Is Direct FDI in Healthcare Desirable in a Developing Economy?

Chaudhuri, Sarbajit and Mukhopadhyay, Ujjaini (2012): Is Direct FDI in Healthcare Desirable in a Developing Economy?

Abstract

We develop a three-sector general equilibrium model and attempt to examine the impact of FDI in healthcare sector on the welfare and human capital stock of the economy. The greater the size of the healthcare sector the higher and better would be the medical facilities available to each member of the population. Better medical facilities must produce positive effects on workers’ general health and productivity. The greater the size of the healthcare sector the higher is the efficiency of labour. There are two types of capital: capital of type K and capital of type N. While capital of type K is used in production of all the sectors of the economy, capital of type N is specific to the healthcare sector. Our analysis finds that an FDI of capital of type N although raises the human capital formation may lower social welfare. On the contrary, an inflow of foreign capital of type K is likely to be welfare-improving. Although these effects crucially hinge on different structural factors e.g. the degree of labour market imperfection, trade-related and technological factors these can at least question the desirability of allowing the entry of foreign capital in the healthcare sector directly.

• Item Type: MPRA Paper
• Language: English
• Keywords: FDI, healthcare, developing economy, social welfare, human capital, general equilibrium
• Subjects: P - Economic Systems > P3 - Socialist Institutions and Their Transitions > P36 - Consumer Economics ; Health ; Education and Training ; Welfare, Income, Wealth, and Poverty; I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior; F - International Economics > F1 - Trade > F19 - Other

References

Woodward, D. 2002. Trade in health services: conceptual frameworks, issues and constraints. Paper presented at Assessment of GATS and Trade in Health Services: An International Consultation on Monitoring and Research Priorities, WHO, Geneva, 9–11 January, http:// www.who.int/health-services-trade.

Outreville, J.F. 2007. Foreign direct investment in the health care sector and most-favoured locations in developing countries. The European Journal of Health Economics, 8(4), 305-312.

Semboja, J. and Thirkildsen, O. (eds.) 1995. Service Provision under Stress in East Africa Centre for Development Research, Copenhagen and James Currey, London.

Fujita, M. 2002. Presentation on FDI trends in health care, WHO International Consultation on Assessment of GATS and Trade in Health Services, Geneva, January.

Chanda, R. 2002. Trade in health services. Bulletin of the World Health Organisation 80 (2), 158-63.

Lethbridge J. 2002. Private investment and International Finance Corporation investment in health care www.psiru.org

Chanda, R. 2008. Issues and Concerns in an India-EU Trade and Investment Agreement, Final Report, Indian Council For Research On International Economic Relations.

Janjararoen, W. and Supakankunti, S. 2002. International trade in health services in the millennium: The case of Thailand. In N. Drager, & C. Vieira (Eds.), Trade in health services: Global, regional and country perspectives. Washington, DC: PAHO (Chapter 8).

Lipson, D. 2001a. GATS and Trade in Health Insurance Services. Paper No. WG4:7, Commission on Macroeconomics and Health, WHO, Geneva.

Lipson, D. 2001b. The World Trade Organisation’s health agenda: Opening up the health services markets may worsen health equity for the poor. British Medical Journal, 323, 1139–1140.

Smith, R.D. 2004. Foreign direct investment and trade in health services: A review of the literature, Social Science & Medicine 59, 2313–2323.

Pollock, A. and Price, D. 2000. Rewriting the regulations: How the World Trade Organisation could accelerate privatization in health care systems. The Lancet, 356, 1995–2000.

Sinclair, S. and Grieshaber-Otto, J. 2002. Facing the facts: a guide to the GATS debate. Ottawa: Canadian Centre for Policy Alternatives.

World Health Organisation. 2002. Developing evidence-based ethcal policies on the migration of health workers: conceptual and practical challenges Geneva December.

Mehmet, O. 2002. The emerging global labour market: some implications for international health, Draft, paper for the WHO consultation on imbalances in the health workforce Ottawa March.

Mackintosh, M. 2003. Health Care Commercialisation and the Embedding of Inequality, Draft paper prepared for the RUIG/UNRISD project on Globalization, Inequality and Health, United Nations Research Institute for Social Development (UNRISD).

Waitzkin and Iriart, 2001. How the United States exports managed care to developing countries. International Journal of Health Services 31 (3) pp.495-505.

White K. and Collyer F. Health Care Markets in Australia: Ownership of the Private Hospital Sector. International Journal of Health Services, 1998: 28: 3: 487-510.