Public education expenditures and private school enrollment

In this paper, I investigate whether increases in public education expenditures lead to reductions in private school enrollment. In order to deal with the endogeneity of public expenditures, I use as a natural experiment the 1998 FUNDEF reform in Brazil that caused exogenous variations in local public school funding. Using data from Brazilian School and Population censuses, I show that public education expenditures increases are associated with reductions in the share of private school enrollment for grade 1. However, the effect is smaller for grades 2 to 4, which is consistent with the existence of costs associated with switching schools.     

Public versus private risk sharing

Can public income insurance through progressive income taxation improve the allocation of risk in an economy where private risk sharing is incomplete? The answer depends crucially on the fundamental friction that limits private risk sharing in the first place. If risk sharing is limited because insurance markets are missing for model-exogenous reasons (as in Bewley (1986) [8]) publicly provided risk sharing improves on the allocation of risk. If instead private insurance markets exist but their use is limited by limited enforcement (as in Kehoe and Levine (1993) [23]) then the provision of public insurance interacts with equilibrium private insurance, as, by providing risk sharing, the government affects the value of exclusion from private insurance markets and thus the enforcement mechanism of these contracts. We characterize consumption allocations in an economy with limited enforcement and a continuum of agents facing plausible income risk and tax systems with various degrees of progressivity (public risk sharing). We provide conditions under which more publicly provided insurance actually reduces total insurance for agents (excess crowding-out), or under which more public insurance increases total insurance (partial crowding-out).     

Home equity commitment and long-term care insurance demand

This paper shows how home equity may substitute for long-term care insurance (LTCI). The elderly commonly hold substantial wealth in the form of home equity that is rarely spent before death, except for after moves to long-term care facilities. Absent strong bequest motives implies that marginal utility fluctuates less across health states than one would predict based on a standard model without wealth tied up in housing. Numerical examples show that this “asset commitment” may substantially weaken LTCI demand.     

Fiscal illusion and the demand for government expenditures in the UK

This paper examines whether variables commonly used to test standard fiscal illusion arguments (that tax structure affects voters' demands for public goods) can help explain the time-series behaviour of government expenditure in the UK during 1955–1994. We modify a standard median voter model to incorporate fiscal illusion via ‘less visible' (indirect) taxes and deficit financing. While we find evidence that both are positively associated with increased government spending, this would appear to be consistent with both fiscal illusion and standard efficiency arguments.     

Rational demand and expenditures patterns under habit formation

This paper proposes a model in which habit formation is present in a relatively general but tractable way. The consumer's problem is transformed into a sequence of two-period Fisherian problems by introducing a “reduced utility function” to ensure full dynamic rationality of the consumer. By making preferences dependent on past real expenditure levels rather than past consumption bundles, it is possible to characterize the long-run behavior of the consumer. Stability analysis is performed. The cases of “immediate habit formation” and “delayed habit formation” are discussed.     

Consumer welfare from publicly supplemented private goods: age and income effects on demand for health care

In spite of major advances in the theoretical, positive and normative, literature analysing the welfare implications of public provision of private goods, empirical investigation is often limited to contingent valuation studies, for example, of health care programmes. In this article we argue that when a market for a (subsidised or free of charge) publicly provided good exists, a consumer demand approach can be used to construct a money metric of welfare corresponding to the consumption of public provision. We illustrate this approach in investigating age and income effects on household demand for health care in Cyprus, where free public provision is not universal and those entitled to it often resort to private supplementation. Our findings suggest that the money metric of welfare, which consumers attach to free access to publicly provided health care, varies with age and to a lesser extent with household income.     

Public versus private ownership: Quantity contracts and the allocation of investment tasks

The government wants a certain good or service to be provided. Should the required assets be publicly or privately owned or should a partnership be formed? Building on the incomplete contracting approach, we argue that the initially specified quantity of an ex ante describable basic good can have important effects on investment incentives, which has been neglected in the literature so far. We also study how the tasks of investing in quality improvements and cost reductions should be assigned. We show how the optimal contracts and governance structures depend on the exogenous parameters of the model such as the nature of the investments and the parties' bargaining powers.     

The demand for preventive medical care

The idea that people invest in health capital is an essential part of models of the demand for health, but the investment motives behind health decision are often obscured by other factors. This empirical paper investigates the demand for adult preventive medical care, where the investment motives are relatively clear cut. Several important results demonstrate the usefulness of the approach. First, the analysis finds that annual use of two preventive services decreases with age. Although not the only plausible explanation, the results are consistent with individuals shortens over the lifecycle. Second, schooling is found to be an important determinant of demand, with the more educated much more likely to use the services. Neither lifecycle nor schooling effects are consistently found in studies of the demand for culture care. Finally, the empirical analysis also provides additional evidence on the responsiveness of the demand for preventive care to change in insurance coverage, an important issue for health policy.     

