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Reference Health and the Demand for Medical Care

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  • Matthew C. Harris
  • Jennifer L. Kohn

Abstract

We propose that health in prior periods, termed reference health, is theoretically and empirically relevant to the demand for medical care. To address non‐normality in the distributions of medical care spending, consumption, and health, we use a conditional density estimator nested in a finite mixture framework. We find that reference health can help explain the variation in spending among individuals with the same contemporaneous health, particularly in the top tail of the spending distribution. We demonstrate that omitting reference health understates the potential cost‐savings of healthy aging initiatives by 50%.

Suggested Citation

  • Matthew C. Harris & Jennifer L. Kohn, 2018. "Reference Health and the Demand for Medical Care," Economic Journal, Royal Economic Society, vol. 128(615), pages 2812-2842, November.
  • Handle: RePEc:wly:econjl:v:128:y:2018:i:615:p:2812-2842
    DOI: 10.1111/ecoj.12554
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    Cited by:

    1. Donna B. Gilleskie, 2021. "In sickness and in health, until death do us part: A case for theory," Southern Economic Journal, John Wiley & Sons, vol. 87(3), pages 753-768, January.
    2. Fonseca Morello, Thiago, 2023. "Hospitalization due to fire-induced pollution in the Brazilian Amazon: A causal inference analysis with an assessment of policy trade-offs," World Development, Elsevier, vol. 161(C).
    3. Nesson, Erik T. & Robinson, Joshua J., 2019. "On the measurement of health and its effect on the measurement of health inequality," Economics & Human Biology, Elsevier, vol. 35(C), pages 207-221.

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