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Health, economic crisis, and austerity: A comparison of Greece, Finland and Iceland

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  • Tapia Granados, José A.
  • Rodriguez, Javier M.
Abstract
Reports have attributed a public health tragedy in Greece to the Great Recession and the subsequent application of austerity programs. It is also claimed that the comparison of Greece with Iceland and Finland—where austerity policies were not applied—reveals the harmful effect of austerity on health and that by protecting spending in health and social budgets, governments can offset the harmful effects of economic crises on health. We use data on life expectancy, mortality rates, incidence of infectious diseases, rates of vaccination, self-reported health and other measures to examine the evolution of population health and health services performance in Greece, Finland and Iceland since 1990–2011 or 2012—the most recent years for which data are available. We find that in the three countries most indicators of population health continued improving after the Great Recession started. In terms of population health and performance of the health care system, in the period after 2007 for which data are available, Greece did as good as Iceland and Finland. The evidence does not support the claim that there is a health crisis in Greece. On the basis of the extant evidence, claims of a public health tragedy in Greece seem overly exaggerated.

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  • Tapia Granados, José A. & Rodriguez, Javier M., 2015. "Health, economic crisis, and austerity: A comparison of Greece, Finland and Iceland," Health Policy, Elsevier, vol. 119(7), pages 941-953.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:7:p:941-953
    DOI: 10.1016/j.healthpol.2015.04.009
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    as
    1. Rajeev Dehejia & Adriana Lleras-Muney, 2004. "Booms, Busts, and Babies' Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(3), pages 1091-1130.
    2. Burgard, Sarah A. & Brand, Jennie E. & House, James S., 2009. "Perceived job insecurity and worker health in the United States," Social Science & Medicine, Elsevier, vol. 69(5), pages 777-785, September.
    3. Anand, Sudhir & Sen, Amartya, 2000. "Human Development and Economic Sustainability," World Development, Elsevier, vol. 28(12), pages 2029-2049, December.
    4. Christopher Ruhm, 2007. "A healthy economy can break your heart," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 829-848, November.
    5. Vandoros, Sotiris & Stargardt, Tom, 2013. "Reforms in the Greek pharmaceutical market during the financial crisis," Health Policy, Elsevier, vol. 109(1), pages 1-6.
    6. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    7. Gerdtham, Ulf-G. & Ruhm, Christopher J., 2006. "Deaths rise in good economic times: Evidence from the OECD," Economics & Human Biology, Elsevier, vol. 4(3), pages 298-316, December.
    8. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    9. Daniel Sullivan & Till von Wachter, 2009. "Job Displacement and Mortality: An Analysis Using Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(3), pages 1265-1306.
    10. Douglas Almond & Kenneth Y. Chay & David S. Lee, 2005. "The Costs of Low Birth Weight," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 1031-1083.
    11. Hessel, Philipp & Avendano, Mauricio, 2013. "Are economic recessions at the time of leaving school associated with worse physical functioning in later life?," LSE Research Online Documents on Economics 52840, London School of Economics and Political Science, LSE Library.
    12. Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-127, May.
    13. N/A, 2009. "On the Recession," Local Economy, London South Bank University, vol. 24(3), pages 253-253, May.
    14. Courtney C. Coile & Phillip B. Levine & Robin McKnight, 2014. "Recessions, Older Workers, and Longevity: How Long Are Recessions Good for Your Health?," American Economic Journal: Economic Policy, American Economic Association, vol. 6(3), pages 92-119, August.
    15. repec:pri:cheawb:adriana_booms is not listed on IDEAS
    16. José Tapia granados, 2008. "Macroeconomic fluctuations and mortality in postwar Japan," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 323-343, May.
    17. Shin-Jong Lin, 2009. "Economic fluctuations and health outcome: a panel analysis of Asia-Pacific countries," Applied Economics, Taylor & Francis Journals, vol. 41(4), pages 519-530.
    18. Simou, Effie & Koutsogeorgou, Eleni, 2014. "Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review," Health Policy, Elsevier, vol. 115(2), pages 111-119.
    19. Tapia Granados, José A. & Ionides, Edward L., 2008. "The reversal of the relation between economic growth and health progress: Sweden in the 19th and 20th centuries," Journal of Health Economics, Elsevier, vol. 27(3), pages 544-563, May.
    20. Ruhm, Christopher J., 2015. "Recessions, healthy no more?," Journal of Health Economics, Elsevier, vol. 42(C), pages 17-28.
    21. Unido, 2014. "World Statistics on Mining and Utilities 2014," Books, Edward Elgar Publishing, number 15926.
    22. Wesley Clair Mitchell, 1951. "What Happens during Business Cycles: A Progress Report," NBER Books, National Bureau of Economic Research, Inc, number mitc51-1.
    23. Tapinos, G. & Mason, A. & Bravo, J. (ed.), 1997. "Demographic Responses to Economic Adjustment in Latin America," OUP Catalogue, Oxford University Press, number 9780198292104.
    24. Stillman, Steven, 2006. "Health and nutrition in Eastern Europe and the former Soviet Union during the decade of transition: A review of the literature," Economics & Human Biology, Elsevier, vol. 4(1), pages 104-146, January.
    25. Tapia Granados, José A., 2012. "Economic growth and health progress in England and Wales: 160 years of a changing relation," Social Science & Medicine, Elsevier, vol. 74(5), pages 688-695.
    26. José A. Tapia Granados & Edward L. Ionides, 2011. "Mortality and Macroeconomic Fluctuations in Contemporary Sweden [Mortalité et fluctuations macroéconomiques dans la Suède contemporaine]," European Journal of Population, Springer;European Association for Population Studies, vol. 27(2), pages 157-184, May.
    27. Haaland, Venke Furre & Telle, Kjetil, 2015. "Pro-cyclical mortality across socioeconomic groups and health status," Journal of Health Economics, Elsevier, vol. 39(C), pages 248-258.
    28. Neumayer, Eric, 2004. "Recessions lower (some) mortality rates:: evidence from Germany," Social Science & Medicine, Elsevier, vol. 58(6), pages 1037-1047, March.
    29. Maclean, Johanna Catherine, 2013. "The health effects of leaving school in a bad economy," Journal of Health Economics, Elsevier, vol. 32(5), pages 951-964.
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    14. Robert J. Kolesar & Rok Spruk, 2024. "Effect of Austerity Measures on Infant Mortality: Evidence from Greece," Papers 2407.17084, arXiv.org.
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