Perceived quality of public services, liquidity constraints, and the demand of private specialist care

In this article we offer direct evidence on the role of perceived quality differences in publicly provided health care services, in determining the incentive to opt out for private services and, for poor individuals, short-run credit constraints in the access to these services. We concentrate on private specialist care, a category of services for which disparities in the access are highest. We use Bank of Italy—SHIW data to first study the determinants of demand for private and public specialist care, estimating probit and bivariate probit models, and ZIP models. We then apply the Carneiro–Heckman procedure to identify the share of people constrained and study how perceived quality of public services affects the percentage of people short run constrained. Our estimates suggest the presence of large territorial differences, as for the role of income and the quality of public services.     

The determinants of the demand for private health insurance under Medicare

Since the introduction of Medicare in 1984, the proportion of the Australian population with private health insurance has declined considerably. Insurance for health care consumption is compulsory for the public health sector but optional for the private health sector. In this paper, we explore a number of important issues in the demand for private health insurance in Australia. The socio-economic variables which influence demand are examined using a binary logit model. A number of simulations are performed to highlight the influence and relative importance of various characteristics such as age, income, health status and geographical location on demand. A number of important policy issues in the private health insurance market are highlighted. First, evidence is provided of adverse selection in the private health insurance pool, second, the notion of the wealthy uninsured is refuted, and finally it is confirmed that there are significant interstate differences in the demand for private health insurance.     

An empirical investigation of monetary effects on private consumption expenditures in Austria

This paper presents an econometric investigation of monetary effects on private consumption expenditures in Austria. It tries to add the empirical aspect to the theoretical problem of the relationship between monetary and real sector of an economy.Patinkins theory of the real balance effect provides the link between theoretical and empirical aspects. Taking into consideration further assumptions on aggregation, dynamics and problems of definition of variables, consumption functions of different aggregation levels are specified. Including effects of interest rates and credits one arrives at a first assessment of monetary effects on private consumption expenditures as found from single equation estimates. Significant credit and wealth effects are obtained. Later, systems of equations are estimated and used to investigate real—monetary sector interaction. They allow also a dynamic analysis.In presenting the sequence of microeconomic foundations, further assumptions and macroeconomic functions and systems built upon, it is thought to clarify the connection to traditional theory of real—monetary sectors relationship. It might also give an idea about the resulting problems for meaningful empirical research in this area.

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Zusammenfassung Diese Arbeit beschäftigt sich mit der ökonometrischen Untersuchung monetärer Effekte auf private Konsumausgaben in Österreich. Es wird damit versucht, dem theoretischen Problem der Beziehungen zwischen monetärem und realem Sektor der Wirtschaft einen empirischen Aspekt, der die österreichischen Verhältnisse betrifft, zur Seite zu stellen. Das Bindeglied zwischen Theorie und Empirie stelltPatinkins Theorie des Realkasseneffektes dar, die unter Zuhilfenahme weiterer Annahmen über Aggregation, Definitionen und Dynamik zur Spezifikation von aggregierten und disaggregierten Konsumfunktionen führt. Ergänzt durch Zins- und Krediteffekte läßt sich an Hand von Einzelgleichungen eine erste Einschätzung monetärer Wirkungen auf den privaten Konsum und seine Komponenten durchführen. Es können signifikante Kredit- und Vermögenseffekte festgestellt werden. In diesem Zusammenhang wird auch die Hypothese überprüft, ob die Grenzneigungen zum Konsum aus dem verfügbaren Realeinkommen und aus dem Realfinanzvermögen gleich sind, wie dies durch die Annahme eines kurzfristigen Planungshorizontes impliziert wird.Um die Interaktion von realem und monetärem Sektor zu analysieren, wird ein Gleichungs-system formuliert und geschätzt. Daraus lassen sich Unterschiede zu Einzelgleichungsergebnissen aufzeigen. Mittels alternativer Spezifikation der Konsumgleichungen und der Gleichung des monetären Sektors können Vermögens-, Kredit- und Zinseffekte auch im dynamischen Zusammenhang untersucht werden.Die Aufeinanderfolge von mikroökonomischen Grundlagen, weiterer Annahmen, makroökonomischen Funktionen und schließlich Systemen, soll den Zusammenhang zur traditionellen Theorie der Beziehungen zwischen Geld- und Realsektor verdeutlichen und auf die daraus entstehenden Probleme für eine adäquate empirische Untersuchung hinweisen.

