Public and Private Expenditures on Health in a Growth Model

This paper introduces endogenous longevity in an otherwise standard overlapping generations model with capital. In the model, a young agent may increase the length of her old age by incurring investments in health funded from her wage income. Such private health investments are assumed to be more "productive" if accompanied by complementary tax-financed public health programs. The presence of such a complementary public input in private longevity is shown to expose the economy to aggregate endogenous fluctuations and even chaos, and such volatility is impossible in its absence. In particular, the model is capable of generating dramatic reversals in life expectancy as has been observed in many countries.

[1]  C. I. Jones,et al.  The Value of Life and the Rise in Health Spending , 2004 .

[2]  Endogenous longevity, health and economic growth: a slow growth for a longer life? , 2004 .

[3]  William S. Neilson,et al.  Endogenous private health investment and the willingness to pay for public health projects: The effects of income , 2005 .

[4]  S. Shavell On Moral Hazard and Insurance , 1979 .

[5]  Shankha Chakraborty,et al.  Endogenous lifetime and economic growth , 2004, J. Econ. Theory.

[6]  A. Mills,et al.  Why the poor pay more: household curative expenditures in rural Sierra Leone. , 1999, The International journal of health planning and management.

[7]  H. Lorenz Nonlinear Dynamical Economics and Chaotic Motion , 1989 .

[8]  P. Haaparanta,et al.  Endogenous Time Preference, Investment and Development Traps , 2004 .

[9]  Tapan Mitra,et al.  A Sufficient Condition for Topological Chaos with an Application to a Model of Endogenous Growth , 2001, J. Econ. Theory.

[10]  R. Lucas Making a miracle , 1993 .

[11]  T. Philipson,et al.  Longevity Complementarities Under Competing Risks , 1999 .

[12]  西村 和雄,et al.  Optimization and Chaos , 2000 .

[13]  Richard J. Zeckhauser,et al.  Survival versus Consumption , 1984 .

[14]  Vicente Navarro,et al.  Assessment of the World Health Report 2000 , 2000, The Lancet.

[15]  Shankha Chakraborty,et al.  Mortality, Human Capital and Persistent Inequality , 2003 .

[16]  J. Finlay,et al.  Endogenous Longevity and Economic Growth , 2006 .

[17]  D. Dranove Is there underinvestment in R&D about prevention? , 1998, Journal of health economics.

[18]  G. Cipriani,et al.  A model of longevity, fertility and growth , 2002 .