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Why Do Americans Spend So Much More on Health Care than Europeans?

Author

Listed:
  • Kevin X. D. Huang

    (Vanderbilt University)

  • Hui He

    (Shanghai University of Finance and Economics)

Abstract
Empirical evidence suggests that both leisure time and medical care are important for maintaining health. We develop a general equilibrium macroeconomic model in which taxation is a key determinant of the composition of these two inputs in the endogenous accumulation of health capital. In our model, higher taxes lead to using relatively more leisure time and less medical care in maintaining health. We find that difference in taxation between the US and Europe can account for a large fraction of their difference in health expenditure-GDP ratio and almost all of their difference in time input for health production.

Suggested Citation

  • Kevin X. D. Huang & Hui He, 2013. "Why Do Americans Spend So Much More on Health Care than Europeans?," Vanderbilt University Department of Economics Working Papers 13-00021, Vanderbilt University Department of Economics.
    • Handle: RePEc:van:wpaper:vuecon-sub-13-00021
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    Cited by:

    1. Yonghong An & Kai Zhao & Rong Zhou, 2016. "Health spending and public pension: evidence from panel data," Applied Economics, Taylor & Francis Journals, vol. 48(11), pages 987-1004, March.
    2. Elgin, Ceyhun & Yucel, Emekcan, 2014. "Determinants of the weight for leisure in preferences," Economics - The Open-Access, Open-Assessment E-Journal (2007-2020), Kiel Institute for the World Economy (IfW Kiel), vol. 8, pages 1-26.
    3. Hui He & Kevin X.D. Huang & Lei Ning, 2019. "Why Do Americans Spend So Much More on Health Care than Europeans? (REVISED)," Vanderbilt University Department of Economics Working Papers 19-00008, Vanderbilt University Department of Economics.
    4. Hui He & Kevin X.D. Huang & Lei Ning, 2021. "Why Do Americans Spend So Much More On Health Care Than Europeans?," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 62(4), pages 1363-1399, November.
    5. Fehr, Hans & Feldman, Maria, 2024. "Financing universal health care: Premiums or payroll taxes?," European Economic Review, Elsevier, vol. 166(C).
    6. Zhigang Feng, 2024. "Macroeconomic consequences of alternative reforms to the health insurance system in the United States," International Studies of Economics, John Wiley & Sons, vol. 19(1), pages 6-34, March.
    7. He, Qichun, 2018. "Inflation and health in a Schumpeterian growth model: Theory and evidence," Economic Modelling, Elsevier, vol. 75(C), pages 159-168.
    8. Hui He & Kevin x.d. Huang & Lei Ning, 2019. "Why Do Americans Spend So Much More on Health Care than Europeans? (REVISED)," Vanderbilt University Department of Economics Working Papers 19-00008, Vanderbilt University Department of Economics.
    9. Tanguy Le Fur & Alain Trannoy, 2024. "The Health-Maximizing Level of Labor Supply: A Macroeconomic Perspective on the American Health Puzzle," AMSE Working Papers 2419, Aix-Marseille School of Economics, France.
    10. He, Qichun, 2018. "Health and Innovation in a Monetary Schumpeterian Growth Model," MPRA Paper 85218, University Library of Munich, Germany.

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    More about this item

    Keywords

    Taxation; Time allocation; Health expenditure; Macroeconomics; General equilibrium;
    All these keywords.

    JEL classification:

    • E2 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment
    • E6 - Macroeconomics and Monetary Economics - - Macroeconomic Policy, Macroeconomic Aspects of Public Finance, and General Outlook

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