The Effect of Improving Health Status on Economic Growth and Environmental Quality in the Framework of a Bayesian Dynamic Stochastic General Equilibrium Model

Document Type : Research Paper

Authors

1 Department of Economics, Kerman Branch, Islamic Azad University, Kerman, Iran.

2 Department of Economics, Faculty of Management and Economics, Shahid Bahonar University of Kerman, Kerman, Iran.

10.22103/jdc.2023.21943.1410

Abstract

Objective: Improving health has become a significant societal priority because, as a component of human capital, it improves the ability, efficiency, and quality of life of the labor force (Wu et al, 2021). Moreover, human capital accumulation is a primary determinant of economic growth through its impact on productivity (Jude et al, 2015). Based on this, it is possible to establish a relationship between economic growth and the accumulation of human capital through health. Health is multifaceted and no single variable defines it, but in most studies, life expectancy at birth, death rate of children under 5 years old, and vaccination rate are calculated in most studies (Arora, 2001). Past studies mainly suggest three results to reveal the effect of health on economic growth; The first group shows a positive effect (Li & Huang, 2009 and Shen et al., 2020), the second group shows a negative relationship (Jude et al., 2015; Tobing & Jeng, 2012 and Wang et al., 2019), and the third group shows no relationship (Mehrara, 2011) between these two indicators. On the other hand, some studies analyze this relationship with combined data and the results provide different results depending on the different groups of the statistical population (Acemoglu & Johnson, 2007; Jude et al., 2015 and Wang, 2011). Environmental degradation is one of the negative consequences of economic growth (Destek & Aslan, 2020; Ehigiamusoe et al., 2019; Ehigiamusoe et al., 2020; Mohsin et al., 2021 and Usman et al., 2020). The widespread consumption of fossil fuels and the emission of carbon dioxide CO2 is one of the concerns of researchers and environmental stakeholders, and it has caused them to provide solutions to deal with environmental problems (Acosta Castellanos et al., 2020; Ehigiamusoe et al., 2019 and Ehigiamusoe et al., 2020). Recently, there has been a relatively large literature on climate change or environmental degradation, in which various indicators have been used in the analyses. Emission of greenhouse gases is of fundamental importance among these different indicators (Rafique et al., 2022). However, studies have mostly used CO2 emissions as a proxy for environmental degradation; Because the emission of CO2 has the highest share in the emission of greenhouse gases. The review of theoretical and empirical studies shows that the role of health improvement on economic growth and environmental quality has not been investigated simultaneously. Therefore, the current research has used a dynamic stochastic general equilibrium model with the aim of understanding the effect of positive health shock on economic growth and environmental quality. The main contribution of this paper to existing studies is formed in three sections. 1) This paper examines the effect of health improvement shock on economic growth and environmental quality in Iran, which, according to the authors' knowledge, has not yet been studied. 2) This paper will be especially useful for Iranian policy makers and provide necessary understanding for other developing countries. 3) Considering the short-term improvement of environmental quality in the face of positive health shock, this article offers a recommendation to move towards sustainable development.
Method: In this paper, a dynamic stochastic general equilibrium model is presented and estimated using the Bayesian approach and seasonal data in the period of 2001:3-2022:4. In this regard, the studied Dynamic Stochastic General Equilibrium (DSGE) model includes households with an unlimited planning horizon, a representative firm producing a homogeneous final product in a perfectly competitive environment, the government, the environment sector, and the oil sector. In order to estimate model parameters, Bayesian method and Random Walk Metropolis-Hastings algorithm (RW-MH algorithm) were used. The data of the observable variables of the model include seasonally adjusted data of Gross Domestic Production (GDP), private consumption, investment and the government expenses; which have been detrended using the Hodrick-Prescott filter. Brooks and Gelman (1998) diagnostic test and Monte Carlo Markov chain show that the parameter estimation is appropriate and reliable. This test shows three parameters, interval, second order moment (m2) and third order moment (m3). After extracting these Markov chains of parameters using Metropolis Hastings algorithm, the degree of accuracy of the chains was tested. According to the results of this test, the intra-chain and inter-chain variance of all parameters have finally converged. Therefore, the Bayesian estimation results have good accuracy.
Results: Figure 4 shows how the model variables respond to a positive health shock. After the shock, the return on health investment increased, and after that, health expenses and exercise hours experienced a significant increase. Due to the increase in the hours of exercise, the working time is reduced and the health status is improved. The complementary relationship between capital and labor in the production function reduces the marginal productivity of capital, investment and production. A decrease in income will lead to a decrease in consumption, but the decrease in consumption and production is very small due to the re-optimization of the household towards a better health status. Investment follows a behavior similar to consumption behavior and faces a decrease. With the passage of time, the lack of physical capital causes an increase in interest rates, physical investment and working hours, and finally, they return to their previous stable level. The initial decline in GDP will follow the initial decline in economic growth; Also, the decrease in GDP leads to reduction of pollution and improvement of environmental quality in the short term.
Conclusion: In general, a positive health shock caused by increasing the productivity of health investment leads to the improvement of health sector variables. On the other hand, this shock causes the macroeconomic variables to decrease in the short term. Also, environmental variables will have a more suitable situation in the short term when faced with a positive health shock. The results of this article are consistent and similar with the results of the studies of Grossman (2000), Vasilev (2017) and Torój (2013). Considering the results of the model estimation and the importance of the role of health in the growth of Iran's economy and environmental quality, it is recommended that: 1) health expenditures be explained as a long-term investment in the economy; 2) using clean technologies to achieve sustainable development; 3) The use of renewable energies instead of fossil fuels should be put on the agenda.

