India's health financing system is a cause of and an exacerbating factor in the challenges of health inequity, inadequate availability and reach, unequal access, and poor-quality and costly health-care services. Low per person spending on health and insufficient public expenditure result in one of the highest proportions of private out-of-pocket expenses in the world. Citizens receive low value...

There is little evidence to demonstrate the impact on local health outcomes of spending that occurs outside the health care sector. We leveraged novel data from the US Census Bureau to measure the independent impact of a community's health and nonhealth expenditures on a broad measure of overall health-the County Health Rankings-over time. Using lagged longitudinal models that accounted for cor...

The Canadian context in which home-based healthcare services are delivered is characterised by limited resources and escalating healthcare costs. As a result, a financing shift has occurred, whereby care recipients receive a mixture of publicly and privately financed home-based services. Although ensuring that care recipients receive efficient and equitable care is crucial, a limited understand...

British Columbia and Manitoba have the most developed and comprehensive publicly financed long-term care (LTC) programs in North America. For U.S. policymakers, these programs are large-scale natural experiments with public LTC insurance. During the 1980s, both provinces successfully contained the growth of public expenditures on nursing homes, and one province successfully contained the growth...

In this paper, we present an overlapping generations model where individuals accumulate human capital through formal schooling. We model the role of the public sector in schooling as one of collecting taxes from households and providing inputs to the learning technology. Public expenditures on schools are determined endogenously. Under plausible restrictions, our model's predictions qualitative...

This article seeks to analyze the allocation of federal government discretionary spending among Brazil’s states. In Brazil, the bulk of federal public budget must be compulsorily executed. Personnel expenditures and social taxes, social security benefits and a series of constitutionally mandatory transfers to states and municipalities are examples of expenditures over which the government has n...