Introduction
The neoclassical model treats population growth as an exogenous
factor. This hypothesis neglects interactions between the economic
growth process and demographic trends. However, a genuine understanding
of the economic growth process should take into account the extent to
which fertility and mortality affect the population growth rate as an
endogenous variable.
Following the work of Becker [1960], who analyses the behavior of
demographic and economic changes in developed countries and the role of
fertility, several authors have studied the feedback between population
growth and development. Important works of reference are that of Becker
and Barro [1988] and Barro and Becker [1989], where demographic and
economic outcomes are jointly and endogenously determined.
The results obtained by the modern endogenous population literature
have yielded insights into a wide range of issues, including the effects
of tax and social security programs on fertility. This paper will focus
on the effects that a subsidy to health expenditure or a subsidy to
child-rearing costs has on welfare, population growth, and income. The
effects of financing such a subsidy by a capital income tax and a
consumption tax are also studied. The analysis is based on a continuous
time version of the Becker and Barro [1988] model.
This paper is organized as follows. The second section presents the
model, and the third section studies the effects of a government policy
that subsidizes either the health expenditure or child-rearing costs
that are financed either by a capital income tax or a consumption tax.
Concluding remarks are given in the fourth section.
The Model
This paper considers an extension to the fertility choice model of
Becker and Barro [1988] and Barro and Becker [1989], and the continuous
time version set out in Barro and Sala-i-Martin [1995] and Blackburn and
Cipriani [1998]. Time is continuous, all markets are perfectly
competitive, and the economy has a large number of identical households
that seek to maximize the intertemporal dynastic utility function [Barro
and Sala-i-Martin, 1995], shown as:
U = [[integral].sup.[infinity].sub.0][e.sup.-[rho]t]{[psi] ln N +
ln(c + [phi]g) + [phi]ln(n - d(g))}dt, (1)
where [rho] is the rate of time preference and represents parental
altruism, N is the size of the typical dynasty, n is the family's
fertility rate, c is per capita consumption, g is per capita health
expenditure, d(g) is the family's mortality rate, and g =
g[e.sup.-xt] is per capita health expenditure in terms of effective
labor, with x being the (exogenous) growth rate of technological
progress. Households are assumed to give utility to their health status
and, treating the health expenditure as a proxy to the health status,
derive utility from the sequences of effective consumption, z = c +
[phi]g. Parameter [phi], where 0 < [phi] < 1, indicates the extent
to which each individual values his welfare in terms of health, as
compared to consumption.
The mortality rate at time t is assumed to be affected only by
instantaneous health expenditure per efficiency unit of labor. Health
has characteristics like capital that could be accumulated (for example,
investing in health has a positive effect on mortality throughout the
lifetime of a person). However, the modeling of this effect probably
would be intractable in this context. Certain studies (for example, see
Newhouse [1977]) argue that in countries with high expenditure, the
marginal utility of medical care is more likely to produce improvements
in so-called subjective components of health rather than improvements in
morbidity and mortality rates. These works are based on the difference
between caring and curing. Parkin et al. [1987] suggest that the
"marginal utility of medical care" does produce an improvement
in objective health status, but the cost of this marginal utility is
greater for higher-income and higher-expenditure countries. Blackburn
and Cipriani [1998] argue instead that greater spending in health is a
means of mitigating the potential adverse effects on child welfare of
greater economic activity. The hypothesis that the mortality rate
depends on health expenditure per efficiency unit of labor seeks to
capture these ideas: per capita health expenditure should grow more than
economic activity, as proxied by the technological progress, to yield a
lower mortality rate.
