This paper presents the Economic Security Index (ESI), a new, more comprehensive measure of economic insecurity. By combining data from multiple surveys, we create an integrated measure of volatility in available household resources, accounting for fluctuations in income and out-of-pocket...

We quantify the effects of population aging on the U.S. healthcare system. Our analysis is based on a stochastic general equilibrium overlapping generations model of endogenous health accumulation calibrated to match pre-2010 U.S. data. We find that population aging not only leads to large...

Ageing populations pose a major challenge for long-term sustainability of public finances. The respond has been a wave of pension reforms that has lowered markedly the projected pension expenditure in EU countries. The increase in the second major expenditure item, health and long-term care...

This paper offers an integrated view of the relationships between health spending, medical innovation, health status, growth and welfare. Health spending triggers technological progress, which is a potential source of better outcomes in terms of longevity and quality of life, a direct source of...

Medical costs are among the most significant factors in determining long run fiscal requirements for the federal budget of the United States, and for the individual household budgets of retirees. Rapid growth and high individual variance make projections of future expenditures in the 20 to 50...

Public spending on health in Canada has reach $121 billion in 2008; an average annual increase of 7.4% compared to the 1998 level. For the same period, total government revenue has grown at an average annual rate of 5.2%. This fact has led some stakeholders to conclude that health spending is...

Existing forecasts of a continuously rising income share of health spending (SHS) take per capita income growth and population aging as given. We develop a human capital-based endogenous growth model treating these variables as endogenously determined. In this private-economy setting, SHS has...

This paper presents the Economic Security Index (ESI), a new, more comprehensive measure of economic insecurity. By combining data from multiple surveys, we create an integrated measure of volatility in available household resources, accounting for fluctuations in income and out-of-pocket...

This paper studies the impact of the first effective medical treatment for an infectious disease -diphtheria antitoxin- on the historical health transition in the United States. Using an instrumental variable for local antitoxin adoption rates and information from approximately 1.6 million death...

This paper proposes a comprehensive framework for projecting public heath and long-term care expenditures. Notably, it considers the impact of demographic and non-demographic effects for both health and long-term care. Compared with other studies, the paper extends the demographic drivers by...