Keywords

Main Subjects


توکلیان، حسین (1391). بررسی منحنی فیلیپس کینزی جدید در قالب یک مدل تعادل عمومی پویای تصادفی برای ایران. مجله تحقیقات اقتصادی، 47(3)، 1-22 https://doi.org/10.22059/jte.2012.29251.
خندان‏سویری، مهدی؛ اسدزاده، احمد؛ متفکرآزاد، محمدعلی و حقیقت، جعفر (1399). سیاست‌گذاری بهینه پولی در نظام بانکداری بدون ربا؛ مورد ایران. پژوهش‌های پولی و بانکی، 13(46)، 671-708 https://www.sid.ir/paper/1060181/fa.
رستم‏زاده، پرویز و نصیرآبادی، شهره (1396). نقش مالیات‌های غیرمستقیم زیست‌محیطی بر روی کیفیت محیط زیست در مدل رشد درونزا در ایران. نظریه‌های کاربردی اقتصاد، 4(3)، 35-58 https://ecoj.tabrizu.ac.ir/article_6743_0.html.
گرمابی، ابوالفضل؛ جلالی نائینی، احمدرضا و توکلیان، حسین (1400). بررسی چرخه ‌های تجاری اقتصاد ایران با در نظرگرفتن اثر شتاب‌ دهنده مالی در قالب یک مدل DSGE. فصلنامه برنامه‌ریزی و بودجه، 26(1)، 33-67 http://jpbud.ir/article-1-2007-fa.html.
هراتی، جواد؛ اسلاملوییان، کریم؛ شهرزه‏ای، غلامعلی و امینی، تکتم (1393). بررسی ارتباط رشد-آلودگی در چارچوب یک الگوی رشد درونزای تعمیم یافته: یک الگوی کالیبره شده برای اقتصاد ایران. مطالعات اقتصادی کاربردی ایران، 3(10)، 33-58 https://aes.basu.ac.ir/article_820.html?lang=fa.
References
Acemoglu, D., & Johnson, S. (2007). Disease and Development: The Effect of Life Expectancy on Economic Growth. Journal of Political Economy, 115(6), 925-985. https://doi.org/10.1086/529000.
Acosta Castellanos, P.M., Queiruga-Dios, A., Hernández Encinas, A., & Acosta, L.C. (2020). Environmental education in environmental engineering: Analysis of the situation in Colombia and Latin America. Sustainability, 12(18), 7239 https://www.mdpi.com/2071-1050/12/18/7239.
Angelopoulos, K., Economides, G., & Philippopoulos, A. (2013). First-and second-best allocations under economic and environmental uncertainty. International Tax and Public Finance, 20(3), 360-380 https://doi.org/10.1007/s10797-012-9234-z.
Arora, S. (2001). Health, Human Productivity, and Long-Term Economic Growth. The Journal of Economic History, 61(3), 699-749 http://www.jstor.org/stable/2698133.
Barro, R. (1997). Determinants of economic growth: A cross-country empirical study. MIT Press, http://www. amazon.com/Determinants-Economic-Growth-Cross-Country-Empirical/dp/0262522543/ref=sr_1_1?s= books&ie=UTF8&qid=1311954387&sr=1-1.
Barro, R. J. (1991). Economic growth in a cross section of countries. The Quarterly Journal of Economics, 106(2), 407-443 https://doi.org/10.2307/2937943.
Bloom, D., Canning, D., & Sevilla, J. (2001). The Effect of Health on Economic Growth: Theory and Evidence. National Bureau of Economic Research, Inc, NBER Working Papers.
Bloom, D.E., Canning, D., & Sevilla, J. (2004). The Effect of Health on Economic Growth: A Production Function Approach. World Development, 32(1), 1-13 https://doi.org/https://doi.org/10.1016/j.worlddev.2003.07.002.
Bloom, D.E., Kuhn, M., & Prettner, K. (2018). Health and Economic Growth. IZA Discussion Papers, No. 11939. https://www.econstor.eu/bitstream/10419/193233/1/dp11939.pdf.
Brooks, S.P., & Gelman, A. (1998). General methods for monitoring convergence of iterative simulations. Journal of Computational and Graphical Statistics, 7(4), 434-455. https://doi.org/10.1080/10618600.1998.10474787.
Çamkaya, S., Karaaslan, A., & Uçan, F. (2023). Investigation of the effect of human capital on environmental pollution: Empirical evidence from Turkey. Environmental Science and Pollution Research, 30(9), 23925-23937 https://doi.org/10.1007/s11356-022-23923-8.
Cervellati, M., & Sunde, U. (2013). Life Expectancy, Schooling, and Lifetime Labor Supply: Theory and Evidence Revisited. Econometrica, 81(5), 2055-2086 https://doi.org/https://doi.org/10.3982/ECTA11169.
