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Effect of Austerity Measures on Infant Mortality: Evidence from Greece

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  • Robert J. Kolesar
  • Rok Spruk

Abstract

This study examines the effect of fiscal austerity measures on infant mortality in Greece. Austerity measures were initiated by the tripartite committee and implemented between 2010 and 2017 to counteract deep fiscal deficit and large public debt. By comparing Greece with a plausible donor pool of OECD and Mediterranean member states in the period 1991-2020, we estimate a series of missing counterfactual scenarios to evaluate the infant mortality effects of large-scale reduction in spending on health care. A series of hybrid synthetic control and difference-in-differences estimates indicate a unique and pervasive increase in infant mortality after the implementation of austerity measures. Compared to a plausible OECD and Mediterranean counterfactual scenario, pro-cyclical austerity measures are associated with derailed and permanently increased infant mortality up to the present day. Our estimates suggest that compared to a plausible counterfactual scenario, the cumulative infant mortality cost of austerity policies exceeds 10,000 infant deaths or slightly less than 850 deaths for each year of the austerity policies. Notably, mortality increases are concentrated among boys. The estimated impacts survive a battery of rigorous robustness and placebo tests.

Suggested Citation

  • Robert J. Kolesar & Rok Spruk, 2024. "Effect of Austerity Measures on Infant Mortality: Evidence from Greece," Papers 2407.17084, arXiv.org.
    • Handle: RePEc:arx:papers:2407.17084
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    1. Eli Ben-Michael & Avi Feller & Jesse Rothstein, 2021. "The Augmented Synthetic Control Method," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 116(536), pages 1789-1803, October.
    2. Pierre-Olivier Gourinchas & Thomas Philippon & Dimitri Vayanos, 2017. "The Analytics of the Greek Crisis," NBER Macroeconomics Annual, University of Chicago Press, vol. 31(1), pages 1-81.
    3. Siddiqi, Arjumand & Jones, Marcella K. & Erwin, Paul Campbell, 2015. "Does higher income inequality adversely influence infant mortality rates? Reconciling descriptive patterns and recent research findings," Social Science & Medicine, Elsevier, vol. 131(C), pages 82-88.
    4. Tapia Granados, José A. & Rodriguez, Javier M., 2015. "Health, economic crisis, and austerity: A comparison of Greece, Finland and Iceland," Health Policy, Elsevier, vol. 119(7), pages 941-953.
    5. Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
    6. Dmitry Arkhangelsky & Susan Athey & David A. Hirshberg & Guido W. Imbens & Stefan Wager, 2021. "Synthetic Difference-in-Differences," American Economic Review, American Economic Association, vol. 111(12), pages 4088-4118, December.
    7. Ifanti, Amalia A. & Argyriou, Andreas A. & Kalofonou, Foteini H. & Kalofonos, Haralabos P., 2013. "Financial crisis and austerity measures in Greece: Their impact on health promotion policies and public health care," Health Policy, Elsevier, vol. 113(1), pages 8-12.
    8. Colombo, Emilio & Rotondi, Valentina & Stanca, Luca, 2018. "Macroeconomic conditions and health: Inspecting the transmission mechanism," Economics & Human Biology, Elsevier, vol. 28(C), pages 29-37.
    9. Gabriel Chodorow-Reich & Loukas Karabarbounis & Rohan Kekre, 2023. "The Macroeconomics of the Greek Depression," American Economic Review, American Economic Association, vol. 113(9), pages 2411-2457, September.
    10. Rauch Bernhard & Göttsche Max & Engel Stefan & Brähler Gernot, 2011. "Fact and Fiction in EU-Governmental Economic Data," German Economic Review, De Gruyter, vol. 12(3), pages 243-255, August.
    11. Bibek Adhikari & James Alm, 2016. "Evaluating the Economic Effects of Flat Tax Reforms Using Synthetic Control Methods," Southern Economic Journal, John Wiley & Sons, vol. 83(2), pages 437-463, October.
    12. Alberto Abadie, 2021. "Using Synthetic Controls: Feasibility, Data Requirements, and Methodological Aspects," Journal of Economic Literature, American Economic Association, vol. 59(2), pages 391-425, June.
    13. David Gilchrist & Thomas Emery & Nuno Garoupa & Rok Spruk, 2023. "Synthetic Control Method: A tool for comparative case studies in economic history," Journal of Economic Surveys, Wiley Blackwell, vol. 37(2), pages 409-445, April.
    14. Martha J. Bailey & Andrew Goodman-Bacon, 2015. "The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans," American Economic Review, American Economic Association, vol. 105(3), pages 1067-1104, March.
    15. Itzik Fadlon & Torben Heien Nielsen, 2021. "Family Labor Supply Responses to Severe Health Shocks: Evidence from Danish Administrative Records," American Economic Journal: Applied Economics, American Economic Association, vol. 13(3), pages 1-30, July.
    16. repec:wly:soecon:v:83:2:y:2016:p:437-463 is not listed on IDEAS
    17. Simou, Effie & Koutsogeorgou, Eleni, 2014. "Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review," Health Policy, Elsevier, vol. 115(2), pages 111-119.
    18. Keramidou, Ioanna & Triantafyllopoulos, Loukas, 2018. "The impact of the financial crisis and austerity policies on the service quality of public hospitals in Greece," Health Policy, Elsevier, vol. 122(4), pages 352-358.
    19. Xu, Yiqing, 2017. "Generalized Synthetic Control Method: Causal Inference with Interactive Fixed Effects Models," Political Analysis, Cambridge University Press, vol. 25(1), pages 57-76, January.
    20. Georgia Kaplanoglou & Vassilis T. Rapanos, 2018. "Evolutions in Consumption Inequality and Poverty in Greece: The Impact of the Crisis and Austerity Policies," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 64(1), pages 105-126, March.
    21. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    22. T. Efthimiadis & S. Papaioannou & P. Tsintzos, 2013. "Economic growth in Greece: the cost of a failed adjustment programme," Applied Economics Letters, Taylor & Francis Journals, vol. 20(11), pages 1076-1080, July.
    23. Charis E. Kubrin & Bradley J. Bartos & Richard McCleary, 2022. "The debt crisis, austerity measures, and suicide in Greece," Social Science Quarterly, Southwestern Social Science Association, vol. 103(1), pages 120-140, January.
    24. Ioannides, Yannis & Philippon, Presenter Thomas & Gourinchas, Pierre-Olivier & Blanchard, Olivier & Steinsson, Jon & Uhlig, Harald & Alvarez, Fernando & Reis, Ricardo & Klein, Michael, 2017. "The Analytics of the Greek Crisis Discussion," Department of Economics, Working Paper Series qt4z39g6vx, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
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