Cent Eur J Public Health 2004, 12(2):113-114
Taxation and Life Expectancy in Western Europe
- Imperial College and Cardiothoracic Directorate, Hammersmith Hospital, London, UK,
With the exception of Denmark, life expectancy in Western Europe has shown a significant increase over the last decades. During that period of time overall taxation has increased in most of the countries, especially in Denmark. We, therefore, examined whether taxation could influence life expectancy in Western Europe. We used information on the sum of income tax and employees' social contribution in percentage of gross wage earnings from the OECD database and data on disability adjusted life expectancy at birth from the World Health Organization database. We arbitrarily only included countries with populations in excess of 4 millions and thereby excluded smaller countries where tax exemption is part of the national monetary policy. We found that disability adjusted life expectancy at birth was inversely correlated to the total tax burden in Western Europe. We speculate whether a threshold exists where high taxes exert a negative influence on life expectancy despite increased welfare spending. The study suggests that tax burden should be considered among the multiple factors influencing life expectancy.
Keywords: life expectancy, taxation, Western Europe
Received: September 16, 2003; Revised: February 10, 2004; Accepted: February 10, 2004; Published: June 1, 2004 Show citation
References
- Hart N: The social and economic environment and human health. In: Detels R., Holland W.W., McEwen J., Omenn G.S., eds. Oxford textbook of public health, 3rd ed. New York, Oxford, Tokyo, Oxford University Press, 1997: 95-123.
- OECD. Taxing wages in OECD countries. Available at: www.oecd.org/ stats/wages. 2002.
- World Health Organization. Life statistics. Available at: www.who.int/ whois/dale. 2002.
- Juel K, Bjerregaard P, Madsen M: Mortality and life expectancy in Denmark and in other European countries. Eur J Pub Health 2000; 10: 93-100.
Go to original source...
- Bevan G, Borgers D, Bouvier-Colle MH, et al.: European community atlas of 'avoidable death'. Oxford, Oxford University Press, 1988.
- Juel K: Increased mortality among Danish women: population based registrer study. BMJ 2000; 321: 349-350.
Go to original source...
Go to PubMed...
- Peto R, Lopez A, Boreham J, Thun M, Heath C: Mortality from tobacco in developed countries: Indirect estimation from national vital statistics. Lancet1992; 339: 1268-1278.
Go to original source...
Go to PubMed...
- Kessler RC: Sociology and psychiatry. In: Sadock, BJ, Sadock, VA, eds. Kaplan and Sadock's comprehensive textbook of psychiatry. Philadelphia, Lippincott Williams and Wilkins, 2000: 476-484.
- Kubzansky LD, Kawachi I: Going to the heart of the matter: do negative emotions cause coronary heart disease? J Psychosom Res 2000; 48: 317320.
Go to original source...
- Mirowsky J, Ross CE: Control or defence? Depression and the sense of control over good and bad outcomes. J Health Soc Behav 1990; 31: 71-86.
Go to original source...
- Roose SP: Depression, anxiety, and the cardiovascular system: the psychiatrist's perspective. J Clin Psychiat 2001; 62: 19-22.