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Health insurance and height inequality: evidence from European Health Insurance Expansions

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  • Baten, Jörg
  • Batinti, Alberto
  • Costa-Font, Joan
  • Radatz, Laura

Abstract

Health insurance expansions can improve health outcomes by increasing access to healthcare. This is especially true among the poorer segments of the population, who may not be able to afford the cost of healthcare, or might lack the information about where to seek proper medical care. In this paper we examine whether increased access to health insurance has historically reduced height inequality by promoting body growth, particularly among poorer individuals, and so enhanced their height, a widely used and well-established anthropometric health and well-being indicator. We draw on evidence from a panel of countries for which we could measure height inequality. Our evidence document clear evidence that indeed within-country differences in height inequality decreased following health insurance expansions towards near-universal coverage.

Suggested Citation

  • Baten, Jörg & Batinti, Alberto & Costa-Font, Joan & Radatz, Laura, 2024. "Health insurance and height inequality: evidence from European Health Insurance Expansions," LSE Research Online Documents on Economics 122716, London School of Economics and Political Science, LSE Library.
  • Handle: RePEc:ehl:lserod:122716
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    1. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    2. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    3. Cutler, David & Johnson, Richard, 2004. "The Birth and Growth of the Social Insurance State: Explaining Old-Age and Medical Insurance Across Countries," Scholarly Articles 2643658, Harvard University Department of Economics.
    4. Janet Currie & Jonathan Gruber, 1996. "Health Insurance Eligibility, Utilization of Medical Care, and Child Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 431-466.
    5. Moradi, Alexander & Baten, Joerg, 2005. "Inequality in Sub-Saharan Africa: New Data and New Insights from Anthropometric Estimates," World Development, Elsevier, vol. 33(8), pages 1233-1265, August.
    6. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    7. Durlauf, Steven N. & Johnson, Paul A. & Temple, Jonathan R.W., 2005. "Growth Econometrics," Handbook of Economic Growth, in: Philippe Aghion & Steven Durlauf (ed.),Handbook of Economic Growth, edition 1, volume 1, chapter 8, pages 555-677, Elsevier.
    8. Stefan Bauernschuster & Anastasia Driva & Erik Hornung, 2020. "Bismarck’s Health Insurance and the Mortality Decline [Disease and Development: The Effect of Life Expectancy on Economic Growth]," Journal of the European Economic Association, European Economic Association, vol. 18(5), pages 2561-2607.
    9. Jonathan Temple, 2005. "Dual Economy Models: A Primer For Growth Economists," Manchester School, University of Manchester, vol. 73(4), pages 435-478, July.
    10. Liran Einav & Amy Finkelstein, 2018. "Moral Hazard in Health Insurance: What We Know and How We Know It," Journal of the European Economic Association, European Economic Association, vol. 16(4), pages 957-982.
    11. ., 2005. "Economic Growth," Chapters, in: Discussing Economics, chapter 11, pages 141-156, Edward Elgar Publishing.
    12. Dani Rodrik, 1998. "Why Do More Open Economies Have Bigger Governments?," Journal of Political Economy, University of Chicago Press, vol. 106(5), pages 997-1032, October.
    13. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    14. Sarah Miller & Norman Johnson & Laura R Wherry, 2021. "Medicaid and Mortality: New Evidence From Linked Survey and Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(3), pages 1783-1829.
    15. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    16. Alberto Batinti & Joan Costa-Font, 2023. "Do democratic regimes exhibit 'better' health outcomes?," Chapters, in: Joan Costa-Font & Alberto Batinti & Gilberto Turati (ed.), Handbook on the Political Economy of Health Systems, chapter 3, pages 27-41, Edward Elgar Publishing.
    17. David M. Cutler & Richard Johnson, 2004. "The Birth and Growth of the Social Insurance State: Explaining Old Age and Medical Insurance Across Countries," Public Choice, Springer, vol. 120(1_2), pages 87-121, July.
    18. Olli E. Kangas, 2012. "Testing old theories in new surroundings: The timing of first social security laws in Africa," International Social Security Review, John Wiley & Sons, vol. 65(1), pages 73-97, January.
    19. Hongliang Wang & Yiwen Yu, 2016. "Increasing health inequality in China: An empirical study with ordinal data," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 14(1), pages 41-61, March.
    20. Haushofer, Johannes & Chemin, Matthieu & Jang, Chaning & Abraham, Justin, 2020. "Economic and psychological effects of health insurance and cash transfers: Evidence from a randomized experiment in Kenya," Journal of Development Economics, Elsevier, vol. 144(C).
    21. Hatton, Timothy J. & Bray, Bernice E., 2010. "Long run trends in the heights of European men, 19th-20th centuries," Economics & Human Biology, Elsevier, vol. 8(3), pages 405-413, December.
