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Are the Young Becoming More Disabled?
A fair amount of research suggests that health has been improving among the elderly over the past 10 to 15 years. Comparatively little research effort, however, has been focused on analyzing disability among the young. In this paper, we argue that health among the young has been deteriorating, at the same time that the elderly have been becoming healthier. Moreover, this growth in disability may end up translating into higher disability rates for tomorrow's elderly. Using data from the National Health Interview Survey, we find that, from 1984 to 1996, the rate of disability among those in their 40s rose by one full percentage point, or almost forty percent. Over the same period, the rate of disability declined for the elderly. The recent growth in disability has coincided with substantial growth in asthma and diabetes among the young. Indeed, the growth in asthma alone seems more than enough to explain the change in disability. Therefore, we argue that the growth in disability stems from real changes in underlying health status.
Valuing Health
Valuing Health uses the generalized risk-adjusted cost-effectiveness (GRACE) model to demonstrate the economic value of improving the quality of life for individuals with disability or severe illness.
The Elgar Companion to Health Economics
This Companion is a timely addition. . . It contains 50 chapters, from 90 contributors around the world, on the topical and policy-relevant aspects of health economics. . . there is a balanced coverage of theoretical and empirical materials, and conceptual and practical issues. . . I have found the Companion very useful. Sukhan Jackson, Economic Analysis and Policy This encyclopedic work provides interested readers with an authoritative and comprehensive overview of many, if not all, of the current research issues in health economics. Highly recommended. Upper-level undergraduates and above. R.M. Mullner, Choice The aim of The Elgar Companion to Health Economics is to take an audience of adv...
The Future of Healthcare Reform in the United States
When the Supreme Court's majority ruling in NFIB v. Sebelius upheld the Patient Protection and Affordable Care Act (the PPACA, or Obamacare), it was clear that this major shift in American health care provision was here to stay. For better or worse, the PPACA is now both a target for, and a constraint on, the next wave of reformist ideas. Driven by curiosity about how the American health care regime will continue to evolve in the near and medium term, Dean Michael Schill and Professor Anup Malani of the University of Chicago Law School commissioned fourteen essays from leading scholars of law, economics, medicine, and public health that offer predictions for the most important issues and deb...
Vaccine Allocation Priorities Using Disease Surveillance and Economic Data
Vaccination is a critical tool, along with suppression and treatment, for controlling epidemics such as SARS-CoV-2. To maximize the impact of vaccination, doses should be allocated to the highest value targets, accounting for health and potential economic benefits. We examine what allocation strategy is optimal and how to translate that strategy into actionable procurement decisions in the context of India. We compare 3 different allocation strategies (oldest first, highest contact rate first, random order) across 4 outcomes (lives saved, life-years saved, value of statistical lives saved, value of statistical life-years saved). We make 3 methodological contributions. First, we estimate the ...
Growing Public: Volume 1, The Story
Growing Public examines the question of whether social policies that redistribute income impose constraints on economic growth. Taxes and transfers have been debated for centuries, but only now can we get a clear view of the whole evolution of social spending. What kept prospering nations from using taxes for social programs until the end of the nineteenth century? Why did taxes and spending then grow so much, and what are the prospects for social spending in this century? Why did North America become a leader in public education in some ways and not others? Lindert finds answers in the economic history and logic of political voice, population aging, and income growth. Contrary to traditional beliefs, the net national costs of government social programs are virtually zero. This book not only shows that no Darwinian mechanism has punished the welfare states, but uses history to explain why this surprising result makes sense. Contrary to the intuition of many economists and the ideology of many politicians, social spending has contributed to, rather than inhibited, economic growth.
The Rise in Old Age Longevity and the Market for Long-term Care
This paper analyzes how markets for old-age care respond to the aging of populations. We consider how the biological forces, which govern the stocks of frail and healthy persons in a population, interacct with economic forces, which govern the demand and suppoly for labor-intensive care. Many economists have argued that aging will raise the market demand for long-term care, and hence price and quantity through classic market effects. We argue that the direct effect of aging is to lower the demand for market care by incresing the supply of home production. By influencing the length of frail lifetimes, aging may also have a further indirect demand effect, which may reinforce or counteract the ...
HEAVY!
America’s emerging “fat war” threatens to pit a shrinking population of trim Americans against an expanding population of heavy Americans in raging policy debates over “fat taxes” and “fat bans.” These “fat policies” would be designed to constrain what people eat and drink – and theoretically crimp the growth in Americans’ waistlines and in the country’s healthcare costs. Richard McKenzie’s HEAVY! The Surprising Reasons America Is the Land of the Free—And the Home of the Fat offers new insight into the economic causes and consequences of America's dramatic weight gain over the past half century. It also uncovers the follies of seeking to remedy the country’s wei...
