Ageing, Health, and Productivity The Economics of Increased Life Expectancy

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Edition: 1st
Format: Hardcover
Pub. Date: 2011-01-14
Publisher(s): Oxford University Press
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Summary

Increase in life expectancy is arguably the most remarkable by-product of modern economic growth. In the last 30 years we have gained roughly 2.5 years of longevity every decade, both in Europe and the United States. Successfully managing aging and longevity over the next twenty years is one of the major structural challenges faced by policy makers in advanced economies, particularly in health spending, social security administration, and labor market institutions. This book looks closely into those challenges and identifies the fundamental issues at both the macroeconomic and microeconomic level. The first half of the book studies the macroeconomic relationships between health spending, technological progress in medical related sectors, economic growth, and welfare state reforms. In the popular press, longevity and population ageing are typically perceived as a tremendous burden. However, with a proper set of reforms, advanced economies have the option of transforming the enormous challenge posed by longevity into a long term opportunity to boost aggregate outcomes. The basic prerequisite of a healthy ageing scenario is a substantial structural reform in social security and in labor market institutions. The second part of the book looks closely into the microeconomic relationship between population aging and productivity, both at the individual and at the firm level. There is surprisingly little research on such key questions. The book contributes to this debate in two ways. It presents a detailed analysis of the determinants of productivity, with a focus on both the long-run historical evolution and the cross sectional changes. It also uses econometric analysis to look into the determinants of the various dimensions of individual productivity. The volume concludes that the complex relationship between population ageing and longevity is not written in stone, and can be modified by properly designed choices.

Author Biography


Pietro Garibaldi is Professor of Economics at the University of Torino, and Director and Fellow of the Collegio Carlo Alberto. He is also head of Labour Studies at the Fondazione DeBenedetti, and research fellow at IGIER (Milan), CEPR (London), and IZA (Bonn). He is a supervisory board and audit committee member of Intesa SanPaolo. He is one of the founding and current editors of www.lavoce.info. Between 2004 and 2005 he was the Economic Counsellor of the Italian Ministry of Finance. He was previously an economist in the IMF Research Department and an Associate Professor of Economics at Bocconi University. He holds a PhD in Economics from LSE. His main research interests are in the macroeconomics of the labor market, with particular emphasis on labor force participation and the role of institutions. He has published in leading journals including the Review of Economic Studies and the Journal of the European Economics Association and he is author and editor of several books published by OUP.

Joaquim Oliveira Martins is Head of the Structural Economic Statistics Division at the OECD. He was previously Senior Economist at the Economics Department heading projects on the Economics of Education, Ageing and Growth, and Health Systems. He was also Head of Desk for emerging markets (Brazil, Chile) and several transition countries. Other OECD projects include monographs on Competition, Regulation and Performance, and Policy Response to the Threat of Global Warming. He is lecturer at University of Paris-Dauphine and Sciences Po, Paris. He holds a PhD in Economics from University of Paris-I, Pantheon-Sorbonne.

Jan van Ours is Professor in Labour Economics at the Department of Economics, Tilburg University and professorial fellow at the Department of Economics, University of Melbourne. His research focuses on unemployment dynamics, labor market policies and labor market institutions, and dynamics in use of illicit drugs. He studied economics at Erasmus University Rotterdam, where he also got his PhD. In 1996 he was awarded with the Hicks-Tinbergen medal of the European Economic Association. He has published in American Economic Review, Journal of Political Economy, Review of Economic Studies, Journal of Labor Economics, Economic Journal, Journal of Public Economics and Journal of Health Economics. Currently, he is research fellow of CentER, CEPR, CESifo and IZA and he is one of the managing editors of Economic Policy.

Table of Contents

List of Figuresp. viii
List of Tablesp. xii
List of Contributorsp. xiv
Introductionp. 1
Health Expenditures, Longevity, and Growth
Introductionp. 7
Transitory vs. Permanent Demographic Shocks: From Ageing to Longevityp. 12
The Growth of Health Expenditures: Ageing vs. Technological Progressp. 16
How can we Explain the Rise of Health Expenditures as a Share of GDP?p. 16
The Main Drivers of Health Expenditure Growthp. 17
Technological Change and its Impact on Health Status and Spendingp. 24
Efficiency in Health Expendituresp. 34
Preferences towards Health Care: Is Health a Luxury Good?p. 39
An Econometric Investigation of the Income Elasticitiesp. 40
Can an Optimal Share of Health-Care Spending in GDP be Estimated?p. 55
Integrating the Different Drivers: Projections of Total Health Expenditure, 2025-2050p. 59
Demographic Drivers of Expenditurep. 59
Non-demographic Drivers of Expenditurep. 63
A Projection Model for Health-Care Expendituresp. 64
Expenditure Projections for the US, EU-15, and Japanp. 65
The Impact of Health on Productivity and Growthp. 73
Health, Human Capital, and Growth: General Resultsp. 73
Does Health Contribute to Growth in Rich Countries?p. 75
Potential Labour Resources Associated with Longevity Gainsp. 80
Would an Ageing Labour Force have a Negative Impact on Aggregate Productivity?p. 84
The Health Sector as an Engine of Innovation: Europe vs. the USp. 86
Summary and Policy Discussionp. 95
Specification of the Utility Function and the Income Elasticityp. 98
Data Sources and Methods of Health Expenditure Projectionsp. 100
Referencesp. 102
Commentsp. 113
Age and Productivity
Introductionp. 135
Setting the Stagep. 137
The Grand View on Age and Productivityp. 150
Introductionp. 150
Age-Variation in Productivityp. 150
Determinants of Performance Differences by Age and Occupationp. 153
Changes in Job Performance over Timep. 156
Conclusions on the Grand Viewp. 161
Age and Absenteeismp. 163
Introductionp. 163
Age and Sick Leaves in Work Teamsp. 164
Age and Absenteeism in a Representative Survey of Employeesp. 168
Conclusions on Absenteeismp. 177
Age and Working Capacityp. 179
Introductionp. 179
Results on Age and Working Capacityp. 180
Conclusions on Working Capacityp. 188
Age and Productivity: An Analysis at the Plant and the Team Levelp. 189
Introductionp. 189
Econometric Analysis of Age and Productivityp. 192
Work Force Diversity and Productivityp. 203
Productivity and Wage Effects of Agep. 209
Conclusions on Age and Productivityp. 212
Conclusions and Policy Implicationsp. 215
p. 220
Referencesp. 233
Commentsp. 241
Indexp. 257
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