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THE GOLDEN RULE OF LONGEVITY

Published online by Cambridge University Press:  03 January 2018

Marias H. Gestsson  and
Gylfi Zoega
Marias H. Gestsson
Affiliation:
Aarhus University and University of Iceland
Gylfi Zoega*
Affiliation:
University of Iceland and University of London
*
Address correspondence to: Gylfi Zoega, Department of Economics, University of Iceland, 101 Reykjavik, Iceland; e-mail: [email protected].
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Abstract

How much should society invest in medical care that extends the lives of the older generations? We derive a golden rule for the level of health care expenditures and find that the optimal level of life-extending health care expenditures should increase with rising productivity, increase with the retirement age, and also increase with the population growth rate if a higher growth rate lowers the ratio of retirees to working-age people sufficiently, while the effects of an improvement in medical technology are ambiguous. Moreover, we find that a market economy may be inefficient in terms of the provision of life-extending health care because an individual ignores the effect of his own longevity on the income of others.

Keywords

Health Care ExpendituresGolden RuleProductivity
Type
Articles
Information
Macroeconomic Dynamics , Volume 23 , Issue 1 , January 2019 , pp. 384 - 419
Copyright
Copyright © Cambridge University Press 2018 

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Footnotes

We are much indebted to two referees whose constructive comments helped us improve the paper.

