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Health and Income: A Robust Comparison of Canada and the US

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Abstract

This paper uses sequential stochastic dominance procedures to compare the joint distribution of health and income across space and time. It is the First application of which we are aware of methods to compare multidimen- sional distributions of income and health using procedures that are robust to aggregation techniques. The paper's approach is more general than com- parisons of health gradients and does not require the estimation of health equivalent incomes. We illustrate the approach by contrasting Canada and the US using comparable data. Canada dominates the US over the lower bi-dimensional welfare distribution of health and income, though not generally in terms of the uni-dimensional distribution of health or income. The paper also finds that welfare for both Canadians and Americans has not unambiguously improved during the last decade over the joint distribution of income and health, in spite of the fact that the uni-dimensional distributions of income have clearly improved during that period.

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  • Jean-Yves Duclos & Damien Échevin, 2009. "Health and Income: A Robust Comparison of Canada and the US," UFAE and IAE Working Papers 768.09, Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC).
  • Handle: RePEc:aub:autbar:768.09
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    Cited by:

    1. Ida Petrillo, 2017. "Ranking income distributions: a rank-dependent and needs-based approach," SERIES 03-2017, Dipartimento di Economia e Finanza - Università degli Studi di Bari "Aldo Moro", revised Jul 2017.
    2. Frank A Cowell & Martyna Kobus & Radoslaw Kurek, 2017. "Welfare and Inequality Comparisons for Uni- and Multi-dimensional Distributions of Ordinal Data," STICERD - Public Economics Programme Discussion Papers 31, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
    3. Christophe Muller, 2019. "Social Shock Sharing and Stochastic Dominance," Working Papers halshs-02005735, HAL.
    4. Arndt, Channing & Mahrt, Kristi & Hussain, M. Azhar & Tarp, Finn, 2018. "A human rights-consistent approach to multidimensional welfare measurement applied to sub-Saharan Africa," World Development, Elsevier, vol. 108(C), pages 181-196.
    5. David Madden, 2015. "Health and Wealth on the Roller-Coaster: Ireland, 2003–2011," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 121(2), pages 387-412, April.
    6. FLEURBAEY, Marc & SCHOKKAERT, Erik, 2011. "Equity in health and health care," LIDAM Discussion Papers CORE 2011026, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    7. Martyna Kobus & Olga Półchłopek & Gaston Yalonetzky, 2019. "Inequality and Welfare in Quality of Life Among OECD Countries: Non-parametric Treatment of Ordinal Data," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 143(1), pages 201-232, May.
    8. Martyna Kobus & Radoslaw Kurek, 2017. "Copula-based measurement of interdependence for discrete distributions," Working Papers 431, ECINEQ, Society for the Study of Economic Inequality.
    9. Alexander Silbersdorff & Julia Lynch & Stephan Klasen & Thomas Kneib, 2017. "Reconsidering the Income-Illness Relationship using Distributional Regression: An Application to Germany," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 231, Courant Research Centre PEG.
    10. Rolf Aaberge & Andrea Brandolini, 2014. "Multidimensional poverty and inequality," Discussion Papers 792, Statistics Norway, Research Department.
    11. Alexander Silbersdorff & Julia Lynch & Stephan Klasen & Thomas Kneib, 2018. "Reconsidering the income‐health relationship using distributional regression," Health Economics, John Wiley & Sons, Ltd., vol. 27(7), pages 1074-1088, July.
    12. M. Azhar Hussain & Mette Møller Jørgensen & Lars Peter Østerdal, 2016. "Refining Population Health Comparisons: A Multidimensional First Order Dominance Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 739-759, November.
    13. Arndt, Channing & Mahrt, Kristi & Hussain, M. Azhar & Tarp, Finn, 2018. "A human rights-consistent approach to multidimensional welfare measurement applied to sub-Saharan Africa," World Development, Elsevier, vol. 108(C), pages 181-196.
    14. Argyris, Nikolaos & Østerdal, Lars Peter & Hussain, M. Azhar, 2023. "Value-driven Multidimensional Welfare Analysis: A Dominance Approach with Application to Comparisons of European Populations," Working Papers 12-2023, Copenhagen Business School, Department of Economics.
    15. Channing Arndt & Nikolaj Siersbæk, & Lars Peter Østerdal, 2015. "Multidimensional first-order dominance comparisons of population wellbeing," WIDER Working Paper Series 122, World Institute for Development Economic Research (UNU-WIDER).
    16. M. Azhar Hussain & Nikolaj Siersbæk & Lars Peter Østerdal, 2020. "Multidimensional welfare comparisons of EU member states before, during, and after the financial crisis: a dominance approach," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 55(4), pages 645-686, December.
    17. Cleary, Rebecca & Liu, Yizao & Carlson, Andrea C., 2022. "Differences in the Distribution of Nutrition Between Households Above and Below Poverty," 2022 Annual Meeting, July 31-August 2, Anaheim, California 322267, Agricultural and Applied Economics Association.

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    More about this item

    Keywords

    Health inequality; Self-reported health status; Income distribution; Stochastic dominance; Social welfare;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • D30 - Microeconomics - - Distribution - - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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