ASYMMETRY OF PRIVATE EXPENDITURE ON HEALTHCARE ON LIFE EXPECTANCY IN USA

Authors

  • Debesh Bhowmik PLincoln University College

Keywords:

life expectancy, private health expenditure, Asymmetry, NARDL, positive changes, negative changes, cumulative dynamic multiplier

Abstract

In this paper, author examined the short run and long run nonlinear relation between private health expenditure and life expectancy in USA during 1960-2023 and tested asymmetric impacts by applying NARDL model taking data from the World Bank and from NBER. It found that there are both short and long asymmetries. The positive changes from cumulative dynamic multiplier of private expenditure on life expectancy have positive impact and negative changes have negative impact which are significant. The positive response and negative response converged to long run limits where the former is upward and the latter is downward. The asymmetry is upward moving and became stationary above the equilibrium level within the limits of confidence interval.

References

Akinwale, Y. O. (2021). Health Expenditure, Economic Growth and Life Expectancy at Birth in Resource Rich Developing Countries: A case of Saudi Arabia and Nigeria. Journal of Economic Cooperation and Development, 42 (2), 13-36. https://jecd.sesric.org/pdf.php?file=ART20042101-2.pdf

AMA (2024, November 12). AMA adopts new public health policies to improve health of nation. https://www.ama-assn.org/press-center/ama-press-releases/ama-adopts-new-public-health-policies-improve-health-nation-5

Anwar, A., Hyder, S., Mohamed, N., & Norashidah, Y. M. (2023). Government health expenditures and health outcome nexus: a study on OECD countries. Frontiers in Public Health,11,1-7.

https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1123759

Bein, M.A., Unlucan, D., Olowu, G., & Kalifa, W. (2017, March). Healthcare spending and health outcomes: evidence from selected East African countries. African Health Sciences, 17(1),247-254. https://doi.org/ 10.4314/ahs.v17i1.30.

Breusch, T.S., & Pagan, A.R. (1979). A Simple Test for Heteroscedasticity and Random coefficients variation. Econometrica, 47, 1287-1294. https://www.jstor.org/stable/1911963

Commonwealth Fund. (2023).US Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes. https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022

Dickey, D., & Fuller, W.A. (1979). Distribution of the estimates for autoregressive time series with a unit root. Journal of the American Statistical Association,74, 427-431. https://www.jstor.org/stable/2286348

Jaba, E., Balan, C., & Robu, I.B. (2014). The Relationship between Life Expectancy at Birth and Health Expenditures Estimated by a Cross-country and Time-series Analysis. Procedia Economics and Finance,15, 108-114. https://doi.org/10.1016/S2212-5671(14)00454-7.

Kent State. (2024, April 29). The Impact of Health Policy on Public Health Outcomes. https://onlinedegrees.kent.edu/college-of-public-health/community/the-impact-of-healthcare-policy-on-public-health-outcomes

Liu, H., & Zhong, K. (2022, October). Relationship between health spending, life expectancy and renewable energy in China: A New Evidence from the VECM approach. Front Public Health. https:// doi.org/ 10.3389/fpubh.2022.993546.

Michaud, J., Kates, J., Oum, S., & Rouw, A. (2025, March 6). U.S. Public Health 101. In Altman, Drew (Editor), US Public Health: Health Policy 101, KFF. https://www.kff.org/health-policy-101-us-public-health (accessed on 1.05.25).

Morina, F., Komoni, A., Kilaj, D., Selmonaj, D., & Grima, S. (2022). The effect of health expenditure on life expectancy. International Journal of Sustainable Development and Planning, 17( 5),1389-1401. https://doi.org/10.18280/ijsdp.170502

Nguyen, C.M., Nguyen, M.P., & Luc, L.D. (2023). How public health insurance expansion

affects healthcare utilizations in Middle and low-income households: An observational

study from national cross-section surveys in Vietnam. BMC Public Health, 23(1).

https://doi.org/10.1186/s12889-023-15500-6

Page, E.S. (1954, June). Continuous Inspection Scheme. Biometrika, 41, 100–115. https://academic.oup.com/biomet/article-abstract/41/1-2/100/456627

Rahman, M.M., Khanam, R., & Rahman, M. (2018). Health care expenditure and health outcome nexus: new evidence from the SAARC-ASEAN region. Global Health 14(113),1-11. https://doi.org/10.1186/s12992-018-0430-1

Shin, Y., Yu, B., & Greenwood-Nimmo, M. (2014). Modelling Asymmetric Cointegration and Dynamic Multipliers in an ARDL Framework. https://link.springer.com/chapter/10.1007/978-1-4899-8008-3_9.

Smith, K. A. (2023, December). A Brief History of Health Policy in the United States. Dela Journal of Public Health,9(5),6-10. https://doi.org/ 10.32481/djph.2023.12.003.

The White House. (2025, February 13). Establishing the President’s Make America Healthy Again Commission.https://www.whitehouse.gov/presidential-actions/2025/02/establishing-the-presidents-make-america-healthy-again-commission/

Thomas, A. (2020). The Impact of Health Expenditure on Life Expectancy and Mortality Rates. A Senior Project. The University of Akron, Department of Economics. https://www.uakron.edu/economics/academics/senior-projects/2020/ Thomas-A-SeniorProject2020.pdf

Wanjiku, J. M. (2023). Public Health Expenditure and Health Outcomes: An Empirical Study Analysis. Master Thesis, UMEA University. https://www.diva-portal.org/smash/get/ diva2:1841176/ FULLTEXT01.pdf

Downloads

Published

2025-12-20

Issue

Section

Articles