Policy implications of the gradient of health and wealth
Policy implications of the gradient of health and wealth
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DOI：
10.1377/hlthaff.21.2.13
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发表时间：
2002-03-01
期刊：
影响因子：
9.7
通讯作者：
Deaton, A
中科院分区：
文献类型：
--
作者：
Deaton, A
1980 年，美国家庭收入处于前 5% 的男性比处于后 5% 的男性寿命长约 25%。在整个收入分配过程中，收入的成比例增加与死亡率的等比例下降相关。我讨论了这种梯度的可能原因，并询问是否需要为了公共卫生利益而重新分配收入。我认为，梯度的存在强化了有利于穷人的收入再分配的理由，但针对健康不平等并不是明智的政策。
Men in the United States with family incomes in the top 5 percent of the distribution in 1980 had about 25 percent longer to live than did those in the bottom 5 percent. Proportional increases in income are associated with equal proportional decreases in mortality throughout the income distribution. I discuss possible reasons for this gradient and ask whether it calls for the redistribution of income in the interest of public health. I argue that the existence of the gradient strengthens the case for income redistribution in favor of the poor but that targeting health inequalities would not be sound policy.