The political economy of public health expenditure and wait times in a public-private mixed health care system

Haizhen Mou

Canadian Journal of Economics, 2012, vol. 45, issue 4, 1640-1666

Abstract: This paper investigates the determinants of public health expenditure in a public-private mixed health care system, where a longer wait time for public care is the major difference between public and private sectors. Voter preferences for health care vary according to their age and by income, and public policy choices are part of a multi-dimensional, competitive political equilibrium. We show how equilibrium public health expenditure and wait times depend on demographics and explain why they are independent of the distributions of income and political influence. We also show that population aging may not always lead to more public health expenditure.

JEL-codes: H44 I10 (search for similar items in EconPapers)
Date: 2012
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