Destek, M. A., & Aslan, A. (2020). Disaggregated renewable energy consumption and environmental pollution nexus in G-7 countries. Renewable Energy, 151, 1298-1306 https://doi.org/https://doi.org/10.1016/j.renene.2019.11.138.
Doran, C.M., & Kinchin, I. (2020). Economics of mental health: Providing a platform for efficient mental health policy. Applied Health Economics and Health Policy, 18(2), 143-145 https://doi.org/10.1007/s40258-020-00569-6.
Durlauf, S.N., Johnson, P.A., & Temple, J.R.W. (2005). Chapter 8 growth econometrics. In P. Aghion & S.N. Durlauf (Eds.), Handbook of Economic Growth, 1, 555-677 https://doi.org/10.1016/S1574-0684(05)01008-7.
Eggleston, K. N., & Fuchs, V. R. (2012). The New Demographic Transition: Most Gains in Life Expectancy Now Realized Late in Life. Journal of Economic Perspectives, 26(3), 137-156. https://doi.org/10.1257/jep.26.3.137
Ehigiamusoe, K.U., Guptan, V., & Lean, H.H. (2019). Impact of financial structure on environmental quality: evidence from panel and disaggregated data. Energy Sources, Part B: Economics, Planning, and Policy, 14(10-12), 359-383 https://doi.org/10.1080/15567249.2020.1727066.
Ehigiamusoe, K.U., Lean, H.H., & Smyth, R. (2020). The moderating role of energy consumption in the carbon emissions-income nexus in middle-income countries. Applied Energy, 261, 114215 https://doi.org/10.1016/ j.apenergy.2019.114215.
Eyuboglu, K., & Uzar, U. (2021). A new perspective to environmental degradation: the linkages between higher education and CO2 emissions. Environmental Science and Pollution Research, 28(1), 482-493 https://doi.org/ 10.1007/s11356-020-09414-8.
Garmabi, A., Jalali-Naiini, A., & Tavakolian, H. (2021). Investigating the business cycles of the iranian economy by considering the effect of financial accelerator in the form of a DSGE model. Journal of Planning and Budgeting, 26(1), 33-67 DOI: 10.52547/jpbud.26.1.33 [In Persian].
Grossman, G., & Krueger, A. (1991). Environmental Impacts of a North American Free Trade Agreement. National Bureau of Economics Research Working Paper, No. 3194, https://doi.org/10.3386/w3914.
Grossman, M. (2000). Chapter 7- The Human Capital Model* *I am indebted to Robert Kaestner, Sara Markowitz, Tomas Philipson, andWalter Ried for helpful comments. In A. J. Culyer & J. P. Newhouse (Eds.), Handbook of Health Economics, 1, 347-408 https://doi.org/https://doi.org/10.1016/S1574-0064(00)80166-3.
Halliday, T.J., He, H., Ning, L., & Zhang, H. (2019). Health Investment over the life-cycle. Macroeconomic Dynamics, 23(1), 178-215 https://doi.org/10.1017/S1365100516001152.
harati, J., eslamloeeian, K., sharzaee, G. A., & amini, T. (2014). An Investigation of the Relationship between Growth and Pollution in the Framework of a Generalized Endogenous Growth Model: A Calibrated Model for Iranian Economy. Journal of Applied Economics Studies in Iran, 3(10), 33-58 https://aes.basu.ac.ir/article_820.html?lang=en [In Persian].
Jude, E., Houeninvo, H., Sossou, G.A., & Sossou. (2015). Education, health and economic growth in african countries. Journal of Economic Developemnt, 40(1), 93-111, https://doi.org/10.35866/caujed.2015.40.1.004.
Jun, Y., Zhong-kui, Y., & Peng-fei, S. (2011). Income distribution, human capital and environmental quality: Empirical study in China. Energy Procedia, 5, 1689-1696 https://doi.org/10.1016/j.egypro.2011.03.288.
Khandansawiri, M., Asadzadeh, A., Motafkerazad, M.A., & Haghighat, J. (2019). optimal monetary policy in the interest-free banking system; The case of Iran. Monetary and Banking Research, 13(46), 671-708 https://www.sid.ir/paper/1060181/fa [In Persian].
