The Nexus Between Health and Economic Growth: Empirical Evidence from Indonesia

Mochammad Yusuf(1), Avi Budi Setiawan(2*)

(1) Faculty of Economics, Universitas Negeri Semarang
(2) Faculty of Economics, Universitas Negeri Semarang
(*) Corresponding Author

Abstract

The controversial debate about the relationship between health and economic growth nexus has become one of the most contentious issues in the last two decades of scientific development. The inconsistency of research results that occur makes this hypothesis very interesting to study, especially in developing countries such as Indonesia. This study aims to determine the relationship between health variables such as healthcare expenditure, human development index, life expectancy, and mortality on economic growth with the Indonesian case study as the object of analysis. This study uses secondary data from Indonesia in the period 1985-2021 using the Engle-Granger Error Correction Model and Granger Causality. Based on the estimation of the Engle-Granger Error Correction Model, both in the long term and in the short term, all health variables have a significant influence on economic growth. To prove the causal relationship between health variables and economic growth, a causality granger analysis was used, it was found that healthcare expenditure had a causal (bidirectional) relationship with economic growth. Another causal relationship is also found in the human development index, the rest there is a unidirectional relationship between mortality and economic growth. This finding proved that health plays a crucial role on economic growth. Therefore, the government must be able to take several policies to improve the quality of public health including: prioritize development budget allocations for health infrastructure, implementing cash-transfer and health subsidies program to reduce cost-barriers that limiting healthcare access of poor people.

Keywords

Causality Granger, Economic Growth, Error Correction Model, Healthcare Expenditure.

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References

Acemoglu, D. S. J. (2006). Disease and Development : the Effect of Life Expectancy on Economic Growth. In National Bureau Of Economic Research Working Paper Series (Vol. 12269).

Amiri, A., & Ventelou, B. (2012). Granger causality between total expenditure on health and GDP in OECD : Evidence from the Toda – Yamamoto approach. Economics Letters, 116(3), 541–544. https://doi.org/10.1016/j.econlet.2012.04.040

Anochiwa, L. I., Obila, E., & Enyoghasim, M. (2019). Modeling the effects of health care expenditure and economic growth in Nigeria: An econometric analysis. Jurnal Perspektif Pembiayaan Dan Pembangunan Daerah, 6(5), 573–582. https://doi.org/10.22437/ppd.v6i5.6244

Appiah, M., Amoasi, R., & Frowne, D. I. (2019). Human Development and Its Effects on Economic Growth and Development. International Research Journal of Business Studies, 12(2), 101–109.

Artekin, A. Ö., & Konya, S. (2020). Health Expenditure and Economic Growth: Is The Health-Led Growth Hypotesis Supported for Selected OECD Countries. Internation Health Affairs Research, 21(1), 1–9. http://mpoc.org.my/malaysian-palm-oil-industry/

Assan, J. (2020). The Role of Health on Economic Development. International Journal of Health Statistic, 1, 7–14.

Astuti, D., & Lestari, E. P. (2020). The Government Spending on Education and Health Care i n Indonesia ’ s Economic Growth. Advances in Economics, Business and Management Research, 143(Isbest 2019), 14–18.

Atilgan, E., Kilic, D., & Ertugrul, H. M. (2017). The dynamic relationship between health expenditure and economic growth: is the health-led growth hypothesis valid for Turkey? European Journal of Health Economics, 18(5), 567–574. https://doi.org/10.1007/s10198-016-0810-5

Bala, M. M., Singh, S., & Janor, H. (2021). The elasticity of health expenditure on agricultural productivity growth in southeast Asia. Asia Pacific Journal of Health Management, 16(2), 1–7. https://doi.org/10.24083/APJHM.V16I2.699

Bashir, A., Liliana, L., Hidayat, A., & Suhel, S. (2022). The Relationship between Air Pollution, Economic Growth, and Life Expectancy: Empirical Evidence from Indonesia. Signifikan: Jurnal Ilmu Ekonomi, 11(1), 125–144. https://doi.org/10.15408/sjie.v11i1.23334

Berthélemy, J. C., & Thuilliez, J. (2013). Health and development: A circular causality. Revue d’Economie Du Developpement, 27(2–3), 119–147. https://doi.org/10.3917/edd.272.0119

Beyer, A., & Farmer, R. E. A. (2021). A Method to Generate Structural Impulse-Responses for Measuring the Effects of Shocks in Structural Macro Models. In European Central Bank Working Paper No. 586. https://doi.org/10.2139/ssrn.878686

Bhowmik, D. (2018). Nexus Between Growth and Human Development Index: Evidence from Indian States. Assumption University-EJournal of Interdisciplinary Research, 3(2), 96–119.

