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Causation between health and income: a need to panic

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Abstract

This article tests whether health has improved income or income has improved health in OECD countries over the last 50 years. A theoretical framework for both directions of causation is first outlined. A panel time-series approach is then taken and, unlike similar work, common shocks across countries (‘cross-sectional dependence’) are taken into account in the analysis using the PANIC (Panel Analysis of Non-stationarity in Idiosyncratic and Common components) approach of Bai and Ng. It is found that better health improves income more generally while income in turn also affects health. This finding is shown to be robust to dynamic specification.

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References

  • Acemoglu D, Johnson S (2007) Disease and development: the effect of life expectancy on economic growth. J Polit Econ 115(6): 925–985

    Article  Google Scholar 

  • Adda J, von Gaudecker H, Banks J (2009) The impact of income shocks on health: evidence from cohort data. J Eur Econ Assoc 7(6): 1361–1399

    Article  Google Scholar 

  • Anand S, Ravallion M (1993) Human development in poor countries: on the role of private incomes and public services. J Econ Perspect 7(1): 133–150

    Google Scholar 

  • Andrews DWK (2005) Cross-section regression with common shocks. Econometrica 73(5): 1551–1585

    Article  Google Scholar 

  • Ashraf QH, Lester A, Weil DN (2009) When does improving health raise GDP?. NBER Macroecon Annu 23(1): 157–204

    Article  Google Scholar 

  • Auster R, Leveson I, Sarachek D (1969) The production of health, an exploratory study. J Hum Resour 4(4): 411–436

    Article  Google Scholar 

  • Bai J, Ng S (2001) A PANIC attack on unit roots and cointegration. Boston college working papers in Economics 519

  • Bai J, Ng S (2002) Determining the number of factors in approximate factor models. Econometrica 70(1): 191–221

    Article  Google Scholar 

  • Bai J, Ng S (2004) A Panic attack on unit roots and cointegration. Econometrica 72(4): 1127–1177

    Article  Google Scholar 

  • Bai J, Ng S (2008) Large dimensional factor analysis. Now Pub, Boston

    Google Scholar 

  • Bai J, Kao C, Ng S (2009) Panel cointegration with global stochastic trends. J Econometrics 149(1): 82–99

    Article  Google Scholar 

  • Baltagi BH, Moscone F (2010) Health care expenditure and income in the OECD reconsidered: evidence from panel data. Econ Model 27(4): 804–811

    Article  Google Scholar 

  • Banerjee A, Marcellino M, Osbat C (2004) Some cautions on the use of panel methods for integrated series of macroeconomic data. Econometrics J 7(2): 322–340

    Article  Google Scholar 

  • Banerjee A, Marcellino M, Osbat C (2005) Testing for PPP: should we use panel methods?. Empirical Econ 30(1): 77–91

    Article  Google Scholar 

  • Barker DJ (1992) Fetal and infant origins of adult disease. British Medical Journal, London

    Google Scholar 

  • Barro R (1996) Health and economic growth. Program on Public Policy, and Health Health and Human Development Division, Pan American Health Organization, Washington

    Google Scholar 

  • Barro R, Sala-i-Martin X (2004) Economic growth, 2nd edn. Belknap Press of Harvard University Press, Cambridge

    Google Scholar 

  • Bleakley H (2007) Disease and development: evidence from Hookworm eradication in the American South. Q J Econ 122(1): 73–117

    Article  Google Scholar 

  • Bleakley H (2009) Economic effects of childhood exposure to tropical disease. Am Econ Rev 99(2): 218–223

    Article  Google Scholar 

  • Bloom DE, Canning D (2000) The health and wealth of nations. Science(Washington) 287(5456): 1207–1209

    Article  Google Scholar 

  • Bloom DE, Canning D, Sevilla J (2004) The effect of health on economic growth: a production function approach. World Dev 32(1): 1–13

    Article  Google Scholar 

  • Bloom DE, Canning D, Mansfield RK, Moore M (2007) Demographic change, social security systems, and savings. J Monetary Econ 54(1): 92–114