Kuhn, M., & Prettner, K. (2016). Growth and welfare effects of health care in knowledge-based economies. Journal of Health Economics, 46, 100-119 https://doi.org/https://doi.org/10.1016/j.jhealeco.2016.01.009.
Li, H., & Huang, L. (2009). Health, education, and economic growth in China: Empirical findings and implications. China Economic Review, 20(3), 374-387 https://doi.org/10.1016/j.chieco.2008.05.001.
Lucas, R.E. (1988). On the mechanics of economic development. Journal of Monetary Economics, 22(1), 3-42 https://doi.org/https://doi.org/10.1016/0304-3932(88)90168-7.
Mankiw, N.G., Romer, D., & Weil, D.N. (1992). A Contribution to the Empirics of Economic Growth*. The Quarterly Journal of Economics, 107(2), 407-437 https://ideas.repec.org/a/oup/qjecon/v107y1992i2p407-437..html.
Mehrara, M. (2011). Health expenditure and economic growth: An ARDL approach for the case of Iran. Journal of Economics and Behavioral Studies, 3(4), 249-256 https://doi.org/10.22610/jebs.v3i4.277.
Mohsin, M., Kamran, H.W., Atif Nawaz, M., Sajjad Hussain, M., & Dahri, A.S. (2021). Assessing the impact of transition from nonrenewable to renewable energy consumption on economic growth-environmental nexus from developing Asian economies. Journal of Environmental Management, 284, 111999 https://doi.org/10.1016/ j.jenvman.2021.111999.
Morand, O.F. (2005). Economic growth, health, and longevity in the very long term: Facts and mechanisms. Health and Economic Growth: Findings and Policy Implications, 74(2), 239-254.
Mushkin, S.J. (1962). Health as an Investment. Journal of Political Economy, 70(5), 129-157 https://doi.org/ 10.1086/258730.
Pauly, M.V., & Saxena, A. (2011). Health employment, medical spending, and long-term health reform. CESifo Economic Studies, 58(1), 49-72 https://doi.org/10.1093/cesifo/ifr030.
Rafique, M.Z., Nadeem, A.M., Xia, W., Ikram, M., Shoaib, H.M., & Shahzad, U. (2022). Does economic complexity matter for environmental sustainability? Using ecological footprint as an indicator. Environment, Development and Sustainability, 24(4), 4623-4640 https://doi.org/10.1007/s10668-021-01625-4.
Rahmani, A., Samadi, S., & Bakhshi Dastjerdi, R. (2021). Investigating the effect of financial and monetary policy on the Iranian stock market by using DSGE model. Iranian Economic Review, 25(3), 509-523 https://doi.org/ 10.22059/ier.2021.84146.
Rosen, G. (1993). A History of Public Health. Johns Hopkins University Press. https://books.google.com/books? id=DTwfUJ8iECMC.
Rostamzadeh, P., & Nasirabadi, Sh. (2016). The role of environmental indirect taxes on environmental quality in the endogenous growth model in Iran. Quarterly Journal of Applied Theories of Economics, 4(3), 35-58 https://ecoj.tabrizu.ac.ir/article_6743_0.html [In Persian].
Sachs, J.D., & Warner, A.M. (1997). Sources of slow growth in African economies. Journal of African economies, 6(3), 335-376 https://academic.oup.com/jae/article-pdf/6/3/335/6211643/6-3-335.pdf.
Shahbaz, M., Lean, H.H., & Shabbir, M.S. (2012). Environmental kuznets curve hypothesis in Pakistan: Cointegration and Granger causality. Renewable and Sustainable Energy Reviews, 16(5), 2947-2953 https://doi.org/ 10.1016/j.rser.2012.02.015.
Shen, Q., Chang, B., Yin, G., & Wang, W. (2020). The Impact of Health Investment on Economic Growth: Evidence from China. Iran J Public Health, 49(4), 684-692 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283195.
Suri, T., Boozer, M.A., Ranis, G., & Stewart, F. (2011). Paths to success: The relationship between human development and economic growth. World Development, 39(4), 506-522 https://doi.org/10.1016/j.worlddev.2010.08.020.
Tang, C.F., Abosedra, S., & Naghavi, N. (2021). Does the quality of institutions and education strengthen the quality of the environment? Evidence from a global perspective. Energy, 218, 119303 https://doi.org/10.1016/ j.energy.2020.119303.
