Health care and social care: complements, substitutes and attributes

Wildman, John and McMeekin, Peter (2014): Health care and social care: complements, substitutes and attributes.

Abstract

Ageing populations are a major challenge for most developed countries, where social security systems were developed in the post war period. It has been suggested that the costs of caring for the ageing population places a considerable strain on individuals, as well as on the public purse, and many countries are looking for ways to reduce costs. One of the major issues is the relationship between health care and social care. This paper considers health care and social care as complements and substitutes through a household production framework. We demonstrate how health care and social care are attributes that are valued by individuals and how in the presence of a perfect market individuals would choose combinations of these attributes. We highlight how, even with technical efficiency, sub-optimal combinations of health and social care may be chosen. We also show, through the introduction of a new good, how there may be opportunities to alleviate the costs of the ageing population.

• Item Type: MPRA Paper
• Language: English
• Keywords: Ageing population, health production, attributes, complements and substitutes, market failure
• Subjects: I - Health, Education, and Welfare > I1 - Health; I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior; J - Labor and Demographic Economics > J1 - Demographic Economics > J14 - Economics of the Elderly ; Economics of the Handicapped ; Non-Labor Market Discrimination

References

Becker, G. (1965) A theory of the allocation of time, Economics Journal

Breyer, F., Costa-Font, J. and Felder, S. (2010) Ageing, health and health care, Oxford Review of Economic Policy, 26(4) , pp674-690

Casey BH, The Value and Costs of Informal care, paper submitted to the Commission on Funding of Care and Support in response to its call for evidence. http://www2.warwick.ac.uk/fac/soc/ier/news/casey_-_dilnot_commission_evidence_-_as_sent.pdf

Fernandez J-L and Forder J, ‘Reforming Long-term Care Funding Arrangements in England: International Lessons’, Applied Economic Perspectives and Policy (2012) volume 34, number 2, pp. 346–362.

Frank RG, ‘Long-term Care Financing in the United States: Sources and Institutions’, Applied Economic Perspectives and Policy (2012) volume 34, number 2, pp. 333–345

Grossman, M. (1972) On the Concept of Health Capital and the Demand for Health, The Journal of Political Economy, Vol 80, pp. 223-255

Hall, R.E. and Jones C. I. (2007) The Value of Life and the Rise in Health Spending, Quarterly Journal of Economics pp39-72

Hauck, K., Shaw, R. and Smith, P.C. (2002) Reducing avoidable inequalities in health: a new criterion for setting health care capitation payments. Health Economics, Vol 11, pp. 667-677

Henz, U. (2004), The effects of informal care on paid-work participation in Great Britain: a lifecourse perspective, Ageing & Society. Vol. 24, No.6, pp 851–880.

Labelle, R., Stoddart, G. and Rice, T. (1994) A re-examination of the meaning and importance of supplier-induced demand, The Journal of Health Economics, Vol 13, pp347-368

Lancaster, K.J.(1966) A New Approach to Consumer Theory, The Journal of Political Economy, Vol. 74, No. 2 pp. 132-157.

Leontaridi, R. and Bell, D. (2001) Informal care of the elderly in Scotland and the UK, in Machin, D. and McShane, D. (eds), Providing Free Personal Care for Older People: research commissioned for the Care Development Group. Edinburgh: Scottish Executive Research Group, pp 207-237.

Martins, J. O., De la Maisonneuve, C., & Bjornerud, S. (2006). Projections of OECD health and long-term care public expenditures. In Proceedings of the Public Finance Workshop, Perugia, 30 March–1 April 2006, Research Department Banca d’Italia.

Mayhew, L., Karlsson, M. and Rickayzen, B. (2010) The Role of Private Finance in Paying for Long Term Care, Economics Journal 120, pp. F478-F504

OASDI Trustees Report (2011) Social Security Administration Payne, G., Laporte, A., Deber, R. and Coyte, P.C. (2007) Counting backward to health care's future: using time-to-death modeling to identify changes in end-of-life morbidity and the impact of aging on health care expenditures, Milbank Quarterly 85(2): 213-257

Shang, B and Goldman, D (2008) Does age or life expectancy better predict health care expenditures? Health Economics 17(4): 487-501

Spillman BC and James Lubitz J, ‘The Effect of Longevity on Spending for Acute and Long-Term Care’ N Engl J Med 2000; 342:1409-1415

Wittenberg, R, Sandu, B and Knapp, M (2002) Funding long-term care: the public and private options. In Funding health care: options for Europe. Eds Mossialos, E, Dixon, A, Figueras, J and Kutzin, J. Open University, Buckingham

Zweifel, P., Felder, S. and Meier, M. (1999) Ageing of Population and Health Care Expenditure: A Red Herring?, Health Economics, 8(6): 485-496