    Article  Google Scholar 

  • Bloom DE, Canning D, Fink G (2009) Disease and development revisited. NBER working paper no. w15137

  • Bonds MH, Keenan DC, Rohani P, Sachs JD (2010) Poverty trap formed by the ecology of infectious diseases. Proc R Soc B 277: 1185–1192

    Article  Google Scholar 

  • Bos E, Vu MT, Stephens PW (1992) Sources of world bank estimates of current mortality rates. Policy research working paper 851

  • Breitung J, Pesaran MH (2008) Unit roots and cointegration in panels. In: Matyas L, Sevestre P (eds) The econometrics of panel data, pp 279-322

  • Chakraborty S (2004) Endogenous lifetime and economic growth. J Econ Theory 116(1): 119–137

    Article  Google Scholar 

  • Chang Y (2004) Bootstrap unit root tests in panels with cross-sectional dependency. J Econometrics 120(2): 263–293

    Article  Google Scholar 

  • Choi I, Chue TK (2007) Subsampling hypothesis tests for nonstationary Panels with applications to exchange rates and Stock prices. J Appl Econometrics 22: 233–264

    Article  Google Scholar 

  • Costa-Font J, Gemmill M, Rubert G (2011) Biases in the healthcare luxury good hypothesis?: a meta-regression analysis. J R Stat Soc 174(1): 95–107

    Article  Google Scholar 

  • Cutler DM, Meara E (2000) The technology of birth: is it worth it?. forum for health economics, Policy: 3 (Frontiers in Health Policy Research), Article 3

  • Cutler D, Deaton A, Lleras-Muney A (2006) The determinants of mortality. J Econ Perspect 20(3): 97–120

    Article  Google Scholar 

  • Deolalikar AB (1988) Nutrition and Labor Productivity in Agriculture: Estimates for Rural South India. Rev Econ Stat 70(3): 406–413

    Article  Google Scholar 

  • Devlin N, Hansen P (2001) Health care spending and economic output: Granger causality. Appl Econ Lett 8(8): 561–564

    Article  Google Scholar 

  • Ehrlich I, Lui FT (1991) Intergenerational trade, longevity, and economic growth. J Polit Econ 99(5): 1029–1059

    Article  Google Scholar 

  • Erdil E, Yetkiner IH (2009) The Granger-causality between health care expenditure and output: a panel data approach. Appl Econ 41(4): 511–519

    Article  Google Scholar 

  • Evans R, Stoddard G (1990) Producing health care, consuming health care. Soc Sci Med 31: 1347–1363

    Article  Google Scholar 

  • Fayissa B, Gutema P (2005) Estimating a health production function for Sub-Saharan Africa (SSA). Appl Econ 37(10): 155–164

    Article  Google Scholar 

  • Feinstein JS (1993) The Relationship Between Socioeconomic Status and Health: A Review of the Literature. Milbank Q 71: 279–322

    Article  Google Scholar 

  • Freeman DG (2003) Is health care a necessity or a luxury? Pooled estimates of income elasticity from US state-level data. Appl Econ 35(5): 495–502

    Article  Google Scholar 

  • Gengenbach C, Palm FC, Urbain J (2006) Cointegration testing in panels with common factors. Oxford Bullet Econ Stat 68(s1): 683–719

    Article  Google Scholar 

  • Gengenbach C, Palm FC, Urbain J (2010) Panel Unit root tests in the presence of cross-sectional dependencies: comparison and implications for modelling. Econometric Rev 29(2): 111–145

    Article  Google Scholar 

  • Gerdtham UG, Löthgren M (2000) On stationarity and cointegration of international health expenditure and GDP. J Health Econ 19(4): 461–475

    Article  Google Scholar 

  • Gonzalo J, Pitarakis J-Y (1999) Dimensionality effect in cointegration analysis. In: Engle R, White H (eds) Cointegration, causality, and forecasting. A Festschrift in Honour of Clive W.J. Granger. Oxford University Press, Oxford, pp 212–229

