Health and Labour-Force Participation of the Elderly in Taiwan

  • Cem Mete
  • T. Paul Schultz
Part of the International Studies In Population book series (ISIP, volume 3)

Economic performance of low-income countries may be affected by their system of health care. But there is no consensus regarding the optimum level of public health spending, or the efficiency and equity of various schemes for financing public and private health care. On the one hand, excessive government spending on health care in poor countries could divert resources from promising investment opportunities and thus translate into slower economic growth. Some countries have used public health subsidies with restraint at early stages of economic development, but at later stages public expenditure on health increase as a share of GDP—often with the goal of universal coverage of health care. Reviewing the health care experiences of “successful” East Asian countries—Japan, Korea, Singapore, and Taiwan—Gertler (1998) notes that these countries achieved universal coverage of health care only after they had reached relatively high levels of income, were largely urbanized, and most of their workers were in the formal sector. Gertler cautions against early implementation of universal coverage because the resulting health subsidies encourage overuse of health care (i.e., moral hazard) and inefficient allocation of health goods and services. If cost inflation of medical curative care is partly borne by the private consumer, this may also deter the adoption of new medical technology until it is cost effective.


National Health Insurance National Health Insurance Program Executive Yuan Health Status Variable Taiwan Area 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Attanasio, O. P. and Emmerson, C. (2001), “Differential mortality in the U. K. ” National Bureau of Economic Research Working Paper 8241, Cambridge, MA.Google Scholar
  2. Attanasio, O. P. and Hoynes, H. W. (2000), “Differential mortality and wealth accumulation. ” Journal of Human Resources, 35(1):1-29.CrossRefGoogle Scholar
  3. Baker, M., Stabile, M. and Deri, C. (2001), “What do self-reported, objective, measures of health measure?” National Bureau of Economic Research Working Paper No. 8419, Cambridge, MA.Google Scholar
  4. Bartel, A. and Taubman, P. (1979), “Health and labor market success: The role of various diseases. ” The Review of Economics and Statistics, 61(1):1-8.CrossRefGoogle Scholar
  5. Bound, J. (1991), “Self-reported versus objective measures of health in retirement models. ” Journal of Human Resources, 26(1):106-138.CrossRefGoogle Scholar
  6. Campbell, J. C. and Ikegami, N. (1998), The Art of Balance in Health Policy. Maintaining Japan’s Low-Cost, Egalitarian System. Cambridge University Press: New York, NY.Google Scholar
  7. Chang, M. -C. and Hermalin, A. I. (1989), 1989 Survey of Health and Living Status of the Elderly in Taiwan: Questionnaire and Survey Design. University of Michigan, Population Studies Center, Ann Arbor, MI.Google Scholar
  8. Chen, L. C., Wittgenstein, F. and McKeon, E. (1996), “The upsurge of mortality in Russia: Causes and policy implications. ” Population and Development Review, 22(3):517-530.CrossRefGoogle Scholar
  9. Chou, Y. J. and Staiger, D. (2001), “Health insurance and female labor supply in Taiwan. ” Journal of Health Economics, 20(2):187-211.CrossRefGoogle Scholar
  10. Coile, C. and Gruber, J. (2000), “Social security and retirement. ” National Bureau of Economic Research Working Paper No. 7830.Google Scholar
  11. Costa, D. L. (1996), “Health and labor force participation of older men, 1900-1991. ” Journal of Economic History, 56(1):62-89.CrossRefGoogle Scholar
  12. Department of Health. (1992), Public Health in Taiwan Area, Republic of China. Executive Yuan: Taipei.Google Scholar
  13. Directorate General of Budget, Accounting and Statistics (various years), Personal Income Distribution Survey (Microdata files called Family Income and Expenditure Survey). Executive Yuan, Taipei, Taiwan Area of the Republic of China.Google Scholar
  14. Durand, J. D. (1975), The Labor Force in Economic Development. Princeton University Press: Princeton, NJ.Google Scholar
  15. Dwyer, D. S. and Mitchell, O. S. (1999), “Health problems as determinants of retirement: Are self-rated measures endogenous?” Journal of Health Economics, 18(2):173-193.CrossRefGoogle Scholar
  16. Feinstein, J. (1993), “The relationship between socioeconomic status and health: A review of the Literature. ” The Milbank Quarterly, 71(2):279-322.CrossRefGoogle Scholar
  17. Gerdtham, U. -G. and J önsson, B. (2000), “International comparisons of health expenditure. ” In: Handbook of Health Economics, Vol. 1, Chap. 1, A. J. Culyer and J. P. Newhouse, eds. Elsevier Science: Amsterdam.Google Scholar
  18. Gertler, P. J. (1998), “On the road to social health insurance: The asian experience. ” World Development, 26(4):717-732.CrossRefGoogle Scholar
  19. Gruber, J. and Wise, D. (1999), Social Security and Retirement Around the World. University of Chicago Press: Chicago.Google Scholar
  20. Gustman, A. and Steinmeier, T. (1994), “Employer provided health insurance and retirement behavior. ” Industrial and Labor Relations Review, 47(3):124-140.CrossRefGoogle Scholar
