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Public Provision and Cross-Border Health Care
David Granlund1, Magnus Wikström1
1Department of Economics, Umeå University, SE-901 87 Umeå,Sweden.
Governments may over-provide health care to low-income individuals to facilitate redistribution, especially when cross-border healthcare is an option. This occurs because high-ability individuals benefit less from healthcare in such scenarios.
Area of Science:
- Public economics
- Health economics
- Welfare economics
Background:
- Optimal public health care provision is a key policy concern.
- Understanding the impact of cross-border healthcare access on policy is crucial.
- The interplay between health, labor supply, and income redistribution requires examination.
Purpose of the Study:
- To analyze the optimal public provision of healthcare considering cross-border treatment options.
- To investigate government incentives for over-providing healthcare to specific income groups.
- To determine the role of redistribution in healthcare policy.
Main Methods:
- Theoretical modeling of public healthcare provision.
- Analysis of individual health and labor supply decisions.
- Examination of redistribution mechanisms within healthcare policy.
Main Results:
- Governments have an incentive to over-provide healthcare to low-income individuals relative to the first-best solution.
- Cross-border healthcare access shifts the incentive for over-provision primarily towards redistribution.
- High-ability individuals, by mimicking low-ability individuals, benefit less from healthcare when health and labor supply are complements.
Conclusions:
- Healthcare policy design must account for cross-border treatment possibilities.
- Over-provision of healthcare can serve as a tool for income redistribution.
- Policy constraints, such as inability to discriminate by income, influence healthcare provision levels.
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