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Who Gets Health Care?

Author

Listed:
  • Robert W. Fogel
  • Chulhee Lee

Abstract

Around the world, as in the United States, concern is growing about who gets health care. Individuals from different socioeconomic backgrounds face distressingly different prospects of living a healthy life. Disparities in various measures of health between the privileged and the deprived still remain wide, despite the long-term tendency toward a healthier society. Some investigators believe the shift in the health care system in industrial countries from the principle of universal access to a more market-oriented system may be one cause of the growing disparities; rising income inequality is another potential culprit. Policy makers worldwide speak of more efficiently delivering essential' health care---but disagree on what counts as essential and on the optimal mix of private and government components of service. After reviewing the economic and epidemiological literature on disparities in health and health care systems, the question of how to define essential' health care is considered. The paper concludes with a discussion of the policy implications of the analysis.

Suggested Citation

  • Robert W. Fogel & Chulhee Lee, 2003. "Who Gets Health Care?," NBER Working Papers 9870, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:9870
    Note: HE
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    Cited by:

    1. Komlos, John & Baur, Marieluise, 2004. "From the tallest to (one of) the fattest: the enigmatic fate of the American population in the 20th century," Economics & Human Biology, Elsevier, vol. 2(1), pages 57-74, March.
    2. Ianina Rossi & Fernanda Tellechea & Fiorella Tramontin & Patricia Triunfo, 2007. "El estado de salud de los uruguayos," Estudios de Economia, University of Chile, Department of Economics, vol. 34(1 Year 20), pages 73-96, June.
    3. Neil J. Buckley & Frank T. Denton & A. Leslie Robb & Byron G. Spencer, 2006. "Socio-economic Influences on the Health of Older Canadians: Estimates Based on Two Longitudinal Surveys," Canadian Public Policy, University of Toronto Press, vol. 32(1), pages 59-84, March.
    4. R Todd Jewell & Maximo Rossi & Patricia Triunfo, 2006. "El Estado de Salud de los Jóvenes Uruguayos," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 43(128), pages 235-250.
    5. Neil J. Buckley & Frank T. Denton & A. Leslie Robb & Byron G. Spencer, 2003. "Socioeconomic Influence on the Health of Older People: Estimates Based on Two Longitudinal Surveys," Social and Economic Dimensions of an Aging Population Research Papers 112, McMaster University.
    6. Máximo Rossi & Patricia Triunfo, 2004. "El Estado de Salud del Adulto Mayor en Uruguay," Documentos de Trabajo (working papers) 1404, Department of Economics - dECON.

    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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