  21. Hurd, M. (1990), “Research on the elderly: Economic status, retirement, and consumption and savings. ” Journal of Economic Literature, 28(2):565-637.Google Scholar
  22. Hurd, M. and McFadden, D. (1999), “Predictors of mortality among the elderly. ” National Bureau of Economic Research Working Paper 7140, Cambridge, MA.Google Scholar
  23. Johansson, S. R. (1991), “The health transition: The cultural inflation of morbidity during the decline in mortality. ” Health Transition Review, 1(1):39-68.Google Scholar
  24. Killingsworth, M. R. (1983), Labor Supply, Cambridge UK: Cambridge University Press.CrossRefGoogle Scholar
  25. Kitigawa, E. and Hauser, P. (1973), Differential Mortality in the United States: A Study in Socioeconomic Epidemiology. Harvard University Press: Cambridge.Google Scholar
  26. Krueger, A. B. and Pischke, J. -S. (1992), “The effect of social security on labor supply: A cohort analysis of the notch generation. ” Journal of Labor Economics, 10(4):412-437.CrossRefGoogle Scholar
  27. Levenson, A. R. (1996), “Do consumers respond to future income shocks? Evidence from social security reform in Taiwan. ” Journal of Public Economics, 62:275-295.CrossRefGoogle Scholar
  28. Levenson, A. R. (2000), “The role of agricultural and female labor mobility in Taiwan’s industrialization: 1976-1991. ” Review of Development Economics, 4(1):101-119.CrossRefGoogle Scholar
  29. Madalla, G. S. (1983), Limited-dependent and Qualitative Variables in Econometrics. Cambridge University Press: Cambridge.Google Scholar
  30. National Research Council (2001), Preparing for an Aging World: The Case for Cross-National Research, Washington D. C., National Academy Press.Google Scholar
  31. Newhouse, J. P. et. al. (1993), Free for All? Lessons from the RAND Health Insurance Experiment. Harvard University Press: Cambridge, MA.Google Scholar
  32. Novo, M., Hammarstrom, A. and Janlert, U. (2001), “Do high levels of unemployment influence the health of those who are not unemployed? A gendered comparison of young men and women during boom and recession. ” Social Science and Medicine, 53:293-303.CrossRefGoogle Scholar
  33. Republic of China, Various Years, Report on the Survey of Personal Income Distribution in Taiwan Area of the Republic of China. Directorate General of Budget, Accounting and Statistics, Executive Yuan, Taipei.Google Scholar
  34. Republic of China (1997), Statistical Yearbook of the Republic of China. Directorate General of Budget, Accounting and Statistics, Executive Yuan, Taipei.Google Scholar
  35. Rivers, D. and Vuong, Q. (1988), “Limited information estimators and exogeneity tests for simultaneous probit models. ” Journal of Econometrics, 39(3):347-66.CrossRefGoogle Scholar
  36. Rosso, J. M. and Marek, T. (1996), “Class action: Improving school performance in the developing world through better health and nutrition. ” Directions in Development. The World Bank: Washington, DC.Google Scholar
  37. Ruhm, C. J. (2001), “Economic Expansions are Unhealthy: Evidence from Microdata, ” National Bureau of Economic Research Working Paper No. 8447, Cambridge, MA.Google Scholar
  38. Rust, J. and Phelan, C. (1997), “How social security and medicare affect retirement behavior in a world of incomplete markets. ” Econometrics, 65(4):781-831.CrossRefGoogle Scholar
  39. Schoenbaum, M. (1995), “The Health Status and Labor Force Behavior of the Elderly in Taiwan. ” Manuscript, University of California at Berkeley.Google Scholar
  40. Schultz, T. P. (1990), “Women’s changing participation in the labor force, ” Economic Development and Cultural Change, 38(3):599-634.CrossRefGoogle Scholar
  41. Schultz, T. P. (1999), “Income Inequality in Taiwan, 1976-1995, ” In: Political Economic of Taiwan’s Development in the 21st century, G. Ranis, S. -C. Hu and Y. -P. Chu, eds. E. Elgar Publishers: England.Google Scholar
  42. Schultz, T. P. and Tansel, A. (1997), “Wage and labor supply effects of illness in C ôte d’Ivoire and Ghana: Instrumental variable estimates for days disabled. ” Journal of Development Economics, 53:251-286.CrossRefGoogle Scholar
  43. Smith, J. P. and Kington, R. (1997), “Demographic and economic correlates of health in old age. ” Demography, 34(1):159-170.CrossRefGoogle Scholar
  44. Stewart, A. L. and Ware, J. E. Jr. (eds. ) (1992), Measuring Functioning and Well-Being. Duke University Press: Durham, NC.Google Scholar
  45. Strauss, J., Gertler, P., Rahman, O. and Fox, K. (1995), “Gender and life-cycle differentials in the pattern and determinants of adult health. ” In: Investments in Women’s Human Capital, T. P. Schultz, ed. University of Chicago Press: Chicago.Google Scholar
  46. Strauss, J. and Thomas, D. (1998), “Health, nutrition, and economic development. ” Journal of Economic Literature, 36:766-817.Google Scholar
  47. Verbrugge, L. (1989), “The twain meet: Empirical exporations of sex differences in health and mortality. ” Journal of Health and Social Behavior, 30(3):282-304.CrossRefGoogle Scholar
  48. Zimmer, Z., Liu, X., Hermalin, A. and Chuang, Y. -L. (1998), “Educational attainment and transitions in functional status among older Taiwanese. ” Demography, 35(3):361-375.CrossRefGoogle Scholar

Copyright information

© Springer 2007

Authors and Affiliations

  • Cem Mete
    • 1
  • T. Paul Schultz
    • 1
  1. 1.Yale UnivesityUSA

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