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Public and Private Expenditures on Health in the Presence of Inequality and Endogenous Mortality: A Political Economy Perspective

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  • Radhika Lahiri
  • Elizabeth Richardson

Abstract

In this paper we study an overlapping-generations model in which agents� mortality risks, and consequently impatience, are endogenously determined by private and public investment in health care. The proportion of revenues allocated for public health care is also endogenous, determined as the outcome of a voting process. Higher substitutability between public and private health is associated with a �crowding-out� effect which leads to lower public expenditures on health care in the political equilibrium. This in turn impacts on mortality risks and impatience leading to a greater persistence in inequality and long run distributions of wealth that are bimodal.

Suggested Citation

  • Radhika Lahiri & Elizabeth Richardson, 2008. "Public and Private Expenditures on Health in the Presence of Inequality and Endogenous Mortality: A Political Economy Perspective," School of Economics and Finance Discussion Papers and Working Papers Series 240, School of Economics and Finance, Queensland University of Technology, revised 15 Dec 2008.
  • Handle: RePEc:qut:dpaper:240
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    File URL: http://external-apps.qut.edu.au/business/documents/discussionPapers/2008/240Lahiri.pdf
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    References listed on IDEAS

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    1. Shankha Chakraborty & Mausumi Das, 2005. "Mortality, Human Capital and Persistent Inequality," Journal of Economic Growth, Springer, vol. 10(2), pages 159-192, June.
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    3. Ray, Debraj & Streufert, Peter A, 1993. "Dynamic Equilibria with Unemployment Due to Undernourishment," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 3(1), pages 61-85, January.
    4. Lahiri Radhika, 2007. "Liquidity Effects, Variable Time Preference, and Optimal Monetary Policy," The B.E. Journal of Macroeconomics, De Gruyter, vol. 7(1), pages 1-24, January.
    5. David M. Cutler & Jonathan Gruber, 1996. "Does Public Insurance Crowd out Private Insurance?," The Quarterly Journal of Economics, Oxford University Press, vol. 111(2), pages 391-430.
    6. Oded Galor & David Mayer-Foulkes, 2004. "Food for Thought: Basic Needs and Persistent Educational Inequality," GE, Growth, Math methods 0410002, EconWPA.
    7. Quah, Danny T., 1996. "Empirics for economic growth and convergence," European Economic Review, Elsevier, vol. 40(6), pages 1353-1375, June.
    8. Kimberly J. Rask & Kevin N. Rask, 2005. "Delivering Public Health Care Services: Substitutes, Complements, or Both?," Contemporary Economic Policy, Western Economic Association International, vol. 23(1), pages 28-39, January.
    9. Gouveia, Miguel, 1997. "Majority Rule and the Public Provision of a Private Good," Public Choice, Springer, vol. 93(3-4), pages 221-244, December.
    10. Lahiri, Radhika, 2002. "The Inflation Tax, Variable Time Preference, And The Business Cycle," Macroeconomic Dynamics, Cambridge University Press, vol. 6(04), pages 496-522, September.
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    12. Glomm, Gerhard & Palumbo, Michael G., 1993. "Optimal intertemporal consumption decisions under the threat of starvation," Journal of Development Economics, Elsevier, vol. 42(2), pages 271-291, December.
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    Cited by:

    1. Shuyun May Li, Solmaz Moslehi, Siew Ling Yew, 2012. "Public-Private Mix of Health Expenditure: A Political Economy Approach and A Quantitative Exercise," Department of Economics - Working Papers Series 1157, The University of Melbourne.

    More about this item

    Keywords

    health; inequality; political economy; income distribution dynamics;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I20 - Health, Education, and Welfare - - Education - - - General
    • O5 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies

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