The mortality rate function, d(g), is assumed to verify that
d(g)> 0, d'(g) <0, and d"(g)> 0 [for all] g [greater
than or equal to] 0. In other words, the mortality rate decreases as g
increases, but decreases in the mortality rate become less pronounced as
health expenditure rises. Health gains are assumed to be effectively
bounded, so that [lim.sub.g[right arrow][infinity]]d(g) = d, with 0 <
d < d(0). The size of the family changes continuously according to:
dN/dt = (n - d(g))N. (2)
The model now introduces child-rearing costs [PHI], which would
tend to increase as parental income increases or with other measures of
the opportunity costs of parental time. Following Barro and
Sala-i-Martin [1995], a linear function, [PHI] = bk, is used. Thus, the
family's budget constraint in per capita terms can be expressed as:
dk / dt = w + (1 - [[tau].sub.k])rk - (n - d(g)) k - (1 -
[s.sub.b])nbk - (1 + [[tau].sub.c])c - (l - [s.sub.g])g - R , (3)
where w is the wage rate, r is the interest rate, [[tau].sub.c] is
the consumption tax rate, [[tau].sub.k] is the rate of tax on capital
income, [s.sub.g] is the rate of subsidy to health expenditure,
[s.sub.b] is the rate of subsidy to child-rearing costs, and R is a lump
sum tax (or transfers). The government is assumed to run a balanced
budget. Its budget constraint can be expressed as:
[[tau].sub.k]rk + [[tau].sub.c]c + R = [s.sub.b] nbk + [s.sub.g]g .
(4)
A labor tax is not introduced since it acts much like a lump sum
tax in this model.
The household optimization problem consists of maximizing (1)
subject to (2) and (3). By solving the model (see Appendix), the
following expressions are obtained:
dz / dt = ((1 - [[tau].sub.k])r - [rho] - (1 + (1 - [s.sub.b]) b) n
+ d(g))z , (5)
n = d(g) + [phi][rho]z(1 + [[tau].sub.c])/[rho](1 + (1 - [s.sub.b])
b) k - [psi](1 + [[tau].sub.c]) z , (6)
and
k = [phi](1 + [[tau].sub.c]) - (1 - [s.sub.g])/(1 -
[s.sub.b])bd'(g) , (7)
where k = k[e.sup.-xt] represents per capita capital in terms of
effective labor. Equation (5) links the growth rate of per capita
effective consumption with the rate of return on capital. Equation (6)
indicates that, ceteris paribus, a higher fertility rate is associated
with a higher mortality rate (and therefore a lower health expenditure),
a higher [phi] (which raises the marginal utility of the children), a
higher [psi] (which raises the marginal utility of the family size), a
lower rate of time preference, [rho], a lower b, a higher subsidy to
child-rearing costs, [s.sub.b], and a higher consumption tax rate,
[[tau].sub.c]. In addition, a positive association exists between n and
z/k. Equation (7) shows that, ceteris paribus, a higher per capita
capital in terms of effective labor is associated with a lower [phi]
(which decreases the weight of the health expenditure in the effective
consumption, therefore decreasing the marginal utility of health
expenditure), a lower b, a lower [[tau].sub.c], a higher subsidy to
child-rearing costs, [s.sub.b], and a lower subsidy to health
expenditure, [s.sub.g]. In addition, a positive one-on-one relationship
exists between per capita capital and per capita health expenditure in
terms of effective labor.
There are many firms in the market that act competitively and take
technological progress as given. Output is produced with a Cobb-Douglas
production function, y = A[k.sup.[alpha]], where 0 < [alpha] < 1
and y = y[e.sup.-xt] is per capita income in terms of effective labor.
Profit maximization implies that firms pay the marginal product of
factors:
r = [alpha]A[k.sup.[alpha]-1]- [delta],(8)
and
w =(1 - [alpha])A[k.sup.[alpha]][e.sup.xt],(9)
where [delta] denotes the depreciation rate of physical capital.
