An International Comparative Study of Financing Healthcare: The Case of Eight Developed Countries in 1990s- 2000s

Kazuaki Sato, Yui Ohtsu, Shintaro Kurachi, Leo Shimamura and Yasuto Dobashi
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Kazuaki Sato: Faculty of Economics, Keio University
Yui Ohtsu: National Institute of Population and Social Security Research
Shintaro Kurachi: Graduate School of Economics, Keio University
Leo Shimamura: Faculty of Economics, Keio University
Yasuto Dobashi: Institute of Contemporary British History, King's College London

No 2016-010, Keio-IES Discussion Paper Series from Institute for Economics Studies, Keio University

Abstract: This paper explores the relationship between healthcare expenditures and fiscal structures by conducting an international comparison. The difference between a social insurance scheme and a taxation scheme has long been recognized to be a major influence on fiscal resources for medical policies, but it cannot help fully explain the ease of finance. Authors present a comparative analysis of the trend of healthcare expenditures and fiscal structures in the period from 1990 to 2010 in eight countries, namely, Japan, the Netherlands, and France on the one hand (which adopted a social insurance scheme), the U.K., Sweden, Denmark, and Norway on the other (which adopted a taxation scheme). This paper found that healthcare expenditures has increased in centralized countries that have an authority to set insurance premiums or tax rates regardless of population aging.

Keywords: healthcare expenditure; social insurance scheme; taxation scheme; financial structure; international comparison (search for similar items in EconPapers)
JEL-codes: H51 H77 I13 (search for similar items in EconPapers)
Pages: 51 pages
Date: 2016-03-30
New Economics Papers: this item is included in nep-age, nep-hea, nep-ias and nep-pbe
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