“…With the increase in the elderly population and the decline in the labor force, the income level of the elderly population widens the gap between the rich, the national public policy begins to tilt toward elderly individuals, and social wealth begins to shift toward elderly individuals, increasing the proportion of pension and medical social security expenditure and promoting social wealth, thus promoting HQED (Kwilinski, Dielini et al, 2020). the degree of marketization (Mar)-a higher degree of marketization reveals the capabilities of the market to regulate resource distribution and could affect HQED (Fan et al, 2016;Ramadania et al, 2022); the urbanization rate (measured by the proportion of the urban population in the total population (Urb)). Urbanization is characterized by the concentration of economic, demographic and political capcity, which makes it possible to concentrate and control significant financial resources, create new technologies and new types of services, and carry out innovative activities (Szczepan´ska-Woszczyna et al, 2022); trade openness (measured by the proportion of the regional import and export trade volume in the production value (Open)).…”