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Public Spending on Health as Political Instrument? – Regime-type dependency of public spending

Author

Listed:
  • Münch Angela

    (Friedrich Schiller University, Chair of Economic Policy, Carl-Zeiss-Str. 3, 07743Jena, Germany)

  • Fielding David

    (University of Otago, Department of Economics, Dunedin9054, New Zealand)

  • Freytag Andreas

    (Friedrich Schiller University, Chair of Economic Policy, Carl-Zeiss-Str. 3, 07743Jena, Germany)

Abstract

The paper argues that the level of public spending on health varies according to the type of political regime in a country. A simple political economic model is employed to analyse the rationale of policy makers when implementing healthcare policy. The theory of dictatorship as described by Wintrobe (1990, 1998, 2001) is used to differentiate between the types of autocratic regimes. Furthermore, an empirical analysis is conducted for 170 countries for the years 1995-2014. We found that public spending on health is decreasing with the level of political freedom. At the same time, public spending on health care competes with military expenditures. Moreover, public spending on health in neighbouring countries affects the level of public spending within the country.

Suggested Citation

  • Münch Angela & Fielding David & Freytag Andreas, 2020. "Public Spending on Health as Political Instrument? – Regime-type dependency of public spending," Open Economics, De Gruyter, vol. 3(1), pages 121-134, January.
    • Handle: RePEc:vrs:openec:v:3:y:2020:i:1:p:121-134:n:9
    DOI: 10.1515/openec-2020-0108
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    References listed on IDEAS

    as
    1. Michael Ross, 2006. "Is Democracy Good for the Poor?," American Journal of Political Science, John Wiley & Sons, vol. 50(4), pages 860-874, October.
    2. Adam, Antonis & Delis, Manthos D. & Kammas, Pantelis, 2011. "Are democratic governments more efficient?," European Journal of Political Economy, Elsevier, vol. 27(1), pages 75-86, March.
    3. Hansen, Paul & King, Alan, 1998. "Health care expenditure and GDP: panel data unit root test results--comment," Journal of Health Economics, Elsevier, vol. 17(3), pages 377-381, June.
    4. Ronald Wintrobe, 2001. "How to understand, and deal with dictatorship: an economist's view," Economics of Governance, Springer, vol. 3(1), pages 35-58, March.
    5. Wintrobe,Ronald, 2000. "The Political Economy of Dictatorship," Cambridge Books, Cambridge University Press, number 9780521794497, January.
    6. McCoskey, Suzanne K. & Selden, Thomas M., 1998. "Health care expenditures and GDP: panel data unit root test results," Journal of Health Economics, Elsevier, vol. 17(3), pages 369-376, June.
    7. Muhammed N. Islam & Stanley L. Winer, 2004. "Tinpots, Totalitarians (and Democrats): An Empirical Investigation of the Effects of Economic Growth on Civil Liberties and Political Rights," Public Choice, Springer, vol. 118(3_4), pages 289-323, March.
    8. Gerdtham, Ulf-G. & Lothgren, Mickael, 2000. "On stationarity and cointegration of international health expenditure and GDP," Journal of Health Economics, Elsevier, vol. 19(4), pages 461-475, July.
    9. Matthew A. Baum & David A. Lake, 2003. "The Political Economy of Growth: Democracy and Human Capital," American Journal of Political Science, John Wiley & Sons, vol. 47(2), pages 333-347, April.
    10. Parkin, David & McGuire, Alistair & Yule, Brian, 1987. "Aggregate health care expenditures and national income : Is health care a luxury good?," Journal of Health Economics, Elsevier, vol. 6(2), pages 109-127, June.
    11. Ghobarah, Hazem Adam & Huth, Paul & Russett, Bruce, 2003. "Civil Wars Kill and Maim People—Long After the Shooting Stops," American Political Science Review, Cambridge University Press, vol. 97(2), pages 189-202, May.
    12. Franzese, Robert J. & Hays, Jude C., 2007. "Spatial Econometric Models of Cross-Sectional Interdependence in Political Science Panel and Time-Series-Cross-Section Data," Political Analysis, Cambridge University Press, vol. 15(2), pages 140-164, April.
    13. Standaert, Samuel, 2015. "Divining the level of corruption: A Bayesian state-space approach," Journal of Comparative Economics, Elsevier, vol. 43(3), pages 782-803.
    14. Manfred M. Fischer & Arthur Getis (ed.), 2010. "Handbook of Applied Spatial Analysis," Springer Books, Springer, number 978-3-642-03647-7, January.
    15. Alberto Alesina & Reza Baqir & William Easterly, 1999. "Public Goods and Ethnic Divisions," The Quarterly Journal of Economics, Oxford University Press, vol. 114(4), pages 1243-1284.
    16. Baltagi, Badi H. & Moscone, Francesco, 2010. "Health care expenditure and income in the OECD reconsidered: Evidence from panel data," Economic Modelling, Elsevier, vol. 27(4), pages 804-811, July.
    17. Casey B. Mulligan & Ricard Gil & Xavier Sala-i-Martin, 2004. "Do Democracies Have Different Public Policies than Nondemocracies?," Journal of Economic Perspectives, American Economic Association, vol. 18(1), pages 51-74, Winter.
    18. Clara Delavallade, 2006. "Corruption and distribution of public spending in developing countries," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 30(2), pages 222-239, June.
    19. Franck, Raphaã‹L & Rainer, Ilia, 2012. "Does the Leader's Ethnicity Matter? Ethnic Favoritism, Education, and Health in Sub-Saharan Africa," American Political Science Review, Cambridge University Press, vol. 106(2), pages 294-325, May.
    20. Robert Deacon, 2009. "Public good provision under dictatorship and democracy," Public Choice, Springer, vol. 139(1), pages 241-262, April.
    21. Wintrobe, Ronald, 1990. "The Tinpot and the Totalitarian: An Economic Theory of Dictatorship," American Political Science Review, Cambridge University Press, vol. 84(3), pages 849-872, September.
    22. Rafael E. De Hoyos & Vasilis Sarafidis, 2006. "Testing for cross-sectional dependence in panel-data models," Stata Journal, StataCorp LP, vol. 6(4), pages 482-496, December.
    23. Mr. Peter S. Heller, 2007. "What Should Macroeconomists Know about Health Care Policy?," IMF Working Papers 2007/013, International Monetary Fund.
    24. Bor, Jacob, 2007. "The political economy of AIDS leadership in developing countries: An exploratory analysis," Social Science & Medicine, Elsevier, vol. 64(8), pages 1585-1599, April.
    25. Justesen, Mogens K., 2012. "Democracy, dictatorship, and disease: Political regimes and HIV/AIDS," European Journal of Political Economy, Elsevier, vol. 28(3), pages 373-389.
    26. McGuire, James W., 2006. "Basic health care provision and under-5 mortality: A Cross-National study of developing Countries," World Development, Elsevier, vol. 34(3), pages 405-425, March.
    27. Timothy Besley & Masayuki Kudamatsu, 2006. "Health and Democracy," American Economic Review, American Economic Association, vol. 96(2), pages 313-318, May.
    28. Bulte, Erwin H. & Damania, Richard & Deacon, Robert T., 2005. "Resource intensity, institutions, and development," World Development, Elsevier, vol. 33(7), pages 1029-1044, July.
    29. Fearon, James D, 2003. "Ethnic and Cultural Diversity by Country," Journal of Economic Growth, Springer, vol. 8(2), pages 195-222, June.
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    More about this item

    Keywords

    public spending; health regime; selection effect; Wintrobe;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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