Tavakolian, H. (2012). A new Keynesian Phillips curve in a DSGE model for Iran. Journal of Economic Research (Tahghighat- E- Eghtesadi), 47(3), 1-22 DOI: 10.22059/jte.2012.29251 [In Persian].
Thomas, D., & Strauss, J. (1997). Health and wages: Evidence on men and women in urban Brazil. Journal of Econometrics, 77(1), 159-185 https://doi.org/https://doi.org/10.1016/S0304-4076(96)01811-8.
Tobing, E., & Jeng, J.-L. (2012). Long-Run Growth and Welfare Effects of Rising US Public Health Expenditure. Public Finance Review, 40. https://doi.org/10.1177/1091142112442238.
Torój, A. (2013). Why Don’t Blanchard-Kahn ever "Catch" Flu? And How it Matters for Measuring Indirect Cost of Epidemics in DSGE Framework. Central European Journal of Economic Modelling and Econometrics, 5(3), 185-206. https://ideas.repec.org/a/psc/journl/v5y2013i3p185-206.html.
Uhlig, H. (2001). 30A toolkit for analysing nonlinear dynamic stochastic models easily. In R. Marimon & A. Scott (Eds.), Computational Methods for the Study of Dynamic Economies, pp. 30-61, Oxford University Press, https://doi.org/10.1093/0199248273.003.0003.
Ulucak, R., & Bilgili, F. (2018). A reinvestigation of EKC model by ecological footprint measurement for high, middle and low income countries. Journal of Cleaner Production, 188, 144-157 https://doi.org/10.1016/ j.jclepro.2018.03.191.
Usman, O., Alola, A.A., & Sarkodie, S.A. (2020). Assessment of the role of renewable energy consumption and trade policy on environmental degradation using innovation accounting: Evidence from the US. Renewable Energy, 150, 266-277 https://doi.org/https://doi.org/10.1016/j.renene.2019.12.151.
Vasilev, A. (2017). US health and aggregate fluctuations. Bulletin of Economic Research, 69(2), 147-163 https://doi.org/https://doi.org/10.1111/boer.12099.
Wang, K.M. (2011). Health care expenditure and economic growth: Quantile panel-type analysis. Economic Modelling, 28(4), 1536-1549 https://doi.org/https://doi.org/10.1016/j.econmod.2011.02.008.
Wang, Z., Asghar, M.M., Zaidi, S.A.H., & Wang, B. (2019). Dynamic linkages among CO2 emissions, health expenditures, and economic growth: Empirical evidence from Pakistan. Environmental Science and Pollution Research, 26(15), 15285-15299 https://doi.org/10.1007/s11356-019-04876-x.
Well, D.N. (2007). Accounting for the Effect Of Health on Economic Growth. The Quarterly Journal of Economics, 122(3), 1265-1306 https://doi.org/10.1162/qjec.122.3.1265.
World Bank (2022&2023). https://www.worldbank.org/en/home.
Wu, C.F., Chang, T., Wang, C.M., Wu, T.P., Lin, M.C., & Huang, S.C. (2021). Measuring the impact of health on economic growth using pooling data in regions of Asia: Evidence from a quantile-on-quantile analysis [Brief Research Report]. Frontiers in Public Health, 9, https://doi.org/10.3389/fpubh.2021.689610.
Yagihashi, T., & Du, J. (2015). Health care inflation and its implications for monetary policy. Economic Inquiry, 53(3), 1556-1579 https://doi.org/https://doi.org/10.1111/ecin.12204.
Zafar, M.W., Zaidi, S.A.H., Khan, N.R., Mirza, F.M., Hou, F., & Kirmani, S.A.A. (2019). The impact of natural resources, human capital, and foreign direct investment on the ecological footprint: The case of the United States. Resources Policy, 63, 101428 https://doi.org/https://doi.org/10.1016/j.resourpol.2019.101428.
Zhu, M. (2023). The role of human capital and environmental protection on the sustainable development goals: new evidences from Chinese economy. Economic Research-Ekonomska Istraživanja, 36(1), 650-667 https://doi.org/ 10.1080/1331677X.2022.2113334.