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Understanding the Economic Consequences of Shifting Trends in Population Health / Pierre-Carl Michaud, Dana Goldman, Darius Lakdawalla, Yuhui Zheng, Adam Gailey.
- Format:
- Book
- Author/Creator:
- Michaud, Pierre-Carl.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w15231.
- NBER working paper series no. w15231
- Language:
- English
- French
- Subjects (All):
- Public health--Economic aspects--United States.
- Public health.
- Finance, Public--United States.
- Finance, Public.
- Medical economics--United States.
- Medical economics.
- Health Expenditures--trends--United States.
- Public Health--trends--United States.
- Medical Subjects:
- Health Expenditures--trends--United States.
- Public Health--trends--United States.
- Physical Description:
- 1 online resource: illustrations (black and white);
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2009.
- Language Note:
- English with summary in French.
- Summary:
- The public economic burden of shifting trends in population health remains uncertain. Sustained increases in obesity, diabetes, and other diseases could reduce life expectancy - with a concomitant decrease in the public-sector's annuity burden - but these savings may be offset by worsening functional status, which increases health care spending, reduces labor supply, and increases public assistance. Using a microsimulation approach, we quantify the competing public-finance consequences of shifting trends in population health for medical care costs, labor supply, earnings, wealth, tax revenues, and government expenditures (including Social Security and income assistance). Together, the reduction in smoking and the rise in obesity have increased net public-sector liabilities by $430bn, or approximately 4% of the current debt burden. Larger effects are observed for specific public programs: annual spending is 10% higher in the Medicaid program, and 7% higher for Medicare.
- Notes:
- Print version record
- August 2009.
- Includes bibliographical references (p. 23-24).
- OCLC:
- 470697249
- Publisher Number:
- 219556 CaOOCEL (Public Documents)
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