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Health opportunities in Colombia

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  • Felipe Rivera

    (Universidad del Rosario)

Abstract

According to the theory of equality of opportunity, inequality in final outcomes (e.g., monetary income) is mainly caused by two broad characteristics: circumstances and individual effort. Individuals have no control on the former but on the latter. Inequalities in final outcomes caused by circumstances are considered unfair, while those generated by effort are not. In this paper, we calculate the level of unjust inequality in health in Colombia. A preliminary conclusion is that Colombia presents evidence of inequality of opportunities in health, which explains between 30% and 40% of total inequality in self-reported health status. Considering only observable circumstances, mother’s health, household structure through childhood, and gender are individual characteristics that have considerable influence on this type of inequality.

Suggested Citation

  • Felipe Rivera, 2017. "Health opportunities in Colombia," Lecturas de Economía, Universidad de Antioquia, Departamento de Economía, issue 87, pages 125-164, Julio - D.
  • Handle: RePEc:lde:journl:y:2017:i:87:p:125-164
    DOI: 10.17533/udea.le.n87a05
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    1. Marc Fleurbaey & Vito Peragine, 2013. "Ex Ante Versus Ex Post Equality of Opportunity," Economica, London School of Economics and Political Science, vol. 80(317), pages 118-130, January.
    2. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    3. Florence Jusot & Sandy Tubeuf & Alain Trannoy, 2013. "Circumstances And Efforts: How Important Is Their Correlation For The Measurement Of Inequality Of Opportunity In Health?," Health Economics, John Wiley & Sons, Ltd., vol. 22(12), pages 1470-1495, December.
    4. Arnsperger, Christian, 1994. "Envy-Freeness and Distributive Justice," Journal of Economic Surveys, Wiley Blackwell, vol. 8(2), pages 155-186, June.
    5. Roemer, John E. & Aaberge, Rolf & Colombino, Ugo & Fritzell, Johan & Jenkins, Stephen P. & Lefranc, Arnaud & Marx, Ive & Page, Marianne & Pommer, Evert & Ruiz-Castillo, Javier, 2003. "To what extent do fiscal regimes equalize opportunities for income acquisition among citizens?," Journal of Public Economics, Elsevier, vol. 87(3-4), pages 539-565, March.
    6. Fleurbaey, Marc, 2012. "Fairness, Responsibility, and Welfare," OUP Catalogue, Oxford University Press, number 9780199653591.
    7. Marc Fleurbaey & François Maniquet, 2006. "Compensation and responsibility," Working Papers halshs-00121367, HAL.
    8. T. Paul Schultz & John A. Strauss (ed.), 2008. "Handbook of Development Economics," Handbook of Development Economics, Elsevier, edition 1, volume 4, number 5.
    9. Silvia Balia & Andrew M. Jones, 2011. "Catching the habit: a study of inequality of opportunity in smoking‐related mortality," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 174(1), pages 175-194, January.
    10. Johanna Fajardo-Gonzalez, 2016. "Inequality of opportunity in adult health in Colombia," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 14(4), pages 395-416, December.
    11. Jusot, F & Tubeuf, S & Trannoy, T, 2010. "Inequality of Opportunities in Health in Europe: Why So Much Difference Across Countries?," Health, Econometrics and Data Group (HEDG) Working Papers 10/26, HEDG, c/o Department of Economics, University of York.
    12. Shorrocks, A F, 1982. "Inequality Decomposition by Factor Components," Econometrica, Econometric Society, vol. 50(1), pages 193-211, January.
    13. Anthony F. Shorrocks, 1983. "The Impact of Income Components on the Distribution of Family Incomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 98(2), pages 311-326.
    14. repec:dau:papers:123456789/7032 is not listed on IDEAS
    15. Lefranc, Arnaud & Pistolesi, Nicolas & Trannoy, Alain, 2009. "Equality of opportunity and luck: Definitions and testable conditions, with an application to income in France," Journal of Public Economics, Elsevier, vol. 93(11-12), pages 1189-1207, December.
    16. Karina Acosta-Ordoñez, 2017. "La salud en las regiones colombianas: inequidad y morbilidad," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 2, pages 1-37, Banco de la Republica de Colombia.
    17. repec:dau:papers:123456789/5065 is not listed on IDEAS
    18. Giorgio Brunello & Daniele Checchi, 2007. "Does school tracking affect equality of opportunity? New international evidence [‘Educational opportunities and the role of institutions’]," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 22(52), pages 782-861.
