International Differences in Longevity and Health and Their Economic Consequences

Pierre-Carl Michaud, Dana Goldman, Darius Lakdawalla, Yuhui Zheng () and Adam H. Gailey
Additional contact information
Yuhui Zheng: RAND
Adam H. Gailey: RAND

No 4367, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: In 1975, 50 year-old Americans could expect to live slightly longer than their European counterparts. By 2005, American life expectancy at that age has diverged substantially compared to Europe. We find that this growing longevity gap is primarily the symptom of real declines in the health of near-elderly Americans, relative to their European peers. In particular, we use a microsimulation approach to project what US longevity would look like, if US health trends approximated those in Europe. We find that differences in health can explain most of the growing gap in remaining life expectancy. In addition, we quantify the public finance consequences of this deterioration in health. The model predicts that gradually moving American cohorts to the health status enjoyed by Europeans could save up to $1.1 trillion in discounted total health expenditures from 2004 to 2050.

Keywords: international comparisons; mortality; disability; microsimulation (search for similar items in EconPapers)
JEL-codes: I10 I38 J26 (search for similar items in EconPapers)
Pages: 37 pages
Date: 2009-08
New Economics Papers: this item is included in nep-age and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Published - published in: Social Science and Medicine, 2011, 73 (2), 254-63

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Related works:
Working Paper: International Differences in Longevity and Health and their Economic Consequences (2009)
Working Paper: International Differences in Longevity and Health and their Economic Consequences (2009)
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