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Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Economic impacts of illness in older workers: quantifying the impact of illness on income, tax revenue and government spending

Authors: Deborah J Schofield, Rupendra N Shrestha, Richard Percival, Megan E Passey, Simon J Kelly, Emily J Callander

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Long term illness has far reaching impacts on individuals, and also places a large burden upon government. This paper quantifies the indirect economic impacts of illness related early retirement on individuals and government in Australia in 2009.

Methods

The output data from a microsimulation model, Health&WealthMOD, was analysed. Health&WealthMOD is representative of the 45 to 64 year old Australian population in 2009. The average weekly total income, total government support payments, and total taxation revenue paid, for individuals who are employment full-time, employed part-time and not in the labour force due to ill health was quantified.

Results

It was found that persons out of the labour force due to illness had significantly lower incomes ($218 per week as opposed to $1167 per week for those employed full-time), received significantly higher transfer payments, and paid significantly less tax than those employed full-time or part-time. This results in an annual national loss of income of over $17 billion, an annual national increase of $1.5 billion in spending on government support payments, and an annual loss of $2.1 billion in taxation revenue.

Conclusions

Illness related early retirement has significant economic impacts on both the individual and on governments as a result of lost income, lost taxation revenue and increased government support payments. This paper has quantified the extent of these impacts for Australia.
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Literature
1.
go back to reference World Health Organisation: The impact of chronic disease in high income countries. 2005, Geneva: World Health Organisation World Health Organisation: The impact of chronic disease in high income countries. 2005, Geneva: World Health Organisation
2.
go back to reference World Health Organisation: Preventing Chronic Diseases: A Vital Investment. 2005, Geneva: WHO World Health Organisation: Preventing Chronic Diseases: A Vital Investment. 2005, Geneva: WHO
3.
go back to reference Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL: Chronic disease and labour force participation among older Australians. Medical Journal of Australia. 2008, 189 (8): 447-PubMed Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL: Chronic disease and labour force participation among older Australians. Medical Journal of Australia. 2008, 189 (8): 447-PubMed
4.
go back to reference Cai L, Kalb G: Health status and labour force particpation: evidence from the HILDA survey. 2004, Melbourne: Melbourne Institute of Applied Economic and Social Research Cai L, Kalb G: Health status and labour force particpation: evidence from the HILDA survey. 2004, Melbourne: Melbourne Institute of Applied Economic and Social Research
5.
go back to reference Organisation for Economic Co-operation and Development: Sickness, disability and work: breaking the barriers. 2007, Paris: OECD Publishing Organisation for Economic Co-operation and Development: Sickness, disability and work: breaking the barriers. 2007, Paris: OECD Publishing
6.
go back to reference Organisation for Economic Co-operation and Development Media Relations: OECD says governments must help people with reduced work capacity get jobs (18 Dec 2007). 2007, Paris: OECD Organisation for Economic Co-operation and Development Media Relations: OECD says governments must help people with reduced work capacity get jobs (18 Dec 2007). 2007, Paris: OECD
7.
go back to reference Moore R, Mao Y, Zhang J, Clark K: Economic Burden of Illness in Canada 1993. 1997, Ottawa: Public Health Agency of Canada Moore R, Mao Y, Zhang J, Clark K: Economic Burden of Illness in Canada 1993. 1997, Ottawa: Public Health Agency of Canada
8.
go back to reference Access Economics: The Economic Cost of Arthritis in New Zealand: Arthritis New Zealand. 2005 Access Economics: The Economic Cost of Arthritis in New Zealand: Arthritis New Zealand. 2005
9.
go back to reference Begley CE, Annegers JF, Swann AC, Lewis C, Coan S, Schnapp WB, et al: The lifetime cost of bipolar disorder in the US: an estimate for new cases in 1998. Pharmacoeconomics. 2001, 19 (5 Pt 1): 483-95.CrossRefPubMed Begley CE, Annegers JF, Swann AC, Lewis C, Coan S, Schnapp WB, et al: The lifetime cost of bipolar disorder in the US: an estimate for new cases in 1998. Pharmacoeconomics. 2001, 19 (5 Pt 1): 483-95.CrossRefPubMed
