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Is wealth good for your health?

CHRISTOPHER DYE. Is wealth good for your health?. CHRISTOPHER DYE. Is wealth good for your health?. CHRISTOPHER DYE. Is wealth good for your health?. CHRISTOPHER DYE. Is wealth good for your health?. CHRISTOPHER DYE. Is wealth good for your health?. CHRISTOPHER DYE.

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Is wealth good for your health?

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  1. CHRISTOPHER DYE Is wealth good for your health?

  2. CHRISTOPHER DYE Is wealth good for your health?

  3. CHRISTOPHER DYE Is wealth good for your health?

  4. CHRISTOPHER DYE Is wealth good for your health?

  5. CHRISTOPHER DYE Is wealth good for your health?

  6. CHRISTOPHER DYE Is wealth good for your health?

  7. CHRISTOPHER DYE Is wealth good for your health? Employment Education £$¥ Technology Environment

  8. Revolutions in England since 1500: industrial, health, economic 90 25000 80 20000 70 15000 60 Life expectancy at birth (yr) GDP/capita (1990 I$) 50 10000 40 5000 30 20 0 1500 1600 1700 1800 1900 2000

  9. The Preston curve (1975) Samuel H Preston University of Pennsylvania

  10. The Millennium Preston Curve Source: Deaton, 2006

  11. HANS ROSLING Karolinska Institut, Stockholm GAPMINDER FOUNDATION "Bring me my sword!"

  12. "The grievous truth is that… the bottom billion will not—and cannot—be freed from poverty in our lifetimes."

  13. Wealth is good for health?

  14. "Wealthier is healthier"Pritchett & Summers 199358 countries with GDP/capita <$6000, 1960-85 5% increase in income 1% reduction in infant mortality Africa: +1.5% growth in 1980s saves 0.5m lives in 1990

  15. Health is good for wealth?

  16. WHO Commission on Macroeconomics and Health

  17. REDUCES ABSENTEEISM BY ONE QUARTER IN KENYA

  18. "Demographic dividends" and "economic miracles" From health to wealth? 0.75 education public health economics family planning 0.7 governance East Asia 0.65 One third economic growth from "demographic gift" Share population of working age 0.6 0.55 Sub-Saharan Africa 0.5 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

  19. Ireland, the Celtic tiger Falling fertility... …growing workforce 4.5 Asia 2.2 UK Ireland 3.5 Children/woman Working/non-working population UK 1.7 2.5 Ireland 1.5 1.2 1960 1980 2000 1950 2000 2050

  20. And the Irish get wealthier... 7 6 5 4 3 Growth GDP/capita (%/yr) 2 1 0 -1 -2 -3 1950 1960 1970 1980 1990

  21. HIV/AIDS cuts the productivity of tea pickers in Kenya

  22. "To your health"More than a toast to economistsD Malakoff (Science 2000) Price tag on productivity in USA, 1970-90 A year of life gained for 35-44 year-olds worth: Men $170,000 Women $120,000

  23. Fiscal health: saving for retirement

  24. Wealth is bad for health?

  25. USA: wealthier but not healthierGDP #7Life expectancy #42 48 17 46 16 44 15 42 14 40 Number uninsured (m) Percent uninsured 38 13 36 12 34 11 32 30 10 1986 1991 1996 2001 2006

  26. Health in a sweeter world Health in a sweeter world 500 1962 2000 400 300 Kcal sugar/person/day 200 100 0 poorest 1 2 3 4 richest 5 GDP/person -- country groups

  27. Falling wealth, failing health?

  28. Cycles: virtuousvicious wealth poverty sickness health

  29. One million “excess” deathsin developing world since 1980 due to contractions in economies Infant mortality

  30. One million “excess” deathsin developing world since 1980 due to contractions in economies Children die when GDP falls Relative risks higher for vulnerable children born: To low-education mothers +68% Young/old mothers +23% In rural areas +72% If boys +11%

  31. Wealth is mostly good for health, but… Microeconomics • Money buys health, and 1o health is cheap • Money buys health directly (medicines) and indirectly (education for prevention and cure) • Health underpins prosperity -- individual, family, business Macroeconomics • Health is linked to wealth across countries and generations… • The cause? Social? Cultural? Educational? Technological? All? A minimum set? Buying health • Microeconomic argument often enough?

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