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Adjusting National Accounting for Health: Is the Business Cycle Countercyclical?

Author

Listed:
  • Mark L. Egan
  • Casey B. Mulligan
  • Tomas J. Philipson

Abstract

Many national accounts of economic output and prosperity, such as gross domestic product (GDP) or net domestic product (NDP), offer an incomplete picture by ignoring, for example, the value of leisure, home production, and the value of health. Previous discussed shortcomings of such accounts have focused on how unobserved dimensions affect GDP levels but not their cyclicality, which affects the measurement of the business cycle. This paper proposes a new methodology to measure economic fluctuations that incorporates monetized changes in health of the population in the United States and globally during the past 50 years. In particular, we incorporate in GDP the dollar value of mortality, treating it as depreciation in human capital analogous to how net domestic product (NDP) treats depreciation of physical capital. Because mortality tends to be pro‐cyclical, we find that adjusting for mortality reduces the measured deviations of GDP from trend during the past 50 years by about 30% both in the United States and internationally.

Suggested Citation

  • Mark L. Egan & Casey B. Mulligan & Tomas J. Philipson, 2013. "Adjusting National Accounting for Health: Is the Business Cycle Countercyclical?," NBER Working Papers 19058, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:19058
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    Cited by:

    1. Ruhm, Christopher J., 2015. "Recessions, healthy no more?," Journal of Health Economics, Elsevier, vol. 42(C), pages 17-28.
    2. Jörg Döpke & Philip Maschke, 2015. "Are There Business Cycles “beyond GDP”? Alternative Measures to GDP at Business Cycle Frequencies," Applied Economics Quarterly (formerly: Konjunkturpolitik), Duncker & Humblot GmbH, Berlin, vol. 61(2), pages 115-139.
    3. Urbanos-Garrido, Rosa M. & Gonzalez Lopez-Valcarcel, Beatriz, 2013. "Desempleo y salud: Un análisis de la repercusión de la crisis económica sobre la salud de los españoles/Unemployment and Health: An Analysis of the Impact of the Economic Crisis on the Health of the S," Estudios de Economia Aplicada, Estudios de Economia Aplicada, vol. 31, pages 303-326, Septiembr.

    More about this item

    JEL classification:

    • E01 - Macroeconomics and Monetary Economics - - General - - - Measurement and Data on National Income and Product Accounts and Wealth; Environmental Accounts
    • I1 - Health, Education, and Welfare - - Health

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