10.
go back to reference Henriksson F, Jonsson B: The economic cost of multiple sclerosis in Sweden in 1994. Pharmacoeconomics. 1998, 13 (5 Pt 2): 597-606.CrossRefPubMed Henriksson F, Jonsson B: The economic cost of multiple sclerosis in Sweden in 1994. Pharmacoeconomics. 1998, 13 (5 Pt 2): 597-606.CrossRefPubMed
12.
go back to reference Australian Bureau of Statistics: Retirement and retirement intentions, Australia. 2007, Canberra: ABS, Report No.: ABS Cat. No. 6238.0 Australian Bureau of Statistics: Retirement and retirement intentions, Australia. 2007, Canberra: ABS, Report No.: ABS Cat. No. 6238.0
13.
go back to reference Australian Bureau of Statistics: Information Paper-Basic Confidentialised Unit Record File: Survey of Disability, Ageing and Carers 2003 (reissue). 2005, Canberra: Australian Bureau of Statistics Australian Bureau of Statistics: Information Paper-Basic Confidentialised Unit Record File: Survey of Disability, Ageing and Carers 2003 (reissue). 2005, Canberra: Australian Bureau of Statistics
14.
go back to reference Lambert S, Percival R, Schofield D, Paul S: An Introduction to STINMOD: A Static Microsimulation Model. 1994, Canberra: NATSEM, Report No.: STINMOD Technical Paper No. 1 Lambert S, Percival R, Schofield D, Paul S: An Introduction to STINMOD: A Static Microsimulation Model. 1994, Canberra: NATSEM, Report No.: STINMOD Technical Paper No. 1
15.
go back to reference Rässler S: Statistical matching: A frequentist theory, practical applications, and alternative Bayesian approaches. 2002, New York Springer-Verlag New York, IncCrossRef Rässler S: Statistical matching: A frequentist theory, practical applications, and alternative Bayesian approaches. 2002, New York Springer-Verlag New York, IncCrossRef
16.
go back to reference Wannamethee G, Shaper AG: Self-assessment of health status and mortality in middle-aged British men. International Journal of Epidemiology. 1991, 20 (1): 239-45. 10.1093/ije/20.1.239.CrossRefPubMed Wannamethee G, Shaper AG: Self-assessment of health status and mortality in middle-aged British men. International Journal of Epidemiology. 1991, 20 (1): 239-45. 10.1093/ije/20.1.239.CrossRefPubMed
17.
go back to reference Cai L, Kalb G: Health Status and Labour Force Participation: Evidence from the HILDA Data. Melbourne Institute of Applied Economic and Social Research. 2004 Cai L, Kalb G: Health Status and Labour Force Participation: Evidence from the HILDA Data. Melbourne Institute of Applied Economic and Social Research. 2004
18.
go back to reference Brazenor R: Disabilities and Labour Market Earnings in Australia. Australian Journal of Labour Economics. 2002, 5 (3): 319-34. Brazenor R: Disabilities and Labour Market Earnings in Australia. Australian Journal of Labour Economics. 2002, 5 (3): 319-34.
19.
go back to reference Wilkins R: Melbourne Institute of Applied Economic and Social R. Labour Market Outcomes and Welfare Dependence of Persons with Disabilities in Australia: Melbourne Institute of Applied Economic and Social Research. 2003 Wilkins R: Melbourne Institute of Applied Economic and Social R. Labour Market Outcomes and Welfare Dependence of Persons with Disabilities in Australia: Melbourne Institute of Applied Economic and Social Research. 2003
20.
go back to reference Himmelstein DU, Warren E, Thorne D, Woolhandler S: Illness and Injury as Contributors to Bankruptcy. Health Affairs. 2005, 24 (1): Himmelstein DU, Warren E, Thorne D, Woolhandler S: Illness and Injury as Contributors to Bankruptcy. Health Affairs. 2005, 24 (1):
21.
go back to reference Schofield D, Kelly S, Shrestha R, Callander E, Passey M, Percival R: Quantifying CVDs Impacts on Living Standards in Retirement. International Journal of Cardiology. 2010, 198: 123-8. Schofield D, Kelly S, Shrestha R, Callander E, Passey M, Percival R: Quantifying CVDs Impacts on Living Standards in Retirement. International Journal of Cardiology. 2010, 198: 123-8.
22.
go back to reference Schofield D, Passey M, Percival R, Shrestha R, Callander E, Kelly S: Retiring early with cardiovascular disease-impact on individual's financial assets. International Journal of Cardiology. 2010, 146 (1): 125-6.CrossRefPubMed Schofield D, Passey M, Percival R, Shrestha R, Callander E, Kelly S: Retiring early with cardiovascular disease-impact on individual's financial assets. International Journal of Cardiology. 2010, 146 (1): 125-6.CrossRefPubMed
23.
