The University of Sydney, School of Economics, Sydney, Australia.
IZA Bonn, Bonn, Germany.
Health Econ. 2021 Sep;30(10):2452-2467. doi: 10.1002/hec.4394. Epub 2021 Jul 15.
Worldwide, countries have been restricting work and social activities to counter the emerging public health crisis due to the coronavirus pandemic. These measures have caused dramatic increases in unemployment. Some commentators argue that the "draconian measures" will do more harm than good due to the economic contraction, despite a large literature that finds mortality rates decline during recessions. We estimate the relationship between unemployment, a proxy for economic climate, and mortality in Australia, a country with universal health care. Using administrative time-series data on mortality by state, age, sex, and cause of death for 1979-2017, we find no relationship between unemployment and mortality on average. However, we observe beneficial health effects in economic downturns for young men, associated with a reduction in transport accidents. Our estimates imply 431 fewer deaths in 2020 if unemployment rates double as forecast. For the early 1980s, we find a procyclical pattern in infant mortality rates. However, this pattern disappears starting from the mid-1980s, coincident with the 1984 implementation of universal health care. Our results suggest that universal health care may insulate individuals from the health effects of macroeconomic fluctuations.
在全球范围内,由于冠状病毒大流行带来的公共卫生危机,各国已经限制了工作和社会活动以应对这一新兴危机。这些措施导致失业率大幅上升。一些评论员认为,由于经济收缩,“严厉措施”弊大于利,尽管有大量文献发现死亡率在经济衰退期间下降。我们评估了澳大利亚的失业率(经济气候的代表)与死亡率之间的关系,澳大利亚是一个拥有全民医保的国家。我们使用了 1979 年至 2017 年按州、年龄、性别和死因划分的死亡率的行政时间序列数据,发现失业率与死亡率之间平均没有关系。然而,我们观察到在经济衰退期间,年轻男性的健康状况有所改善,这与交通事故的减少有关。我们的估计表明,如果失业率像预测的那样翻一番,2020 年将减少 431 例死亡。对于 20 世纪 80 年代初,我们发现婴儿死亡率存在顺周期性模式。然而,这种模式从 20 世纪 80 年代中期开始消失,恰逢 1984 年全民医保的实施。我们的结果表明,全民医保可能使个人免受宏观经济波动对健康的影响。