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Socialized medicine and mortality

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  • Sam Peltzman

Abstract

Over the last century life expectancy has increased substantially and so has the share of health care expenditures financed by governments. In cross-country comparisons, the US, which has the lowest government health expenditure share, often has the poorest health outcomes. Is there a plausible connection between health outcomes and government financing of health care? This paper addresses this question with panel data from 20 developed countries from 1950 to 2010. I review the history of government involvement in health care financing over this period. Then I use panel regression methods to examine whether a variety of mortality based outcome measures are correlated with the extent of government involvement. The answers are robustly negative. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Sam Peltzman, 2014. "Socialized medicine and mortality," International Journal of Health Economics and Management, Springer, vol. 14(3), pages 179-205, September.
  • Handle: RePEc:kap:ijhcfe:v:14:y:2014:i:3:p:179-205
    DOI: 10.1007/s10754-014-9151-z
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    1. David Card & Carlos Dobkin & Nicole Maestas, 2004. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization and Health Evidence from Medicare," Working Papers WR-197, RAND Corporation.
    2. McClellan, Mark & Skinner, Jonathan, 2006. "The incidence of Medicare," Journal of Public Economics, Elsevier, vol. 90(1-2), pages 257-276, January.
    3. Keller, D.M. & Peîerson, E.A. & Silbennan, G., 1997. "Survival rates for four forms of cancer in the United States and Ontario," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1164-1167.
    4. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    5. William Greene, 2004. "Distinguishing between heterogeneity and inefficiency: stochastic frontier analysis of the World Health Organization's panel data on national health care systems," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 959-980, October.
    6. Or, Zeynep & Wang, Jia & Jamison, Dean, 2005. "International differences in the impact of doctors on health: a multilevel analysis of OECD countries," Journal of Health Economics, Elsevier, vol. 24(3), pages 531-560, May.
    7. Finkelstein, Amy & McKnight, Robin, 2008. "What did Medicare do? The initial impact of Medicare on mortality and out of pocket medical spending," Journal of Public Economics, Elsevier, vol. 92(7), pages 1644-1668, July.
    8. Rettenmaier, Andrew J., 2012. "The distribution of lifetime Medicare benefits, taxes and premiums: Evidence from individual level data," Journal of Public Economics, Elsevier, vol. 96(9-10), pages 760-772.
    9. David Card & Carlos Dobkin & Nicole Maestas, 2004. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization and Health: Evidence from Medicare," NBER Working Papers 10365, National Bureau of Economic Research, Inc.
    10. David M. Cutler, 2002. "Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical-Care Reform," Journal of Economic Literature, American Economic Association, vol. 40(3), pages 881-906, September.
    11. Bhattacharya, Jay & Lakdawalla, Darius, 2006. "Does Medicare benefit the poor?," Journal of Public Economics, Elsevier, vol. 90(1-2), pages 277-292, January.
    12. Sam Peltzman, 2011. "Offsetting Behavior, Medical Breakthroughs, and Breakdowns," Journal of Human Capital, University of Chicago Press, vol. 5(3), pages 302-341.
    13. Bidani, Benu & Ravallion, Martin, 1997. "Decomposing social indicators using distributional data," Journal of Econometrics, Elsevier, vol. 77(1), pages 125-139, March.
    14. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
    15. Gorey, K.M. & Holowaty, E.J. & Fehringer, G. & Laukkanen, E. & Moskowitz, A. & Webster, D.J. & Richter, N.L., 1997. "An international comparison of cancer survival: Toronto, Ontario, and Detroit, Michigan, metropolitan areas," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1156-1163.
    16. Cutler, David, 2002. "Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical Care Reform," Scholarly Articles 2640584, Harvard University Department of Economics.
    17. Oecd, 2006. "Projecting OECD Health and Long-Term Care Expenditures: What Are the Main Drivers?," OECD Economics Department Working Papers 477, OECD Publishing.
    18. David Card & Carlos Dobkin & Nicole Maestas, 2009. "Does Medicare Save Lives?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 597-636.
    19. Peltzman, Sam, 2009. "Mortality Inequality," Working Papers 225, The University of Chicago Booth School of Business, George J. Stigler Center for the Study of the Economy and the State.
    20. Mark Berger & Jodi Messer, 2002. "Public financing of health expenditures, insurance, and health outcomes," Applied Economics, Taylor & Francis Journals, vol. 34(17), pages 2105-2113.
    21. William Comanor & H. Frech & Richard Miller, 2006. "Is the United States an outlier in health care and health outcomes? A preliminary analysis," International Journal of Health Economics and Management, Springer, vol. 6(1), pages 3-23, March.
    22. Sam Peltzman, 2009. "Mortality Inequality," Journal of Economic Perspectives, American Economic Association, vol. 23(4), pages 175-190, Fall.
    23. Le Grand, Julian, 1987. "Inequalities in health : Some international comparisons," European Economic Review, Elsevier, vol. 31(1-2), pages 182-191.
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    More about this item

    Keywords

    Health care systems; Government health expenditure ; Mortality; Inequality; Health outcomes; H51; I12; I13; I14; I18; J11;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts

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