乳幼児医療費助成制度におけるヤードスティック競争

Adachi, Yoshimi and Saito, Hitoshi (2015): 乳幼児医療費助成制度におけるヤードスティック競争.

Abstract

This paper explored the yardstick competition among Japanese municipalities in providing medical subsidy for infants and children. In recent years, against the background of rapidly declining birthrate in Japan, municipalities aimed to reduce the medical burden of families with small children. Municipalities had actively devised countermeasures to tackle the falling birthrate. In particular, granting of coverage under the Medical Subsidy for Infants and Children program significantly expanded with the upper limit set by many municipalities being higher than that of corresponding prefectures. In this paper, we have demonstrated how to determine the upper age of the Medical Subsidy for Infants and Children program by each municipality. Two facts on Japanese Medical Subsidy for Infants and Children program have emerged from our estimation results. First, we showed that the upper limit established by municipalities for the Medical Subsidy for Infants and Children program had been expanded by two contributory factors. One was caused by the expanding of the upper limit by the prefectures, while the other cause was triggered by horizontal externalities. In addition, the effect of the former factor on the expansion was larger than that of the latter. Finally, we obtained the result that the yardstick competition, as was discussed by Besley and Case (1995), had occurred between the municipalities’ Medical Subsidy for Infants and Children program. Therefore, the yardstick competition among municipalities in 2010–2012 was considered to be the main reason for the expansion of the upper limit of the Medical Subsidy for Infants and Children program.

• Item Type: MPRA Paper
• English Title: Yardstick competition in the japanese medical subsidy for infants and children
• Language: Japanese
• Keywords: Yardstick Competition, Medical Subsidy for Infants and Children, Intergovernmental Relations
• Subjects: H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H72 - State and Local Budget and Expenditures; H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H75 - State and Local Government: Health ; Education ; Welfare ; Public Pensions; H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H77 - Intergovernmental Relations ; Federalism ; Secession

References

・Anselin, L. (1988). Spatial Econometrics: Methods and Models, Kluwer Academic Publishers.

・Anne C. Case, Harvey S. Rosen and James R. Hines Jr (1993).“Budget spillovers and fiscal policy interdependence: Evidence from the states.” Journal of Public Economics , 52,pp. 285-307.

・Besley, T. and Case, A. (1995). “Incumbent behavior. Vote seeking, tax setting and yardstick competition.” American Economic Review, 85(1), pp.25-45.

・Brueckner, J. (2003). “Strategic interaction among governments: An overview of empirical studies.” International Regional Science Review, 26(2), pp.175-188.

・Fiva, J. & Rattso, J. (2006). “Welfare competition in Norway: Norms and expenditures.” European Journal of Political Economy, 22(1), pp. 202-222.

・Kelejian, H. and Prucha, I. (1998). “A generalized spatial two-stage least squares procedure for estimating a spatial autoregressive model with autoregressive disturbances.” Journal of Real Estate Finance and Economics,17, pp.99-121.

・Wildasin, D. E., (1988). “Nash Equilibria in Models of Fiscal Competition.”Journal of Public Economics, 35, pp.229-240.

・Wilson, John D. (1986). “A Theory of Interregional Tax Competition.” Journal of Urban Economics, 19, pp.296-315.

・足立泰美・赤井伸郎(2014)「少子化社会における子ども支援政策の政府間競争の検証」第71回日本財政学会発表論文

・鎌田健司(2010)「地方自治体における少子化対策の政策過程－「次世代育成支援対策に関する自治体調査」を用いた政策出力タイミングの計量分析－」『政經論叢』78巻 3・4号、pp. 213－242　

・鎌田健司(2011)「多様化する次世代育成支援対策」『人口問題研究』67－4、pp.39～61

・齊藤愼・中井英雄(1991) 「福祉支出の地域間格差－市町村歳出決算の老人福祉費を中心と して」『季刊社会保障研究』第 27 巻 第 3 号 pp.265-273.

・田中宏樹（2009）「育児支援政策をめぐる自治体間財政競争」『公共選択の研究』52: pp. 25-36

・塚原康博 (1992)「社会福祉政策の導入と伝播－先行要件仮説と伝播仮説の統合と検証」『季刊社会保障研究』第 28 巻 第 2 号 pp.173-181.

・中澤克佳（2007）「市町村高齢者福祉政策における相互参照行動の検証：ホームヘルプサービス供給水準の事例研究」『日本経済研究』、第57号、pp. 53-70

・西川雅史(2010) 「乳幼児医療費助成制度の一考察(上) : 都道府県における所得制限と自己負担」『青山經濟論集』、62(3)、pp. 195-214

・西川雅史(2011) 「乳幼児医療費助成制度の一考察(下) : 市町村の制度選択 」『青山經濟論集』、62(4)、pp. 87-111

・別所俊一郎(2011)　 「再分配政策と地方財政」　『地方財政の理論的進展と地方消費税 (日本地方財政学会研究叢書) 』、第18号、pp. 10-12　

・別所俊一郎・宮本由紀（2012）「妊婦健診をめぐる自治体間財政競争」『財政研究第8巻』pp. 251-267

・山内康弘(2009)「介護保険施設の供給における地方自治体間の空間自己相関の検証」『大阪大学経済学』59(3): pp. 206-222