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/10.1016/j.worlddev.2003.07.002

Bloom, D. E., Kuhn, M., & Prettner, K. (2018). Health and Economic Growth (Bonn, Germany; Discussion Paper Series, Issue 11939).

Bloom, D. E., Schünemann, J., Bloom, D. E., Prettner, K., Schünemann, J., & Kotschy, R. (2018). Health and Economic Growth : Reconciling the Micro and Macro Evidence Health and Economic Growth : Reconciling the Micro and Macro Evidence (Issue 11940).

Boussalem, F., Boussalem, Z., & Taiba, A. (2014). The Relationship between public spending on health and economic growth in Algeria: Testing for Co-integration and Causality. International Journal of Business and Management, 2(3), 25–39.

https://www.iises.net/download/Soubory/soubory-puvodni/pp25-39_ijobmV2N3.pdf

Bressler, S. L., & Seth, A. K. (2010). Wiener – Granger Causality : A well established methodology. NeuroImage. https://doi.org/10.1016/j.neuroimage.2010.02.059

Canning, D., & Pedroni, P. (2008). Infrastructure, Long-run Economic Growth and Causality Test for Cointegrated Panels. The Manchester School, 76(5), 504–527.

Castelló-Climent, A., & Doménech, R. (2008). Human capital inequality, life expectancy and economic growth. Economic Journal, 118(528), 653–677. https://doi.org/10.1111/j.1468-0297.2008.02136.x

Cervellati, M., Sunde, U., & Cervellati, M. (2009). The Role of the Demographic Transition Life Expectancy and Economic Growth : The Role of the Demographic Transition. Discussion Paper Series, 4160, 1–51.

Clark, D. (2013). Human Development and Economic Growth. In The Elgar Companion to Development Studies (Issue 887). https://doi.org/10.4337/9781847202864.00061

Corman, H., Noonan, K., & Reichman, N. E. (2016). Economics and Human Biology Lifecycle effects of a recession on health behaviors : Boom , bust , and recovery in Iceland. Economics and Human Biology, 20, 90–107. https://doi.org/10.1016/j.ehb.2015.11.001

Devlin, N., & Hansen, P. (2001). Health care spending and economic output : Granger causality Health care spending and economic output : Granger causality. Applied Economics Letters, 8, 37–41. https://doi.org/10.1080/13504850010017357

Dickey, D. A., & Fuller, W. A. (2012). Distribution of the Estimators for Autoregressive Time Series with a Unit Root D. Journal of the American Statistical Association, 74(3), 37–41.

Enders, W. (1995). Applied Econometric Time Series. Willey.

Endris, S. (2008). Life Expectancy and Economic Growth: the Role of the Demographic Transition. Journal of Economic Growth, 7(27), 2008–2010. https://doi.org/10.1007/s

Ertugrul, H. M., & Mangir, F. (2015). The tourism-led growth hypothesis: empirical evidence from Turkey. The IRES 21st International Conference, 18(7), 633–646. https://doi.org/10.1080/13683500.2013.868409

Genoni, M. E. (2012). Health shocks and consumption smoothing: Evidence from Indonesia. Economic Development and Cultural Change, 60(3), 475–506. https://doi.org/10.1086/664019

Granger, C. W. J. (1969). Investigating Causal Relations by Econometric Models and Cross-spectral Methods. Econometrica, 37(3), 424–438.

Gujarati. D. N. (2004). Basic Econometrics (4th edition (ed.)). McGraw-Hill Companies.

Gulcemal, T. (2020). Effect of human development index on GDP for developing countries: a panel data anaysis. Pressacademia, 7(4), 338–345. https://doi.org/10.17261/pressacademia.2020.1307

Gürler, M., & Özsoy, Ö. (2018). Exploring the relationship between life expectancy at birth and economic growth in 56 developing countries. Journal of Global Health Reports, 3. https://doi.org/10.29392/joghr.3.e2019001

Hamid Ali, Abubakar, H. M., Ullah, K., & Mahmood, M. T. (2018). Human Capital and Economic Growth Nexus in Pakistan: The Role of Foreign Aid. Bulletin of Business and Economics, 7(1), 13–21.