References

REFERENCES

Andersen, Torben M. and Bhattacharya, Joydeep (2014) A dynamic-efficiency rationale for public investment in the health of the young. Canadian Journal of Economics 47 (3), 697–719.Google Scholar
Andersen, Torben M. and Gestsson, Marias H. (2016) Longevity, growth and intergeneration equity – the deterministic case. Macroeconomic Dynamics 20 (4), 985–1021.Google Scholar
Baltagi, Badi H. and Moscone, Francesco (2010) Health care expenditures and income in the OECD reconsidered: Evidence from panel data. Economic Modelling 27 (4), 804–811.Google Scholar
Becker, Gary S. (1964) Human Capital. New York: Columbia University Press for the National Bureau of Economic Research.Google Scholar
Becker, Gary, Murphy, Kevin, and Philipson, Tomas (2007) The Value of Life Near Its End and Terminal Care. NBER working paper no. 13333.Google Scholar
Blanchard, Olivier E. (1985) Debt, deficits and finite horizons. Journal of Political Economy 93 (2), 223–247.Google Scholar
Boucekkine, Rarouf, de la Croix, David, and Licandro, Omar (2002) Vintage human capital, demographic trends, and endogenous growth. Journal of Economic Theory 104, 340–375Google Scholar
Córdoba, Juan C. and Ripoll, Marla (2017) Risk aversion and the value of life. The Review of Economic Studies 84 (4), 1472–1509.Google Scholar
Cowen, T. (1989) Normative population theory. Social Choice and Welfare 6, 33–43.Google Scholar
Cullis, John G. and West, P. (1979) The Economics of Health: An Introduction. Oxford: Martin Robertson.Google Scholar
Currie, Janel and Almond, Douglas (2011) Human capital development before age five. In Ashenfelter, Orly and Card, David (eds.), Handbook of Labor Economics, vol. 4, Part B, pp. 1315–1486. Amsterdam: Elsevier Science B.V..Google Scholar
Ehrlich, Isaac and Chuma, Hiroyuki (1990) A model of the demand for longevity and the value of life extension. The Journal of Political Economy 98 (4), 761–782.Google Scholar
Epstein, Larry and Zin, Stanley E. (1989) Substitution, risk aversion and the temporal behavior of consumption growth and asset returns: A theoretical framework. Econometrica 57, 937–969.Google Scholar
Gerdtham, Ulf G. and Löthgren, Mickael (2000) On stationarity and cointegration of international health expenditure and GDP. Journal of Health Economics 19 (4), 461–475.Google Scholar
Gerdtham, Ulf G., Søgaard, Jes, Jönsson, Bengt, and Andersson, Frederik (1992) A pooled cross-section analysis of the health care expenditures of the OECD countries. Health Economics Worldwide 287–310.Google Scholar
Grossman, Michael (1972) On the concept of health capital and the demand for health. Journal of Political Economy 80 (2), 223–255.Google Scholar
Hall, Robert E. and Jones, Charles I. (2007) The value of life and the rise in health spending. The Quarterly Journal of Economics 122 (1), 39–72.Google Scholar
Hitiris, Theo and Posnett, John (1992) The determinants and effects of health expenditure in developed countries. Journal of Health Economics 11, 173–181.Google Scholar
Jones, Charles I. (2003) Why have health expenditures as a share of GDP risen so much? New England Journal of Medicine 328, 215–26.Google Scholar
Kirmayer, Laurence J., Cristopher, Fletcher, and Boothroyd, Lucy J. (1998) Suicide among the Inuit of Canada. In Lenaars, A. A., Wenckstern, S., Sakinofsky, I., Dyck, R. J., Kral, M. J., and Bland, R. C. (eds.), Suicide in Canada, pp. 189–211. Toronto: University of Toronto Press.Google Scholar
Kuhn, Michael, Wrzaczek, Stefan, Prskawetz, Alexia, and Feichtinger, Gustav (2015) Optimal choice of health and retirement in a life-cycle model. Journal of Economic Theory 158 (A), 186–212.Google Scholar
Leighton, Alexander H. and Hughes, Charles C. (1955) Notes on Eskimo patterns of suicide. Southwestern Journal of Anthropology 11 (4), 327–338.Google Scholar
Leu, R. (1986) Public/private provision and health expenditures: A cross-country comparison. In Culyer, A. J. and Jonsson, B. (eds.), Public and Private Provision of Health Care. Oxford: Basil Blackwell.Google Scholar
Lubitz, James D. and Riley, Gerald F. (1993) Trends in medicare payments in the last year of life. New England Journal of Medicine 328, 1092–1096.Google Scholar
Madsen, Jacob B. (2016) Health, human capital formation and knowledge production: Two centuries of international evidence. Macroeconomic Dynamics 20 (4), 909–953.Google Scholar
Matteo, Livio Di (2005) The macro determinants of health expenditures in the United States and Canada: Assessing the impact of income, age distribution and time. Health Policy 71, 23–42.Google Scholar
Maxwell, Robert J. (1981). Health and Wealth. Lexington, MA: Lexington Books.Google Scholar
Mertens, Jean-Francois and Rubinchik, Anna (2015) Pareto optimality of the golden rule equilibrium in an overlapping generations model with production and transfers. Macroeconomic Dynamics 19 (8), 1780–1799.Google Scholar
Miller, Tim (2001) Increasing longevity and Medicare expenditures. Demography 38 (2), 215–226.Google Scholar
Newhouse, Joseph P. (1977) Medical care expenditures: A cross-national survey. Journal of Human Resources 12, 115–125.Google Scholar
Parfit, Derek (1984) Reasons and Persons. Oxford: Oxford University Press.Google Scholar
Parkin, David, McGuire, Alistair, and Yule, Brian (1987) Aggregate health care expenditures and national income. Journal of Health Economics 6, 109–127.Google Scholar
Phelps, Edmund S. (1966) Golden Rules of Economic Growth. New York: W. W. Norton.Google Scholar
Phelps, Edmund S. (1968) Models of technical progress and the golden rule of research. Review of Economic Studies 33, 133–146.Google Scholar
Ponthiere, Gregory (2003) Utilitarian population ethics: A survey. University of Liege. http://www2.ulg.ac.be/crepp/papers/crepp-wp200303.pdf.Google Scholar
Ramsey, Frank (1928) A mathematical theory of saving. Economic Journal 38, 543–559.Google Scholar
Rosen, Sherwin (1988) The value of changes in life expectancy. Journal of Risk and Uncertainty 1 (3), 285–304.Google Scholar
Seshamani, Meena and Gray, Alastair M. (2004) A longitudinal study of the effects of age and time to death on hospital costs. Journal of Health Economics 23, 217–235.Google Scholar
Sheshinski, Eytan (2008) The Economic Theory of Life Annuities. Princeton: Princeton University.Google Scholar
Weil, Philippe (1990). Nonexpected utility in macroeconomics. Quarterly Journal of Economics 105, 29–42.Google Scholar
Weyer, Edward Moffat (1932) The Eskimos: Their Environment and Folkways. New Haven, CT: Yale University Press.Google Scholar
Yaari, Menahem E. (1965). Uncertain lifetime, life insurance, and the theory of the consumer. The Review of Economic Studies 32 (2), 137–150.Google Scholar