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A preliminary version of this paper was presented at the Winter Meeting of the Econometric Society at Sindelfingen (January 9–11, 1978). It constitutes a condensed version of a project on Money and Private Consumption conducted at the Institute of Econometrics, TU—Vienna, under Prof.G. Tintner. The author is indebted to Prof. Tintner for helpful comments and to Dipl. Ing.R. Rieder for assisting in the computations and providing computer programs. The project was supported financially by the Jubiläusmfonds of the Austrian National Bank.     

Gender and the demand for medical care

The consumption of a set of diverse medical services is analysed in an effort to determine the sources of high utilization by women.Unlike previous studies of gender and the demand for medical services,the range of services investigate allows us to draw conclusions about the influence of physicians as agents.We use a modified version of the almost-ideal demand model in the emperical analysis which,unlike the double-log quadratic, or linear demand models, is consistent with constraints imposed by economic theory.Through decomposition of the variance, it was found that if women reported the same series of health indicators as men. their use of most services would fall below that of men.     

Public provision of private child goods

This paper analyzes the public provision of private goods for children in a politico-economic model with endogenous fertility. The government provides every child with goods that can also be purchased by parents in private markets, and the level of provision is determined by majority rule. Households with many children benefit from the public provision more than those with fewer children; thus, a political conflict arises between them. The distribution of the number of children across households, which is a crucial factor for determining which group is politically dominant, is endogenously determined by households' fertility decision. The sequential interaction between fertility and political decisions might lead to multiple equilibria: equilibrium with high fertility and low-private/public-spending ratio and equilibrium with low fertility and high-private/public-spending ratio. Our model could explain the large differences in fertility and structure of child-related spending across countries.     

Aggregated dynamic demand equations for specialistic-outpatient medical care

In this paper a dynamic model is presented which describes the development of the demand for specialistic medical care in The Netherlands, during the period 1960–1972. The “regionally correlated, time-wise auto-regressive” model is consistently estimated from a time-series of cross-sections, using a modified Aitken estimator. The dependent variables are the number of publicly insured patients referred from general care to specialistic care, and the amount of care consumed per patient referred. As independent variables we took demographic factors, the supply of different levels of medical care and the insurance system. The estimation results show a.o. important substitution possibilities between general and specialistic care, and a significant influence of supply and supply-related variables on the demand for specialistic care.     

Technology and health expenditures: a demand approach applied to a process innovation

There is controversy among economists as to whether the diffusion of new medical technologies has been a contributing factor to rising health expenditures. The economic literature is critically reviewed and another approach is advocated. This alternative approach rests on the distinction between product and process innovations. It is argued that the relationship between process innovations and health expenditures can be illuminated by determining if the process innovation and the original procedure are utilized as substitutes. The empirical results provide no indication that alternative technologies for diagnosing diseases/conditions of the upper gastrointestinal tract have been utilized as substitutes by Australian medical practitioners operating on a fee-for-service basis. This study finds no evidence to indicate that the process innovation of fibre optic endoscopy has reduced health expenditures associated with diagnosis of diseases/conditions of the upper gastrointestinal tract.     

The excess demand for subsidized child care in Germany

The extension of publicly provided or subsidized child care is currently one of the priorities of the political agenda in many European countries. In this article, the excess demand for subsidized child care slots in Germany is estimated using a partial observability model. The results show that there is considerable excess demand for child care for children aged less than 3 years in East and West Germany, even among children with working mothers.     

Food expenditures and household demographic composition in the US: a demand systems approach

Food expenditures and subsistence quantities of poverty status and non–poverty status US households are analysed within a Linear Expenditure System that postulates subsistence quantities to be linear combinations of demographic variables. Using the US Bureau of Labor Statistics' 1992 Consumer Expenditure Survey and Detailed Monthly Consumer Price Indices, this article obtains expenditure elasticities, own–price elasticities and subsistence quantities for each income group across nine broadly aggregated food commodity groups. Elasticity estimates and subsistence quantity estimates differ across income groups, supporting the premise that policies targeted at specific income groups should be based on the target group's elasticity estimates rather than average population elasticities. Parameter estimates are then used to simulate how subsistence quantities and own–price elasticities can be expected to vary according to the demographic composition of the household within a specific income group.