By substituting (6), (8), and (9), and using (4), then (3) becomes:
[FORMULA NOT REPRODUCIBLE IN ASCII] (10)
Substituting (6) into (5), and given that dz/dt = dz/dt [e.sup.-xt]
- xz, the motion of effective consumption is given by:
[FORMULA NOT REPRODUCIBLE IN ASCII] (11)
and differentiating (7) with respect to t gives:
dg/dt = -(1 -[s.sub.b])bd'
[(g).sup.2]/([phi](1+[[tau].sub.c])-(1-[s.sub.g]))d"(g) dk/dt. (12)
Substituting (10) into (12), using (7) to eliminate k, and using c
= z -[phi]g to eliminate c, the former system, (11) and (12), can be
expressed as a function of g and z.
Policy Analysis
This section examines the effects that a subsidy has on welfare,
income, and population growth. The situation in which there is no
government intervention is compared with one in which there is
alternatively a subsidy to health expenditure and a subsidy to
child-rearing costs, which is financed either by a consumption tax or a
capital income tax. The government is assumed to claim a fraction of
output for its expenditure. Once the ratio of government expenditure to
income, [xi] has been fixed, the corresponding subsidy and tax rates
that maintain a balanced budget without using a lump sum tax in the
steady state are determined. That is, if a subsidy to health expenditure
is instituted, then [xi]y = [s.sub.g]g = [[tau].sub.c]c in the
consumption tax setting and [xi]y = [s.sub.g]g = [[tau].sub.k]rk in the
capital income tax setting at the new steady state. If a subsidy to
child-rearing costs is introduced, then [xi]y = [s.sub.b]nbk =
[[tau].sub.c]c and [xi]y = [s.sub.b]nbk = [[tau].sub.k]rk, respectively.
First, some assumptions are made about d(g) and the parameters of
the model. The mortality rate is assumed to be related to health
expenditure through a negative exponential function:
d(g) = L + Mexp{[Tg.sup.s]}
For d to be a decreasing function, then T < 0. This function
verifies all the desirable features for the mortality rate implicit
within the assumptions of the model. The natural mortality rate (in the
absence of health expenditure) is L + M, and the threshold value of the
mortality rate is L. The mortality rate cannot fall below this threshold
value. Parameter S reflects the rate at which the mortality rate
decreases. Following Barro and Sala-i-Martin [1995] for the common
parameters, the benchmark displayed in Table 1 is considered, with all
tax and subsidy rates set equal to zero. With these parameter values,
the fertility and mortality rates in the steady state are 1.5 percent
and 0.8 percent, respectively, similar to the observed U.S. rates.
The welfare gain of a reform is measured as the constant permanent
percentage increase in consumption, [epsilon], keeping the population
growth rate and health expenditure constant. This leaves the household
indifferent between the lifetime utility obtained by remaining in the
equilibrium without government intervention, and the lifetime utility
obtained after the subsidy has been introduced. These simulations use
the time elimination method [Mulligan and Sala-i-Martin 1993].
Figures 1 and 2 show the evolution of per capita income in terms of
effective labor and the fertility, mortality, and population growth
rates after introducing a subsidy to health expenditure and a subsidy to
child-rearing costs, financed either by a capital income tax or a
consumption tax.
Introducing a subsidy to health expenditure decreases the mortality
rate and increases the population growth rate with respect to the
baseline situation, whether it is financed by a capital income tax or a
consumption tax. However, per capita income slightly increases in the
steady state in the consumption tax setting, while it falls in the
capital income tax setting. The higher the subsidy, the more pronounced
the effects are. When comparing both sources of financing, the
fertility, mortality, and population growth rates are greater when the
government finances the health subsidy by means of a capital income tax
rather than by a consumption tax.
Introducing a subsidy to child-rearing costs decreases per capita
income and increases the fertility, mortality, and population growth
rates with respect to the baseline situation in the steady state,
whether it is financed by a capital income tax or a consumption tax.
Also, the higher the subsidy rate, the more pronounced these effects
become. When comparing both sources of finance, the rise in the
fertility, mortality, and population growth rates is lower if a
consumption tax rather than a capital income tax is used. Per capita
income in the new steady state diminishes with respect to the baseline
situation whichever tax is used to finance the subsidy, but the
reduction is greater if the subsidy is financed by means of a capital
income tax.
