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Intergenerational aspects of health care

  • Louise Sheiner
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    The physical process of aging means that the use of health services varies significantly by age. This association between age and health care consumption raises a number of issues related to intergenerational and intragenerational equity, including the allocation of societal resources across age groups and the effects of population aging and health cost growth on public sector health care burdens and, hence, on intergenerational redistribution. This working paper (forthcoming as a chapter in the Oxford Handbook of Health Economics) provides a detailed look at the theoretical and empirical relationships between health spending and age, both in the US and internationally, and reviews the evidence on the intergenerational redistribution associated with public health spending over time.

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    File URL: http://www.federalreserve.gov/pubs/feds/2009/200938/200938abs.html
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    File URL: http://www.federalreserve.gov/pubs/feds/2009/200938/200938pap.pdf
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    Paper provided by Board of Governors of the Federal Reserve System (U.S.) in its series Finance and Economics Discussion Series with number 2009-38.

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    Date of creation: 2009
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    Handle: RePEc:fip:fedgfe:2009-38
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    Web page: http://www.federalreserve.gov/

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    1. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
    2. Corak, Miles & Lietz, Christine & Sutherland, Holly, 2005. "The impact of tax and transfer systems on children in the European Union," EUROMOD Working Papers EM4/05, EUROMOD at the Institute for Social and Economic Research.
    3. David M. Cutler & Louise Sheiner, 2000. "Generational aspects of Medicare," Finance and Economics Discussion Series 2000-09, Board of Governors of the Federal Reserve System (U.S.).
    4. David M. Cutler, 2006. "An International Look at the Medical Care Financing Problem," NBER Chapters, in: Health Care Issues in the United States and Japan, pages 69-82 National Bureau of Economic Research, Inc.
    5. Frank Lichtenberg, 2000. "Sources of U.S. Longevity Increase, 1960 -1997," CESifo Working Paper Series 405, CESifo Group Munich.
    6. Baoping Shang & Dana Goldman, 2008. "Does age or life expectancy better predict health care expenditures?," Health Economics, John Wiley & Sons, Ltd., vol. 17(4), pages 487-501.
    7. Sally C. Stearns & Edward C. Norton, 2004. "Time to include time to death? The future of health care expenditure predictions," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 315-327.
    8. Louise Sheiner & Daniel Sichel & Lawrence Slifman, 2007. "A primer on the macroeconomic implications of population aging," Finance and Economics Discussion Series 2007-01, Board of Governors of the Federal Reserve System (U.S.).
    9. Oecd, 2006. "Projecting OECD Health and Long-Term Care Expenditures: What Are the Main Drivers?," OECD Economics Department Working Papers 477, OECD Publishing.
    10. Follette, Glenn & Sheiner, Louise, 2005. "The Sustainability of Health Spending Growth," National Tax Journal, National Tax Association, vol. 58(3), pages 391-408, September.
    11. David M. Cutler & Ellen Meara, 1997. "The Medical Costs of The Young and Old: A Forty Year Perspective," NBER Working Papers 6114, National Bureau of Economic Research, Inc.
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