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Alternative Schemes for Health Care Expenditure: A Political Economy Study on OECD Countries

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dc.contributor.advisor Congleton, Roger D.
dc.contributor.author Pietrantonio, Rinaldo
dc.creator Pietrantonio, Rinaldo
dc.date 2011-04-29
dc.date.accessioned 2011-07-11T18:43:14Z
dc.date.available NO_RESTRICTION en_US
dc.date.available 2011-07-11T18:43:14Z
dc.date.issued 2011-07-11
dc.identifier.uri http://hdl.handle.net/1920/6572
dc.description.abstract Starting in the late 1880’s the OECD countries adopted several different mechanisms for subsidizing health care and broadening coverage. These include tax preferences, direct subsidies, mandated health insurance programs, and various government-financed single payer systems. In most cases, combinations of these systems have been used along with direct private purchases of health care. This dissertation attempts to explain why different systems and different system mixes have been adopted by democratic countries. To that end, a model of the collective decision making is developed using tools from public choice, political economy, and economics. The model is used to characterize quasi-constitutional choices of health care systems. For the most part, the analysis focuses on selection of the dominant part of a nation’s system. The model assumes that individuals' preferences include narrow self-interest and broader social values and xi ideology. When the economic interests dominate, equal and healthy societies are predicted to select systems in which private insurance dominates. In unequal and risky societies, voters are predicted to adopt a national health service. In intermediate cases, mandated insurance programs are predicted. When broader ideological interests prevail, more or less equal and healthy societies may prefer adopting a national health service. These predictions are tested using panel data on a sample of 21 OECD countries spanning from 1970 through 2007. The results show that income distributions, morbidity levels, and ideology all affect system choices. en_US
dc.language.iso en_US en_US
dc.subject Health Care en_US
dc.subject Political Economy en_US
dc.subject Welfare en_US
dc.subject OECD en_US
dc.subject Inequality en_US
dc.subject Ideology en_US
dc.title Alternative Schemes for Health Care Expenditure: A Political Economy Study on OECD Countries en_US
dc.type Dissertation en
thesis.degree.name PhD in Economics en_US
thesis.degree.level Doctoral en
thesis.degree.discipline Economics en
thesis.degree.grantor George Mason University en


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