Skip to main content

The U.S. health production function: evidence from 2001 to 2009

Abstract

This study estimates the impact of the 2007 financial crisis upon U.S. health as measured by age adjusted death rates. OLS regression results suggest that the average death rate was lower in the post-crisis period than the pre-crisis period. The majority of the average decline in the death rate was a result of the time period and not a result of changes in the values of the underlying explanatory variables. We continue to find this result even adding state fixed effects. Contrary to other research, we find that the unemployment rate has no statistically significant impact on death rates either for the U.S. as a whole or for any states individually. Rather, the impact of the financial crisis is felt via year fixed effects that increased over time during the post-crisis period.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

Notes

  1. For example, Auster et al. (1969), Grossman (1972), Newhouse and Friedlander (1980), Rosen and Taubman (1982), Leigh (1983), Berger and Leight (1989), Kenkel (1991) and Thornton (2002, 2011).

  2. Regression results available upon request.

  3. Again, we haven’t included these regression results but they are available upon request.

References

  • Auster, R., Leveson, I., & Sarachek, D. (1969). The production of health, an exploratory study. Journal of Human Resources, 4, 411–36.

    Article  Google Scholar 

  • Berger, M., & Leight, J. (1989). Schooling, self-selection, and health. Journal of Human Resources, 24, 433–55.

    Article  Google Scholar 

  • Gerdtham, U.-G., & Ruhm, C. J. (2006). Death rise in good economic times: evidence from the OECD. Economics and Human Biology, 4, 298–316.

    Article  PubMed  Google Scholar 

  • Grossman, M. (1972). The demand for health: a theoretical and empirical investigation. New York: National Bureau of Economic Research.

    Google Scholar 

  • Hoyert, D. L. (2012). 75 Years of mortality in the United States, 1935 – 2010, NCHS Data Brief no. 88. Hyattsville: National Center for Health Statistics.

    Google Scholar 

  • Kenkel, D. (1991). Health behavior, health knowledge, and schooling. Journal of Political Economy, 99, 287–305.

    Article  Google Scholar 

  • Leigh, J. (1983). Direct and indirect effects of education on health. Social Science and Medicine, 17, 227–234.

    Article  CAS  PubMed  Google Scholar 

  • Martin, A., Lassman, D., Whittle, L., Catlin, A., & National Health Expenditure Accounts Team. (2011). Recession contributes to slowest annual rate of increase in health spending in five decades. Health Affairs, 30(1), 11–22.

    Article  PubMed  Google Scholar 

  • Miller, D., Page, M. E., Stevens, A. H., & Filipski, M. (2009). Why are recessions good for your health. American Economic Review, 99(2), 122–127.

    Article  Google Scholar 

  • Newhouse, J., & Friedlander, L. (1980). The relationships between medical resources and measures of health: some additional evidence. Journal of Human Resource, 15, 200–218.

    Article  CAS  Google Scholar 

  • Neumayer, E. (2004). Recessions lower (some) mortality rates: evidence from Germany. Social science and Medicine, 58(6), 1037–1047.

    Article  PubMed  Google Scholar 

  • Olsen, Reed. (1993). The impact of health maintenance organizations on health and health care costs. Applied Economics, 25(11), 1451–1465.

    Article  Google Scholar 

  • Phelps, C. E. (2013). Health economics (5th ed.). Boston: Pearson.

    Google Scholar 

  • Rosen, S., & Taubman, P. (1982). Some socioeconomic determinants of mortality. In J. V. Der Gagg, W. B. Neeman, & T. Tsukahara (Eds.), Economics of health care (pp. 255–271). New York: Praeger Publishers.

    Google Scholar 

  • Ruhm, C. (2000). Are recessions good for your health? Quarterly Journal of Economics, 115(2), 617–650.

    Article  Google Scholar 

  • Ruhm, C. (2003). Good times make you sick. Journal of Health Economics, 22(4), 637–658.

    Article  PubMed  Google Scholar 

  • Ruhm, C. (2005a). Mortality increases during economic upturns. International Journal of Epidemiology, 34(6), 1206–1211.

    Article  PubMed  Google Scholar 

  • Ruhm, C. (2005b). Healthy living in hard times. Journal of Health Economics, 24, 341–363.

    Article  PubMed  Google Scholar 

  • Ruhm, C. (2007). A healthy economy can break your heart. Demography, 44(4), 829–848.

    Article  PubMed  Google Scholar 

  • Ruhm, C. J. (2013). Recessions, healthy no more?. Cambridge: National Bureau of Economic Research.

    Book  Google Scholar 

  • Ruhm, C. J. (2009). Economic conditions and health behaviors: are recessions good for your health? North Carolina Medical Journal, 70(4), 328–330.

    PubMed  Google Scholar 

  • Thornton, J. (2002). Estimating a health production function for the U.S.: some new evidence. Applied Economics, 34(11), 59–62.

    Article  Google Scholar 

  • Thornton, J. (2011). Does more medical care improve population health? new evidence for an old controversy. Applied Economics, 43(24), 3325–3336.

    Article  Google Scholar 

  • Xu, X. (2013). The business cycle and health behaviors. Social Science & Medicine, 77, 126–136.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hui-Kuan Tseng.

Appendix—sources of data

Appendix—sources of data

Death rate: Measured by age adjusted death rate. Sources: www.cdc.gov

Personal Health Care Expenditures: Measured by real personal health care expenditures per capita. Sources: www.cms.gov, www.bea.gov, www.census.gov

Hospital Expenditures: Measured by real hospital expenditures per capita. Sources: www.cms.gov, www.bea.gov, www.census.gov

Tobacco Consumption: Measured by per capita tobacco consumption; packs per person sold annually. Sources: www.cdc.gov and www.taxadmin.org/fta/tobacco

Alcohol Consumption by State: Measured by per capita alcohol consumption; gallons of ethanol per person annually. Sources: pubs.niaaa.nih.gov

Violent Crime: Measured by violent crime per 100,000 population; includes murder, rape, robbery, and assault. Sources: www.ucrdatatool.gov/

Property Crime: Measured by property crime per 100,000 population; includes burglary, larceny, and motor vehicle theft. Sources: www.ucrdatatool.gov/

Bachelor’s Degree: Measured by percent of the population with a bachelor’s degree or more. Sources: nces.ed.gov

Personal Income Per Capita: Measured by real personal income per capita. Sources: www.cms.gov, www.bea.gov, www.census.gov

Manufacturing Employment: Measured by manufacturing jobs as a percent of total jobs. Sources: www.bls.gov

White: Measured by percent of the population that is non-Hispanic White. Sources: www.cms.gov/

Black: Measured by percent of the population that is African American. Sources: www.cms.gov/

Unemployment rate: Measured by annual unemployment rate. Sources: www.bls.gov

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Tseng, HK., Olsen, R. The U.S. health production function: evidence from 2001 to 2009. Int J Health Econ Manag. 16, 51–64 (2016). https://doi.org/10.1007/s10754-015-9180-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10754-015-9180-2

Keywords

  • Health production function
  • Financial crisis