    22. Nicola Persico & Andrew Postlewaite & Dan Silverman, 2004. "The Effect of Adolescent Experience on Labor Market Outcomes: The Case of Height," Journal of Political Economy, University of Chicago Press, vol. 112(5), pages 1019-1053, October.
    23. Ellis, Randall P. & Manning, Willard G., 2007. "Optimal health insurance for prevention and treatment," Journal of Health Economics, Elsevier, vol. 26(6), pages 1128-1150, December.
    24. ., 2005. "Emergence of the high-growth-period economic system," Chapters, in: Evolution of the Economic System in Japan, chapter 6, pages 165-219, Edward Elgar Publishing.
    25. ., 2005. "Technological change, economic growth and energy use," Chapters, in: The Economics of Technology Diffusion and Energy Efficiency, chapter 1, pages 3-14, Edward Elgar Publishing.
    26. Joerg Baten & Matthias Blum, 2014. "Why are you tall while others are short? Agricultural production and other proximate determinants of global heights," European Review of Economic History, European Historical Economics Society, vol. 18(2), pages 144-165.
    27. Baten Jörg, 2000. "Heights and Real Wages in the 18th and 19th Centuries: An International Overview," Jahrbuch für Wirtschaftsgeschichte / Economic History Yearbook, De Gruyter, vol. 41(1), pages 61-76, June.
    28. Baten, Joerg & Mumme, Christina, 2013. "Does inequality lead to civil wars? A global long-term study using anthropometric indicators (1816–1999)," European Journal of Political Economy, Elsevier, vol. 32(C), pages 56-79.
    29. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    30. Steckel, Richard H., 2009. "Heights and human welfare: Recent developments and new directions," Explorations in Economic History, Elsevier, vol. 46(1), pages 1-23, January.
    31. McEvoy, Brian P. & Visscher, Peter M., 2009. "Genetics of human height," Economics & Human Biology, Elsevier, vol. 7(3), pages 294-306, December.
    32. Joan Costa‐Font & Frank A. Cowell & Belen Saenz de Miera, 2021. "Measuring pure health inequality and mobility during a health insurance expansion: Evidence from Mexico," Health Economics, John Wiley & Sons, Ltd., vol. 30(8), pages 1833-1848, August.
    33. Baten Jörg & Blum Matthias, 2011. "Anthropometric within-country Inequality and the Estimation of Skill Premia with Anthropometric Indicators," Review of Economics, De Gruyter, vol. 62(2), pages 107-138, August.
    34. Katherine Baicker & Sendhil Mullainathan & Joshua Schwartzstein, 2015. "Behavioral Hazard in Health Insurance," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 130(4), pages 1623-1667.
    35. ., 2005. "Decline of the high-growth-period economic system," Chapters, in: Evolution of the Economic System in Japan, chapter 8, pages 262-292, Edward Elgar Publishing.
    36. Blum, Matthias, 2014. "Estimating male and female height inequality," Economics & Human Biology, Elsevier, vol. 14(C), pages 103-108.
    37. Hongliang Wang & Yiwen Yu, 2016. "Increasing health inequality in China: An empirical study with ordinal data," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 14(1), pages 41-61, March.
    38. Jan Luiten Zanden & Joerg Baten & Peter Foldvari & Bas Leeuwen, 2014. "The Changing Shape of Global Inequality 1820–2000; Exploring a New Dataset," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 60(2), pages 279-297, June.
    39. Hongliang Wang & Yiwen Yu, 2016. "Increasing health inequality in China: An empirical study with ordinal data," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 14(1), pages 41-61, March.
    40. Jonathan R. W. Temple, 2005. "Growth and Wage Inequality in a Dual Economy," Bulletin of Economic Research, Wiley Blackwell, vol. 57(2), pages 145-169, April.
    41. Nicola Persico & Andrew Postlewaite & Dan Silverman, 2001. "The Effect of Adolescent Experience on Labor Market Outcomes: The Case of Height, Third Version," PIER Working Paper Archive 04-013, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 15 Mar 2004.
    42. Olusesan Ayodeji Makinde & Abayomi Sule & Olayinka Ayankogbe & David Boone, 2018. "Distribution of health facilities in Nigeria: Implications and options for Universal Health Coverage," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 1179-1192, October.
    43. Andrew Goodman-Bacon, 2021. "The Long-Run Effects of Childhood Insurance Coverage: Medicaid Implementation, Adult Health, and Labor Market Outcomes," American Economic Review, American Economic Association, vol. 111(8), pages 2550-2593, August.
    44. Richard H. Steckel, 1995. "Stature and the Standard of Living," Journal of Economic Literature, American Economic Association, vol. 33(4), pages 1903-1940, December.
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    More about this item

    Keywords

    health insurance expansions; heights; health inequality; inequality; economic development;
    All these keywords.

    JEL classification:

    • N34 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Europe: 1913-
    • I10 - Health, Education, and Welfare - - Health - - - General
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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