On the codetermination of tax-financed medical R&D and healthcare expenditures: Models and evidence

被引:5
作者
Batinti, Alberto [1 ]
Congleton, Roger D. [2 ]
机构
[1] Shanghai Univ Finance & Econ, Publ Econ & Adm Econ, Shanghai, Peoples R China
[2] West Virginia Univ, Econ, Morgantown, WV 26506 USA
关键词
Welfare state; Public healthcare systems; R&D; Medical insurance; Median voter; Innovations in healthcare; EQUILIBRIUM;
D O I
10.1016/j.ejpoleco.2018.03.006
中图分类号
F [经济];
学科分类号
02 ;
摘要
This paper develops a model of voter choices regarding tax-financed healthcare R&D and healthcare, and provides statistical evidence that is consistent with the theoretical analysis. Healthcare expenditures and the level of healthcare technology are not entirely independent phenomena, as often assumed in theoretical and empirical work. Voter interests imply that electoral support for subsidizing healthcare R&D is likely to exist in both private and public healthcare systems. These subsidies in turn tend to increase the rate of innovation and thereby long-run demand for and cost of healthcare through effects on the effectiveness and menu of available healthcare treatments.
引用
收藏
页码:175 / 188
页数:14
相关论文
共 17 条
[1]   Political complements in the welfare state: Health care and social security [J].
Bethencourt, Carlos ;
Galasso, Vincenzo .
JOURNAL OF PUBLIC ECONOMICS, 2008, 92 (3-4) :609-632
[2]   Informational limits to democratic public policy: The jury theorem, yardstick competition, and ignorance [J].
Congleton, Roger D. .
PUBLIC CHOICE, 2007, 132 (3-4) :333-352
[3]   The Electoral Politics and the Evolution of Complex Healthcare Systems [J].
Congleton, Roger D. ;
Batinti, Alberto ;
Pietratonio, Rinaldo .
KYKLOS, 2017, 70 (04) :483-510
[4]  
Finkelstein A, 2007, AM ECON REV, V99, P116
[5]   CONCEPT OF HEALTH CAPITAL AND DEMAND FOR HEALTH [J].
GROSSMAN, M .
JOURNAL OF POLITICAL ECONOMY, 1972, 80 (02) :223-225
[6]   Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women - The HALE project [J].
Knoops, KTB ;
de Groot, LCPGM ;
Kromhout, D ;
Perrin, AE ;
Moreiras-Varela, O ;
Menotti, A ;
van Staveren, WA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (12) :1433-1439
[7]   The productivity of health care and health production functions [J].
Koç, Ç .
HEALTH ECONOMICS, 2004, 13 (08) :739-747
[8]   Actual causes of death in the United States, 2000 [J].
Mokdad, AH ;
Marks, JS ;
Stroup, DF ;
Gerberding, JL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (10) :1238-1245
[9]   MEDICAL-CARE COSTS - HOW MUCH WELFARE LOSS [J].
NEWHOUSE, JP .
JOURNAL OF ECONOMIC PERSPECTIVES, 1992, 6 (03) :3-21
[10]   Determinants of health expenditure growth of the OECD countries: Jackknife resampling plan estimates [J].
Okunade A.A. ;
Karakus M.C. ;
Okeke C. .
Health Care Management Science, 2004, 7 (3) :173-183