    Google Scholar 

  • Grossman M (1972) On the concept of health capital and the demand for health. J Polit Econ 80(2): 223–255

    Article  Google Scholar 

  • Grossman M (1999) The human capital model of the demand for health. NBER working paper series no. 7078

  • Haas JD, Brownlie T IV (2001) Iron deficiency and reduced work capacity: a critical review of the research to determine a causal relationship. J Nutr 131(2): 676S–690

    Google Scholar 

  • Hadri K (2000) Testing for stationarity in heterogeneous panel data. Econometrics J 3: 148–161

    Article  Google Scholar 

  • Hadri K, Kurozumi E (2008) A Simple panel stationarity test in the presence of cross-sectional dependence. Global COE Hi-Stat discussion paper series 016

  • Hall RE, Jones CI (2007) The value of life and the rise in health spending. Q J Econ 122(1): 39–72

    Article  Google Scholar 

  • Hamilton JD (1994) Time series analysis. Princeton University Press, Harvey

    Google Scholar 

  • Heston A, Summers R, Aren B (2009) Penn world table version 6.3. Centre for International Comparisons of Production, Income and Prices

  • Im KS, Pesaran MH, Shin Y (2003) Testing for unit roots in heterogeneous panels. J Econometrics 115(1): 53–74

    Article  Google Scholar 

  • Jamison DT, Lawrence J (2005) Health’s Contribution to Economic Growth in an Environment of Partially Endogenous Technical Progress. Health and economic growth: findings and policy implications, pp 67

  • Kalemli-Ozcan S (2002) Does the Mortality decline promote economic growth?. J Econ Growth 7(4): 411–439

    Article  Google Scholar 

  • Kao C (1999) Spurious regression and residual-based tests for cointegration in panel data. J Econometrics 90(1): 1–44

    Article  Google Scholar 

  • Lee R, Mason A, Miller T (2000) Life cycle saving and the demographic transition: the case of Taiwan. Pop Dev Rev 26: 194–219

    Article  Google Scholar 

  • Leon DA (2011) Trends in European life expectancy: a salutary view. Int J Epidemiol 40(2): 271–277

    Article  Google Scholar 

  • Levin A, Lin C (1993) Unit root tests in panel data: new results. Discussion paper 93-56, University of California, San Diego

  • Levin A, Lin CF, Chu CSJ (2002) Unit root tests in panel data: asymptotic and finite-sample properties. J Econometrics 108(1): 1–24

    Article  Google Scholar 

  • Lorentzen P, McMillan J, Wacziarg R (2008) Death and development. J Econ Growth 13(2): 81–124

    Article  Google Scholar 

  • Lutkepohl H (2007) General-to-specific or specific-to-general modelling? An opinion on current econometric terminology. J Econometrics 136(1): 319–324

    Article  Google Scholar 

  • Maddala GS, Wu S (1999) A Comparative study of unit root tests with panel data and a new simple test. Oxford Bull Econ Stat 61: 631–652

    Article  Google Scholar 

  • Mankiw NG, Romer D, Weil DN (1992) A contribution to the empirics of economic growth. Q J Econ 107(2): 407–437

    Article  Google Scholar 

  • Mayer D (2001) The Long-term impact of health on economic growth in latin America. World Dev 29(6): 1025–1033

    Article  Google Scholar 

  • Miguel E, Kremer M (2004) Worms: identifying impacts on education and health in the presence of treatment externalities. Econometrica 72(1): 159–217

    Article  Google Scholar 

  • Miller RDJM, Frech HEI (2000) Is there a link between pharmaceutical consumption and improved health in OECD countries?. PharmacoEconomics 18(13): 33–45

    Article  Google Scholar 

  • Moon HR, Perron B (2004) Testing for a unit root in panels with dynamic factors. J Econometrics 122(1): 81–126

    Article  Google Scholar 

  • Moscone F, Tosetti E (2010) Health expenditure and income in the United States. Health Econ 19: 1385–1403