    19. Arnaud Lefranc & Nicolas Pistolesi & Alain Trannoy, 2008. "Inequality Of Opportunities Vs. Inequality Of Outcomes: Are Western Societies All Alike?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 54(4), pages 513-546, December.
    20. Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), 2011. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, volume 2, number 2.
    21. Raquel Bernal & Ximena Cadena & Adriana Camacho & Juan Camilo Cárdenas & Leopoldo Fergusson & Ana María Ibáñez, 2012. "Encuesta Longitudinal Colombiana de la Universidad de los Andes- ELCA 2013," Documentos CEDE 12340, Universidad de los Andes, Facultad de Economía, CEDE.
    22. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
    23. Torben Heien Nielsen, 2016. "The Relationship Between Self‐Rated Health and Hospital Records," Health Economics, John Wiley & Sons, Ltd., vol. 25(4), pages 497-512, April.
    24. Serge-Christophe Kolm, 1995. "The Economics Of Social Sentiments: The Case Of Envy," The Japanese Economic Review, Japanese Economic Association, vol. 46(1), pages 63-87, March.
    25. Pedro Rosa Dias, 2009. "Inequality of opportunity in health: evidence from a UK cohort study," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 1057-1074, September.
    26. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    27. K. J. Arrow & A. K. Sen & K. Suzumura (ed.), 2011. "Handbook of Social Choice and Welfare," Handbook of Social Choice and Welfare, Elsevier, edition 1, volume 2, number 2.
    28. Alain Trannoy & Sandy Tubeuf & Florence Jusot & Marion Devaux, 2010. "Inequality of opportunities in health in France: a first pass," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 921-938, August.
    29. Francisco H. G. Ferreira & Jérémie Gignoux, 2011. "The Measurement Of Inequality Of Opportunity: Theory And An Application To Latin America," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 57(4), pages 622-657, December.
    30. Francisco H.G. Ferreira & Jérémie Gignoux, 2011. "The Measurement of Inequality of Inequality of Opportunity: Theory and an Application to Latin America," PSE-Ecole d'économie de Paris (Postprint) halshs-00754503, HAL.
    31. Raquel Bernal & Mauricio Cárdenas Santa María, 2005. "Race and ethnic inequality in health and health care in Colombia," Working Papers Series. Documentos de Trabajo 3413, Fedesarrollo.
    32. Nicolas Pistolesi, 2009. "Inequality of opportunity in the land of opportunities, 1968–2001," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 7(4), pages 411-433, December.
    33. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July.
    34. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    35. Pedro Rosa Dias & Andrew M. Jones, 2007. "Giving equality of opportunity a fair innings," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 109-112, February.
    36. Roemer, John E. & Aaberge, Rolf & Colombino, Ugo & Fritzell, Johan & Jenkins, Stephen P. & Lefranc, Arnaud & Marx, Ive & Page, Marianne & Pommer, Evert & Ruiz-Castillo, Javier, 2003. "To what extent do fiscal regimes equalize opportunities for income acquisition among citizens?," Journal of Public Economics, Elsevier, vol. 87(3-4), pages 539-565, March.
    37. Philip M. Clarke & Chris Ryan, 2006. "Self‐reported health: reliability and consequences for health inequality measurement," Health Economics, John Wiley & Sons, Ltd., vol. 15(6), pages 645-652, June.
    38. Allison, R. Andrew & Foster, James E., 2004. "Measuring health inequality using qualitative data," Journal of Health Economics, Elsevier, vol. 23(3), pages 505-524, May.
    39. Strauss, John & Thomas, Duncan, 2008. "Health over the Life Course," Handbook of Development Economics, in: T. Paul Schultz & John A. Strauss (ed.), Handbook of Development Economics, edition 1, volume 4, chapter 54, pages 3375-3474, Elsevier.
    40. repec:dau:papers:123456789/268 is not listed on IDEAS
    41. Fleurbaey, Marc, 1995. "Equality and responsibility," European Economic Review, Elsevier, vol. 39(3-4), pages 683-689, April.
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    More about this item

    Keywords

    health; equality of opportunity; circumstances; individual effort; Colombia;
    All these keywords.

    JEL classification:

    • D39 - Microeconomics - - Distribution - - - Other
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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