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Aging, Health and Aggregate Medical Care Spending in France

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  • Michel Grignon

Abstract

Even though institutions rather than ageing influence medical expenditure at the aggregate level, measuring the expected impact of changes in need (age and health status) on expenditure in a given national health care system allows one to assess how institutions allocate resources across ages. I attempt such a decomposition of the variation of medical expenditure between need, socio- economic circumstances and technology in the case of France, using a unique data set at the individual level. I use morbidity as an indicator of health and test for endogeneity of health to expenditure, as well as for temporal stability of the relationship between health and medical care.

Suggested Citation

  • Michel Grignon, 2005. "Aging, Health and Aggregate Medical Care Spending in France," Department of Economics Working Papers 2005-05, McMaster University.
    • Handle: RePEc:mcm:deptwp:2005-05
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    File URL: http://socserv.mcmaster.ca/econ/rsrch/papers/archive/2005-05.pdf
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    References listed on IDEAS

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    1. Jonas Schreyogg, 2004. "Demographic Development and Moral Hazard: Health Insurance with Medical Savings Accounts," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 29(4), pages 689-704, October.
    2. Brigitte Dormont & Hélène Huber, 2006. "Ageing and changes in medical practices : reassessing theinfluence of demography," Post-Print halshs-00274723, HAL.
    3. Stephane Jacobzone & E. Cambois & E. Chaplain & J. M. Robine, 1999. "The Health of Older Persons in OECD Countries: Is it Improving Fast Enough to Compensate for Population Ageing?," OECD Labour Market and Social Policy Occasional Papers 37, OECD Publishing.
    4. David A. Wise, 1990. "Issues in the Economics of Aging," NBER Books, National Bureau of Economic Research, Inc, number wise90-1.
    5. David M. Cutler & Louise Sheiner, 1998. "Demographics and Medical Care Spending: Standard and Non-Standard Effects," NBER Working Papers 6866, National Bureau of Economic Research, Inc.
    6. David M. Cutler & Ellen Meara, 2001. "The Concentration of Medical Spending: An Update," NBER Chapters, in: Themes in the Economics of Aging, pages 217-240, National Bureau of Economic Research, Inc.
    7. Cutler, David, 2000. "Walking the Tightrope on Medicare Reform," Scholarly Articles 2640587, Harvard University Department of Economics.
    8. Thai-Thanh Dang & Pablo Antolín & Howard Oxley, 2001. "Fiscal Implications of Ageing: Projections of Age-Related Spending," OECD Economics Department Working Papers 305, OECD Publishing.
    9. David M. Cutler, 2000. "Walking the Tightrope on Medicare Reform," Journal of Economic Perspectives, American Economic Association, vol. 14(2), pages 45-56, Spring.
    10. R.G. Evans & K.M. McGrail & S.G. Morgan & M.L. Barer & C. Hertzman, 2001. "APOCALYPSE NO: Population Aging and the Future of Health Care Systems," Social and Economic Dimensions of an Aging Population Research Papers 59, McMaster University.
    11. Berndt Ernst R. & Cockburn Iain M. & Cocks Douglas L. & Epstein Arnold M. & Griliches Zvi, 1998. "Is Price Inflation Different for the Elderly? An Empirical Analysis of Prescription Drugs," Forum for Health Economics & Policy, De Gruyter, vol. 1(1), pages 1-45, January.
    12. Dov Chernichovsky & Sara Markowitz, 2004. "Aging and aggregate costs of medical care: conceptual and policy issues," Health Economics, John Wiley & Sons, Ltd., vol. 13(6), pages 543-562, June.
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