财富再分配延长长寿在美国
Kathryn E W Himmelstein1,2, Alexander C Tsai2,3,4, Atheendar S Venkataramani5,6
1Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Boston.
JAMA internal medicine
|January 29, 2024
概括
减少美国的财富不平等可能会显著增加寿命. 诸如财富再分配等政策可能会缩小死亡率差距,改善人口健康状况.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 与其他富裕国家相比,美国的财富不平等程度很高,健康状况较差.
- 财富与长寿有积极的相关性,但财富再分配对寿命的影响仍未得到充分研究.
研究的目的:
- 研究美国成年人家庭财富与寿命之间的关联.
- 在各种财富再分配场景下估计潜在的寿命增加.
主要方法:
- 一项使用健康和退休研究 (1992-2018) 数据的纵向队列研究.
- 韦布尔生存模型被用来分析财富分值和生存之间的关系,调整为人口因素.
- 对财富分配进行了模拟,包括完全平等,最小继承,日本式分配和婴儿债券.
主要成果:
- 观察到财富和死亡风险之间存在显著的反向关系;财富十分位数最高的死亡危险比率为0.59,而最低的死亡危险比率为0.59.
- 财富十位数最高的参与者比财富十位数最低的参与者有13.5年更长的生存期.
- 模拟完美的财富平等可以将平均寿命增加2.2年,可能缩小美国与经合组织平均水平的死亡率差距. 其他重新分配场景也显示了显著的寿命增长.
结论:
- 美国的财富不平等与大量的生存差异有关.
- 实施财富再分配政策可以有效地减少这些不平等,提高总体人口寿命.
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