Hartwig, J. (2010). Is health capital formation good for long-term economic growth ? – Panel Granger-causality evidence for OECD countries. Journal of Macroeconomics, 32(1), 314–325. https://doi.org/10.1016/j.jmacro.2009.06.003

Hone, T., Mirelman, A. J., Rasella, D., Paes-Sousa, R., Barreto, M. L., Rocha, R., & Millett, C. (2019). Effect of economic recession and impact of health and social protection expenditures on adult mortality: a longitudinal analysis of 5565 Brazilian municipalities. The Lancet Global Health, 7(11), e1575–e1583. https://doi.org/10.1016/S2214-109X(19)30409-7

International Monetary Fund. (2004). Health and Development: A compilation of articles from Finance & Development. International Monetari Fund Publication.

Iskandar, I. (2017). Effect Of Human Development Index Fund on Economic Growth Through A Special Autonomy. Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi Dan Pembangunan, 18(1), 50. https://doi.org/10.23917/jep.v18i1.2920

Jetter, M., Laudage, S., & Stadelmann, D. (2019). The Intimate Link Between Income Levels and Life Expectancy: Global Evidence from 213 Years*. Social Science Quarterly, 100(4), 1387–1403. https://doi.org/10.1111/ssqu.12638

Kurozumi, E., & Yamamoto, T. (2007). Modified Lag Augmented Vector Autoregressions. Econometric Review, 19(2), 37–41. https://doi.org/10.1080/07474930008800468

Lawanson, O. I., & Umar, D. I. (2021). The life expectancy–economic growth nexus in Nigeria: the role of poverty reduction. SN Business & Economics, 1(10), 1–26. https://doi.org/10.1007/s43546-021-00119-9

Leandro, P. (2022). Health, Income, and the Preston Curve: A Long View. Centre for Economic Policy Research, DP17151, 1–23. https://www.researchgate.net/publication/359618781_Health_Income_and_the_Preston_Curve_A_Long_View

Li, Q., Tsui, A. O., Liu, L., & Ahmed, S. (2018). Mortality , fertility , and economic development : An analysis of 201 countries from 1960 to 2015. Gates Open Research, 2(14), 1–20. https://doi.org/10.12688/gatesopenres.12804.1

Lønstrup, L., & Hansen, C. W. (2016). The Rise in Life Expectancy and Economic Growth in the 20th Century. Discussion Papers on Business and Economics, No. 16(April).

Mahyar, H. (2016). Economic Growth and Life Expectancy: The Case of Iran. Studies in Business and Economics, 11(1), 80–87. https://doi.org/10.1515/sbe-2016-0007

Maqin, R. A., & Sidharta, I. (2017). The Relationship of Economic Growth with Human Development and Electricity Consumpt i on in Indonesia. International Journal of Energy Economics and Policy, 7(3), 201–207.

Mayer, D., & Investigacian, C. De. (2001). The Long-Term Impact of Health on Economic Growth in Latin America. World Development, 29(6), 1025–1033.

Mccoskey, S. K., & Selden, T. M. (1998). Health Care Expenditures and GDP : Panel Data Unit Root Test Results. Journal of Health Economics, 17, 369–376.

Mihalache, I. C. (2019). Health State of Human Capital in the Economic Theory. Postmodern Openings, 10(4), 182–192. https://doi.org/10.18662/po/102

Misango, K. M. (2022). Health Status and Economic Growth in Kenya. School of Business and Economics, 3(2), 72–82. https://doi.org/10.47747/jismab.v3i2.670

Nainggolan, E., & Siregar, T. (2022). Relationship Between Human Development Index and Economic Growth in Indonesia Using Simultaneous Model. Journal of Positive School Psichology, 6(6), 695–706.

Okunade, A. A., & Osmani, A. R. (2020). Effects of life expectancy on economic growth: new results using the flexible Box–Cox power transformation model. Applied Economics Letters, 27(20), 1681–1684. https://doi.org/10.1080/13504851.2020.1713976

Omotor, D. G., & Osakede, U. A. (2021). Is there a life expectancy Preston Hypothesis for Africa ? African Journal of Health Economics, 10(2), 19–34.

Öztürk, S., & Suluk, S. (2020). The granger causality relationship between human development and economic growth : The case of Norway. Research in Business & Social Science, 9(6), 143–153.

