The Lifetime Medical Cost Burden of Overweight and Obesity: Implications for Obesity Prevention

Finkelstein, Eric A.; Trogdon, Justin G.; Brown, Derek S.; Allaire, Benjamin T.; Dellea, Pam S.; Kamal-Bahl, Sachin

doi:10.1038/oby.2008.290

Cited by 140 publications

(124 citation statements)

References 20 publications

(34 reference statements)

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“…1 National survey data indicate that occurrence has gradually increased over the past three decades, although disparities exist between population groups. 2 Current evidence suggests the prevalence is likely to remain on the rise.…”

Section: Introductionmentioning

confidence: 99%

Discordant Documentation of Obesity Body Mass Index and Obesity Diagnosis in Electronic Medical Records

Fink¹,

Morris²,

Singh³

et al. 2014

Journal of Patient-Centered Research and Reviews

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Section: Introductionmentioning

confidence: 99%

Discordant Documentation of Obesity Body Mass Index and Obesity Diagnosis in Electronic Medical Records

Fink¹,

Morris²,

Singh³

et al. 2014

Journal of Patient-Centered Research and Reviews

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“…Building upon the approach used by Finkelstein and colleagues, 19 we developed a two-part model that included interactions between each weight category and the binary variable of "black." Including the interaction terms allow us test whether the effects of race vary by weight category.…”

Section: Discussionmentioning

confidence: 99%

Racial Disparities in Medical Expenditures within Body Weight Categories

Frick

Bleich

et al. 2012

J GEN INTERN MED

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BACKGROUND: Despite federal guidelines calling for the reduction of obesity and elimination of health disparities, black-white differences in obesity prevalence and in medical expenditures and utilization of health care services persist. OBJECTIVES: To examine black-white differences in medical expenditures and utilization of health care services (office-based visits, hospital outpatient visits, ER visits, inpatient stays and prescription medication) within body weight categories. STUDY DESIGN: This study used data from the 2006 Medical Expenditures Panel Survey (MEPS) and included 15,164 non-Hispanic white and non-Hispanic black adults. We used a standard two-part econometric model to examine black-white differences in how expenditures (total annual medical expenditures and expenditures for each type of service) vary within body weight categories. KEY RESULTS: Blacks in each weight category were less likely to use any medical care than their white counterparts, even after controlling for socio-demographic characteristics, perceived health status, health conditions and health beliefs. Among those who received medical care, there is no significant difference in the total amount spent on care between blacks and whites. Compared to whites, blacks in each body weight category were significantly less likely to use office-based visits, hospital outpatient visits, and medications. Among those who used medications, blacks had significantly lower expenditures than whites. Blacks in obese class II/III were significantly less likely to have any medical expenditures on inpatient care than their white counterparts. CONCLUSIONS: Black-white racial differences in total medical expenditures were observed in each body weight category and were significantly different in the obese I class, overweight, and healthy weight categories. Obese blacks also spent a smaller amount than obese whites-the insignificance might be due to the smaller sample size. These differences cannot be fully explained by socio-demographics, health conditions, or health beliefs. Black-white differences in medical expenditures may be largely due to relatively inexpensive types of care (office-based visits, outpatient care, medication) rather than more costly ones (inpatient care, ER).

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“…Finkelstein et al (2008) find that the severely obese white women have the highest full lifetime health care cost of 29,460 USD. 3 There are many factors put forward as reasons for the obesity spread (Cutler et al, 2003), but in the end it typically boils down to unbalanced caloric intakes compared to energy needs.…”

Section: Introductionmentioning

confidence: 99%

“…However, there is no good reason to rule out the case where ()  () so that   0. In this case, the remaining part of the subsidy on the healthy good is financed by the capitation fee, as shown by (12).…”

Section: Equilibriummentioning

confidence: 99%

Earmarking and the political support of fat taxes

Cremer

Goulão

Roeder

2016

Journal of Health Economics

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in D I S C U S S I O N P A P E R S E R I E S Earmarking and the Political Support of Fat Taxes ABSTRACT Earmarking and the Political Support of Fat Taxes *A fat and a healthy good provide immediate gratification, and cause health costs or benefits in the long run, which are misperceived. Additionally, the fat good (healthy good) increases (decreases) health care costs by increasing (decreasing) the probability of suffering from a chronic disease in the future. Individuals differ in income and in their degree of misperceptions concerning the health effects of the consumption of fat and of healthy goods. The level of the fat tax is determined through majority voting. Individuals vote according to their misperceived utility function. Consequently, excessive fat consumption is not due to a self-control problem but due to information deficiencies or cognitive inability to process information. A fraction of the fat tax proceeds is "earmarked" to reduce health insurance premiums while the remaining fraction finances a subsidy on the healthy good. This earmarking rule is determined at a constitutional stage to maximize utilitarian or Rawlsian welfare, anticipating the induced political equilibrium. We show that the fat tax in the political equilibrium is always lower than the utilitarian fat tax. This is no longer necessarily true with a Rawlsian objective. The determination of the optimal earmarking rule is quite complex. Even in the utilitarian case, it is not just used to boost political support for the fat tax. Instead, it may involve a tradeoff between the fat tax and the healthy good subsidy.JEL Classification: I12, I18, D72

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The Lifetime Medical Cost Burden of Overweight and Obesity: Implications for Obesity Prevention

Cited by 140 publications

References 20 publications

Discordant Documentation of Obesity Body Mass Index and Obesity Diagnosis in Electronic Medical Records

Discordant Documentation of Obesity Body Mass Index and Obesity Diagnosis in Electronic Medical Records

Racial Disparities in Medical Expenditures within Body Weight Categories

Earmarking and the political support of fat taxes

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