Whichever subsidy is introduced, higher fertility, mortality, and
population growth rates but lower per capita income are obtained if a
consumption tax rather than a capital income tax is used to finance the
subsidy. Furthermore, the rise in the fertility and population growth
rates and the fall in per capita income are greater if a subsidy to
child-rearing costs and not a subsidy to health expenditure is
instituted.
Figure 3 shows the welfare gain or loss after instituting the
subsidy. Introducing a subsidy to health expenditure yields a loss with
respect to the baseline situation whether it is financed by a
consumption or a capital income tax. Nevertheless, the loss of welfare
is higher if consumption taxation is used to finance the health subsidy.
This reflects the bigger effect of the subsidy on the population growth
rate in the capital income taxation setting. As the extent of the
subsidy increases, the welfare loss becomes greater.
Subsidizing child-rearing costs might entail a welfare gain,
depending on the extent of the subsidy and the way it is financed. The
welfare gain first rises as the subsidy expenditure to output increases,
then falls, turning even into a welfare loss in the capital income tax
setting when the ratio of subsidy expenditure to output rises above
approximately 12 percent. Furthermore, the gain in welfare is greater if
a consumption tax is used to finance the subsidy. The maximum welfare
gain attainable in the consumption tax setting is 6.5 percent and occurs
when the ratio of subsidy expenditure to output is approximately 9
percent, the subsidy rate is about 54 percent, and the consumption tax
rate is almost 31 percent. In the capital income tax setting, the
maximum welfare gain is 4.4 percent, which is attained when the ratio of
subsidy expenditure to output is about 6 percent, the subsidy rate is
close to 41 percent, and the tax rate on capital income is approximately
13 percent.
The fact that introducing a subsidy to child-rearing costs might
increase welfare is in accordance with the evidence seen on fiscal
incentives to families with children [O'Donoghue and Sutherland,
1999] and other maternity benefits [Gruber, 1994]. The behavior of the
welfare gain illustrated in Figure 3 suggests that a subsidy to health
expenditure should be financed by a capital income tax, while a subsidy
to child-rearing costs should be financed by a consumption tax instead.
Figure 4 shows the trends of per capita income, y, and per capita
consumption, c, in terms of effective labor, using either a consumption
tax or a capital income tax to finance a health subsidy. As the behavior
of the variables remains consistent for distinct health subsidy values,
the following case is considered where the ratio of subsidy expenditure
to output, [xi], is 2 percent.
Figure 4 shows that when a capital income tax is used, per capita
income in terms of effective labor falls monotonically toward its new
steady state value. Hence, along the transition path, the growth rate of
per capita income, y, is below its steady state value of x. The opposite
happens when a consumption tax is utilized. Per capita income in terms
of effective labor increases monotonically toward its new steady state
value, so its growth rate is positive and decreasing toward zero. Hence,
the new steady state value of y is greater than the one obtained on the
baseline.
It is worth noting how little the tax reform affects the growth
rate of y along the transition path. In the capital income taxation
setting, it ranges from -0.21 percentage points at the outset to -0.18
after 5 years and -0.14 after 15 years. In the case of a consumption
tax, it ranges from 0.036 percentage points at the outset to 0.031 after
5 years and 0.024 after 15 years. This effect, though slight, can also
be seen in the slow convergence toward the new steady state. In the
consumption tax setting, 50 percent of the difference between the old
and new steady state income is reduced in 26 years, and 75 percent of
the difference is reduced in 52 years. Similar results are obtained in
the capital income taxation setting.
Figure 5 shows the trends of per capita income and per capita
consumption in terms of effective labor, using either a consumption tax
or capital income tax to finance a subsidy to child-rearing costs when
the ratio of subsidy expenditure to output, [xi], is 2 percent. When a
capital income tax is used, per capita income in terms of effective
labor falls monotonically toward its new steady state value. Hence,
along the transition path, the growth rate of per capita income, y, is
below its steady state value of x. While the same behavior happens when
a consumption tax is used, the effect is less pronounced. Hence, the new
steady state value of y is greater than the one obtained in the capital
income taxation setting.
