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International Journal of Consumer Studies, 25, 2, June 2001, pp114–122 © 2001 Blackwell Science Ltd
Household out-of-pocket health care expenditure trends:
1980–95
Deanna L. Sharpe,
1
Jessie X. Fan
2
and Gong-Soog Hong
3
1 University of Missouri, MO, USA
2 University of Utah, UT, USA
3 Utah State University, UT, USA
restraining costs through use of preventive care, pre-
payment of most medical services and restricting the use
of medical services.
2–4
The elderly and the poor can obtain basic health care
through government funded Medicare and Medicaid
respectively.
5,6
Tax and transfer payments essentially
redistribute a portion of the health care financial burden
from these groups to the general population. This redis-
tribution implies that a social contract exists which says
that those least able to help themselves as a result of
advanced age, limited physical capacity or inadequate
economic resources should receive help to meet a basic
need. Escalating health care costs have begun to force
reconsideration of the form and extent of this social
contract, however. Provisions of the 1997 Balanced
Budget Act were clearly intended to slow growth in
public health care expenditures under Medicare and
Medicaid.
If accessible and affordable health care for a broad
segment of the U.S. population is a public policy goal,
assessing household out-of-pocket spending on health
care is important for national health policy planning.
This study uses 15 years of Consumer Expenditure
Survey data to chart trends in constant dollar out-
of-pocket dollar expenditures and household budget
shares for health insurance, medical services, prescrip-
tion drugs and medical supplies, taking eligibility for
government health care programmes into considera-
tion. Findings were used to draw policy implications
regarding the effect of health care market changes and
the allocation of the health care financial burden.
Related literature
The health economics literature suggests that the low
price that consumers pay out-of-pocket after the in-
surance company covers the larger share of the costs
induces a higher demand for health care.
7
In support
of this idea, Rubin and Koelln
8
found a significant and
Abstract
This descriptive study examines household out-of-pocket
expenditure trends for health insurance, medical services,
prescription drugs and medical supplies using the 1980–95
Consumer Expenditure Surveys. Constant dollar out-of-
pocket expenditures for health insurance have risen sharply
over time while constant dollar out-of-pocket expenditures
for medical services have declined, perhaps reflecting
health care market changes. Older consumers spent more
in constant dollars and had higher budget shares for all
aspects of health care than younger consumers. Although
Medicare and Medicaid provide access to basic health care,
results indicate that, for older consumers who are poor,
health care expenditures may still crowd out spending for
other necessities.
Keywords Health care, out-of-pocket expenditures.
Introduction
Health care has become increasingly expensive in
the United States. During the 1980s and 1990s, infla-
tion-adjusted national health care expenditures grew
between 5% and 6% a year. By the end of the 1990s,
national health care expenditures exceeded 13% of U.S.
Gross Domestic Product. Health care costs are pro-
jected to increase at twice the rate of inflation over the
next several years.
1
In response, private health insurance
companies have passed on cost increases to consumers
in the form of higher health insurance premiums,
reduced reimbursements and tighter coverage restric-
tions. Recently, the managed care approach to health
care delivery has gained popularity as a means of
Correspondence
D.L. Sharpe, University of Missouri-Columbia, 239 Stanley Hall, Colum-
bia, MO 65211, USA. E-mail SharpeD@missouri.edu