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Creative destruction and regional health: evidence from the US

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  • Srikant Devaraj

    (Miller College of Business)

  • Marcus T. Wolfe

    (University of Oklahoma)

  • Pankaj C. Patel

    (Villanova University)

Abstract

Building on the recent surge of interest in understanding the influence of entrepreneurship on individual health and well-being, we ask whether county-level creative destruction is associated with county-level health outcomes. Consistent with regional economics and epidemiology literature our unit of analysis is at the regional (i.e., county) level. Based on a sample of 3072 U.S. counties between 2009 and 2015, we find that creative destruction is negatively associated with the share of fair/poor health, the share of frequent physical distress, the share of frequent mental distress, and age-adjusted mortality. The results further show that creative destruction tamps the negative effects of unemployment, income inequality, and rural areas on health and mortality. The estimates are consistent for commuting zones as an additional unit of geographic analysis.

Suggested Citation

  • Srikant Devaraj & Marcus T. Wolfe & Pankaj C. Patel, 2021. "Creative destruction and regional health: evidence from the US," Journal of Evolutionary Economics, Springer, vol. 31(2), pages 573-604, April.
    • Handle: RePEc:spr:joevec:v:31:y:2021:i:2:d:10.1007_s00191-020-00663-x
    DOI: 10.1007/s00191-020-00663-x
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