Conclusions
This analysis of a government policy through the introduction of a
health subsidy or a subsidy to child-rearing costs considers the use of
a capital income tax and a consumption tax, alternatively, in order to
finance the subsidy. The results suggest that a policy that subsidizes
child-rearing costs increases the population growth rate and might have
positive effects on welfare. The gain in welfare is greater and the
increase in the population growth rate is lower if a consumption tax
rather than a capital income tax is used to finance the subsidy.
Instead, the introduction of a subsidy to health expenditure causes an
unambiguous loss in welfare, and the rise in the population growth rate
is less than the one obtained when a subsidy to child-rearing costs is
instituted. The welfare analysis suggests that a subsidy to health
expenditure should be financed by a capital income tax, while a subsidy
to child-rearing costs should be financed by a consumption tax.
[Figure 1 omitted]
[Figure 2 omitted]
[Figure 3 omitted]
[Figure 4 omitted]
[Figure 5 omitted]
TABLE 1
Parameter Benchmark Values
Parameters Values Parameters Values
L 0.005 [rho] 0.020
M 0.195 [psi] 0.200
T -1.000 [phi] 0.200
S 0.500 [phi] 0.200
[alpha] 0.750 [delta] 0.050
A 1.000 x 0.020
b 1.000
References
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RELATED ARTICLE: APPENDIX
Solution to the Model
Let [mu] and v be multipliers for the constraints in (2) and (3) in
the household optimization problem. The conditions for a maximum are:
[e.sup.-[rho]t]/z = (1 + [[tau].sub.c])v, (A1)
[e.sup.-[rho]t][phi]/(n - d(g)) - v(1 + (1 - [s.sub.b])b)k + [mu]N
= 0, (A2)
[e.sup.-[rho]t]([phi]/z + ([phi](-d'(g))[e.sup.-xt])/(n -
d(g))) + v(d'(g)[e.sup.-xt]k - (1 - [s.sub.g])) + [mu]
(-d'(g)[e.sup.-xt])N = 0, (A3)
dv/dt = -v((1 - [[tau].sub.k])r -(1 + (1 -[s.sub.b])b)n + d(g)),
(A4)
and
d[mu]/dt = -[e.sup.-[rho]t]([psi] / N) - [mu](n - d(g)). (A5)
Taking logarithms in (A1), differentiating with respect to time,
and using (A4), results in (5). Substituting [upsilon] from (Al) into
(A2) obtains:
[mu] = -1/N [e.sup.-[rho]t] [[phi]/n-d(g) -
((1+(1-[s.sub.b])b)k/z(1+[[tau].sub.c])] = -1/N [e.sup.-[rho]t] [OMEGA],
(A6)
where [OMEGA] is the term in brackets. Differentiating (A6) with
respect to time gives:
d[mu]/dt = -([e.sup.-[rho]t)/N) ( -((dN/dt) [OMEGA]/N) -
[rho][OMEGA] + d[OMEGA]/dt).
Substituting (A6) into (A5) and substituting the result into the
previous equation, gives d[OMEGA]/dt = [psi] + [rho][OMEGA], whose
general solution is unstable:
[OMEGA] = - [psi]/[rho] + ([OMEGA](0) + [psi]/[rho])
[e.sup.[rho]t]. (A7)
Substituting (A7) into (A6), the transversality condition
[lim.sub.t[right arrow][infinity]] [mu]N = 0 implies that [OMEGA](0) = -
[psi]/[rho]. Hence, [OMEGA] = -[psi]/[rho], and by the definition of
[OMEGA], (6) is obtained. Substituting into (A3) the expressions for v
in (A1) and for [mu] in (A6) and simplifying, (7) is obtained.
Manuel A. Gomez (*)
(*.) University of A Coruna--Spain.
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