    Article  Google Scholar 

  • Murray CJ, Lopez AD (1997a) Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. The Lancet 349(9063): 1436–1442

    Article  Google Scholar 

  • Murray C, Lopez AD (1997b) Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 349: 1269–1276

    Article  Google Scholar 

  • Murray CJ, Salomon JA, Mathers C (2000) A critical examination of summary measures of population health. Bullet World Health Org 78(8): 981–994

    Google Scholar 

  • Newhouse JP (1977) Medical-care expenditure: a cross-national survey. J Human Resour 12(1): 115–125

    Article  Google Scholar 

  • O’Connell PGJ (1998) The overvaluation of purchasing power parity. J Int Econ 44(1): 1–19

    Article  Google Scholar 

  • Organization for Economic Cooperation and Development (2011) OECD Health Data. http://stats.OECD.org. Accessed on July 2011

  • Paxson C, Schady N (2007) Does money matter? the effects of cash transfers on child health and development in rural ecuador. World bank policy research working paper 4226. Impact evaluation series no. 15

  • Pedroni P (2004) Panel cointegration: asymptotic and finite sample properties of pooled time series tests with an application to the PPP hypothesis. Econometric Theory 20(03): 597–625

    Article  Google Scholar 

  • Pesaran MH (2004) General Diagnostic tests for cross section dependence in panels. CESifo working paper 1229

  • Pesaran MH (2007) A simple panel unit root test in the presence of cross-section dependence. J Appl Econometrics 22(2): 265–312

    Article  Google Scholar 

  • Pesaran MH., Smith R (1995) Estimating long-run relationships from dynamic heterogeneous panels. J Econ 68(1): 79–113

    Google Scholar 

  • Phillips PCB, Sul D (2003) Dynamic panel estimation and homogeneity testing under cross section dependence. Econometrics J 6(1): 217–259

    Article  Google Scholar 

  • Pritchett L, Summers LH (1996) Wealthier is Healthier. J Hum Resour 31(4): 841–868

    Article  Google Scholar 

  • Roberts J (1999) Sensitivity of elasticity estimates for OECD health care spending: analysis of a dynamic heterogeneous data field. Health Econ 8(5): 459–472

    Article  Google Scholar 

  • Ruhm CJ (2004) Macroeconomic conditions, health and mortality. Working paper 11007, National Bureau of Economic research

  • Schultz TP (1999) Health and schooling investments in Africa. J Econ Perspect 13(3): 67–88

    Article  Google Scholar 

  • Soares RR (2005) Mortality reductions, educational attainment, and fertility choice. Am Econ Rev 95(3): 580–601

    Article  Google Scholar 

  • Thornton J (2002) Estimating a health production function for the US: some new evidence. Appl Econ 34(4): 59–62

    Article  Google Scholar 

  • United Nations Development Programme (UNDP) (1990) Human development report. Oxford University Press, New York

  • Wagstaff A (1986) The demand for health: some new empirical evidence. J Health Econ 5(3): 195–233

    Article  Google Scholar 

  • Weil DN (2007) Accounting for the effect of health on economic growth. Q J Econ 122(3): 1265–1306

    Article  Google Scholar 

  • Westerlund J (2007) Testing for error correction in panel data. Oxford Bull Econ Stat 69(6): 709–748

    Article  Google Scholar 

  • WHO: (2000) World health report. Health systems: improving performance. World Health Organisation, Geneva

    Google Scholar 

  • WHO Commission on Macroeconomics and Health: (2001) Macroeconomics and health: investing in health for economic development. World Health Organisation, Geneva

    Google Scholar 

  • World Bank (2009) World development indicators

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  1. UKCRC Centre of Excellence for Public Health, School of Management, Queens University, Belfast, Riddell Hall, 185 Stranmillis Road, Belfast, BT9 5EE, UK

    Declan French

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Correspondence to Declan French.

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French, D. Causation between health and income: a need to panic. Empir Econ 42, 583–601 (2012). https://doi.org/10.1007/s00181-011-0541-5

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