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On a tendency in health economics to dwell on income inequality and underestimate social stress

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  • Stark, Oded

Abstract

Social stress can cause physical and mental harm. It is therefore not surprising that public health policy makers have sought to identify and implement policies aimed at tackling this social ill. A frequently prescribed remedy is to reduce social stress by reducing income inequality, which is typically measured by the Gini coefficient. Decomposing the coefficient into a measure of a population’s social stress and a population’s income makes it possible to show that steps taken to lower the coefficient can actually exacerbate social stress. We formulate conditions under which lowering the Gini coefficient coincides with increasing social stress. If the aim of public policy is to improve public health and increase social welfare, and if social welfare is reduced by social stress, then lowering the Gini coefficient may not be the right course of action.

Suggested Citation

  • Stark, Oded, 2023. "On a tendency in health economics to dwell on income inequality and underestimate social stress," Discussion Papers 334203, University of Bonn, Center for Development Research (ZEF).
    • Handle: RePEc:ags:ubzefd:334203
    DOI: 10.22004/ag.econ.334203
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    References listed on IDEAS

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    1. Stark, Oded & Bielawski, Jakub & Falniowski, Fryderyk, 2017. "A class of proximity-sensitive measures of relative deprivation," Economics Letters, Elsevier, vol. 160(C), pages 105-110.
    2. Andrew E. Clark & Paul Frijters & Michael A. Shields, 2008. "Relative Income, Happiness, and Utility: An Explanation for the Easterlin Paradox and Other Puzzles," Journal of Economic Literature, American Economic Association, vol. 46(1), pages 95-144, March.
    3. Oded Stark, 2020. "Relative deprivation as a cause of risky behaviors," The Journal of Mathematical Sociology, Taylor & Francis Journals, vol. 44(3), pages 138-146, July.
    4. Mary C. Daly & Daniel J. Wilson & Norman J. Johnson, 2013. "Relative Status and Well-Being: Evidence from U.S. Suicide Deaths," The Review of Economics and Statistics, MIT Press, vol. 95(5), pages 1480-1500, December.
    5. Ana I. Balsa & Michael T. French & Tracy L. Regan, 2014. "Relative Deprivation and Risky Behaviors," Journal of Human Resources, University of Wisconsin Press, vol. 49(2), pages 446-471.
    6. C. Simon Fan & Oded Stark, 2007. "A Social Proximity Explanation of the Reluctance to Assimilate," Kyklos, Wiley Blackwell, vol. 60(1), pages 55-63, February.
    7. Lynch, J.W. & Kaplan, G.A. & Pamuk, E.R. & Cohen, R.D. & Heck, K.E. & Balfour, J.L. & Yen, I.H., 1998. "Income inequality and mortality in metropolitan areas of the United States," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1074-1080.
    8. Shadi Beshai & Sanju Mishra & Sandeep Mishra & R Nicholas Carleton, 2017. "Personal relative deprivation associated with functional disorders via stress: An examination of fibromyalgia and gastrointestinal symptoms," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-14, December.
    9. John Wildman, 2021. "COVID-19 and income inequality in OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(3), pages 455-462, April.
    10. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
    11. Sen, Amartya, 1973. "On Economic Inequality," OUP Catalogue, Oxford University Press, number 9780198281931.
    12. George A. Akerlof, 1997. "Social Distance and Social Decisions," Econometrica, Econometric Society, vol. 65(5), pages 1005-1028, September.
    13. Elgar, Frank J. & Stefaniak, Anna & Wohl, Michael J.A., 2020. "The trouble with trust: Time-series analysis of social capital, income inequality, and COVID-19 deaths in 84 countries," Social Science & Medicine, Elsevier, vol. 263(C).
    14. Stark, Oded & Fan, C. Simon, 2006. "A Reluctance to Assimilate," Discussion Papers 7125, University of Bonn, Center for Development Research (ZEF).
    15. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
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    Cited by:

    1. Stark, Oded, 2024. "A Note on Sen's Representation of the Gini Coefficient: Revision and Repercussions," IZA Discussion Papers 16856, Institute of Labor Economics (IZA).
    2. Stark, Oded, 2024. "The modification of social space as a tool for lowering social stress," Economics & Human Biology, Elsevier, vol. 53(C).

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    More about this item

    Keywords

    Health Economics and Policy; Public Economics;

    JEL classification:

    • D01 - Microeconomics - - General - - - Microeconomic Behavior: Underlying Principles
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • Z18 - Other Special Topics - - Cultural Economics - - - Public Policy

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