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How does economic freedom influence public health? Evidence from U.S. cities

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  • Justin Callais
  • Kelly Hyde
  • Ilia Murtazashvili
  • Yang Zhou

Abstract

Although there is substantial agreement how microeconomic forces—income, risk aversion—shape public health outcomes, there is substantial disagreement about the relationship between macroeconomic forces—market liberalization and economic freedom—on public health. In this paper, we investigate the relationship between public health, economic freedom, and wealth using a large sample of metropolitan‐level data from the United States. We find that economic freedom does have a statistically significant and positive impact on general, physical, and mental health, but the overall results are small in magnitude. When we disaggregate the three areas of economic freedom, we find that areas with lower government spending and freer labor markets have the strongest positive effect on physical and mental health. However, our results are strongest for the richest group of respondents, suggesting that the economic freedom‐health relationship is perhaps indirect, and shown through income.

Suggested Citation

  • Justin Callais & Kelly Hyde & Ilia Murtazashvili & Yang Zhou, 2024. "How does economic freedom influence public health? Evidence from U.S. cities," Southern Economic Journal, John Wiley & Sons, vol. 90(3), pages 656-681, January.
    • Handle: RePEc:wly:soecon:v:90:y:2024:i:3:p:656-681
    DOI: 10.1002/soej.12673
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    as
    1. Stansel, Dean B., 2013. "An Economic Freedom Index for U.S. Metropolitan Areas," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 43(01).
    2. Bennett, Daniel L. & Faria, Hugo J. & Gwartney, James D. & Morales, Daniel R., 2017. "Economic Institutions and Comparative Economic Development: A Post-Colonial Perspective," World Development, Elsevier, vol. 96(C), pages 503-519.
    3. James D. Gwartney & Robert A. Lawson & Randall G. Holcombe, 1999. "Economic Freedom and the Environment for Economic Growth," Journal of Institutional and Theoretical Economics (JITE), Mohr Siebeck, Tübingen, vol. 155(4), pages 643-643, December.
    4. Daniel L. Bennett & Boris Nikolaev, 2017. "Economic Freedom & Happiness Inequality: Friends Or Foes?," Contemporary Economic Policy, Western Economic Association International, vol. 35(2), pages 373-391, April.
    5. Berggren, Niclas & Nilsson, Therese, 2021. "Economic freedom and antisemitism," Journal of Institutional Economics, Cambridge University Press, vol. 17(2), pages 289-304, April.
    6. Berggren, Niclas, 2003. "The Benefits of Economic Freedom: A Survey," Ratio Working Papers 4, The Ratio Institute.
    7. Timothy Besley & Torsten Persson, 2010. "State Capacity, Conflict, and Development," Econometrica, Econometric Society, vol. 78(1), pages 1-34, January.
    8. Niclas Berggren & Therese Nilsson, 2013. "Does Economic Freedom Foster Tolerance?," Kyklos, Wiley Blackwell, vol. 66(2), pages 177-207, May.
    9. Douglass C. North, 2005. "Introduction to Understanding the Process of Economic Change," Introductory Chapters, in: Understanding the Process of Economic Change, Princeton University Press.
    10. Andreas Bergh & Christian Bjørnskov, 2021. "Does economic freedom boost growth for everyone?," Kyklos, Wiley Blackwell, vol. 74(2), pages 170-186, May.
    11. Justin T. Callais & Jamie Bologna Pavlik, 2023. "Does economic freedom lighten the blow? Evidence from the great recession in the United States," Economics of Governance, Springer, vol. 24(3), pages 357-398, September.
    12. Paolo Berta & Gianmaria Martini & Daniele Spinelli & Giorgio Vittadini, 2022. "The beaten paths effect on patient inter‐regional mobility: An application to the Italian NHS," Papers in Regional Science, Wiley Blackwell, vol. 101(4), pages 945-977, August.
    13. Joshua C. Hall & Brad R. Humphreys & Jane E. Ruseski, 2018. "Economic Freedom and Exercise: Evidence from State Outcomes," Southern Economic Journal, John Wiley & Sons, vol. 84(4), pages 1050-1066, April.
    14. Christian Bjørnskov & Nicolai Foss, 2010. "Economic Freedom and Entrepreneurial Activity: Some Cross-Country Evidence," Springer Books, in: Andreas Freytag & Roy Thurik (ed.), Entrepreneurship and Culture, chapter 0, pages 201-225, Springer.
    15. Bologna, Jamie & Young, Andrew T. & Lacombe, Donald J., 2016. "A spatial analysis of incomes and institutional quality: evidence from US metropolitan areas," Journal of Institutional Economics, Cambridge University Press, vol. 12(1), pages 191-216, March.
    16. Cristina Bernini & Alessandro Tampieri, 2022. "The Mediating Role of Urbanization on the Composition of Happiness," Papers in Regional Science, Wiley Blackwell, vol. 101(3), pages 639-657, June.
    17. Werner Troesken, 2004. "Water, Race, and Disease," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262201488, December.
    18. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    19. Callais, Justin T. & Young, Andrew T., 2023. "A rising tide that lifts all boats: An analysis of economic freedom and inequality using matching methods," Journal of Comparative Economics, Elsevier, vol. 51(3), pages 744-777.
    20. Daniel M. Gropper, Robert A. Lawson, and Jere T. Thorne Jr., 2011. "Economic Freedom and Happiness," Cato Journal, Cato Journal, Cato Institute, vol. 31(2), pages 237-255, Spring/Su.
