Start Submission Become a Reviewer

Reading: Health Care Expenditures Associated With Pollution: Exploratory Methods and Findings

Download

A- A+
Alt. Display

Original Research

Health Care Expenditures Associated With Pollution: Exploratory Methods and Findings

Authors:

Alexander S. Preker ,

Columbia University, NYU, and Ichan School of Medicine at Mt. Sinai, New York, NY; Health Investment & Financing, New York, NY
About Alexander S.
Dip Med Law & Ethics, MD, PhD Econ
X close

Olusoji O. Adeyi,

Health, Nutrition and Population Global Practice of the World Bank, Washington, DC; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
About Olusoji O.
MBA, MD, DrPH
X close

Marisa Gil Lapetra,

Health Investment & Financing, New York, NY
About Marisa Gil
MPhil
X close

Diane-Charlotte Simon,

NewWorld Capital
About Diane-Charlotte
MBM, MSc
X close

Eric Keuffel

Health Investment & Financing, New York, NY
About Eric
PhD, MPH
X close

Abstract

Background

The research done for this paper is part of the background analysis undertaken to support the work of the Global Commission on Pollution, Health and Development, an initiative of The Lancet, the Global Alliance on Health and Pollution, and the Icahn School of Medicine at Mount Sinai. The paper expands on areas where the current literature has gaps in knowledge related to the health care cost of pollution. Objectives. This study aims to generate an initial estimate of total tangible health care expenditure attributable to man-made pollution affecting air, soil and water.

Methods

We use two methodologies to establish an upper and lower bounds for pollution related health expenditure. Key data points in both models include (a) burden-of-disease (BoD) at the national level in different countries attributable to pollution; and (b) the total cost of health care at the national level in different countries using standard national health accounts expenditure data.

Findings

Depending on which determinist model we apply, annual expenditures range from US$630 billion (upper bound) to US$240 billion (lower bound) or approximately three to nine percent of global spending on health care in 2013 (the reference year for the analysis). Although only 14 percent of global total for pollution related health care spending is in lower- and middle-income countries (LMICs) in our primary (lower bound) model, the relative share of spending for pollution related illness is substantial, especially in very low-income countries. Cancer, chronic respiratory and cardio/cerebrovascular illnesses account for the largest health care spending items linked to pollution even in LMICs.

Conclusions

These conditions have historically received less attention by national governments, international public health organizations and development/financial agencies than infectious disease and maternal/child health sectors. Other studies posit that intangible costs associated with environmental pollution include lower productivity and reduced income – components which our models do not attempt to capture. The financial and health impacts are substantial even when we exclude intangible costs, yet it is likely that in many LMICs poor households simply forgo medical treatment and lose household income as a result of man-made environmental degradation.

Recommendations

When evaluating the value of public health or environmental programs which prevent or limit pollution-related illness, policy makers should consider the health benefits, the tangible cost offsets (estimated in our models) and the opportunity costs.
How to Cite: Preker, A.S., Adeyi, O.O., Lapetra, M.G., Simon, D.-C. and Keuffel, E., 2017. Health Care Expenditures Associated With Pollution: Exploratory Methods and Findings. Annals of Global Health, 82(5), pp.711–721. DOI: http://doi.org/10.1016/j.aogh.2016.12.003
28
Views
14
Downloads
4
Citations
Published on 08 Mar 2017.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus