IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp16130.html
   My bibliography  Save this paper

On a Tendency in Health Economics to Dwell on Income Inequality and Underestimate Social Stress

Author

Listed:
  • Stark, Oded

    (University of Bonn)

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," IZA Discussion Papers 16130, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp16130
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp16130.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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).
    6. 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.
    7. 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.
    8. 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.
    9. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
    10. George A. Akerlof, 1997. "Social Distance and Social Decisions," Econometrica, Econometric Society, vol. 65(5), pages 1005-1028, September.
    11. 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.
    12. 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.
    13. Sen, Amartya, 1973. "On Economic Inequality," OUP Catalogue, Oxford University Press, number 9780198281931, Decembrie.
    14. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Oded Stark, 2024. "A note on Sen’s representation of the Gini coefficient: Revision and repercussions," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 22(4), pages 1061-1067, December.
    2. Stark, Oded, 2024. "The modification of social space as a tool for lowering social stress," Economics & Human Biology, Elsevier, vol. 53(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Oded Stark & Wiktor Budzinski, 2021. "A social‐psychological reconstruction of Amartya Sen’s measures of inequality and social welfare," Kyklos, Wiley Blackwell, vol. 74(4), pages 552-566, November.
    2. Stark, Oded, 2021. "Why reducing relative deprivation but not reducing income inequality might bring down COVID-19 infections," Journal of Government and Economics, Elsevier, vol. 4(C).
    3. Stark, Oded, 2024. "The modification of social space as a tool for lowering social stress," Economics & Human Biology, Elsevier, vol. 53(C).
    4. Kang, Songman & Son, Hyelim & Song, B.K., 2023. "The effect of housing price inequality on mental health," Labour Economics, Elsevier, vol. 85(C).
    5. Stark, Oded & Kosiorowski, Grzegorz, 2024. "An optimal allocation of asylum seekers," Journal of Economic Behavior & Organization, Elsevier, vol. 220(C), pages 1-11.
    6. 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.
    7. Takahashi, Ana Maria, 2016. "Job stress in Japanese academia: The role of relative income, time allocation by task, and children," Journal of Asian Economics, Elsevier, vol. 43(C), pages 12-17.
    8. Stark, Oded & Budzinski, Wiktor, 2024. "The merger of populations as a revision of comparison space: Repercussions for social stress and income inequality," Economics Letters, Elsevier, vol. 237(C).
    9. Oded Stark & Walter Hyll & Yong Wang, 2012. "Endogenous Selection of Comparison Groups, Human Capital Formation, and Tax Policy," Economica, London School of Economics and Political Science, vol. 79(313), pages 62-75, January.
    10. Tara Watson & Sara McLanahan, 2011. "Marriage Meets the Joneses: Relative Income, Identity, and Marital Status," Journal of Human Resources, University of Wisconsin Press, vol. 46(3), pages 482-517.
    11. Hyll, Walter & Schneider, Lutz, 2016. "Social Comparisons and Attitudes towards Foreigners. Evidence from the ‘Fall of the Iron Curtain’," IWH Discussion Papers 12/2016, Halle Institute for Economic Research (IWH).
    12. Ana Maria Takahashi, 2014. "Job-related stress in academia: the role of relative deprivation, hours worked for different tasks, and children," Discussion Papers 1424, Graduate School of Economics, Kobe University.
    13. Stark, Oded & Fan, C. Simon, 2011. "Migration for degrading work as an escape from humiliation," Journal of Economic Behavior & Organization, Elsevier, vol. 77(3), pages 241-247, March.
    14. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    15. Lucio Esposito & Shatakshee Dhongde & Christopher Millett, 2021. "Smoking habits in Mexico: Upward and downward comparisons of economic status," Review of Development Economics, Wiley Blackwell, vol. 25(3), pages 1558-1575, August.
    16. Jakub Bielawski & Marcin Jakubek, 2021. "The Interplay between Migrants and Natives as a Determinant of Migrants’ Assimilation: A Coevolutionary Approach," Central European Journal of Economic Modelling and Econometrics, Central European Journal of Economic Modelling and Econometrics, vol. 13(3), pages 213-251, September.
    17. Shigeoka, Hitoshi & Yamada, Katsunori, 2019. "Income-comparison attitudes in the United States and the United Kingdom: Evidence from discrete-choice experiments," Journal of Economic Behavior & Organization, Elsevier, vol. 164(C), pages 414-438.
    18. Grönqvist, Hans & Johansson, Per & Niknami, Susan, 2012. "Income inequality and health: Lessons from a refugee residential assignment program," Journal of Health Economics, Elsevier, vol. 31(4), pages 617-629.
    19. Xi Chen, 2015. "Relative deprivation and individual well-being," IZA World of Labor, Institute of Labor Economics (IZA), pages 140-140, April.
    20. Oded Stark & Grzegorz Kosiorowski, 2021. "Turning relative deprivation into a performance incentive device," The Journal of Mathematical Sociology, Taylor & Francis Journals, vol. 45(1), pages 22-36, January.

    More about this item

    Keywords

    social stress; Gini coefficient; income inequality; public health policy; social welfare;
    All these keywords.

    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

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp16130. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.