Artikel

Political institutions and health expenditure

We examine how political institutions influence health expenditure by using a panel of 151 developing and developed countries for the years 2000 to 2015 and four measures of democracy. Our pooled OLS analysis shows that democracies have 20–30% higher government health expenditure relative to GDP than their autocratic counterparts. An instrumental variable approach which exploits the regional diffusion of democracy confirms the positive effect of democracy on government health expenditure. Panel fixed effects and event study models also suggest a positive within-country effect of democratization on government health expenditure within a short period after regime transition. Democratic rule, however, does not turn out to significantly influence private health expenditure compared to autocracies. We conclude that democracies may care more for their citizens and strive to decrease inequalities in the access to health care.

Sprache
Englisch

Erschienen in
Journal: International Tax and Public Finance ; ISSN: 1573-6970 ; Volume: 28 ; Year: 2021 ; Issue: 2 ; Pages: 323-363 ; New York, NY: Springer US

Klassifikation
Recht
Health and Economic Development
Health: Government Policy; Regulation; Public Health
National Government Expenditures and Health
Comparative Economic Systems: General
Single Equation Models; Single Variables: Panel Data Models; Spatio-temporal Models
Single Equation Models: Single Variables: Instrumental Variables (IV) Estimation
Thema
Event study
Democracy
Health expenditure
Development
Instrumental variable
Panel data

Ereignis
Geistige Schöpfung
(wer)
Blum, Johannes
Dorn, Florian
Heuer, Axel
Ereignis
Veröffentlichung
(wer)
Springer US
(wo)
New York, NY
(wann)
2021

DOI
doi:10.1007/s10797-020-09648-9
Letzte Aktualisierung
10.03.2025, 11:43 MEZ

Datenpartner

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Objekttyp

  • Artikel

Beteiligte

  • Blum, Johannes
  • Dorn, Florian
  • Heuer, Axel
  • Springer US

Entstanden

  • 2021

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