Palència, L., Gotsens, M., Olmo, M. M., Bosakova, L., Burström, B., Costa, C., Deboosere, P., Dzurova, D., Lustigova, M., Morrison, J., Santana, P., & Borrell, C. (2020). Effect of the recent economic crisis on socioeconomic inequalities in mortality in nine urban areas in Europe. Gaceta Sanitaria, 34(3), 253–260. https://doi.org/10.1016/j.gaceta.2019.11.001

Piabuo, S. M., & Tieguhong, J. C. (2017). Health expenditure and economic growth - a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review, 7(1), 1–13. https://doi.org/10.1186/s13561-017-0159-1

Pradana, A. N., & Sumarsono, H. (2018). Human Development Index , Capital Expenditure , Fiscal Desentralization to Economic Growth and Income Inequality in East Java Indonesia. Quantitative Economics Research, 1(2), 108–118.

Prasetyo, D. E., Adenan, M., & Komariyah, S. (2019). Study of Health Expenditure and Economic Welfare in Indonesia. International Journal of Advanced Research in Science, Engineering and Technology, 6(7), 10125–10132. https://repository.unej.ac.id/bitstream/handle/123456789/97236/F. EB_Jurnal_M. Adenan_Study of Health Expenditure and Economic.pdf?sequence=1&isAllowed=y

Rambaldi, A., & Doran, H. (1996). Testing for Granger Non-Causality in Cointegrated Systems Made Easy. In Working paper No 88 (Issue 88).

Ranganathan, S., Swain, R. B., & Sumpter, D. J. T. (2015). The demographic transition and economic growth: implications for development policy. Palgrave Communications, 1(May). https://doi.org/10.1057/palcomms.2015.33

Rocco, L., Fumagalli, E., Mirelman, A. J., & Suhrcke, M. (2021). Mortality , morbidity and economic growth. PLoS ONE, 2(3), 1–22. https://doi.org/10.1371/journal.pone.0251424

Romer, P. M. (1986). Increasing Returns and Long-Run Growth. Journal of Political Economy, 94(5), 1002–1037.

Runtunuwu, P. C. H., & Kotib, M. (2021). Analysis of the Effect Construction Costs, Human Development Index and Investment: Does It Have an Impact on Economic Development? International Journal of Accounting & Finance in Asia Pasific, 4(3), 100–113. https://doi.org/10.32535/ijafap.v4i3.1210

Salmon, M. (1988). Error correction models, cointegration and the internal model principle. Journal of Economic Dynamics and Control, 12(2–3), 523–549. https://doi.org/10.1016/0165-1889(88)90054-1

Sari, V. K., & Cahyadin, M. (2021). The Impact of Health on Per Capita GDP in Indonesia. Economics Development Analysis Journal, 10(2), 123–131. https://doi.org/10.15294/edaj.v10i2.41365

Shojaie, A., & Fox, E. B. (2021). Granger Causality : A Review and Recent Advances (Issue 1969). University of Washington.

Sirag, A., Nor, N. M., & Law, S. H. (2020). Does higher longevity harm economic growth? Panoeconomicus, 67(1), 51–68. https://doi.org/10.2298/PAN150816015S

Spiteri, J., & Brockdorff, P. Von. (2019). Social Science & Medicine Economic development and health outcomes : Evidence from cardiovascular disease mortality in Europe. Social Science & Medicine, 224(January), 37–44. https://doi.org/10.1016/j.socscimed.2019.01.050

Studentmund. (2016). Using Econometrics: A Practical Guide (7th editio). Pearson.

Sušnik, J., & Zaag, P. Van Der. (2017). Correlation and causation between the UN Human Development Index and national and personal wealth and resource exploitation. Economic Research-Ekonomska Istraživanja, 9664, 1–19. https://doi.org/10.1080/1331677X.2017.1383175

Wang, F. (2015). More health expenditure, better economic performance? Empirical evidence from OECD countries. Inquiry (United States), 52(1), 3–7. https://doi.org/10.1177/0046958015602666

Wardhana, A., Kharisma, B., & Noven, S. A. (2020). Population Dynamics and Economic Growth in Indonesia. Buletin Studi Ekonomi, 25(1), 22–40.

Wyckoff, P. H., & Clark, J. S. (2002). The relationship between growth and mortality for seven co-occurring tree species in the southern Appalachian Mountains. Journal of Ecology, 90(4), 604–615. https://doi.org/10.1046/j.1365-2745.2002.00691.x

Ye, L., & Zhang, X. (2018). Nonlinear Granger Causality between Health Care Expenditure and Economic Growth in the OECD and Major Developing Countries. International Environmental Research Public Health, 15(19). https://doi.org/10.3390/ijerph15091953

Yun, W. S., & Yusoff, R. (2015). An Empirical Study of Education Expenditure , Health Care Expenditure and Economic Growth in Malaysia using Granger Causality Approach . Malaysian Journal of Business and Economics, 2(2), 1–10.

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