    21. Jane E. Ruseski & Katerina Maresova, 2014. "Economic Freedom, Sport Policy, And Individual Participation In Physical Activity: An International Comparison," Contemporary Economic Policy, Western Economic Association International, vol. 32(1), pages 42-55, January.
    22. Daron Acemoglu & Jacob Moscona & James A. Robinson, 2016. "State Capacity and American Technology: Evidence from the 19th Century," NBER Working Papers 21932, National Bureau of Economic Research, Inc.
    23. Compton, Ryan A. & Giedeman, Daniel C. & Hoover, Gary A., 2014. "A distributional analysis of the benefits of economic freedom," European Journal of Political Economy, Elsevier, vol. 33(C), pages 121-133.
    24. Gary A. Hoover & Ryan A. Compton & Daniel C. Giedeman, 2015. "The Impact of Economic Freedom on the Black/White Income Gap," American Economic Review, American Economic Association, vol. 105(5), pages 587-592, May.
    25. Courtemanche, Charles & Carden, Art, 2011. "Supersizing supercenters? The impact of Walmart Supercenters on body mass index and obesity," Journal of Urban Economics, Elsevier, vol. 69(2), pages 165-181, March.
    26. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    27. Imran Arif & Adam Hoffer & Dean Stansel & Donald Lacombe, 2020. "Economic freedom and migration: A metro area‐level analysis," Southern Economic Journal, John Wiley & Sons, vol. 87(1), pages 170-190, July.
    28. Gary A. Wagner & Jamie Bologna Pavlik, 2020. "Patent intensity and concentration: The effect of institutional quality on MSA patent activity," Papers in Regional Science, Wiley Blackwell, vol. 99(4), pages 857-898, August.
    29. Vincent Geloso & Raymond J. March, 2021. "Rent seeking for madness: the political economy of mental asylums in the United States, 1870 to 1910," Public Choice, Springer, vol. 189(3), pages 375-404, December.
    30. Stansel, Dean, 2019. "Economic Freedom in U.S. Metropolitan Areas," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 49(01), March.
    31. Daron Acemoglu & Simon Johnson, 2005. "Unbundling Institutions," Journal of Political Economy, University of Chicago Press, vol. 113(5), pages 949-995, October.
    32. Conley, T. G., 1999. "GMM estimation with cross sectional dependence," Journal of Econometrics, Elsevier, vol. 92(1), pages 1-45, September.
    33. Daron Acemoglu & Jacob Moscona & James A. Robinson, 2016. "State Capacity and American Technology: Evidence from the Nineteenth Century," American Economic Review, American Economic Association, vol. 106(5), pages 61-67, May.
    34. Dean, James & Geloso, Vincent, 2022. "Economic freedom improves income mobility: evidence from Canadian provinces, 1982–2018," Journal of Institutional Economics, Cambridge University Press, vol. 18(5), pages 807-826, October.
    35. Joshua Hall & Amanda Ross & Jamie Bologna Pavlik, 2020. "Laissez-Faire Economic Policy in a World Where Gender Income Gaps Exist: Helping or Hurting?," Journal of Economics, Race, and Policy, Springer, vol. 3(2), pages 144-158, June.
    36. repec:jpe:journl:585 is not listed on IDEAS
    37. John Carter, 2007. "An Empirical Note on Economic Freedom and Income Inequality," Public Choice, Springer, vol. 130(1), pages 163-177, January.
    38. Robert Lawson & James Dean, 2021. "Who gains from economic freedom? A panel analysis on decile income levels," Economics and Business Letters, Oviedo University Press, vol. 10(2), pages 102-106.
    39. Claudia Williamson, 2009. "Informal institutions rule: institutional arrangements and economic performance," Public Choice, Springer, vol. 139(3), pages 371-387, June.
    40. Peter T. Leeson & Henry A. Thompson, 2023. "Public choice and public health," Public Choice, Springer, vol. 195(1), pages 5-41, April.
    41. Claudia Williamson & Rachel Mathers, 2011. "Economic freedom, culture, and growth," Public Choice, Springer, vol. 148(3), pages 313-335, September.
    42. Daniel L. Bennett, 2021. "Local economic freedom and creative destruction in America," Small Business Economics, Springer, vol. 56(1), pages 333-353, January.
    43. Grier, Kevin B. & Grier, Robin M., 2021. "The Washington consensus works: Causal effects of reform, 1970-2015," Journal of Comparative Economics, Elsevier, vol. 49(1), pages 59-72.
    44. Adam Hoffer & Brad R. Humphreys & Jane E. Ruseski, 2019. "State cigarette taxes and health expenditures: Evidence from dynamic spatial lag panel models," Papers in Regional Science, Wiley Blackwell, vol. 98(2), pages 925-950, April.
    45. Troesken, Werner, 2001. "Race, Disease, And The Provision Of Water In American Cities, 1889–1921," The Journal of Economic History, Cambridge University Press, vol. 61(3), pages 750-776, September.
    46. Compton, Ryan A. & Giedeman, Daniel C. & Hoover, Gary A., 2011. "Panel evidence on economic freedom and growth in the United States," European Journal of Political Economy, Elsevier, vol. 27(3), pages 423-435, September.
    47. Vincent Geloso & Jamie Bologna Pavlik, 2021. "Economic Freedom And The Economic Consequences Of The 1918 Pandemic," Contemporary Economic Policy, Western Economic Association International, vol. 39(2), pages 255-263, April.
    48. Geloso, Vincent & Pavlik, Jamie Bologna, 2021. "The Cuban revolution and infant mortality: A synthetic control approach," Explorations in Economic History, Elsevier, vol. 80(C).
    49. Davis, Lewis S. & Williamson, Claudia R., 2019. "Does individualism promote gender equality?," World Development, Elsevier, vol. 123(C), pages 1-1.
    50. Callais, Justin, 2022. "Free to Grow? A Matching Methods Analysis of Economic Freedom in the United States," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 52(01), December.
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