 1.1 as the upper end of the 95% confidence interval, which suggests that rising income is unlikely to be a major driver of the rising health expenditure share of GDP. © 2013 The President and Fellows of Harvard College and the Massachusetts Institute of Technology.

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File URL: http://www.mitpressjournals.org/doi/pdf/10.1162/REST_a_00306
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Article provided by MIT Press in its journal Review of Economics and Statistics.

Volume (Year): 95 (2013)
Issue (Month): 4 (October)
Pages: 1079-1095

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Handle: RePEc:tpr:restat:v:95:y:2013:i:4:p:1079-1095
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