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Diverging Mortality Inequality Trends among Young and Old in the Netherlands

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  • Marlies Bär
  • Bram Wouterse
  • Carlos Riumallo Herl
  • Tom Van Ourti
  • Eddy Van Doorslaer

Abstract

We analyse the trends in inequality in mortality across poverty groups at different ages over the period 1996–2016 in the Netherlands. In addition, we examine whether these trends are related to unequal changes in avoidable mortality, separated by preventable and treatable causes of death. We find that while inequalities in mortality have decreased at ages up to 65, inequalities increased for the oldest age groups. The decline in inequality at the younger ages can, to a large extent, be explained by a strong decrease of mortality from preventable and cardiovascular causes among the poor. The link between inequality and avoidable mortality at the oldest ages is less straightforward. The increasing inequality at old age might be the result of the inequalities shifting from the young to the older age groups, or of the rich benefiting more from the recent health (care) improvements than the poor.

Suggested Citation

  • Marlies Bär & Bram Wouterse & Carlos Riumallo Herl & Tom Van Ourti & Eddy Van Doorslaer, 2021. "Diverging Mortality Inequality Trends among Young and Old in the Netherlands," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 79-101, March.
    • Handle: RePEc:wly:fistud:v:42:y:2021:i:1:p:79-101
    DOI: 10.1111/1475-5890.12260
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    1. Bonekamp, Johan & Wouterse, Bram, 2023. "Do different shocks in health matter for wealth?," Journal of Health Economics, Elsevier, vol. 87(C).

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