Who's going broke?: comparing growth in Public Healthcare Expediture in ten OECD countries

• Autores: Christian Hagist, Laurence J. Kotlikoff
• Localización: Hacienda Pública Española / Review of Public Economics, ISSN 0210-1173, Nº 188, 2009, págs. 55-72
• Idioma: español
• Enlaces
  • Texto completo (pdf)
• Resumen

  • Government healthcare expenditures have been growing much more rapidly than GDP in OECD countries. How much of this growth is due to demographic change versus increases in benefit levels (expenditures per person at a given age)? This paper answers this question for ten OECD countries Australia, Austria, Canada, Germany, Japan, Norway, Spain, Sweden, the UK, and the U.S. using data from 1970-2002. Growth in benefit levels explains 89 of overall healthcare spending growth in the ten countries over the period, with Norway, Spain, and the U.S. recording the highest annual benefit growth rates. As we show, allowing government healthcare benefit levels to grow at historic rates is fraught with danger given the impending retirement of the baby boom generation.

• Referencias bibliográficas
  • Australian Institute of Health and Welfare (2004), "Health System Expenditure on Disease and Injury in Australia" , 2000-01. AIHW...
  • Benz, U. and Fetzer, S. (2006), "Indicators for Measuring Fiscal Sustainability - A Comparative Application of the OECD-Method and Generational...
  • Bonin, H. (2001), Generational Accounting: Theory and Application, Berlin.
  • Breyer, F. and Felder, S. (2004), "Life Expectancy and Healthcare Expenditures: A New Calculation for Germany Using the Costs of Dying"...
  • Breyer, F. and Ulrich, V. (2000), "Gesundheitsausgaben, Alter und Medizinischer Fortschritt: eine Regressionsanalyse" , Jahrbücher...
  • Buchner, F. and Wasem, J. (2004), "́Steepinǵ of Health Expenditure Profiles" , Discussion Paper Series Essen University, 139.
  • Catalán, M.; Guajardo, J.; Hoffmaister, A. and Spilimbergo, A. (2005), " Spain: Selected Issues" , IMF Country Report, 05/57.
  • Centers for Medicare and Medicaid Services (2003), Office of Information Services: Data from the Medicare Decision Support Access Facility;...
  • Department of Health UK (2002), The Government's Expenditure Plans 2002/03 to 2003/04, London
  • Ekman, M. (2002), "Consumption and Production by Age in Sweden: Basic facts and Health Economic Implications" , in: Ekman, M (Ed.):...
  • Fetzer, S.; Grasdal, A. and Raffelhüschen, B. (2005), "Health and Demography in Norway" , mimeo.
  • Fukawa, T. and Izumida, N. (2004), "Japanese Healthcare Expenditures in a Comparative Context" , The Japanese Journal of Social Security...
  • German Federal Insurance Authority (BVA-Bundesversicherungsamt) (2003), Risikostrukturausgleich Jahresausgleich 2002, Bonn
  • Hagist, C. (2008), Demography and Social Health Insurance - An International Comparison Using Generational Accounting, Baden-Baden.
  • Hofmarcher, M. and Riedel, M. (2002), "Age Structure and Health Expenditure in the EU: Costs Increase, but Do Not Explode" , Health...
  • Iglehart, J. (1999a), "The American Healthcare System-Medicaid" , New England Journal of Medicine, 340 (5): 403-408.
  • Iglehart, J. (1999b), "The American Healthcare System-Medicare" , New England Journal of Medicine, 340 (4): 317-332.
  • Iglehart, J. (1999c), "The American Healthcare System-Expenditures" , New England Journal of Medicine, 340 (1): 70-76.
  • Leslie, P. (1945), "On the Use of Matrices in Certain Population Mathematics" , Biometrica, 33: 183-212.
  • Miller, T. (2001), "Increasing Longevity and Medicare expenditures" , Demography, 38 (2): 215-226.
  • Minister of Public Works and Government Services Canada (2001), Health Expenditures in Canada by Age and Sex, 1980-81 to 2000-01, Report,...
  • Mulligan, C. and Sala-i-Martin, X. (2003), "Social Security, Retirement, and the Single-Mindedness of the Electorate" , NBER Working...
  • Naylor, C. (1992), "The Canadian Healthcare System: a Model for American to Emulate?" , Health Economics, 1 (1): 19-37.
  • Newhouse, J. P. (1992), "Medical Care Costs: How Much Welfare Loss?" , Journal of Economic Perspectives, 6 (3): 3-21.
  • OECD (2004a), Health Data 2004, 3rd edition, Paris
  • OECD (2004b), General Government Accounts Volume IV 1992-2003, Paris
  • Reinhardt, U.; Hussey, P. and Anderson, G. (2002), "Cross-National Comparisons Of Health Systems Using OECD Data" , Health Affairs,...
  • Roberts, J (1999), "Sensitivity of Elasticity Estimates for OECD Healthcare Spending: Analysis of a Dynamic Heterogeneous Data Field"...
  • Seshamani, M. and Gray, A. (2003), "Healthcare Expenditures and Ageing: an International Comparison" , Applied Health Economics and...
  • Stearns, S. and Norton, E. (2004), "Time to Include Time to Death? The Future of Healthcare Expenditure Predictions" , Health Economics,...
  • Svenska Kommunförbundet (2004), The Financial Situation of Swedish Municipalities and County Councils, Stockholm
  • United Nations (2005), World Population Prospects: The 2002 Revision and World Urbanization Prospects: The 2001 Revision, Population Division...
  • Walker, M. and Wilson, G. (2001), "Waiting Your Turn: Hospital Waiting Lists in Canada" , Critical Issues Bulletins, 11th Edition,...
  • Zweifel, P.; Felder, S. and Werblow, A. (2004), "Population Ageing and Healthcare Expenditure: New Evidence on the 'Red Herring'"...
  • Zweifel, P.; Felder, S. and Meiers, M. (1999), "Ageing of Population and Healthcare Expenditure: A Red Herring?" , Health Economics,...
  • Zweifel, P. (2003), "Medical Innovation. A Challenge to Society and Insurance" , Geneva Papers on Risk and Insurance: Issues and Practice,...