go back to reference Schofield D, Percival R, Passey M, Shrestha R, Callander E, Kelly S: The financial vulnerability of individuals with diabetes. The British Journal of Diabetes and Vascular Disease. 2010, 10 (6): 300-4. 10.1177/1474651410385864.CrossRef Schofield D, Percival R, Passey M, Shrestha R, Callander E, Kelly S: The financial vulnerability of individuals with diabetes. The British Journal of Diabetes and Vascular Disease. 2010, 10 (6): 300-4. 10.1177/1474651410385864.CrossRef
25.
go back to reference Council of Australian Governments: Human Capital Reform. 2006, Canberra: Council of Australian Governments Council of Australian Governments: Human Capital Reform. 2006, Canberra: Council of Australian Governments
28.
go back to reference Cai L, Gregory RG: Inflows, outflows and the growth of the Disability Support Pension (DSP) program. 2002, 03: Major articles. Cai L, Gregory RG: Inflows, outflows and the growth of the Disability Support Pension (DSP) program. 2002, 03: Major articles.
29.
go back to reference Costello P: Intergenerational report 2007. 2007, Canberra: Commonwealth of Australia Costello P: Intergenerational report 2007. 2007, Canberra: Commonwealth of Australia
30.
go back to reference Productivity Commission: Economic Implications of an Ageing Australia. 2005, Canberra: Australian Government Productivity Commission: Economic Implications of an Ageing Australia. 2005, Canberra: Australian Government
31.
go back to reference Kohli M, Rein M: The changing balance of work and retirement. Time for retirement: Comparative Studies of Early Exit from the Labor Force. Edited by: Kohli M, Guillemard A, Van Gunsteren H. 1991, Cambridge: Cambridge University Press Kohli M, Rein M: The changing balance of work and retirement. Time for retirement: Comparative Studies of Early Exit from the Labor Force. Edited by: Kohli M, Guillemard A, Van Gunsteren H. 1991, Cambridge: Cambridge University Press
32.
go back to reference Australian Government: Australia's demographic challenges. 2004, Canberra: Commonwealth of Australia Australian Government: Australia's demographic challenges. 2004, Canberra: Commonwealth of Australia
33.
go back to reference Koopmanschap MA, Rutten FFH, van Ineveld BM, van Roijen L: The friction cost method for measuring indirect costs of disease. Journal of Health Economics. 1995, 14 (2): 171-89. 10.1016/0167-6296(94)00044-5.CrossRefPubMed Koopmanschap MA, Rutten FFH, van Ineveld BM, van Roijen L: The friction cost method for measuring indirect costs of disease. Journal of Health Economics. 1995, 14 (2): 171-89. 10.1016/0167-6296(94)00044-5.CrossRefPubMed
34.
go back to reference Australian Bureau of Statistics: Labour Force, Australia, Jan 2011 ABS Cat. No. 6202.0. 2011, Canberra: ABS Australian Bureau of Statistics: Labour Force, Australia, Jan 2011 ABS Cat. No. 6202.0. 2011, Canberra: ABS
36.
go back to reference Mitchell W, Quirk V: Skills shortages in Australia: concepts and reality. 2005, Newcaslte: University of Newcastle, Centre for Full Employment and Equity Mitchell W, Quirk V: Skills shortages in Australia: concepts and reality. 2005, Newcaslte: University of Newcastle, Centre for Full Employment and Equity
38.
go back to reference Australian Treasury: The 2010 Intergenerational Report. 2010, Canberra: Australian Government Australian Treasury: The 2010 Intergenerational Report. 2010, Canberra: Australian Government
39.
go back to reference Australian Government: A Plan to Simplify and Streamline Superannuation. 2006 Australian Government: A Plan to Simplify and Streamline Superannuation. 2006
40.
go back to reference Preventative Health Taskforce: Australia: The healthiest country by 2020. 2009, Canberra: Australian Government Preventative Health Taskforce: Australia: The healthiest country by 2020. 2009, Canberra: Australian Government
42.
go back to reference Börsch-Supan A: The Impact of Global Aging on Labor, Product and Capital Markets. 2004 Börsch-Supan A: The Impact of Global Aging on Labor, Product and Capital Markets. 2004
43.
go back to reference Kennedy S, Da Costa A: Older men bounce back: the re-emergence of older male workers. Economic Roundup. 2006, Spring: 31-44. Kennedy S, Da Costa A: Older men bounce back: the re-emergence of older male workers. Economic Roundup. 2006, Spring: 31-44.
45.
go back to reference The Attorney-General: Age discrimination bill to become law, Media Release 094/2004. 2004, Attorney-General's Department The Attorney-General: Age discrimination bill to become law, Media Release 094/2004. 2004, Attorney-General's Department
Metadata
Title
Economic impacts of illness in older workers: quantifying the impact of illness on income, tax revenue and government spending
Authors
Deborah J Schofield
Rupendra N Shrestha
Richard Percival
Megan E Passey
Simon J Kelly
Emily J Callander
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-418

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